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Viral load spike

May 20, 2007

I am a 27 year old male. Seroconverted in January of 2007. First Hiv exam ever, so not sure when I contracted the virus.

1) cd4 270 vl 43000 2) cd4 420 vl 56000 3) cd4 310 vl 117000

Why the increase in Viral Load? Is that normal? What next?

Response from Dr. Pierone

Hello and thanks for posting.

It is very common and normal for the CD4 count and viral load to vary considerably from test to test. The viral load in particular can be quite variable. It may double or sometimes triple in response to an infection or immune stimulation. This is one of the reasons that we often recommend multiple readings of CD4 count and viral load before making the decision to initiate therapy.

Most likely, your physician will recommend repeat laboratory testing in order to get more information to more accurately trend the viral load and CD4 count.

Best of luck to you and let us know how things turn out.

Generic Atripla?
JAMA article on virus inhibitory peptide

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