How is my immune recovery assessed in HIV?

Question

Hi doctor,

I am 31 years old and was diagnosed with HIV around 6 months ago during standard screening. I have been on the treatment with Biktarvy, and I am undetectable. My CD4 count has climbed from 350 to 580, and I think it is a good sign.

Although this is all wonderful news, I do have some concerns about my future well-being. I am a bit nervous about the thought of long-term medicine with the possibility of long-term negative effects, and if my immune system will ever fully heal.

I am also struggling with the emotional and social effects. I have not told my family that I have HIV yet, since I am scared of the stigma. I do not know how I will deal with relationships, dating, and disclosure in the future.

I want to ask some questions and get your advice:

Realistically, what can I expect as far as life expectancy and long-term health consequences of today's HIV treatments?
To what extent does adherence to the prescribed regimen impact my risk of drug resistance and non-response to the medication?
What other measures are available to prevent opportunistic infections, besides taking preventive medications?
What is the criterion for immune recovery, and how will I know when my immune system has recovered?

I am thankful for your valuable advice.

Looking forward to your suggestions.

Answer 1

Hello,

Welcome to icliniq.com

I understand your worries, and I appreciate you telling me about them.

Being diagnosed with HIV (human immunodeficiency virus) can be hard on the body and the mind, especially since the disease lasts a person's whole life. It is quite logical to be worried and have concerns about one's health and future.

The good news is that your virus load is under control and your CD4 count has gone up a lot. This means that the medicine is doing its job. If your viral load cannot be found, you are much less likely to spread the virus to others. But you still should follow your treatment plan and continue seeing your doctor every month.

I also hear you regarding the humiliation of HIV. Luckily, there has been a great deal of understanding and acceptance over the years. Now, individuals living with HIV are able to live healthy and fulfilling lives just like any other individual. Being HIV positive does not limit an individual and should not stand in the way of his or her objectives.

Since HIV impacts the immune system, there may be a higher likelihood of having an opportunistic infection if the immune system weakens or loses its control over the virus. Therefore, it is important not to ignore any signs or symptoms.

In regard to your medicines, there are some of the anti-retrovirals that may likely cause damage to your liver and other body organs. The health professional will often test your body health status through some basic blood tests which include liver functions tests to ensure that the medicines work effectively.

It is great to know that you are taking your medication as prescribed and experiencing no bad side effects from them. Another thing that I would suggest is to speak to your doctor about getting yourself vaccinated. These can help you protect yourself from getting some infections even more.

And do not be afraid to get in touch with any other questions or concerns.

Keep your planned follow-up appointments.

I hope this helps answer your question.

Thank you.