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When to start treatment
Oct 10, 2003

Hi, have been diagnosed with HIV March 2003, infection most probably in December 2002. My Tcells are 4500, viral load 850. My local clinic tells me its not necessary to start treatment yet, as these counts indicate still good health. Would you agree not to start treatment as yet and from which figures onwards would you recommend treatment. Thanks a lot for your advice.

Response from Dr. Young

I agree with your clinic doctor.

If you're asymptomatic it's probably ok to wait until your CD4 count is below 400, probably even 350 or lower. The key is to make sure that your get ongoing periodic lab and clinical monitoring. Check out this link to the treatment guidelines for more details--http://aidsinfo.nih.gov/guidelines/adult/AA_071403.html.

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