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A year of SYMPTOMS!!

Oct 28, 2010

Negative and multiple HIV tests out to one year. These have included HIV 1/O/2 EIA, rapid oraquick, HIV 1 RNA and DNA. I still have CHRONIC symptoms. Could I still be positive but not detectable, more advanced than thought, or have a rare group/subtype? I went and saw Infectious disease dr and he has ordered HIV-1 bDNA, HIV-2 EIA, and HIV 1 RNA/DNA. Thanks for your input.

Response from Dr. Frascino


A negative HIV-antibody test taken outside the window period trumps "symptoms" each and every time. Symptoms are notoriously unreliable in predicting who is and is not HIV infected.

Could you be positive, but not detectable on multiple HIV-antibody tests, plasma HIV RNA viral loads and qualitative HIV DNA testing? Nope! No way. No how.

Do you have advanced HIV/AIDS? Nope, you'd be on your deathbed!

Do you have a rare group/subtype? Nope! HIV is not your problem. No way. No how. No additional HIV-related tests are warranted!

You should stop perseverating on a disease you could not possibly have (the evidence is overwhelming and irrefutable). I suggest you follow up with a good general internal medicine doctor for any persistent symptoms. If no physical cause can be found, you should be evaluated for psychosomatic illness, which, by the way, can produce very real symptoms!

Dr. Bob

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