The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App 
Professionals >> Visit The Body PROThe Body en Espanol
Ask the Experts About

Choosing Your MedsChoosing Your Meds
Rollover images to visit our other forums!
  • Email Email
  • Glossary Glossary

Questions before starting treatment
Sep 30, 2011

Dear Dr Young, I am 40 years old HIV+ guy which is thinking about starting on meds. I was diagnosed in Dic 2003, my last test was made in November 2008 showing 345 CD4 count and a VL of 1700. Since then I have no madre any test again, which i am planning to do right away because I developed some anal warts and some vary painful episodes of gingivitis. What I would like to know is the right procedure to be followed before starting meds because I do not want to make mistakes. Besides the regular CD4 and VL test is it recommended to make a resistance and drug sequensation tests? Another question I have is if I can run all this tests with you in the US? I am currently living in Bogota Colombia. Regards! Juan

Response from Dr. Young

Estimado Juan de Bogota,

Thanks for posting. Before starting medications, there are a variety of assessments that are usually done (at least here in our program in Colorado). First is a general assessment of your general health (things like mental, heart, lung, kidney, bone health)- this includes physical and laboratory examinations. We also assess your living situation for factors that could influence medical management (like housing, nutrition, home safety, disclosure, work environment). Lastly (but certainly importantly) are HIV-specific data or factors that could influence treatment decisions (such as HIV viral load, resistance tests, co-receptor tropism or HLA haplotype).

Your current lab tests, with CD4 count less than 350 would be consistent with international and US treatment recommendations to start HIV treatment. The good news is that your HIV viral load is actually quite low, so that your rate of disease progression is predicted to be slow and all medication regimens would be expected to be very effective.

In short, we'd look at the larger picture of health and lifestyle, mated to the more traditional HIV tests (CD4, viral load and drug resistance testing) to determine the best treatment options.

You could indeed have these tests done at our center in Denver, but it's a long drive from Bogota. If you're interested in more information, you're welcome to look at our website or contact me at

Saludos, BY

what should i do next?
Wrong dosage of PEP, changes in regimen and side effects.

  • Email Email
  • Glossary Glossary



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 nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint