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High VL. Should I start?
Aug 21, 2005

My CD4 is around 480 since march/2004. My VLs are: 153.000 (jan/2005), 93.500(feb/2005), 173.000 (jun/2005). Feeling well. Should I start medication?

Response from Dr. Pierone

With a CD4 count above 350 most authoritative guidelines would suggest that you wait, even though the viral load is on the high side. We are unsure of the proper time to start therapy, but the risk of waiting in your situation is quite low and this is accepted. The SMART study is comparing immediate to deferred therapy and is enrolling worldwide.

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