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 Nhonho,

    You are doing the best thing by being on meds. It is the meds that will help reduce the risk of transmission to your baby. As to whether they will be negative or not, no one can say. But you’re doing the right thing.

    For more info about HIV and pregnancy, please see here:


  2. Nhonho

    I tested last year September then I started ART in Dec, my CD4 was 271. I’m pregnant, due in May, will my baby be OK?

  3. Lisa Thorley

    Hi Robert,

    What was your CD4 when you started meds?

  4. Robert

    I have been on treatment for one month, how long will it take for my CD4 to get back to normal?

  5. Lisa Thorley

    Hi Ngcebo,

    For me to be able to answer this, I’m going to need to know if this is your first CD4 count. If you’re on treatment, and how long have you been positive for. If you could let me know, I’ll be able to tell you of this is a bad or good CD4.

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