I am a 34yr old male, 160lbs. I contracted hiv in December of 2009, and got diagnosed formally in January of 2010. Started treatment immediately, with 60,000 viral load. I forget my original cd4 count. Up until a few months ago, I was on treatment pretty much the entire time I was infected. There were a couple breaks due to insurance issues, and one break last fall when I was diagnosed with type 2 diabetes. I'm told the diabetes is from the hiv medication. Anyway, I started on complera - again, I'd taken it a few years ago and like it - but I decided to stop taking it after a month or so. I stopped in April of this year. My main concerns are the obvious - what's going to happen? Mainly, will my viral shoot back up to 60,000? I was tested 2 months after stopping, and my cd4 was 589, and I had a viral load, although I wasn't told the exact number. I thought maybe I'd experience seroconversion symptoms, but I did not. It's been almost 4 months since stopping treatment now, and other than being fatigued and swollen lymph nodes, I think I'm doing alright. How quick does cd4 drop if my viral loadis around 60,000? In the past when I was off meds for a month or two, I'd get bad cold sores on my nose, canker sores in my mouth, and bad athletes foot. But none of that is happening this time. At what cd4 level do herpes outbreaks and athletes foot happen more frequently?
Why did I stop treatment? I'm depressed, to be honest. I felt like taking a break from it all. With insulin shots and pills and tests and appointments, etc, it just became so much and I felt like I was going to break. I just wanted to collapse.
Basic questions I have are 1. Is my fatigue caused by viral load? I feel like my body is spending energy fighting the virus. 2. What cd4 level do fungal infections and herpes outbreaks happen more frequently? 3. Will my viral load increase, and then decrease to its set point like a newly diagnosed HIV patient, or will it just go up and up (that is my main concern)?