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Real members of myHIVteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Undectable

A myHIVteam Member asked a question 💭
New Brunswick, NJ

As per my last post thanks for all the great responses. I feel so much better I’m in the green zone. However lots of questions on what truly is undectable. So many different opinions even from doctors. We know the tests are getting more sensitive on viral load and soon I’m assuming that under 10 will be the new normal than the current under 20. With that being said does a 200 viral load considered to be worse then 100? Does under 20 mean better then 40? And So on and so on.or it’s all relative… read more

April 11, 2024 (edited)
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Answer Summary

Members shared diverse perspectives on what truly constitutes an undetectable viral load, with many agreeing that under 200 copies is... Read more

Members shared diverse perspectives on what truly constitutes an undetectable viral load, with many agreeing that under 200 copies is medically effective even as newer tests detect as low as 20 copies, though several acknowledged the psychological boost of seeing the word undetectable on lab results. Several members emphasized that viral suppression is about trends over time rather than fixating on single numbers, sharing personal experiences of stable viral loads between 20 and 200, occasional blips when switching medications, and reassurance from doctors that these variations don't impact health or transmission risk. A recurring theme was that while the science confirms suppression at under 200 (proven in the original studies that established undetectable equals untransmittable), the increasingly sensitive tests have created confusion, leading members to remind each other that what matters most is the full picture of lab results, consistent medication adherence, and trusting that their bodies are responding well to treatment.

A myHIVteam Member

I'm not sure I really understand your question Brad, but I can say that, yes, I always feel better knowing, hearing that I am undetectable. However, I have learned over the years that if I have a blip, usually when I switch drugs, it's not something I concern myself with too much because experience has taught me it has always gone back down to undetectable.

I do believe that there was another post on here in the past where we all concluded that under 200 could be considered undetectable, despite the more sensitive, advanced testing methods.

April 13, 2024
A myHIVteam Member

Awesome Brad! Great job and great news. Congratulations buddy! 🎉

April 22, 2024
A myHIVteam Member

Interesting Brad3 this test is done by a machine in a lab. QuestLabs does mine and they can test down to 20. I like quest because I can log in at anytime and pull my results. They also keep track of your test so you can see a graph of your counts overtime. Results will vary from lab to lab so stick with one. For viral load you are looking for HIV 1 RNA, QN PCR not % CD4.

April 12, 2024
A myHIVteam Member

I will say this respectfully
Even if you are undetectable; the diagnosis of HIV remains. The numbers mean how well your body is responding to the medication. In your case the medication is working and that’s the bottom line. ♥️

April 11, 2024
A myHIVteam Member

@A myHIVteam Member, at 200 copies per milliliter, no matter what test they use, that is called viral suppression. That is the standard, worldwide number.
All of the other numbers, less than 100, less than 75, less than 50, less than 40, less than 20, these test are not looking for suppression, they are looking for how many actual virus there is.
I hope this helps.

April 11, 2024

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