Q and A

Question

If my CD4 count is 1295, does it mean I no longer have HIV?

I am HIV positive. My first CD4 count was 685 and then it went up to 1295 does that mean I am healthy and is the virus cleared in my body?

Answer

Thank you for your question.

A CD4 count of 1295 is fantastic! However, unfortunately it does not mean HIV is cleared from your body. CD4 counts do fluctuate up and down. It could also be that you were recently infected and your CD4 count is increasing after the initial infection. For more information please follow this link.

The good news is that your immune system is very good as your CD4 count is so high.

What is your viral load result? Usually this would be detectable, even with a high CD4 count, though a small percentage of people (less than 0.01%) maintain a high CD4 count and undetectable viral load, without needing HIV treatment.

213 comments

  1. Noxy

    Hi,I’m Noxy I’ll lyk 2 ask more info about CD4 count,my uncle his sick nd his in hospital, his CD4 count is 16,we find out thy were not giving him treatment,so now we decided 2 tyk him out of the hospital.Now what can we do as a family to increase his CD4 count cz we can’t lose him?

  2. Rebecca McDowall

    Hi,
    A CD4 count of 566 is very good. Please follow this link for more information about CD4 counts.

  3. sreekutty

    my cd4 count is 566 any problem

  4. Rebecca McDowall

    Hi Erick,
    It sounds like you’re doing very well on treatment. Unfortunately there’s not much reliable information about HIV and cannabis use. According to hiv-druginteractions.org there are unlikely to be any interactions between Atripla and cannabis use.

  5. Erick

    hi this is Erick from Mex, my CD4 counts are very good last test is 1723 and viral load is undectable, i take atripla and smoke marihuana, & i live hapy and funny. i like to know if its a relationship in the use at marihuana and cd4 ,

  6. Rebecca McDowall

    Your doctor is right that this is a very high CD4 count, although this may not be a problem. The normal CD4 count for somebody without HIV is between 400-1600. But about 5% of people have a CD4 count above or below this. It’s good that your doctor is looking into this though, please let us know when you get your results if you have any questions.

  7. JW

    I recieve my labs on last week and my CD4 count is 2,043 and my VL is 70 and I am currently on meds. I am concern because my doctored stated that my CD4 count should not be that high and that there could be an underlying issue. He supposed to let me know to tommorrow how they are going to proceed with me. I was wonder if there is any feedback from anyone concerning this because now i am very concerned.

  8. Rebecca McDowall

    Hi Emma,
    I’m sorry to hear about your friend’s health. Is 34 his CD4 count or his measure of kidney function?

    If his CD4 count is 34 it’s very important that he is on treatment for HIV. HIV treatment is very effective, even at low CD4 counts. Without more information it’s very difficult for me to say more. What have his doctors said about this?

  9. Emma

    Hi,
    I have a friend who is suffering from Kidney disease and his HIV +ve with CD4 count of 34. Please what his % of surviving because he need to under go dialysis?

  10. Simon Collins

    Your CD4 count is very strong and most treatment guidelines say that there is no need for you to start treatment until your CD4 count drop lower. This is ok. When you come to need treatment it will work well. At the moment why not enjoy the time you have when you don’t need the meds.

    See this guide to HIV and pregnancy for information, especially about conceiving when you are both positive.

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