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low neutrophils related to low testos.?

Dec 30, 2012

Hi Mr Holodniy, Me :Pos 12 years, always cd4<600, Vl under 10.000 for 10 years up to 20 - 30,000 last 2 years. Also have had low neutrophils 1.2-1.4 for 2 years, bone marrow and lymph node biopsy ..ok and lymphoma ruled out. Started ART 6 weeks ago due to neutrophils dropping to 0.9 for last 3 months..otherwise healthy...except for severe fatigue! I heard somewhere that low neutrophils could be related to Testosterone levels..I am 38yo, could this be possible at my age? After 2 weeks on ART(complera) my neutrophils are 1.6. but am still waiting on Vl, Cd4 counts. Could you please give me your opinion on the relationship of neutrophils and testosterone and whether i should consider having a level done at my age? Thank you very much!

Response from Dr. Holodniy

I am not aware of any studies linking low testosterone to neutropenia. You don't indicate that you have any other symptoms associated with low testosterone levels. However, men with HIV infection (regardless of age) are at higher risk for having low testosterone levels. Although I am not one for ordering lab tests when they are not indicated, a screening level now is not unreasonable.

T cells dropped from 720 to 440 in 3 months
How I feel doesn't match improvement in Labs

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