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Lab results out

Aug 18, 2013

Hello Doctor,Here is the CD4 count variation since Jan 2012:-

13 Jan 2012(CD4-247),on 21 Jan the CD4 was 173 and viral load was 188000.The medication was started on 21 Jan (DUOVIR-E kit: 2 tabs of lamivudine 150 mg, & zidovudine 300 mg, 1 tab of efavirenz 600 mg.)along with Forcan (Generic Diflucan) and Septran. The next test was done on 15 March and the CD4 was 289 and VL-591. The last test was done on 8 Sep and the CD4 was 460 and VL-23.

the most recent test was on 12 Aug 2013 and the CD4 was 440,does the jump from 460 to 440 matter a lot.IO have read in the previous forums that this depends on the time of the day and the stress levels.Provided the medication was regular should this count have increased to higher levels,Since the graph is almost constant medication should be changed or this varies from person to person for the cd4 to jump up.please suggest ASAP as the patient is restless about the decline of 20 cells???

Response from Dr. Holodniy

There is essentially no difference between a CD4 count of 440 and 460. If available, another number to follow is the CD4 percent, which is a more stable number over time. I suspect your CD4 percent is stable.

Liver Damage risk?
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