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VL 6000 time for treatment?
Jun 24, 2009
Hello Dr,
I have been diagnosed HIV pos a week ago, and my VL and Cd4 results came today. My VL is 6000 copies/mm3, and CD4 275, the Consultant said that I should start treatment as soon as possible, I wonder if with such a low VL this is strctly true?
Thank you in advance
Paco (from Spain)
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Response from Dr. McGowan
Paco,
The decision to start treatment is based more on the CD4 count than the height of the viral load. A CD4 count below 350 is generally considered a time to start treatment. The height of the viral load can help predict how fast things will progress...so a higher viral load will cause the CD4 to drop more quickly. Having a lowish CD4 and a relatively low viral load (as in your case) may indicate that, although you have just been diagnosed with HIV, you may have had it for a few years and did not realize, which is very common.
Wishing you well on your treatment,
Joe
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