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2nd Opinion
Jun 23, 2003


I was diagnosed in Nov '02. I was infected somtime after Jun '01. My numbers have been as follows: 11/02=VL of 3300, CD4=650 1/03=VL of 5200, CD4=620 3/03=VL of 39000, CD4=722

I've just been tested again and am awaiting my current VL and tcell counts. My doctor recommends starting therapy if my VL has gone up again.

What is your opinion on this? Isn't my diagnosis fairly recent and my tcell count still high to be starting therapy so soon?


Response from Dr. Young

From the sounds of it, you're not having any symptoms (asymptomatic) and have a high (read: normal) CD4 cell count. If this is the situation, I'd probably not start therapy, but continue to monitor your labs quarterly (as you've been doing).

Only if you began to have symptoms, like fatigue or weight loss; or if your CD4 count were to take a dramatic turn downward (probably at least below 500 cells, and more likely 350-ish), would I recommend starting therapy. BY

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