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When to start pills
Nov 29, 2004

I have been positive for three years. My viral load is undectectable and my CD4 count 1640.

I know I am extremely blessed and thank GOD for my health. When do doctors normally want patients to begin the cocktail?

Response from Dr. Young

Thanks for your questions and post.

You're very fortunate to have a very high CD4 cell count and extremely low (ie. undetectable) viral load. These numbers portend a very long symptom-free period for you. In general, most HIV specialists don't recommend starting HIV treatments in asymptomatic persons until the CD4 count is repeatedly below 350. For patients with persistent HIV-related symptoms, like fever or severe fatigue, then treatments could be started at any time, irrespective of CD4 count.

Hope this helps, thanks for reading. BY



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