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Understanding Your LabsUnderstanding Your Labs
           
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Newly diagnosed, low % but not put on meds yet
Sep 2, 2012

Hi Doc, I was diagnosed after sero converting in June. Baseline results 4million VL, CD4 490, 30%. Just had second results which were 1.2million VL, CD4 412, 13%. Doc said "we might put you on meds if next test is the same". It seems from reading around that I should already be on meds with these figures, although the clinic dont see any sense of urgency. Will my immune system recover possibly or should I ask to go on meds now?

Response from Dr. Holodniy

If infection really occurred in June, then these numbers could still represent a decline in CD4% due to acute infection. However, I am concerned about the significant drop in CD4%, which may or may not recover, given the viral load is still so high. I would favor starting treatment now and stopping that trend by controlling the virus, so recovery of your immune system can be accelerated rather than having your immune system try to do this itself.



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