Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
August 30, 2014, 04:55:51 AM

Login with username, password and session length


Members
  • Total Members: 23344
  • Latest: TML1991
Stats
  • Total Posts: 636626
  • Total Topics: 48319
  • Online Today: 171
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online
Users: 2
Guests: 111
Total: 113

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: Mixed News from Blood Work  (Read 1750 times)

0 Members and 1 Guest are viewing this topic.

Offline Lou-ah-vull

  • Member
  • Posts: 945
Mixed News from Blood Work
« on: February 01, 2007, 05:44:14 PM »
I have my newest set of labs back this afternoon.  My CD4 is up to 499....my % is up to 38.4%....and my viral load is now <50 undetectable.  Fantastic news!

Unfortunately, I had another lipids panel.  Many of you will remember that within a few months of starting my combo   I had high lipids.  This happened the week before I left for AMG.  At that time, I did not want to consider changing meds because I was not yet undetectable.   My triglycerides were 480...now they are 860.  I am already taking TriCor to control triglycerides (I have been taking it for three years now.)  Also, my total cholesterol has increased from 224 to 286.  The lab report could not determine my HDL and LDL because of the high trigylceride numbers.  The doctor wants me to come in for an appointment to figure out the best way to control my HIV without affecting my lipids adversely.

These numbers tell me that I cannot remain on my Kaletra and Combivir indefinitely.  I have tolerated both extremely well with minimal side effects (not including the bad lipids.)  It will help me to get some idea about good options as I explore making a change in my therapy.

Gary 
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline Longislander

  • Member
  • Posts: 2,486
Re: Mixed News from Blood Work
« Reply #1 on: February 01, 2007, 06:08:24 PM »
Hey Gary,
Well congrats on those HIV #'s and I hope you find the right combo for you~
infected 10/05 diagnosed 12-05
2/06   379/57000                    6/07 372/30500 25%   4/09 640/U/32% 
5/06   ?? /37000                     8/07 491/55000/24%    9/09 913/U/39%
8/06   349/9500 25%              11/07 515/68000/24     2/10 845/U/38%
9/06   507/16,000 30% !          2/08  516/116k/22%    7/10 906/80/39%
12/06 398/29000 26%             Start Atripla 3/08
3/07   402/80,000 29%            4/08  485/undet!/27
4/07   507/35,000 25%            7/08 625/UD/34%
                                                 11/08 684/U/36%

Offline bear60

  • Member
  • Posts: 4,104
Re: Mixed News from Blood Work
« Reply #2 on: February 01, 2007, 06:12:16 PM »
Impressive!!
Poz Bear Type in Philadelphia

Offline Queen Tokelove

  • Member
  • Posts: 6,033
  • Smokey the Smurf
Re: Mixed News from Blood Work
« Reply #3 on: February 01, 2007, 09:29:40 PM »
Great numbers. Has the Tricor helped you at all? I am wondering because my doc has me on that hoping it will boost my hdls. Keep us posed...
Started Atripla/Ziagen on 9/13/07.
10/31/07 CD4-265 VL- undetectable
2/6/08 CD4- 401 VL- undetectable
5/7/08 CD4- 705 VL- undetectable
6/4/08 CD4- 775 VL- undetectable
8/6/08 CD4- 805 VL- undetectable
11/13/08 CD4- 774 VL--undetectable
2/4/09  CD4- 484  VL- 18,000 (2 months off meds)
3/3/09---Starting Back on Meds---
4/27/09 CD4- 664 VL-- undetectable
6/17/09 CD4- 438 VL- 439
8/09 CD4- 404 VL- 1,600
01-22-10-- CD4- 525 VL- 59,000
Cherish the simple things life has to offer

The Royal Blog

Offline Lou-ah-vull

  • Member
  • Posts: 945
Re: Mixed News from Blood Work
« Reply #4 on: February 01, 2007, 09:38:10 PM »
Tricor was working for me well until I started my Kaletra/Combivir last May.  Now my triglycerides are sky high, even though I am taking Tricor everyday.  I am pretty sure I am going to have to switch HAART meds very soon.

Gary
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline aztecan

  • Member
  • Posts: 5,394
  • 29 years positive, 57 years a pain in the butt
Re: Mixed News from Blood Work
« Reply #5 on: February 01, 2007, 09:46:41 PM »
Gary,

The viral load and CD4 numbers are great.

Now, about those lipids. I think the Kaletra is doing a number on them. Combivir can affect them, but not to the degree the Kaletra does.

Since you are doing so well HIV-wise, might it be possible to switch the Kaletra for another PI?

Another option might be to trade out the Kaletra for a non-nuke, such as Sustiva, which doesn't affect the lipids.

I think you and your doc should have a heart-to-heart.

In the mean time, have you changed your diet? Maybe that will help some. Also, adding fish oil capsules couldn't hurt.

I take 4,000 mgs a day and it has helped keep my triglycerides in check. Maybe they will help lower yours as well?

Also, there have been very good results using Pravachol and Zetia together as a combo. There was a Spanish study that showed very good results when they were taken by possies having lipid issues as a result of the meds.

I have been taking it for about a month and will get my lipids checked in a few weeks to see if they are doing anything for me.

Wish I could be more help. Let me know what your doc says.

HUGS,

Mark
"May your life preach more loudly than your lips."
~ William Ellery Channing (Unitarian Minister)

Offline AlanBama

  • Member
  • Posts: 3,613
  • Alabama: the 'other' 3rd World Country!
Re: Mixed News from Blood Work
« Reply #6 on: February 01, 2007, 10:58:33 PM »
Hey Gary,

Great numbers!   Those triglycerides are pesky aren't they?   Mine used to stay sky high all the time......then, the "HIV Gods" smiled on me and mine leveled out and have been in "normal" range for several years now.   Don't ask me why, I certainly didn't do anything differently.    You most likely will have to switch your combo, at some point....it's just another bridge to cross in the journey.

hugs,

Alan
"Remember my sentimental friend that a heart is not judged by how much you love, but by how much you are loved by others." - The Wizard of Oz

Offline Lou-ah-vull

  • Member
  • Posts: 945
Re: Mixed News from Blood Work
« Reply #7 on: February 03, 2007, 02:18:11 AM »
Dr. Gallant (Johns Hopkins website) says it is time for me to switch.  He says triglycerides over 800 necessitate an immediate switch...especially because I am already on trigylceride lowering medicine (Tricor.)  I see my doctor on Tuesday.  We are going to discuss alternatives. 

Any ideas or suggestions?

Gary
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline gerry

  • Member
  • Posts: 522
  • Joined AM Feb 2003
Re: Mixed News from Blood Work
« Reply #8 on: February 03, 2007, 04:15:04 AM »
If you want to stay on a PI, Reyataz/Norvir + Truvada or Epzicom would be a couple of good choices.  If you are considering dropping the PI and using an NNRTI instead, Atripla (or Sustiva/Truvada) or Sustiva/Epzicom would be good options.  Either options would also drop the AZT, but if you want to stick to the Combivir and add it to Reyataz/Norvir or Sustiva, those are fine as well.  These assume your baseline genotype test do not show resistance to any of the meds.

Offline Lou-ah-vull

  • Member
  • Posts: 945
Re: Mixed News from Blood Work
« Reply #9 on: February 03, 2007, 04:11:44 PM »
My baseline shows no resistance to any meds.  As best as I can tell, I have had no problems with the Combivir.  There has been some tiredness and more frequent headaches, but as I hear others tell of their "side effects" I would have to say mine are tolerable and fairly normal.  Clearly though, the Kaletra is causing dangerous lipid problems, so I know that it has to go.  I have had excellent (really superior) virological control with this regimen, so the temptation is to try the more lipid friendly PI (reyataz and norvir) and keep the Combivir.  At the same time, I don't want to keep changing things, so moving to Atripla might be good.  I don't have a good feel for it yet...any advice or thoughts to consider will be appreciated! 

Thanks Gerry...it always reassures me when you weigh in on my posts!

Gary
Diagnosed Oct. 2005
10/05:  367 (26.2%), 24556 VL
01/06:  344 (24.6%), 86299 VL
04/06:  374 (22.0%), 87657 VL
05/06:  Began HAART 05/15/06, Combivir/Kaletra
07/06:  361 (27.8%), 1299 VL
10/06:  454 (32.4%), 55 VL
01/07:  499 (38.4%), UD
02/07:  Switched to Atripla 2/8/07
04/07:  566 (37.7%), UD
08/07:  761 (42.3%), UD
06/08:  659 (47.1%), UD
01/09:  613 (43.8%), UD
07/09:  616 (47.4%), UD
01/10:  530 (44.2%), UD
07/10:  636 (48.9%), UD
01/11:  627 (48.2%), UD
07/11:  840 (52.5%), UD
01/12:  920 (51.1%), UD
07/12:  857 (50.4%), 40
10/12:  UD
01/13:  710 (47.3%), UD
07/13:  886 (49.2%), UD
01/14:  985 (46.9%), UD
06/14:  823 (47.2%), UD

Offline FiercenBed

  • Member
  • Posts: 183
Re: Mixed News from Blood Work
« Reply #10 on: February 03, 2007, 04:18:12 PM »
iv asked this question 2 or 3 times w/ no reply.....what is amg?

Offline poet

  • Member
  • Posts: 934
  • Poet living and working in Central Maine
Re: Mixed News from Blood Work
« Reply #11 on: February 03, 2007, 04:31:50 PM »
Fierce, most likely Aids Meds Gathering, about which there is a forum here.  Sometimes an official one and sometimes, as with the NYC venture, an informal one of people who happen to be somewhere at the same time.  I may, however, stand corrected on this.

Back to Gary, congratulations on getting to this point.  Thankfully we have Mark and Gerry and others who can fill pages with options.  Best, Win
Winthrop Smith has published three collections of poetry: Ghetto: From The First Five; The Weigh-In: Collected Poems; Skin Check: New York Poems.  The last was published in December 2006.  He has a work-in-progress underway titled Starting Positions.

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.