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Baseline????? But what if not?
Apr 2, 2003

Hiya Doc,

Tested poz last may and right after a rather a nasty seroconversion my conts were tcells 420 vl 25,000. In the past year tcells went as high as 560 vl as low as 3,000 and the NP I was seeing recommended no meds. Im seeing a new doctor now and my latest counts are tcells 431 vl 33,000. Is this still good to wait for meds or should I give it a go? How do I know what my baseline is? What is a baseline? Is it true I cant start meds for sometime, get undetectable and then get off for some more time? Am I able to get any OI's at my counts? Please let me know...Im a little down in the dumps bout this whole dip thing I have done.

Thanks, some really young naive cuban boy

Response from Dr. Wohl

Hola, your counts actually look pretty stable to me. As with most things having to do with biology there is a cycle and flow. Some days your T-cell count is 450 other days 520. There is normal variation in our temperatures, heart rate, blood pressure and even T-cell counts.

When we talk about 'baseline' we usually mean before starting HIV therapy. I agree with your NP, I would be in no hurry to start what may be life long meds right now given your numbers. You are not at risk for major opportunistic infections.

If monitoring your counts demonstrates a drop in T-cells to around 200-300, I would then consider therapy.

Good luck- DW

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