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CD4 count not increasing
Jul 6, 2007

Dear Doctor I had serious peumonia in at the beginning of this year in China and I did not know I was HIV postive. The doctor found it out later when I was hospotalized. My CD4 count was 60 in March 2007. I started D4t, 3tc and NVP immediately. One month later, my CD4 count was 90. But after another two months, my CD4 count is now still 90. I dont have any infections now. My peumonia has recovered and I feel great,never fatigued. I can live as if I am not HIV postive. Doctor, can you please tell me why my CD4 count is not increasing in the last two months? In China, virus load is seldom tested so i never know my virus load.

Your early answer will be great appreciated.

Peter

Response from Dr. Young

Dear Peter,

Thanks for your post. I'm sorry to hear about your recent diagnosis.

I wouldn't interpret your CD4 count lab tests as saying that your counts have not improved. Rather, going from 60 to 90 is a 30 cell, or 50% increase in just one month. If I were your doctor, this early test would be very encouraging.

Keep up with the adherence and drop us a note from time to time to let us know how you're doing.

Best of health, BY



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