May 12, 2001
I discovered my HIV status almost two years ago. Every three months since then I have had my blood work done- my VL has been between 16.6 to a high of 35.0 (which was my latest test results. My T cell count has been between 641 10 1084 with my latest test at 805. I have not been on any medication. I do take care of myself- excerise, eat right, get lots of sleep- my big vice is smoking which I am trying to quit. My question is this- is there any known average or length of time where T cells/VL gets to a point where treatment becomes necessary? You have really helped me out by responding to other questions...I appreciate your comments. The VL numbers above are 16,600....35,000......does this change your response??? THANKS!
Response from Dr. Holodniy
Current guidelines suggest waiting to start treatment until the CD4 count is < 350 and the viral load is > 30-50,000/ml depending on the viral load assay used. Given your numbers, I would suggest waiting. MH
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