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ART and Selenium immunace
Sep 6, 2013

I want to find out. Since i started taking ARVS my highest cd4 count was 299 and last july 211. I have started suplementing my diet with selenium immunace. My viro load is <40 detected RNA. What should i do apart from taking selenium immunace to improve my cd4 count. I am on nevirapine and truvada

Response from Dr. Young

Hello and thanks for posting.

Selenium has been shown to have modest effects on CD4 counts, but overall, the study results are mixed.

Your undetectable viral load is an indicator of the most important thing you can do to improve or protect your immune health- namely stay adherent to your HIV medications. It's important that other elements of your health are evaluated in this process- things like mental health, heart/lung/liver/kidney/bone health, just to name a few. Some people (especially those on Bactrim) have an slightly increased risk of having medication toxicity lower CD4 counts.

Also, follow your CD4 percentage over time, in some people, this is better marker of improvements in immune health.

Hope that helps, BY



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