Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter 
Professionals >> Visit The Body PROThe Body en Espanol
   
Ask the Experts About

Choosing Your MedsChoosing Your Meds
         
Rollover images to visit our other forums!
  
  • Email Email
  • Glossary Glossary


rapid drop in cd4
Jun 20, 2003

hi. ive been reading your site ever since i got my + result. i find it highly informative and want to thank you for your much-appreciated work !!! i am + for about 18 months and my VL/cd4 went from 400000/480 in october02 to 140000/450 in february03 to 104000/330 TODAY. my doctor says we can still wait with the beginning of therapy because the VL is still declining also. i am a little concerned because the cd4 dropped so rapidly. i would appreciate a 2nd opinion from you guys. thank you very much and have a nice weekend ! dirk, 31 cologne germany

Response from Dr. Young

Thank you for your question, Dirk.

I differ with your doctor's statement about your viral load-- we know that viral loads can vary about 5-fold from day to day. From this, the differences between your three sets of labs are probably not significant; furthermore, no matter which number you pick, your viral load is quite high (>100,000 copies). Therefore, using this trend in viral load might be deceptive with regard to recommending therapy.

With a CD4 count about 350 (particularly if it repeats on the next test), most US-based clinicians would recommend considering starting therapy. This decision is not one that needs to be rushed, but one that I would endorse.

Good luck. BY


Previous
Start HAART or wait until syphilis treatment is over?
Next
Best first steps

  
  • Email Email
  • Glossary Glossary


 
Advertisement




Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement