Rigo, Drops in CD4 counts usually correlate to some other health issue (Flu, Cold, in my case sleep deprivation and heart disease (quadruple bypass)). I also went through a year and a half of a low white blood cell (WBC) count. White blood cells (WBCs, 4,000–10,000/µL) defend against infection. Low WBC counts put you at risk of infection. Neutrophils are a type of WBC and are the most abundant (50%–75%) first-responders to bacteria. High neutrophils (neutrophilia) signal infection or stress, while high WBCs (leukocytosis) indicate inflammation. Low neutrophils (neutropenia), which equates to low WBC counts, put you at risk of infection. T-helper cells (CD4 count) are a type of lymphocyte that regulate the immune response. For me turns out Sulphate drugs (like those use as prophylactics to prevent pneumonia can lower some people's WBC count (mine). All this to say, if your doctors aren't doing a T-Helper Cells (CD$) Count, a HIV-RNA Quant by PCR Test (viral load), AND a Complete Blood Count (CBC) with Differential, they aren't getting a complete look at your total immune health. That's just my opinion. I'm not a doctor, but have been seeing lots of them since 1993, including Primary, Infectious Disease, Cardiologist, Hematologist/Oncologist, Pulmonologist, ENT, etc. I now have a team of doctors I trust/respect and each one show general concern for my well being and health. I shopped a long time to build this team. Bottom line is you have to advocate for yourself if you want quality care.

Thank you for your most kind commentary about blood cells and HIV. Mexicans now we have a little problem: the last two presidents we have had smashed the mexican health system which was working quite well before them. Incredibly as it sounds, now we have populist propaganda of the worst kind to boost health services and it is worse for HIV+ people, since we practically all rely on the mexican goverment healthcare. For several years now I have consulted with about ten different HIV Mexican Specialists and they are in bad shape, they do not know how to deal with this disease, the issue is too long to explain it here. Anyway, I just hope the Triumeq I am taking right now will increase my CD4 count to acceptable levels. A big hello for you and best wishes from Mexico, Rigo

So I have a low CD4 count since 2019 and have been undetectable the entire time. From my understanding, the HIV meds are keeping the virus under control (undetectable) but my CD4 count is trying to recover from years of abuse, including a period when I stopped taking my meds. Since being diagnosed in 1993 with highest CD4 count ever (385), I've dropped down to 2 and am now at 173!! My Doc is confident that slowly it will be above 200. The I celebrate!! I tend to avoid public places unless masked and keep a positive attitude. That's not to say, I don't have my occasional pity parties, but they don't last long. Love and strength!

And I’m doing well my CD4 count is 350 to 400, the norm is 500. But my twin brother who is negative has the same low count which is normal for us.

Xavier, that was an eloquent explanation of viral load versus CD4 count, 2👍👍Up.

In 1995 my CD4 was down to 15 with an AIDS diagnosis. Today my viral load is 800 but I’ve been undetectable for just over 3 years and I feel great. It took about 10 years to get it up to around 500. My mind is sometimes in a fog but I feel good.

Nice to see you online.