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Viral load blip
Oct 7, 2007

After 3 years of maintaining an undectable viral load, recent labs came back with a 147 v/l. I realize it's not a high reading but why would this occur if I always take my meds. Could it be time to change? I am really confused....

Response from Dr. Pierone

Occasionally a viral load blip will occur in someone with long-term virologic control on HAART. A viral load blip is defined as a temporary increase in viral load. So if the next viral load is undetectable this event would qualify as a blip. If the next viral load is also detectable then it might signify viral breakthrough. In a situation like yours (3 years of controlled viral replication) it will probably be a blip and nothing further will need to be done. A change in therapy is warranted if clearly documented viral breakthrough with viroloic failure occurs. Thanks for posting and good luck!

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