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should I start now?
Jan 18, 2003

I am now about 6 months from infection. At three months T-cells were 624 and vl 7400.I will have another test soon. I had almost no seroconversion symptoms. My question is whether there is value in taking a course of ARV now as some seem to believe that early treatment saves part of the immune response which may be important later as therapeutic vaccines or other immune-based therapies may be used. Or is it too late now in any case? I don't want to start now and continue indefinitely (I would rather wait until T-cells come down) but would consider say a 6 month course if it might benefit me later on.

Response from Dr. Wohl

Hi-

It is too late to start HIV therapy for the reasons you mention. I would recommend you continue to see a good HIV clinician, get your counts checked a few times a year and hold off on any HIV treatment for now. Chances are that it will be years or even decades before you will need to think about starting meds.

DW



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