Welcome, Guest. Please login or register.
June 24, 2021, 02:55:17 am

Login with username, password and session length


Members
Stats
  • Total Posts: 760133
  • Total Topics: 64490
  • Online Today: 217
  • Online Ever: 5484
  • (June 18, 2021, 11:15:29 pm)
Users Online
Users: 1
Guests: 185
Total: 186

Welcome


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.

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 “Do I Have HIV?” posting guidelines. Click here for posting guidelines pertaining to all other POZ 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: VL blip  (Read 737 times)

0 Members and 1 Guest are viewing this topic.

Offline TruthTakesTime

  • Member
  • Posts: 5
VL blip
« on: March 07, 2021, 11:48:09 pm »
I know this has been addressed on here, but I just wanted to have my own conversation about it, just for reassurance.

Had my most recent labs and check up a couple weeks ago and my VL came back at 26. I know this is obviously extremely low and under older standards would be considered "undetectable" and there could be many reasons for this "blip." It was just surprising to hear after being undetectable for the last several years. My doctor was unconcerned and had no complaints based on all my other results, CD4 was 890.

My anxiety just wants me to think this is the beginning of something bad even though that's not what all the evidence points to based on my google search and re-reading the older posts on here on the subject.

There's most likely no risk of transmitting at this level, right? Should I still consider myself for all intents and purposes as "undetectable"?

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 17,220
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: VL blip
« Reply #1 on: March 08, 2021, 01:34:01 am »
Anything under 200 is considered UD in terms of forward transmission. https://forums.poz.com/index.php?topic=71848.0

I'm not surprised your doctor isn't concerned.

Minor blips can happen for various reasons, there is 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. 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 for best outcomes but I'm sure this micro blip you had will be gone the next time you test but if it keeps you awake at night and you need peace of mind you could always ask to do a VL test again in a few weeks. 

Take it easy.

Blips
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/

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


TaSP U=U
https://forums.poz.com/index.php?topic=71864.0
(*undetectable viral load defined as less than 200 copies/milliliter)

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
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline TruthTakesTime

  • Member
  • Posts: 5
Re: VL blip
« Reply #2 on: March 08, 2021, 08:46:24 pm »
Thanks for the reassurance and resources, Jim!

 


Terms of Membership for these forums
 

© 2021 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.