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Viral Load Undetectable, but Decreasing CD4

May 4, 2014

I have been taking HIV meds since January 2013 when by CD4 count was 319. By the end of March 2013, I was undetectable and my CD4 count was 594. Since March, my viral load has remained undetectable. However, my CD4 count continues to drop, and as of May 2014, my CD4 count was down to 405. What gives here? I follow my regimen and don't do drugs or anything else to compromise the success of my treatment. Additionally, I work out regularly and am very fit. Don't understand. Thoughts?

Response from Dr. Holodniy

I would be curious to know what your CD4% has been doing during this time. The CD4 count can vary much more than the CD4% does. I suspect, given the undetectable viral load, your CD4 percent has been stable and your CD4 count is bouncing around. At this point, I wouldn't suggest doing anything different than continuing to take your HIV meds as prescribed.

Viral load dropped, but so did my CD4 count
Atripla with food and Viral Load

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