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cd4 n cd4% decreases
Sep 14, 2013

Hello, I am diagnosed positive in july 2008 with only cd4=64 .after 5 years of arv; currently on atripla. My cd4 has been increasing very slow but steadily till beginning of this year. Cd4 was 396 ,21% in january but in ne it dropped to 266, 17%. Viral load remains undetectable. I put on 5 kg this year and occasionally feel fatigue during the day. I try to exercise 2-3 times a week and watch my diet; even though my waist line still expanding. Does the decrease of cd4 n cd4% alarm any concern or any medical issues I should look into ? Appreciate your advice. Cheers.

Response from Dr. Holodniy

Although on the face of it, that difference in CD4 count and percent does appear to be a significant reduction, I am not concerned given the undetectable viral load, and that this is a single value over the course of many years of infection and treatment. At this point, I wouldn't do anything different and just recheck at the next scheduled time.



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