CD4 and viral load
Jul 12, 2013
Hi again doctor and thank you for your time. I'm with 192 CD4 (23.1%) and 64 viral load. Do you think I should start treatment no matter how down my viral load is?? I've asked why is that, and some friends have told me that it is because my "immune system" have been fighting but now needs to be helped. I know I'm HIV+ since 2004 and I'm 30 years old. Thank you from Chile!
Response from Dr. Young
Saludos and thanks for posting.
While your low viral load is generally a good thing- indicative of slow disease progression- it doesn't mean (as your case so accurately shows) that disease progression can't happen.
With your quite low CD4 count, your immune health is pretty seriously impaired. Starting medications is indeed recommended, even with a low viral load.
Indeed current international guidelines recommend treatment with CD4s are below 500.
I hope that helps, BY
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