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Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.

The participation of Dr. Joseph McGowan in this Forum is made possible by Boehringer Ingelheim.

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Miscellaneous Third-Line Questions

HIV treatment one a day with big supper and a glass of red wineMay 11, 2008
false negative out to one year ?May 11, 2008
Sustiva never being digestedMay 6, 2008
I can't afford my meds.anymoreMay 5, 2008
How long?May 5, 2008
CD4 DOWN, HELPMay 5, 2008
CD4 increase without medicationMay 5, 2008
hiv statusMay 5, 2008
vl fluctuationMay 5, 2008
Is there a way to remove internal fat deposition?Apr 24, 2008
Treatment options for Highly pretreated patientJan 6, 2008
150,000 VL and 661 t-cellsJan 6, 2008
Restarting TherapyDec 29, 2007
Low CD4 cells with undetectable viral loadsDec 29, 2007
Anal cancerDec 29, 2007
Weight gainDec 27, 2007
Help with Hopice!Dec 27, 2007
possibility of hypersensitivity reaction when restarting TrizivirDec 27, 2007
Sustiva rash late in the gameDec 27, 2007
Effect of other medication on CD4Dec 27, 2007
Chances of getting Non-Hodgkins Lymphoma?Dec 27, 2007
arthritusDec 27, 2007
Blood draws/labsDec 27, 2007
HAART regimenDec 27, 2007
MedsDec 27, 2007
throat problemDec 27, 2007
norvir/truvada/reyataz vs atriplaDec 8, 2007
other virusDec 8, 2007
pregnancyDec 8, 2007
My viral load isn't undectable this month, should I worryDec 8, 2007
low cd4Dec 8, 2007
To work or not to workDec 8, 2007
SEVERE ITCHING from ATRIPLA?Nov 28, 2007
thrush, thrush!!!!!!!!!Nov 28, 2007
Immunity Deficiency and HIVNov 28, 2007
Now that Isentress...Nov 28, 2007
HIV/AIDSNov 28, 2007
HIV or Immunity Deficiency?Nov 28, 2007
Who should my son see?Nov 26, 2007
AIDS diagnosis - a future problem?Nov 26, 2007
Taking MaravirocNov 26, 2007
what my results are predicting?Nov 26, 2007
discordant responderNov 22, 2007
hiv VS aidsNov 22, 2007
TOO many MEDS?Nov 22, 2007
Suggestions anyone?Nov 22, 2007
Fiber SupplementNov 22, 2007
viraday and side effectsNov 22, 2007
TREATMENTNov 6, 2007
Low CD4Nov 6, 2007
TreatmentNov 5, 2007
Is this emerging resistance?Nov 5, 2007
Started meds 16 days after infection. Can I stop ?Nov 5, 2007
Combivir and Viramune for nearly 5 yearsNov 5, 2007
longest spanlifeNov 5, 2007
Postherpetic NeuralgiaNov 5, 2007
Truvada & Reyataz without NorvirNov 5, 2007
HIV+ for 5 and a half yrs, what are the tests? & when to start treatment?Nov 5, 2007
Can I aguire other more aggressive strains by having unprotected sex?Nov 5, 2007
Viral load in relation to antibodiesNov 5, 2007
white cellsNov 1, 2007
Can you know how long you have had Aids for?Nov 1, 2007
POSITIVE AND ALIVENov 1, 2007
Having ChildrenNov 1, 2007
When to start medicineOct 16, 2007
how long the baby survive from hivOct 16, 2007
atriplaOct 16, 2007
where do we go from hereOct 16, 2007
is it necessary to continue blood tests every 3 monthsOct 16, 2007
Immune System DamageOct 16, 2007
Did I hurt my new treatment?Oct 7, 2007
Viral Load Blip ?Oct 7, 2007
Alternative to VidexOct 7, 2007
effectOct 7, 2007
viral loadOct 7, 2007
why not start meds immed?Oct 7, 2007
How Long Can I Live With Aids?Oct 7, 2007
quiting medsOct 7, 2007
resistenceOct 7, 2007
Have i been off too long?Oct 7, 2007
viral load increaseOct 7, 2007
blepharospasm and HIVSep 25, 2007
Could My Progress Be Slow Because of Resistance?Sep 25, 2007
Considering RadiesseSep 25, 2007
consistent falling of CD4 and %Sep 25, 2007
IL2 and low CD4 countSep 15, 2007
WorriedSep 15, 2007
Ks is back?Sep 15, 2007
after the holidaySep 15, 2007
i dont understand cd4 and vlSep 15, 2007
pediatric HIVSep 15, 2007
Lipodyrophy InhibitersSep 15, 2007
Kaletra & Kivexa, Slow response?Sep 15, 2007
CD4 countSep 7, 2007
losing brain cellsSep 2, 2007
Anything for CD4 rising?Sep 2, 2007
Medical careerSep 2, 2007
t cells per yearSep 2, 2007
treatment for hiv negativeAug 24, 2007
Re: truvada and proteinAug 24, 2007
The new AtriplaAug 24, 2007
ditch the nukes?Aug 24, 2007
early treatment to reduce speed of spreading through CD4 cellsAug 24, 2007
Chronic Diarrhea 21yrsAug 24, 2007
infectious disease doctorAug 24, 2007
truvada and proteinAug 13, 2007
Videx and pregnancyAug 13, 2007
High t cell countAug 13, 2007
VL still detectableAug 13, 2007
Fasting and HIVAug 7, 2007
2nd opinion int.KarposiAug 7, 2007
White blood cell boostersAug 7, 2007
floaAug 7, 2007
drug combinationAug 7, 2007
Took my afternoon too earlyAug 7, 2007
Persisten, severe rashJul 21, 2007
HIV and Sjogrens disease = major fatigue??Jul 21, 2007
There is HOPEJul 14, 2007
HIV MedsJul 14, 2007
Likelyhood of progression to AIDSJul 14, 2007
Switching MedsJul 14, 2007
Accuracy Oral TestJul 14, 2007
Should i stop bactrimel...?Jul 14, 2007
Lipodistrophy SupplimentsJul 14, 2007
Taking other meds at nightJul 6, 2007
ks and progressionJul 6, 2007
Fatigue and MedsJul 6, 2007
FatigueJun 27, 2007
Dual HIVJun 24, 2007
fuzeonJun 22, 2007
NewbyJun 22, 2007
Warts on handsJun 22, 2007
epzicom reyatazJun 22, 2007
Go for undetectable at any cost?Jun 22, 2007
persistent diarrheaJun 18, 2007
Recurring thrushJun 18, 2007
undetectable levelsJun 16, 2007
Atripla and ResistanceJun 16, 2007
Early MedicationJun 16, 2007
If you were me?Jun 15, 2007
Thrush or leukoplakia/leukopeniaJun 15, 2007
how long should I expect meds to continue working?Jun 15, 2007
HIV+ to AIDS and back to HIV+??Jun 9, 2007
is using organic multi vitamin good?Jun 8, 2007
VIRAL LOAD ZERO WITHOUT TREATMENT??Jun 8, 2007
CD4 countJun 8, 2007
red colored urineJun 8, 2007
normal activities and VIHJun 4, 2007
Accute HIVJun 4, 2007
blood resultJun 4, 2007
CCR5Jun 4, 2007
Rescheduling Times Medication are TakenJun 4, 2007
Liver ResultsMay 21, 2007
CONFUSEDMay 21, 2007
HIV-2 TherapyMay 21, 2007
lymphoma scareMay 21, 2007
Nondetectable versus <50May 14, 2007
Questions regarding international travel vaccines and medsMay 14, 2007
Your thoughts please! Tough decisions!May 5, 2007
New salvage regiment for treatment experiencedMay 4, 2007
THE CONCEPT OF DRUG RESISTANCE IN HIVMay 4, 2007
best aids drs in laMay 4, 2007
t-cell "death"May 4, 2007
Any Hope For Lipodystrophy?Apr 25, 2007
What next?Apr 25, 2007
long term complicationApr 23, 2007
Decreasing CD4Apr 22, 2007
Bladder cancer, BCG and 150 T-Cells?Apr 22, 2007
PONDERING MEDSApr 22, 2007
what are the symthoms of aidsApr 22, 2007
Living with HIVApr 22, 2007
Long term complicationApr 18, 2007
Blood levels and HIVApr 18, 2007
Shall I stop taking alchohalApr 18, 2007
Memory lossApr 18, 2007
smoking cessation and viral load increase?Apr 18, 2007
assisting with friends wishes with dyingApr 12, 2007
Infected - WhenApr 9, 2007
Quick adjustment to AtriplaApr 9, 2007
Long-term HIV complicationsApr 9, 2007
CD4 countApr 9, 2007
MY TWO DRUGSApr 9, 2007
Longevity??Apr 9, 2007
hoodia and HIV?Apr 9, 2007
What's going on w/Tcells?Apr 9, 2007
Strengthening Atripa adding something else?Apr 9, 2007
Treatment ExperiencedApr 8, 2007
Swallowing those pillsApr 8, 2007
what is immune system damage?Mar 31, 2007
info on longterm aids & meds neededMar 31, 2007
Strategies for Treatment-Experienced HIVersMar 31, 2007
Side-effects VS present quality of lifeMar 22, 2007
How Does Daylight Savings Affect My Time Dosing ScheduleMar 19, 2007
MAC treatmentMar 19, 2007
ONE YEAR ONMar 19, 2007
The truth on "blips"?Mar 19, 2007
KS? I REALLY need a second opinion and some advice.Feb 20, 2007
FloatersFeb 12, 2007
Start Treatment Early to Keep Immune system from damage?Feb 12, 2007
WHAT TO USE as FUNGAL?Feb 12, 2007
When to start treatmentFeb 12, 2007
KS in the lungsJan 29, 2007
newly DxJan 17, 2007
Med ScheduleJan 17, 2007
If asymptomatic are meds needed?Jan 17, 2007
Toxic Mold ExposureJan 17, 2007
dizziness/light headedness/ disorientedJan 17, 2007
Now What?Jan 17, 2007
To high to be called a blipJan 4, 2007
Should I get tested again?Jan 2, 2007
Resistance worriesJan 2, 2007
Unexplained Chronic Diarrhea - Start Treatment?Jan 2, 2007
Switching To AtripulaJan 2, 2007
How long before the meds kill you?Dec 25, 2006
Should i add the new Integrase from Merck?Dec 25, 2006
Getting LabsDec 25, 2006
Severe eczema?Dec 25, 2006
exersiceDec 25, 2006
Should I be on medications?Dec 20, 2006
Is this resistance?Dec 19, 2006
Lowering Sustiva MGs--Normal Blood CountsDec 19, 2006
kaletra truvuda timingDec 19, 2006
how long??Dec 19, 2006
aidsDec 12, 2006
CD4 CountDec 12, 2006
when to start meds?Dec 9, 2006
more on laryngitisDec 9, 2006
Whats next?Dec 9, 2006
CD4 after 4 months on AtriplaDec 9, 2006
CD4 counts and stopping medsDec 9, 2006
Bioinjector?Dec 3, 2006
Question about recent study?Nov 29, 2006
My MedicinesNov 18, 2006
declining cd4 cellsNov 18, 2006
can the hiv survive beyond the body temperature?Nov 10, 2006
Changing time for taking drugsNov 5, 2006
Do I really need an HIV specialist to follow my labs, etc?Nov 5, 2006
what does CD4 stand ?Nov 5, 2006
drug reaction?Nov 4, 2006
Hepatitis G, also known as GBV-CNov 2, 2006
Work at USANov 2, 2006
LaryngitisNov 2, 2006
Worried about lipoatrophyNov 2, 2006
lowering white blood cellsNov 2, 2006
a quiet virusNov 1, 2006
low T4 countNov 1, 2006
An update -- Still DetectableNov 1, 2006
New MedicationOct 19, 2006
EarliestOct 19, 2006
CD4Oct 19, 2006
Gall stones and ReyatazOct 19, 2006
TMC-114 and TestosteroneOct 9, 2006
Aptima HIV-1 RNAOct 9, 2006
Starting FuzeonSep 23, 2006
Quitting meds, 750,000 vlSep 22, 2006
should i start treament?Sep 22, 2006
HIV VL - Should I stop and wait for new drugs?Sep 22, 2006
Vitamin ESep 22, 2006
Unchanged CD4 numbersSep 22, 2006
Quality of CareSep 22, 2006
SteroidsSep 22, 2006
Rapid failureSep 22, 2006
Long time 2 drug comboSep 22, 2006
CD Cell Count DropSep 21, 2006
Sustiva blood test ?Sep 21, 2006
6 months to suppress will i become resistantSep 21, 2006
HIV+ / Herpes -Sep 21, 2006
National Institute ArticleSep 21, 2006
why do you say 6 months when everyone else says three for HIV testing????Sep 21, 2006
HIV and tooth decaySep 16, 2006
When does HIV become AidsSep 16, 2006
vaginal sex and hiv testingSep 4, 2006
Natural products before chemicalsSep 4, 2006
every other day HIV medsSep 4, 2006
Side Effects Too MuchSep 4, 2006
CD4 count not getting over 200Sep 4, 2006
guidlines for testSep 4, 2006
One more follow upSep 4, 2006
Acute HIV symptomsSep 4, 2006
Unprotected Sex & Medication RegimenSep 4, 2006
ELISA testing questionSep 4, 2006
How long until the virus will show up in bloodwork?Aug 25, 2006
Asian guy - very worriedAug 25, 2006
False positiveAug 25, 2006
HCV RNA PCRAug 25, 2006
Recent PCR postAug 25, 2006
ARS symptoms or lack ofAug 25, 2006
lymph node swelling timetableAug 25, 2006
Am I Done?Aug 25, 2006
Side effects of Combivir and KaletraAug 15, 2006
PCR QuestionAug 15, 2006
Testing after high risk exposureAug 15, 2006
fever in acute HIVAug 15, 2006
"ARS symptoms"Aug 15, 2006
Is it ever too late?Aug 15, 2006
Dan ActiveAug 15, 2006
no therapy and undetectableAug 15, 2006
suppressed immune systemAug 13, 2006
re: group o infectionAug 5, 2006
Can baby That is positive infect adoptive parents .Aug 5, 2006
Acute phase rashAug 5, 2006
Steriod Use?Aug 5, 2006
INCREASE IN LYMPH NODESAug 5, 2006
Testing with CautionAug 5, 2006
Mandatory Fed/CA Registration of HIV infectedAug 5, 2006
Am I HIVAug 5, 2006
HEPTATISAug 5, 2006
WHAT ARE BABY /MATURE CD4'SAug 5, 2006
TB & HIVAug 5, 2006
confused and need adviceAug 1, 2006
HIV DietitianAug 1, 2006
Acute infection questionJul 21, 2006
HopefulJul 21, 2006
Should I start meds?Jul 21, 2006
early treatmentJul 21, 2006
Re: question about hidden virusJul 21, 2006
Test questionJul 21, 2006
toxo-or neuro syphilisJul 21, 2006
changing meds due to VLJul 21, 2006
Group O infectionJul 21, 2006
latest information for when to startJul 21, 2006
Karposi SarcomaJul 21, 2006
RelationshipJul 9, 2006
adherenceJul 9, 2006
what to do about possible reinfectionJul 9, 2006
KS lessionsJul 9, 2006
Growing midsection: Meds or gluttony?Jul 9, 2006
Incompatible Test Results??Jul 9, 2006
PCR TestingJul 9, 2006
rashJul 9, 2006
How to prevent resistanceJul 9, 2006
Discordant couplesJul 9, 2006
Scared of my new lab results, please advise..Jul 3, 2006
ReservoirsJul 3, 2006
3 Med Combo Failure ?Jul 3, 2006
Different Time ZoneJul 3, 2006
Have I waited too long?Jul 3, 2006
Truvada itching?Jul 3, 2006
Does it matter when I was exposed?Jun 25, 2006
Please share your wisdomJun 25, 2006
Re-infectionJun 25, 2006
ResistanceJun 25, 2006
Follow up to My latest updateJun 25, 2006
can herpes cause resistance ?Jun 25, 2006
Combivir and Viramune Combination - Time for a Switch?Jun 25, 2006
drinking and hivJun 25, 2006
High RPR after continued Syphilis TreatementJun 25, 2006
Is it possibleJun 25, 2006
m i infected??Jun 25, 2006
CD4 dropping!!!Jun 25, 2006
Life with HIVJun 25, 2006
hbv rxJun 25, 2006
ProgressJun 25, 2006
Losing faith in HIV treatmentsJun 25, 2006
hiv/aidsJun 21, 2006
Restricted first line optionsJun 21, 2006
Worried that I've messed up.Jun 21, 2006
Why aren't I resistant?Jun 21, 2006
CD4 percentage & CD/CD8 ratioJun 19, 2006
Reduced dosages MEDSJun 19, 2006
high v.l, fatigue and brain damageJun 19, 2006
MAC treatmentJun 19, 2006
Time And Antibody Testing!Jun 19, 2006
ARS TIME FRAMEJun 19, 2006
Response To Another Readers PostJun 12, 2006
if my wife was HIV positive, will i get it too?Jun 10, 2006
Death of HIV?Jun 10, 2006
HIV+ babyJun 10, 2006
thank youJun 10, 2006
what's up with that?Jun 10, 2006
meds and livingJun 10, 2006
ARV'sJun 10, 2006
New CD4 Cells: Same or DifferentJun 10, 2006
PBS Frontline SpecialJun 10, 2006
Other effects of HIVJun 10, 2006
New Side Effects Found Often?Jun 10, 2006
PEP and undetectable viral loadJun 7, 2006
A Thought that can change lives of Many HIV PatientsJun 7, 2006
Scared of changingJun 7, 2006
hep b medsMay 29, 2006
Increasing my monocytesMay 29, 2006
HIV with undetectable platelet countMay 29, 2006
Alcohol and HARRTMay 29, 2006
my medsMay 29, 2006
what now...May 29, 2006
My latest updateMay 29, 2006
Numbness in hands and legsMay 29, 2006
Mumps Outbreak- Immunize?May 18, 2006
So Young...Less Hope?May 18, 2006
LOW T-CELLSMay 18, 2006
question about hidden HIV follow upMay 18, 2006
HIV statusMay 7, 2006
Valproric acidMay 7, 2006
Rectal UlcersMay 7, 2006
Low T-cells and CD4%May 7, 2006
Rehabilitation after hepatitis c treatmentMay 4, 2006
Hiv/cancerMay 3, 2006
New Dr.May 3, 2006
question about hidden HIVMay 3, 2006
Safety of VIRxSYS Gene TherapyApr 28, 2006
What are your thoughts on CSA-54Apr 28, 2006
FusionApr 28, 2006
SGPT numbers upApr 25, 2006
LIFE WITH HIVApr 21, 2006
Side EffectApr 21, 2006
physical activityApr 21, 2006
terrible numbersApr 20, 2006
Difficult in treatmentApr 20, 2006
RAPID lipodystrophyApr 18, 2006
About low VLApr 18, 2006
viral reservoirsApr 17, 2006
I did something stupidApr 16, 2006
What Meds Can I Change To?Apr 16, 2006
What's on the HorizonApr 16, 2006
Starting theraphy after a 3-year break?Apr 16, 2006
undetectableApr 16, 2006
does drug resistance diminish?Apr 10, 2006
resistent to all nucs - need treatment recommendationApr 10, 2006
regimen changeApr 9, 2006
Fortovase off the marketApr 9, 2006
Virul load increasing cd count downApr 9, 2006
Why CD4s down?Apr 3, 2006
Site Reactions Getting WorseOct 23, 2005
Fuzeon InjectionsOct 23, 2005
Taking Fuzeon on the goAug 29, 2005
fuzeon costJun 17, 2005
Syringes for FuzeonMay 31, 2005
multiple dosesApr 11, 2005
Sharps ContatinerMar 4, 2005
Replacement needlesFeb 6, 2005
Tanning and ISRsDec 20, 2004
Alcohol and FuzeonNov 11, 2004
Preparing dosesOct 12, 2004
Once daily?Oct 11, 2004
Trouble filling syringeSep 28, 2004
Mixing two dosesSep 23, 2004
Mail orderAug 1, 2004
FUZEON SUPPORT GROUP AT YAHOOJul 21, 2004
entry inhibitorsJul 15, 2004
From 400K to 400 VL, but still losing weightJul 9, 2004
Fuzeon and crystal methJun 28, 2004
Increase in viral loadJun 28, 2004



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