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Viral load and starting treatment.

Nov 3, 2013

Dear Doctor. I am Hiv positive since 2008. I am 35 years old male. I have no symptoms, i feel very well. In October 2011, i had test with 1550 cp/ml viral load and CD4 40%. In Febr 2012 the viral load increased to 38 000, with CD4 30%. Then in January 2013 viral load changed for 86 000 with CD 28.5%. The most recent lab test was done in Oct 2013, the viral load increased to 129 000 with CD4 30%. So far i did not take any medication. Do i have to start it now? Which drug do you recommend? Thanks in advance.

Response from Dr. Holodniy

Given that trend, although you don't indicate what the CD4 count is, I would recommend starting HIV treatment. There are several combination regimens that are highly effective and which your doctor can discuss with you.

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