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Welcome to the POZ 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.

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Recent Posts

Pages: [1] 2 3 ... 10
1
I Just Tested Poz / Re: Early blip a concern?
« Last post by Jim Allen on Today at 04:10:16 am »
Hiya,

Glad to hear that you have started treatment and the labs are doing well.
How are you otherwise feeling/doing?

Regarding the 50 copies, it's not even a blip yet and you are in the first 6 months of treatment. I presume you were also newly diagnosed when you started treatment back in Dec?

Now, minor blips can happen for various reasons. However, I would not even think twice about this had it been my own results unless it was a continuously increasing trend over time and in the high hundreds to low thousands.

There is also strong evidence that as ART takes care of the active viral load some transient blips are nothing more than the detection of the low-level release of virus from existing reservoirs, including defective copies and that those who blip more often tend to have larger HIV reservoirs and hence it's not a concern for with the treatment etc.

See link for "What’s All This Fuss I Hear About Viral “Blips”?

Treatment wise, it's still generally accepted anything under 50 copies is fully suppressed (UD) so keep taking your meds correctly and this micro blip should be gone the next time you test.

Blips
What’s All This Fuss I Hear About Viral “Blips”?
https://academic.oup.com/cid/article/70/12/2710/5573119

http://i-base.info/guides/changing/viral-load-blips

Viral Blips Don't Raise the Risk of HIV Treatment Failure
https://www.poz.com/article/viral-blips-raise-risk-hiv-treatment-failure

http://www.aidsmap.com/Spanish-study-gives-reassurance-small-HIV-blips-do-not-predict-treatment-failure/page/3085173/

Q&A on persistent low-level viremia.
https://www.healio.com/infectious-disease/hiv-aids/news/online/%7B8373ca63-674d-4015-ac35-f4da653c7415%7D/qa-understanding-persistent-low-level-viremia-in-people-with-hiv
2
Estoy infectado? / Re: Duda sobre infección
« Last post by david271089 on Yesterday at 11:39:49 pm »
Hola jim,
Ya había estado tranquilo. Bueno el punto, tuve sexo anal con condón, yo fui penetrado Mi pareja y yo tenemos relaciones muy rara vez  ya que casi no nos vemos. Él se hace chequeos constantes, hoy llegaron sus resultados negativos. Puedo estar tranquilo o me recomiendas hacer prueba por esta última relación ?
3
I Just Tested Poz / Early blip a concern?
« Last post by texashouston1 on Yesterday at 10:27:01 pm »
Hi everyone,

I have been lucky to find this forum. Honestly reading everyone's experience and learning we all go over the same issues and questions gives me some piece of mind.

One of those issues is that I started my treatment early December 2020, with a VL baseline of 400,000. VL went down to 500 two weeks after treatment, and after my first covid vaccine (Moderna) in April the test was >20 (UD).

However, doctor asked me to have labs again after two weeks from second covid vaccine shot, and VL came up as 50. Is that considered a blip, even so early after initiating treatment?

Thanks!
4
Questions About Treatment & Side Effects / Re: Doctor Appointment
« Last post by leatherman on Yesterday at 11:48:15 am »
in terms of skipping and/ or being unable to access his routine check-up for a prolong period of time. Any risk? any advice?
think of it this way: what are you expecting from your routine check-up?

have you remained adherent to your meds? have you had any other medical issues? If your answers are yes and no, then your check-up was going to do little except run blood tests. if you have stayed adherent, then your results would probably be similar to the last time they were checked. HIV meds don't just fail, so there's no reason to think that this routine check-up would be any different from last time.

here in America, our Ryan White program (which helps provide medications and healthcare for people living with HIV, especially those with limited or no resources for healthcare) requires 3-4 physician visits a year. Not for any medical reason (because when staying adherent without any other health issue, a person's health simply won't change very much in a 3-4 month time span); but because data has shown that 3-4 visits a year helps keep people (in general) mindful about their treatment and so they remain adherent to their meds. another reason to see a physician that often is to keep prescriptions for HIV meds current.

but to be a bit crass, in America where healthcare is big business, while multiple physician visits, lab work, and renewed prescriptions each year does ensure patients are well monitored for any health issues, it also means that everyone makes money too. Of course the cost of patients NOT staying in regular care and staying adherent can be astronomical in medical costs and lives. The cost of requiring regular visits then is money well spent.

5
Vivir con el VIH / Re: SALUDOS
« Last post by Tonny2 on Yesterday at 08:01:57 am »



         ojo.          Hola a todos los que nos leen!!

Les cuento: en este “hilo”, les platicaba que mi visión estaba mejorando en diciembre, desafortunadamente ya empezó a declinar mi visión nuevamente, bueno, es lo qué hay y tengo que aceptar lo que me toca vivir, lo importante es que sigo vivo activos después de vivir tanto tiempo con vih/sida (parte de mi historia en el hilo “LA ESPERANZA MUERE AL ÚLTIMO”). La importancia para todos aquellos que son sexualmente, heterosexuals /homosexuales, es hacerse una ELISA como prueba rutinaria, para saber si son portadores de el vih, de esta manera, poder atacar al virus antes de que el virus nos ataque a nosotros, porque cuando el virus no es controlado, te esperan muchas complicaciones. Se lo difícil que es decidirse a hacerse este tipo de examen pero al habérselo hecho, se sentirán mejor y, si salieran positivos, dentro de esta mala noticia, hay buenas noticias 1.- hay tratamientos efectivos que controlan el virus inmediatamente siempre y cuando te tomes el medicamento como se debe. 2.-la mayoría de nuestros países ofrecen servicios de salud y medicamentos gratis. 3.- tendrás más control sobre tu salud porque se te harán exámenes generales cada 3/6 meses, de esta manera sabrás si algo anda mal en tu organismo no relacionado con el vih, y 4.- no le trasmitirás a otros el vih ya que, cuando estás en una relación amorosa, es muy duro saber que le has ocasionado un daño a ese ser amado, ya la cuestión de practicar sexo seguro es otro tema, porque la calentará es canija…bueno, ya no los aburro más, buena suerte a todos, siga den cuidando tanto del vih como de el COVID, y a seguir adelante…abrazos                          ojo
6
Living With HIV / Re: PrEP and Pregnant
« Last post by Jim Allen on Yesterday at 04:04:16 am »
Hiya

Yeah, India is a mess at the moment. Half of my team are based in India.

Look, has your HIV been virally suppressed (UD) for more than 6 months? If so I am just surprised PrEP was still recommended, However, I am not going to tell you to stop the PrEP.

https://link.springer.com/article/10.1186/s12879-020-4912-4

About the Folic Acid, I can't give medical advice but I do know it's really important and no issues with this and PrEP are listed on drugs.com and interaction checkers I looked at. So I would not stress about interactions if It was my own partner & baby.

(Keep in mind the link below is written for the UK) https://www.nhs.uk/pregnancy/keeping-well/vitamins-supplements-and-nutrition/
7
Questions About Treatment & Side Effects / Re: Doctor Appointment
« Last post by lightalltheway on May 10, 2021, 08:39:03 pm »
Nethan,

Many thanks for your post. Actually what you said makes absolute sense beside that there is nothing i can do at the time being. I am fully adherent, i have my medication, and i dont have any health issues thank god.

I hope other participants can share their experiences on this topic. And i wish if they faced the same, their lab works were perfect.

Thank you again
Prince
8
Living With HIV / Re: PrEP and Pregnant
« Last post by Bunny on May 10, 2021, 11:48:35 am »
Quote
The only other comment I have is I really don't understand why the PrEP to start with? I really don't get that.

Thanks Jim,


My wife is HIV negative, my doctor advised to continue PrEP for three months. Here in India it is horrible situation to go to any doctor, if it is regular doctor too.  That's the reason I was not visited to my Doctor. Is it safe to stop the PrEP?.
9
Questions About Treatment & Side Effects / Re: Anyone taking a PI
« Last post by nethan1621 on May 10, 2021, 07:37:14 am »
I started on tivakay and descovy. I had 0 problems with descovy, but get 6 hr severe headaches from tikavay. Do all integrase inhibitors cause headaches or dizziness? I took crixivan for years and never had any problems with it. Are the newer protease inhibitors with booster headache free? I'm thinking all integrase and nrtis affect the vascular and cause headaches or dizziness.

I am taking  3 in 1 magic pill included DTG , no kind of side effects related to headache
10
Questions About Treatment & Side Effects / Re: Doctor Appointment
« Last post by nethan1621 on May 10, 2021, 07:31:20 am »
As long as you are taking your medicine still you are lucky and healthy. Pandemic worst nightmare is runout medicine Supply but as long as there is no issue with ArV supply, just be patient per while for a blood test. Without blood test best thing you are doing is adhered to medicine means blood test is second thing you can do later… depending on where you live , even dr can email blood form and go to a laboratory… if its not the way in your place, just take your medicine and live a life… when I diagnosed my first aim was to find enough ARv supply without discrepancies in pandemic and once im secure with ARV other tests can be done as per situation in the pandemic 😷
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