Very low or undetectable?
Feb 10, 2013
I read one of your previous answers where you said traetment-naive patients should get undetectable within 6 month after starting the therapy. I wonder if you could be a bit more specific regarding this.
I started HAART (Truvada + Stocrin) in May 2012 (VL 117,000, CD4 487). After three months I went down to VL 261 and CD4 boosted to 694). In November my VL was 26 (which one year back in my country would be understood as undetectable but now with newer tests we can count as little as 20 copies of the virus) and CD4 some 710+.
My doctor was extremely pleased with the result and said I should get tested in 6 months only as I am doing well. Would you agree on that or should I request to get tested sooner?
Thanks for your opinion
Response from Dr. Holodniy
The data is still controversial as to what detectable results between 20-50 mean, and whether everyone has to get to < 20 or they will fail on their HIV regimen. I think your results are great. But since this was the first result at this level, I don't think I would wait for 6 months to get another result. I think if you had been at this level for a couple of years without any increases, then yes, I would back the testing out to every 6 months.
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