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Undetectable, yet falling CD-4 count?
May 23, 2004

Dear Doctor, I recently went to my doctor and after finally achieving an undetectable viral load, my T cells have fallen from 170, down to 130. I'm just curious, as he is too, why this has happened. One would think that if you get the viral load down, then eventually, the CD-4 count should rise. Is this normal? My doctor is having me retake my labs in a month. Thanks for any input or opinions you may have.

Response from Dr. Lee

Congrats on achieving an undetectable viral load! The change in the T cell count generally lags the viral load changes by several weeks, thus rechecking in a while is a good idea. Eventually, most folks see a CD4 rise when they maintain undetectable levels of virus. Sometimes this is a slow process, so don't get discouraged.

Be well.

Kaletra vs. Reyataz
Afraid of this switch, please advise!

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