Hello doctor, Should another consult with hematologist be conducted regarding no improvement on my blood work since last time? It appears that the folic acid and B12 vitamins are not exactly working. Now T cells are dropping as with CD4 and CD8. HIV remains undetectable whereby, I believe that is ruled out? Rae blood cell folate 185.6 ng/mL low Vitamin B12 265 ng/mL Absolute monocyte count (auto) 0.24 low MPV 9.1 low Platelet count 152 low Total T cells CD3+ 761 10E6/L low Total CD4 cells (CD3+ CD4+) 414 low Total CD8 cells (CD3+ CD8+) 348 10E6/L low MCH 33.5 high RBC 4.83 million/mm3 WBC 5.17 HIV-1 RNA VIRAL LOAD (copies/mL).
Hello,  Welcome to icliniq.com. Low CD count can be due to altered immune function or HIV. You have been investigated with the molecular tests for HIV. So after four to six weeks of exposure, it can definitely rule out HIV. If you have investigated early with a provided period then you have to repeat your HIV testing. For low folate, you can be prescribed folic acid tablet for one or two months. For low vitamin B12, cyanocobalamine injection can be prescribed once a week for eight weeks. If you have any specific clinical complaints or history then mention it to give further comment. I hope this helps.