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Off meds 8 months, still UD

Oct 14, 2017

Dr, for a variety of reasons, my HIV doc put me on a one month drug holiday. When my labs came back a month later, I was undetectable. 8 months later, I am still undetectable (labs run monthly) and my CD4s are consistent around 1200. My doc said he has had some LTNP's with low level viral loads, but never anyone not on meds who is UD for this long. Your comments? Advice?

Response from Dr. Holodniy

Most LTNPs are not usually put on HIV meds, and yes, they usually have normal CD4 counts and very low to undetectable HIV viral loads. We don't know how many people who are put on HIV meds and then stop those meds continue to maintain undetectable HIV viral loads in the absence of treatment. It certainly does happen and this does not mean that the infection is gone, but the immune system is able to contain the infection on its own. I would likely suggest to continue to monitor your viral load and CD4 count while staying off HIV treatment. If the viral load rebounds, then you have your answer, and HIV treatment should be started again.



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