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follow up on early high numbers
Mar 23, 2003

Hi Dr Young I was the guy who asked about the high numbers so eary--

1. How much higher can the viral numbers be due to giardia?

2. Can it also be the cause of the low cd4 count?

3. If I am past acute stage, does this mean I have a more virulant strain and will probably get aids quicker? Can they test the strain to see how strong it is?

4. Does giardia come back even if treated?


Response from Dr. Young

It's tough to predict with viral load effects with certainty-- a lot wound depend on how sick you were with the Giardia. I'd guess that the effect is less than 2- or 3-fold. By contrast, I'm not sure that there'd be much of an effect on CD4. Occasionally, giardia can reoccur, but this is a relatively rare event.

Does this mean that you have a more virulent "strain"? I'd redirect your question and say that I'm not sure about your virus, per se, but the combination of your virus and your immune system has led to a viral set point that is likely pretty high. Therefore, your risk of progression to AIDS (if you never start treatment) is higher, and the time to progression is quicker.

Good luck, BY

Zocor and HAART meds.

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