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Early Intervention
Dec 30, 2005

Dr Young, I've read your 6/28/03 response (14 years healthy...) which mentions starting therapy during acute seroconversion. Can you expand on this idea? I am 38 days past exposure, feeling the effects, and would like to fast track my treatment rather than just get a blood test from the family doctor every month until my referral.

Response from Dr. Young

Boy, you've done some digging on the forum-

This earlier post came from a patient who had a very low viral load and maintained his CD4 count for many years after initial infection.

The consensus about starting treatment during acute infection has drifted considerably since 2003-- now there is a decidedly undecided opinion about the value of antiretroviral treatment at this stage.

What's essential in your situation is to establish whether or not your symptoms are related to HIV or something else-- not every symptom that emerges after a sexual encounter need be related to HIV. Prior to even thinking about antiretroviral treatment, I'd want to have unequivocal evidence of recent infection-- this means having a negative (or indeterminate) HIV western blot and a positive HIV RNA PCR (viral load) test.

I'd talk to your doctor (or local HIV specialist) about confirming your recent infection as a first step.

Here's hoping for a negative result, BY



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