Our expert says:
The recommendations of the panel at a JAMA media briefing at the International AIDS Conference in Vienna in July 2010 is that there is no CD4+ cell count threshold at which initiating therapy is contraindicated. Initiation of therapy is recommended for patients without symptoms with CD4+ cell counts at 500/µL or below. Treatment should be considered for patients without symptoms with CD4+ cell counts greater than 500/µL and is recommended regardless of CD4+ cell count for patients with symptomatic established HIV disease. Therapy is also recommended for patients with other conditions such as pregnancy, >60 years, hepatitis B or C virus coinfections, HIV-associated kidney disease, active or high risk for cardiovascular disease, opportunistic diseases, symptomatic primary HIV infection, and situations in which there is high risk for HIV transmission to an HIV-uninfected partner. Once initiated, ART should be continued as stopping it could make you develop resistance against the medication.
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