Q and A


How can I improve my CD4 count when I am already on treatment?

How to improve my CD4 count of 210? Is it dangerous at this stage? I was stressed and it has never been so low. I take daily Truvada (tenofovir and FTC) and Viramune (nevirapine). How can I improve it? Will more sleep help? I eat healty foods.

Thank you.


Thank you for your question.

I am sorry to hear that you are stressed at the moment and that it is affecting your CD4 count. A CD4 count of 210 isn’t bad at all and is nothing to worry about.

How long have you been on medication? If you have recently started then it is possible that as you continue taking your meds your CD4 count will increase. Trying to reduce your stress levels or learning to manage your stress better could also help.

Other things that can help to increase CD4 counts include the same things that are advised for general health. Try to eat a balanced diet, sleep well, exercise, stop smoking, and only use alcohol or recreational drugs in moderation.

It is also possible that your CD4 count is just fluctuating and that it will naturally go back up on its own. Either way it is nothing to worry about. Once you have started treatment the most important thing to monitor is your viral load. As long as that remains undetectable your treatment is working.

Information on this website is provided by treatment advocates and offered as a guide only. Decisions about your treatment should always be taken in consultation with your doctor.


  1. Lisa Thorley

    Hi Mandu,

    How long have you been on treatment for?

    Though a CD4 of 73 is still low, it has risen. If you continue to take your meds, it will continue to rise. The only real thing that can help your CD4 is ARVs. However, a good diet and exercise will also help your general well-being.

  2. Mandu

    my cd4 was 40 and now 73 which is very low, I am on ARD. what can I do to boost my cd4 court?

  3. Lisa Thorley

    Hi James,

    I’m sorry but people who work for i-base are treatment advocates, not medical doctors. Therefore, you will need to talk to a medical doctor.

  4. James

    Dear doctor .I am 20 year old,i started to take my med when i was 9 years and now i am starting experience sore on my anus. Is it going to affect me, because it’s taking another level.what should i do cause i have tried every medication to fight agaist it .

  5. Lisa Thorley

    Hi deveria,

    It sounds like you are having side effects. Theses usually go within 2-4 weeks. Are you taking Atripla, or a generic version of Atripla? If you are, then please see the following link:


  6. deveria

    Hi…I recently found out that am positive and my CD4 was 490.and I was later put on med.but each time I take my med I become weak,drizzy and feel like am dying.what could be wrong?

  7. Hi Vincent, most guidelines recommend treatment for anyone who is HIV positive. When CD4 criteria are still included then treatment is strongly recommended for anyone with a CD4 count less than 350.

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