|Undetectible/low %/decreasing T-cells
Apr 4, 2007
I have been on the same regimen for 2years(Truvada, Norvir, Reyataz) which has been working for me. 6 months ago my VL was undetectable, T-cells were @ 560 and my percent was at 17%. 2 weeks ago I tested again with the following results: VL still undetectable, T-cells 284, and 12%. This is not making sense to me. I take my meds as prescribed and have not missed a dose in over a year. Why would I have such a significant drop? The only other abnormal lab value is my ALT which is 93. Every thing else is within normal limits. Can you shed some light? Thanks.
| Response from Dr. Wohl
I would not freak out just yet. T-cell counts do fluctuate - just like our temperature, blood pressure, and other cell counts. It is important to look at sustained trends rather than single lab results.
I would have your numbers rechecked in a few weeks. A continued decline in your T cell count despite a viral load that remains undetectable would be very unusual. Have the ALT rechecked too and if it continues to be elevated, this too should be evaluated.
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