|Diagnosed in 2008 High CD4 and increasing Viral Load
May 16, 2013
I have been positive for over 5 years now. I consider myself a very healthy active person. I am not on medication because I did not want to start until my CD4 was closer to 500 because that was what I was told when I first found out. In my last test results my CD4 increased from 750 to over 960, and my Viral load went from 4000 to 8000. Do I need to consider medication with an increase in viral load or simply because of the amount of time since I was diagnosed or can I continue to wait?
| Response from Dr. Young
Hi and thanks for posting.
Your question raises several interesting points.
First, there's no meaningful difference between viral load measurements of 4000 and 8000; similarly, though encouraging, the differences in CD4 (unless accompanied by similar increases in CD4 percentages) might not be biologically significant.
Current US treatment guidelines no longer use a CD4 count threshold for initiating treatment- medications are recommended for all people living with HIV who are willing to take antiretroviral medications. The recommendations from 5 years ago, are, 5 years old.
If I were in your shoes, I'd discuss your best treatment options with your care provider.
I hope that helps, BY
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