What's really important...viral load, cd4 cells or what?
Oct 6, 2008
I contracted the HIV virus in Dec 2006. I went on Atripla in November 2007 when my cd4 cells his the 400s. Here I am now with my viral load at undectable for almost a year now (it went to undectable within a month) and my cd4 cells are at 828 now. My question is, what's the important gauge? Is it viral load, cd4, or something else? Thanks!
Response from Dr. Frascino
The viral load is the most important indicator of how well your antiretroviral regimen is working. It reflects how well your medications are controlling HIV replication. That your HIV plasma viral load declined rapidly within one month on Atripla to undetectable levels and has stayed undetectable shows an excellent virologic response to treatment.
The CD4 count/CD4 percentage is a reflection of immune health. HIV can destroy CD4 cells. That your CD4 cell count has risen from the "400s" to 828 on Atripla reveals an excellent immunologic response to treatment. The viral load and CD4 counts are generally related: as viral replication decreases to undetectable levels, the immune system can partially restore itself as manifested by increasing CD4 counts.
As for "what's really important," as you can see, the real answer is both!
Get Email Notifications When This Forum Updates or Subscribe With RSS
- If You Have Sex With A Hiv Postive Person How Long Does It Take To Catch It?
- How I Got Hiv Stories?
- Hep C And Night Sweats
- How Long Does Diarrhea Last In The Early Stages Of Hiv?
- How Soon Can U Get Tested For Hiv After Sharing A Needle?
- How Soon After Hiv Infection Do People Get Swollen Glands?
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 TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.