|cd4 count and viral load
May 27, 2014
My cd4 count583 and viral load is 596 when must I take medication and what must I do to keep my cd4 count stable
Response from Dr. Young
Hello and thank you for posting.
Overall, you have a normal CD4 cell count and quite low viral load. Some would argue that if you're asymptomatic that you could wait to start treatment. I'm of the opinion (as are US treatment guidelines) that CD4 count is not a relevant criteria for starting treatment- it's recommended for all will HIV+ persons.
There is a growing set of clinical trials that support universal treatment- fewer complications, perhaps less death, and indeed, risk of complications is lowest and life expectancy is normal for those people who start treatment earlier rather than late.
Other than HIV medications, there isn't a particular strategy to "keep CD4s stable"; though I'd exploit this time to do all the preventive medicine interventions that are recommended, such as mental health and substance use assessment/treatment, vaccinations, PAP smears (if indicated), management of other health conditions, etc.
Hope that helps, BY
should I switch to Tivicay?
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