blip or failure?
Aug 7, 2003
9 months ago my vl was 57, then 3 months later it was 120, 3 months ago it was 360. i am very compliant with my combo, sustiva and combivir. the only factor i think may have cotributed was i began taking garlic 9 months ago to help lower my cholesteral. 2 months ago i read an article on here stating that garlic could lower the affectivness of sustiva, so i stopped. i feel this could be the factor as my numbers rose so slowly and weren't consistant with treatment failure. do you feel this could be the reason for my blip? paranoid in jersey............
Response from Dr. Henry
The concern with garlic has been more with protease inhibitors as far as I know. Consecutive HIV levels > 50 are of some concern and may signal at least resistance to the 3TC component of Combivir. I would discuss with your HIV doc who may consider adding a medicine or switching things around a bit if the viral load stays detectable. That decisionis also influenced by how your are feeling, treatment philosphy, CD4 counts, future options, past treatment history, etc. KH
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