Q and A

Question

How can I increase my CD4 count without ARVs?

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.

1,074 comments

  1. Roy Trevelion

    Hi Mokgobo,

    What synptoms do you have? And what does the doctor say about them?

    How is your HIV treatment going? What meds are you taking, and if you have access to your CD4 and viral load results, please let us know.

  2. Mokgobo

    Hi moris iam hiv positive and taking my meds but my problem is the symptoms especially in the morning what can i do to reduce them

  3. Roy Trevelion

    Hi Mary,

    It’s great to hear you’ve started ARVs. Starting HIV treatment (ART) is the way to look after your health.

    Modern ARVs are easier to take and have fewer side effects than the early meds. So many people only have mild side effects that go away in the first week or two.

    What ARVs are you taking? And do you have access to your CD4 count and viral load? Please let us know.

  4. Mary

    Hi
    I found out some time ago that I’m HIV positive, I was so scared to go on treatment didn’t have anybody I trust that I could talk to. But today I gathered my strength and went to the hospital n I just started my ARVs, I’m excited but so scared of any side effects. How long n how bad can side effects be/ last??

  5. Roy Trevelion

    Hi Perer,

    Yes, HIV treatment (ART) will work at any CD4 count. However a low CD4 count of 10 means there is increased risk of other infections. So doctors usually prescribe antibiotics to stop them happening.

    Do you have access to HIV treatment? And have you talked to your doctor about starting ART? Please let us know all about the plans for your treatment.

    Here’s an Introduction to ART for lots of information.

  6. Perer

    I’m infected with HIV and my CD4 count is 10 can I recover?

  7. Roy Trevelion

    Hi Petric,

    Cannabis can interact with some HIV meds (ARVs). What ARVs are you taking? Please see this HIV drug interactions website for cannabis and ARVs.

  8. Petric

    Am living with HIV, I found out about my status in March 2019, my CD4 count was 560, and am I am smoking marijuana. I would like to know, is the marijuanna going to affect my viral load, interrupt the medication process in my body or affect my CD4 count?

  9. Roy Trevelion

    Hi Morris,

    I’m sorry, that’s very bad news. What country do you live in? There could be support organisations that can help locally.

    Please let us know.

  10. Morris

    Hi! I am hiv positive with a very low cd4 count. The Doctor have refused to put me on treatment since 16,06,2019 I am afraid. What can I do?

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