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why start early?
Nov 24, 2003

hi after reading this forums i'm under the impression that a lot of people have to start treatment whitin one or two years after infection, this seems odd since it is known that it takes an average of 7-10 years before aids develop, so are these early starters a small minority or is it so that the majority of people infected are on treatment whitin ,say three years after seroconversion. i was infected in july and my latest bloodcount is cd4 570 vl 3000, any significance in those figures?

Response from Dr. Pierone

Most people do not start HIV medications soon after infection. Many are diagnosed late after they are 7-10 years (or longer) into infection and only find out that they are infected when they develop an opportunistic infection. Others are diagnosed during acute seroconversion (very few overall) and start early treatment to attempt to preserve immune function. Most people don't start within 3 years of seroconversion unless they have high viral load and a more rapid decline in CD4 cells. Based on your low viral load and high CD4 count you have a good prognosis and may not require treatment for years.



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