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Aug 4, 2001

Dear Doc:

Viral load tests showed 30K and CD4 around 700. Second test showed 35K and 680. How long can I afford to stay off meds. Are these my baseline numbers as my doc indicates? I mean are they going to stay this way for awhile so I can avoid the treatment? I am being monitored every three months. I don't want to take the medicines if I don't have to. Please help! Thanks

Response from Dr. Holodniy

The current guidelines suggest that treatment should be started when the CD4 is < 350 and viral load > 30-55,000/ml. The tests you report are essentially the same. At this point I would recommend just observation and not starting treatment, and following your numbers closely for any significant change. MH

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