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Should I start treatment?

Jul 28, 2013

Hello, I have just found out that I am HIV+, I am 52 and after 3 weeks of unexplainable diarrea, had several blood tests. Here are the results: Hep C negative, Lymphocytes total 2544, CD4 720 (28%), CD8 925 (36%), CD4/CD8 0.78 I feel ok physically,no other symptoms, diarrhea seems to have stopped after taking bovine colostrum pills. My question would be: should I start HAART treatment, since I experienced chronic diarrhea, which is an AIDS definig condition? Thank you very much for your help!

Response from Dr. Holodniy

I assume that several kinds of stool studies were obtained, in addition to the blood studies, to workup the diarrhea. In most cases, the etiology is found, either through blood and stool studies, or after colonoscopy. Although you don't indicate what your HIV viral load is, given that your CD4 count is in the normal range, with a mildly decreased CD4%, it is hard to imagine that this syndrome is AIDS-related. Regardless of this event and it's etiology, today most experts would recommend starting HIV treatment regardless of the CD4 count, given your age.

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interpretation of blood test CD4 and CD8

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