{"id":3108,"date":"2010-10-01T15:18:46","date_gmt":"2010-10-01T15:18:46","guid":{"rendered":"http:\/\/i-base.info\/qa\/?p=3108"},"modified":"2010-10-01T15:18:46","modified_gmt":"2010-10-01T15:18:46","slug":"my-viral-load-is-detectable-again-how-concerned-should-i-be","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/3108","title":{"rendered":"My viral load is detectable again. How concerned should I be?"},"content":{"rendered":"

Thank you for your question.<\/p>\n

Please do not worry. A viral load of 60 is just a very small blip and is nothing to worry about. It is so close to the undetectable level of 50 that it could even be a laboratory error.<\/p>\n

For a comprehensive answer to a similar question about viral load blips please follow this link<\/a><\/p>\n

CD4 counts can change all the time depending on time of day, exercise, how much sleep you had etc. Please follow this link<\/a> to a question about CD4 fluctuations.<\/p>\n

In your case a difference in CD4 count of 5 is so insignificant you can assume the CD4 count has stabilised. A CD4 count of over 400 is very good especially if you only started treatment in December 2009.<\/p>\n","protected":false},"excerpt":{"rendered":"

I started combination therapy in December 2009 with a viral load of 580,800 and CD4 count of 148. It took longer than the Dr. seem to have predicted to get my viral load down to an undetectable level, until 47 in June 2010. By that time I was told my my CD4 count had increased only slightly to 197.<\/p>\n

In August 2010 I had a CD4 count but no viral load count, CD4 was suddenly 421 but I have just been informed my results for September 2010 are CD4 416 (36.9%) but unfortunately viral load was 60. During the time that my viral load remained detectable beyond expectation I was told that the good news was that be it slowly, there was only a trend downwards.<\/p>\n

This is the first time my CD4 from one test to the next has gone down and my viral load up again. Should I be concerned or is this something that is likely to happen? I am aware that there are issues that can affect viral load measurement and CD4 count.<\/p>\n

Thanks once again for your time and excellent service. <\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-3108","post","type-post","status-publish","format-standard","hentry","category-all-topics"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/3108","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=3108"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/3108\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=3108"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=3108"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=3108"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}