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Frequency of CD-4 Tests
Nov 5, 2011

I have been positive 3 years. I started initial treatment with Atripla in January of 2011 and was undetectable within 2 months. My CD-4 has fluctuated during my time as positive from 1232, to a low point of 561 in March 2011. In June 2011, my count had rebounded to 940. Now my doctor thinks it is only necessary to run a VL count, and is not willing to run CD-4 counts. Does this seem like a reasonable course of action? I feel like I should get both labs done each time I'm drawn.

Response from Dr. Holodniy

I believe its still important to have both tests done, but the frequency could be reduced from once every 3 months, to either 4 or 6 months, depending on how stable the CD4 count is and whether the viral load remains undetectable.



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VL spike from 20,000 to 115,000, never on meds, never had any spikes in counts

  
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