Aug 27, 2007
Hi there Doctors,
in march '07 i was at CD4 540/26%, VL 900. the very low viral load was a nice surprise (here we only check the VL once a year while not on meds). However, in july, CD4 had decreased to 400, 17% (no viral load data)... I'll be re-doing the bloodworks in september. I've been having some upper respiratory infections on and off since july. My Belgian hiv specialist feels that these values (400 / 17%) are still way too good to start meds (we'll be trying sustiva/truvada when the time comes), eventhough i'm more in favor of starting when the CD4 is still relatively high (250 vs 350). Suppose next months results confirm this decline to 17%, would you advise starting meds? In case it has further declined?
Response from Dr. Wohl
I too am not very wedded to the whole '350-start-meds' doctrine. I understand why that number makes sense given the data we have available but with better performing and tolerated HIV meds, along with accumulatiing data suggesting that having HIV replicate unchecked in the body is not a good thing, I have gravitated toward earlier treatment.
I also look for major shifts and a drop from 26% to 17% in CD4% is major.
Hopefully, the CD4 cell count was off that day and when you recheck the numbers they will be back up to your usual.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Pain In Penis After Reused Needle Worried I Have HIV
- White Discharge After Unprotected Anal Sex Worried I Have HIV
- Can Steroids Cause Vaginal Bleeding?
- Can You Have Smooth Vaginal Bumps But Not An Std?
- Aids Patient With High Bilirubin Count
- Chances Of Getting Hiv Through One Anal Exposure
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.