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high vs low viral load
Jul 15, 2002

In the absence of conventional treatment therapies(antivirals) does anyone know why some people are able to maintain alow to moderate viral load while others are chronically high> 100,000?Does it has to do with the individual themselves or do high viral load individuals harbor a more virualent ,deadly virus then the low to moderate group? Finally is there any way to lower your setpoint or once it is established are you basically "up a creek"? Are ther any life style modifications that can have a positive effect on a vl? I know there's alot that can have a neg inpact. Thank you

Response from Dr. Henry

Good question. Some patients harbor a weaker strain of HIV. Other patients have a genetic make-up that somewhat resists damage from HIV. Most often, persons that do well have a more vigorous anti-HIV response involving their immune system compared to those that don't do well. Thus there are a number of factors that come into play. High stress, poor nutrition, and other active infections (such as herpes viruses) can aggravate the situation are are amendable to intervention. The change in viral load and CD4 count over time as well as how one feels are important is assessing how one is doing and when to utilize HIV treatment. KH



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