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Starting meds today!
Aug 15, 2006

Dear Dr. Young: Two months ago I was concerned about my last counts: CD4- 539/26% and V.L.:100.000. I was not on treatment but was scared to have an unpleasent drop of CD counts on my next labs with such a high viral load. Fortunately my last counts (08/02/2006) showed only a small decrease in CD4 (503/25%) The viral Load was 80.000. Still high. Thanks to your optimism, I decided to start meds immediately. I am starting today on Sustiva/Truvada. I am very happy with my decision on starting now. Waiting for a further destruction of my immune system made me very anxious. I will keep you posted with my evolution wich I expect to be good. Thank you! Juan - Madrid (Spain)

Response from Dr. Young

Thanks for your post.

You do have a modestly high viral load and generally stable CD4 count. With your percentages, I'd be supportive of a proactive stance and intiation of treatment.

Let's keep our fingers crossed that you'll be among the many HIVers that tolerate this regimen well. Know that if your here in the US, tenofovir/FTC (Truvada) and efavirenz (Sustiva) can be combined into the triple coformulated pill, Atripla.

Let us know how your first days go. The blog will be of considerable interest to many readers. Best, BY

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