|CD4++ count 350
Jun 30, 2008
Aside from having no other problems, with the level of 350 I was recommended to start therapy. Is there no other way?
Response from Dr. McGowan
Current US and European Guidelines suggest that initiating anti-HIV treatment should be recommended when the CD4 count reaches 350 or below. These recommendations balance the risk of developing disease or complications from having unsuppressed HIV with the risks of long-term adherence. The pendulum has been shifting back in favor of earlier treatment initiation since we have more and safer drugs than a few years ago. Every person will be different, of course, but this seems to be the safest approach to treatment. CD4 counts will vary over time, decisions on treatment can be based on the trend of the counts. If your counts have been declining and have reached 350 it would not be prudent to wait too long to start.
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