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Author Topic: 3rd results with a concern  (Read 776 times)

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Offline ScaredNinja

  • Member
  • Posts: 20
3rd results with a concern
« on: January 22, 2016, 04:09:46 PM »
I just got my 3rd results today, I have a few questions regarding them. for a recap i will post my first and second.

1st-June 2015
44k VL
1484 CD4 47.9%

2nd- August 2015
60 VL
1440 CD4 60%

3rd (new)- January 2016
<20 VL
1025 CD4 46.6%

why did i lose 400 cd4 on these results? im glad that the VL went to almost nothing but im concerned with my CD4.

Im currently on stribld and been on it since july 2015.

Understanding will be helpful as i cant see my doctor until couple more weeks.

Offline Gruff

  • Member
  • Posts: 50
Re: 3rd results with a concern
« Reply #1 on: January 22, 2016, 04:42:39 PM »
Raw CD4 counts can vary *wildly* from test to test, as do *all* of your white blood cells -and that goes for HV negative and positive people alike.  A lot has to do with what your body has successfully fought off that you don't even know about! 

It was standard for many years to look at the "raw" count, and many doctors (and patients) continue to do so; however, (and I am quoting two HIV doctors I respect very much), the raw count is almost inconsequential:  the important figure to look at is the percent of white blood cells that your body produces that are CD4.  That number will also fluctuate with your bodies natural production cycles...but looking at your numbers, your % hasn't changed since your first set of tests - and its actually quite high.  Anything over 25% is good; over 30% is great. 

You have nothing to sweat based on those numbers: You're undetectable, and your CD4 count and % is healthy. 

One of the things to learn about managing this condition is that you're going to make yourself crazy if you are a pure numbers guy...this is an art as much as a science, and the view must be long-term, not test-to-test.
12/28/2015  VL ud  CD4 462  40%
06/08/2015  VL ud  CD4 647  39%
10/21/2014  VL ud  CD4 378  44%
06/12/2014  VL ud  CD4 725  37%
03/14/2014  VL 29  CD4 597  35%
11/14/2013  VL ud  CD4 595  37%
08/12/2013  VL ud  CD4 557  33%
04/22/2013  VL 43  CD4 430  31%
01/16/2013  VL ud  CD4 524   34%
09/28/2012  VL 59  CD4 471  31%
06/05/2012  VL ud  CD4 650  32%
02/27/2012  VL ud  CD4 503  28%
11/25/2011  VL ud  CD4 765  32%
06/17/2011  VL ud  CD4 660  29%
11/03/2010  VL ud  CD4 654  31%
07/15/2010  VL ud  CD4 507  27%
03/25/2010  VL ud  CD4 741  23%
11/19/2009  VL 59  CD4 704  24%
08/17/2009  VL 89  CD4 493  18%
05/06/2009  VL 105 CD4 545  17%
01/26/2009  VL ud  CD4 585  16%
11/26/2008  VL 247 CD4 338  13%
06/28/2008  VL 3,308,049  CD4 444

Offline BT65

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  • Posts: 10,670
Re: 3rd results with a concern
« Reply #2 on: January 22, 2016, 07:16:38 PM »
Cd4's can vary with the time of day the test was conducted.  When you are on meds, the important number to look at is the viral load; when not on meds, the Cd4.  As long as you are undetectable, the meds are working. Your Cd4's are a very good, high number. 

The reason why, in the past, Cd4's were the only thing looked at, was because there was no viral load test.  Just an FYI.

Betty
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Please check out our lessons on PEP and PrEP. http://www.poz.com/factsheets/fs_2014_09_prep.pdf

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Offline Mightysure

  • Member
  • Posts: 174
Re: 3rd results with a concern
« Reply #3 on: January 22, 2016, 07:25:49 PM »
Your viral load going UD may have something to do with it.  Your body doesn't need to mount as much of a defense to the virus since the meds have helped reduce it to below 20 copies.

Offline harleymc

  • Member
  • Posts: 515
Re: 3rd results with a concern
« Reply #4 on: January 22, 2016, 08:47:00 PM »
Your viral load has gone very low, it is not doing any more damage. Your cd4s are not under attack any more.
That 1000 without virus will be working much more efficiently than 1484 with a high viral load. You're doing very well.

Offline sreamer17ydr

  • Member
  • Posts: 58
  • Organic Eater!
Re: 3rd results with a concern
« Reply #5 on: January 24, 2016, 09:20:46 AM »
CD4 counts as other people have stated, vary every time you get the test. That is why my doctor told me years ago, when you get your blood work pulled, try to go on the same time, and whatnot every time you do it, to try to mimic the first test. Unfortunately, I go every 6 months (twice a year) and I just go and do the tests lol.

As you can see with my labs listed, CD4 counts go up and down, but its the CD4% that matters most, that is stable over longer term and tells about the health of the immune system overall. Anything over 30% is good.... doctor told me textbook perfect is like 40% and anything over 40% means your very healthy.

A "normal" CD4 count is anything over 500 CD4 cells... most Negative people have at least 500+ CD4 cells on a count test, but like I said, % is long term.
07/01/09: Tested Poz
08/19/09:20,653           CD4: 566
11/10/09:57,673           CD4: 623
12/13/09:60,000           CD4: 400
02/1/10: 67,000            CD4: 600
02/16/10: Started Atripla
03/29/10: Undetectable, CD4:720
10/27/10: Undetectable, CD4:620
04/20/11: Undetectable, CD4: 816
09/21/11: Undetectable, CD4: 823
02/21/12: Undetectable, CD4: 727
09/24/12: Undetectable, CD4: 654
04/22/13: Undetectable, CD4: 768
10/21/13: Undetectable, CD4: 798 :49%
04/28/14: Undetectable: CD4: 849 :51%
10/27/14: Undetectable, CD4: 654 :51%
04/01/15: Undetectable, CD4: 623 :43%
11/09/15: Undetectable CD4  757  :45.9
01/22/16: Started Genvoya

 


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