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.

1,068 comments

  1. Lisa Thorley

    Hi Vani,

    Is your cousin taking ARVs? If they are, they’re already doing the best thing possible. If they aren’t currently taking medication, they need to start.

  2. Vani

    Hi There, my cousin has a CD count of 189, how can he increase that?

  3. Lisa Thorley

    Hi Ssekiranda,

    Your friends CD4 is very low, therefore it’s important that they begin taking ARVs as soon as possible. Given how low it is they may also beed specialist care. Please see here: https://i-base.info/qa/4643

  4. Ssekiranda

    My friend has tested and find that has 8 CD4 count what shd we do

  5. Lisa Thorley

    Hi jabulani,

    i-base are based in the UK, please contact the following org: https://www.tac.org.za/

  6. jabulani

    how much is arv’s in south africa chemist 2021?

  7. Thash

    Hi I’ve been using ARVs for 5 years and that time my husband was negative ( strange enough) now they only told my husband that he is also positive, we were not condomising so am I at risk again of being reinfected by him if we don’t use condoms

  8. Lisa Thorley

    Hi Thash,

    I need to check something with you. Are you saying that your husband has recently tested positive for HIV? You are however taking ARVs and your viral load is undetectable?

  9. Lisa Thorley
  10. Elsie

    I’m taking arvs completely, I just want to found out that can i also be able to drink other Ned’s such as procydin

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