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Viral load going down but so is CD4. How can that happen?
Jul 29, 2012

I was diagnosed in january I and my viral load was in the tens of thousands and my cd4 count was 484. I got tested in april and my viral load was 70 but my cd4 count dropped to 431. Now I got tested again in july and my viral load is undetectable but my cd4 count has dropped to 368. Why is this happening, and is there a way I can increase my cd4 count by taking any other vitamins? Also i've been on prezista, norvir and truvada since my diagnosis. Am I developing resistance?

Response from Dr. Holodniy

As long as your viral load remains undetectable and you continue to take your HIV meds you will not be developing resistance to these meds. Another number to watch is the CD4 percent, which is a more stable number over time, as the CD4 count can fluctuate. I suspect that given the undetectable viral load, your CD4% is stable, despite the slight drop in CD4 count.



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