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Considering Treatment
May 30, 2004

I have been positive for 2 1/2 years. My recent lab work shows my CD4 just above 400 and my t-cells at 21,000. This is the lowest/highest they have ever been. Should I be considering treatment?

Response from Dr. Young

Thanks for your question.

Your recent CD4 cell count suggests to me that you might be nearing a range where starting therapy should be considered-- but not yet. Current recommendations for asymptomatic persons is to consider (not mandatory) starting therapy when CD4s are below 350. When my patient's numbers approach this, I make sure that we get follow up lab testing in 2-4 months. With a average or slighly below average viral load, your risk of having rapid progression, is for now, pretty low; so waiting until your next test is unlikely to cause any problems.

Good luck and thanks for reading. BY

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