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I have been hiv poz for 12 years but no med
May 5, 2013

Dear doc, I have been positive since 2002 and since then i have been checking up my cd4 and still i am not in medication and my cd4 since 2006 is almost steady 500 and viral load fluctuat from 30000 to 6000. So I want to know how this work because i know who struggle within few years

Response from Dr. Holodniy

If your viral load has remained detectable at that level, and your CD4 count has remained above 500 all this time without the need for HIV treatment, you are lucky. That would not usually be the case, and almost all people would have experienced significant decline in their CD4 count. Most experts today would recommend starting HIV treatment in someone with your numbers and situation of long term infection. We have found that having ongoing viral replication for prolonged periods of time is not only bad for CD4 cells, but creates a situation of ongoing inflammation in the body, where other problems like heart or kidney problems can result.



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