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What do I do next..
Apr 11, 2007

My t cell count is 452, my Vl count is 11,000. the doctor thinks I've had hiv for 2 to 4 years. When do I need to start meds?

Response from Dr. Young

Thanks for your post.

Current treatment guidelines suggest starting treatment if you develop HIV-related symptoms (regardless of CD4 count) or when your CD4 count is reproducibly below 350. Some would also consider tretament if your viral load is high (above 100,000 copies).

As to when you'll need to start, based on what you've listed, it's likely to be some time, probably several years. The only way to protect yourself from unplanned disease risk is to get regular laboratory monitoring.

Hope this helps, BY

should i start meds?

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