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jorston
Sep 28, 2004

I was just diagnosed + in late Aug after being very sick. I have had - anti body test since then. Had - test in May this year and earlier in Feb. My t-cell is 395, my vl is 190k down from 760K. Can I expect to improve as I was recently very sick? Is being very sick upon initial infection a sign that I will become sick sooner and need to begin treatment sooner?

Response from Dr. Young

Thanks for your post.

There isn't good information about a link between the severity of initial symptoms and rate of HIV disease progression. Having a viral load decline from 760 to 190K may not even be that significant, since there can be a 5-fold change in viral loads from day to day.

Nevertheless, if your viral load stabilizes at ~200K, you'd be considered to have a pretty high setpoint, arguing that you'll more likely have moderately fast CD4 cell decline and the need to monitor your health more closely.

Good luck, thanks for reading. BY



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