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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 Almost2late on Today at 04:36:03 pm »
I also found this link on blips..
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4915053/#:~:text=Viral%20blips%20are%20defined%20as,time%20period%20of%20six%20weeks.

I was diagnosed in 2014 and it took me over 6 months for my viral load to go from 230,000 to 110.
For the first 3 years I would jump from an UD viral load to something under 200 while on triumeq, I felt like a yo-yo. But since 2017, I have not seen a blip and still on the same medication.

Not insinuating that this will happen to you, I had the virus for over 10 years before the aids diagnosis.. just saying you are doing well and one blip, especially in the beginning of treatment, is nothing to over worry about.

Your doctor is keeping an eye on your viral load "just in case", but if you're adherent to your treatment chances are that the blip is nothing but a blip.

It's like turning off a water faucet.. it drips a little bit before it totally dries up  ;)
 
2
Questions About Treatment & Side Effects / Re: Hep B vaccine
« Last post by Almost2late on Today at 03:51:01 pm »
Yes, I've gotten those same reactions (mostly fatigue) from the HBV vaccines, as well as the shingles vaccine.. but it went away after a couple days. My take is that those antibodies making themselves at home, and my immune system was just reacting to it's new neighbor.

If it last for more than a couple of days I'd get with my doctor. Hope you feel better soon.
3
Questions About Treatment & Side Effects / Hep B vaccine
« Last post by nethan1621 on Today at 10:20:00 am »
I got my first jab Hep B vaccination, exactly after six days i feel chill and fever like symptoms… anybody with same experience?
4
I Just Tested Poz / Re: Early blip a concern?
« Last post by texashouston1 on Today at 08:44:17 am »
Thanks Jim!

And yes, I was newly diagnosed on November 24th 2020.

I am feeling really good so far. It felt really good seeing my first UD result mid April but this VL 50 result made me a bit anxious. I guess I am just being inpatient  :)

Thanks again
5
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
6
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 ?
7
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!
8
Questions About Treatment & Side Effects / Re: Doctor Appointment
« Last post by leatherman on Yesterday at 11:48:15 am »
Quote from: lightalltheway on May 09, 2021, 08:19:09 pm
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.

9
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
10
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/
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