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Since April of 2025 I had been <48 cop/ml. I have never missed an injection or appointment, however at my last injection day we ran the test again and now I’m up at 65 cop/ml. I don’t understand why my numbers are going back up anyone have any ideas what may be happening?

August 10
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A myHIVteam Member

Hi I'm not familiar with the shots. I'm on Odefsey and I've been undetectable for many years.

August 12
A myHIVteam Member

This is totally normal, it's called a BLIP.

An HIV viral blip is a short, temporary increase in the amount of the virus found in the blood (viral load) for a person whose treatment has otherwise kept them at undetectable levels. These single, low-level test results typically stay below 200 copies/mL and usually return to undetectable on the next test.

What Causes a Blip Test variations:

Minor technical differences or random statistical variations in lab equipment.
Immune response: A recent vaccine, flu, or other common infection can briefly activate the immune system.
Cell activity: A small, natural release of virus from the body's resting viral reservoirs.

What a Blip Does Not Mean Not treatment failure: An isolated blip does not mean your current medicines have stopped working. Not a loss of protection:

Low-level single blips under 200 copies/mL do not mean you can pass the virus to a partner (maintaining the "Undetectable = Untransmissible" or U=U standard).No immediate changes needed: Doctors generally do not switch medications or change treatment plans based on a single isolated blip.

*If your Dr says nothing, it's normal. The ID staff goes over your labs and flag anything abnormal - those clients are reached out to. As long as your viral load stays under 200 the clinic won't bring it up.

August 11
A myHIVteam Member

Its a blip for now. But I'd be prepared to make some decisions on my next appointment if they are not ticking back up.

August 11
A myHIVteam Member

Numbers do fluctuate - try not to fixate on it and keep an open line of communication with your dr - your Dr will alert you to any concerns

August 10
A myHIVteam Member

That is all i care about as well my viral load.

August 12

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