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treatment options
Feb 12, 2010

Hi Doc,

cd4 750 vl 30K not on medication. Tested poz last year. Last time hiv neg was 5 years ago. What are the odds I can wait for treatment at least for 5-10 years. Otherwise healthy. Thanks so much

Response from Dr. Young

Hello and thanks for your post.

You are asymptomatic and have a CD4 count well above the current US guideline treatment threshold of 500- thus, it's unlikely that you'll need to start treatment in the near future. That said, there is an undercurrent of opinion to start treatment even sooner, as medications become even better tolerated and less toxic.

It would be very difficult to predict the 5- or 10-year trajectory of your health or CD4s. Most patients either have disease progression or CD4 count declines within that timeframe.

I hope you find this helpful. Be well, BY



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