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new on meds still decectable after 16 weeks why ???
Aug 13, 2009

Hi Dr ,

l started taking meds for the first time on feb 20 2009 viroal load 45,000 cd4 303 and %18

afer 2 months viroal load 440 and cd4 331 and %24

new tests on 15-6-09 viroal load 100 and cd4 333 and %25

are my meds working ??? why am still decetable after 4 months ??? l am on truvada and niverpine once daily in the morning and never missed a dose ??? what should l do ???

thank you for your time and doing a great job for us hivers

Response from Dr. McGowan

Thanks for your question.

Most people will reach an undetectable viral load by 4-6 months. The important thing is to closely monitor the response. The usual trend is a fairly rapid early drop (as you observed) followed by a more slow and steady drop. This is due to the type of cells that are producing the virus (high turnover "activated" CD4 cells early. and longer lived memory CD4 cells later). Your viral load continues to drop by 3 fold or more each visit which is good and your CD4 is increasing. Work with your health care provider to keep on top of it till it is fully suppressed. Best, Joe



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