I just found I am HIV positive, but I am not on medication yet. My CD4/viral load count is 445 /22,500. I do have issues with my liver enzyme AST=87, ALT=201, ferritin =800, but negative for hepatitis B. The doctor wants to protect my liver, so she gave me first hepatitis B vaccine.
My concern is if this is the right decision because I am not on HIV medication yet and I do not want to see my viral load count increase by B vaccine. My doctor wants me to start medication for HIV, so I am planning to take Genvoya.
I am scheduled for an ultrasound and fiber scan for my liver in a month. My concern is starting the medication a right decision for my situation before I know the condition of my liver. I am starting to get a feeling "do I have the right doctor for me?"
I read about Genvoya and it is saying that it is not recommended for people with severe liver impairment. I do not think I have "severe liver impairment."
I need advice. Is my doctor's decision getting hepatitis B before HIV medication is the right choice? Should I just follow my doctor and start medication?
Welcome to icliniq.com.
I think it is the right decision to vaccinate against hepatitis B because it protects you against future exposures to this virus.
Hepatitis B is having the same routes of transmission as HIV (human immunodeficiency virus) vaccination.
Hepatitis B does not interfere with HIV infection.
A CD4 count of less than 500 is an indication to start ARV (antiretrovirals).
For more information consult an HIV AIDS specialist online --> https://www.icliniq.com/ask-a-doctor-online/HIV-AIDS-specialist
Was this answer helpful?|
Query: Hi doctor, I had unprotected sex with a woman for two to three minutes around four weeks ago. I took HIV 1 RNA test on 11th day which was negative. Again I took complete STD panel tests on 21st day with HIV-1 RNA and HIV fourth generation tests, all of the results were negative. But, I can notice sm... Read Full »
Query: Hello doctor,My brother was detected as HIV positive. Is this disease completely curable or not? Is there is any new medicine for 100 % cure for this disease? Read Full »
Query: Hi doctor, I have attached my three medical test reports, of which, two are for HBV, and one result is for HCV. These results are almost six months old, and they were taken exactly after six months of potential exposure to these viruses. I have not had any symptoms in the past one year, but I unde... Read Full »
Ask your health query to a doctor online?Ask a HIV AIDS Specialist Now