Question
How can I increase my CD4 count without ARVs?
8 January 2016. Related: All topics, Newly diagnosed, South Africa, Starting treatment, Supplements and herbs.
I have just found out that I was HIV positive in March, last year. My CD4 count was 270.
I did another test and it was 284 and my doctor said I must start treatment.
I just want to know what I must do to increase my CD4 count without taking treatment.
Answer
Hi, how are you doing?
The only way to increase your CD4 is to use HIV treatment (ART).
Your doctor is giving you good information and advice.
Nothing else, including multivitamins, supplements or herbal remedies can increase your CD4 count. Looking after yourself is important – for example, eating a balanced diet, keeping physically and mentally active, reducing stress, sleeping well etc. But increasing your CD4 count is only proven by using effective HIV meds.
Even though some companies advertise this vitamins and supplements can help your CD4 count, these are scams. There is no such thing as an “immune booster” and no “immune booster” will help your CD4 count or help control HIV.
Why do you want to delay ART or look at other options? HIV meds are really effective – this is what they were designed for.
ART stops HIV from replicating. The main aim is to reduce your viral load to an undetectable level (less than 50 copies/mL). As your viral load goes down, your immune system start to repair itself. This means that your CD4 count will slowly go up to higher levels again.
Currently South Africa recommendation starting treatment when the CD4 count is below 500 cells/mm3. This may change in the future and treatment might be recommended at any CD4 count. (Note: South African later changed to recommends treatment at any CD4 count).
Here is a link to more information about starting treatment. Please take your time reading it and if you have any further questions do write back to me.
Are you receiving any support from other people? Getting support from your local support group or a counsellor can help you to come to terms living with HIV. Also you will be able to gain and share experiences with others who are in the similar situation as you, rather than having to deal with it in isolation.
This answer was updated in January 2019 and January 2016 from a question first posted on 2 March 2012.
Please my dear Lisa, I just start up my HIV drug last month,and I discovered my CD4 count is 28. What can I do to build it up? I’m also losing weight.
Hi Bushi,
If you aren’t on ARVs it is very important that you begin them as soon as possible. This is because your CD4 is very low. Because your CD4 is this low you will also need to do the following:
https://i-base.info/qa/4643
Mine is only 1,how can I improve?
Hi Samuel,
You’ll be fine. Please see Q4 here:
https://i-base.info/qa/what-are-the-most-asked-questions
I was to take my HIV drugs by 10pm and I missed it but took it by 1am, will there be any problems or effect? please I need answers
Hi Marioe,
A CD4 of 740 is great. However, the only thing that you can do to increase your CD4 is take ARVs. ARVs will also help your viral load to become undetectable. For more info about treatment please see here:
http://i-base.info/guides/starting
I’m HIV positive, my CD4 is 740. I’m not on meds. How can I increase this?
Hi Sani,
Thanks for getting back to us. I hope the info that I gave you was of help?
If you could get back to us with your viral load results that would be great. And if you need anything else, please email us.
Thanks for your reply. Lisa. I’m on Atripla. I did my viral load test yesterday. Said it will be out in a month. Was worried because I have been taking my drugs religiously. Also stopped taking alcohol and drinking lots of water. So I was expecting my cd4 count to go up by alot instead of down.
Hi Sani,
A persons CD4 can fluctuate throughout the day, therefore this may be nothing to worry about. For more info about this please see here:
https://i-base.info/qa/424
Do you have your viral load results? What ARVs are you taking?