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I am a 49 yr old man ,i have had hiv and hep c 1a for approx. 18 yrs ..I have just started hiv treatment , and am soon to start hep c treatment , T-cells are 260 ..V.L 900....if the hep c  treatment  doesnt clear it, is my next option a liver transplant....regards  Gary
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Avatar universal
Hi gary,

I am myself HIv positive and have had it for over 24 years and the period oif time is really of no relevance. More importantly you have  260 t cells and asre therefore able to deal with most common infections throughout a combination therapy. having hep and Hiv does not mean necessarily  not responding well to hep c therapy. Most specialist support if not in the acute stage of hep c for Hiv people a therapy  from 48 to 72 weeks. With Hiv there are chances of having so called  "blips" where the bug shows itself again during therapy but is not regarded as being a breakthrough ( I had one myself) and it means continuing in this case for upto 72 weeksand the chances are as good any other of clearing. i am just waiting for my final post 6 month check in january after 72 weeks of therapy.  Should treatment failit does not mean eventual liver transplant as we like others can control our liferstyles and habits and keep our livers to a certain extent healthy and in the shoprt or long term wait for other medications to be available or like some of my friends do another 48 weeks of therapy once we have been given a go ahead. in otherwords we do not to give up on ourselves and painty bleaky images of life after failing a first round. wer just have to lift ourselves up again and be determined to do whatever we are able in our own individual circumstance  do.
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Avatar universal
Hi gary,

I am myself HIv positive and have had it for over 24 years and the period oif time is really of no relevance. More importantly you have  260 t cells and asre therefore able to deal with most common infections throughout a combination therapy. having hep and Hiv does not mean necessarily  not responding well to hep c therapy. Most specialist support if not in the acute stage of hep c for Hiv people a therapy  from 48 to 72 weeks. With Hiv there are chances of having so called  "blips" where the bug shows itself again during therapy but is not regarded as being a breakthrough ( I had one myself) and it means continuing in this case for upto 72 weeksand the chances are as good any other of clearing. i am just waiting for my final post 6 month check in january after 72 weeks of therapy.  Should treatment failit does not mean eventual liver transplant as we like others can control our liferstyles and habits and keep our livers to a certain extent healthy and in the shoprt or long term wait for other medications to be available or like some of my friends do another 48 weeks of therapy once we have been given a go ahead. in otherwords we do not to give up on ourselves and painty bleaky images of life after failing a first round. wer just have to lift ourselves up again and be determined to do whatever we are able in our own individual circumstance  do.
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1420486 tn?1384793153
hi Gary you might also post on the Hiv support as well as here too. I spoke to a really nice fellow I met on a different forum. He said he would pop in over here too, and check it out..He is coinfected as well. And he has lived a long, long, long time...Im sure others here will be able to awnser any questions you might have . and ditto on the welcome to the forum.
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Avatar universal
Hi Gary, welcome to the forum.  (Bill usually says that, so hope he doesn't mind me stepping in. :)

Would need more details to understand your situation better.  You can have Hep C for quite some time and not get anywhere close to a liver transplant...and do treatment more than once for it and same thing.  

Have you had a biopsy to determine extent of liver damage?  If yes, where does it put you?

Curious that you're treating the HIV first ...usually they treat the Hep C first, I thought? T-cells are 260..yeah, that's getting down there. Perhaps that's why - going with treating both?

Trish

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