|How fast should cd4 rise? Blood test results...
Jul 9, 2009
Dear Dr. Keith,
I have been on treatment for about 3 months now. When i started I had a cd4 count of about 210 and VL of 29,000.
I have had my first lab tests done, and while my VL test results arent ready yet, i see that my CD4 has risen to 405.
Now, my liver tests show the following: (its in spanish) BILIRRUBINA TOTAL 0.32 (0.40 - 1.20) mg/dL BILIRRUBINA DIRECTA 0.12 (0.10 - 0.40) mg/dL BILIRRUBINA INDIRECTA 0.20 (0.30 - 0.80) mg/dL PROTEINAS TOTALES 8.28 (5.80 - 8.10) g/dL ALBUMINA 5.14 (3.50 - 5.00) g/dL GLOBULINA 3.14 (2.00 - 3.50) g/dL RELACION ALB/GLOB 1.64 (1.30 - 2.50) TRANSAM.PIRUVICA (SGP/ALT) 65 (0 - 40) U/L TRANSAM.OXALACETICA(SGO/AST) 38 (0 - 40) U/L FOSFATASA ALCALINA 31 (15-60) U/L GGTP(G-GLUTAMILTRANSPEPTIDASA 46.8 (5.0 - 24.0 en hombres) U/L
As you can see I have a TRANSAM.PIRUVICA (SGP/ALT) of 65 U/L, and a GTP(G-GLUTAMILTRANSPEPTIDASA 46.8 U/L. These are the two main result that are higher than what the lab range is. I have an appointment with my doc next week but wanted to get your opinion first.
It is important to mention that in the past two months i have gained about 10 pounds and currently have a mass body index of around 27. I weigh 189 and am 511. Also i had a cold last week and took tylenol flu (contains acetominophen) for five days and I kind freaked out about penumonia and took bactrim from saturday to monday.
Now do you think this numbers just represent being overwieght and eating too much grease? I have NOT been excersing at all this past two months.
Is my rise in CD4 the expected one?
Thank you so very much for you opinion!
Best regards from Argentina!
| Response from Dr. Henry
Overall CD4 increase and safety labs that you describe are reassuring and fairly typical (in a good way). CD4 response is highly variable with perhaps 20% NOT having a good increase despite suppression of HIV levels so you seem to be off to decent start. KH
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