CD4 Count: Normal range is 500-1,500. Above 500 is generally healthy. Below 200 indicates AIDS-defining condition risk.
CD4 Percentage: Often more stable than raw count. Above 14% is generally good.
| Date | Viral Load (copies/mL) | Status | Lab / Provider | Notes |
|---|---|---|---|---|
| Date | CD4 Count | CD4 Percentage | CD4/CD8 Ratio | Lab / Provider | Notes |
|---|---|---|---|---|---|
| Test | Date | Result | Normal Range | Notes |
|---|---|---|---|---|
| Complete Blood Count (CBC) | Varies | |||
| Liver Function (ALT/AST) | ALT: 7-56 / AST: 10-40 | |||
| Kidney Function (Creatinine) | 0.7-1.3 mg/dL | |||
| Cholesterol / Lipids | LDL under 100 ideal | |||
| Blood Glucose / A1C | Fasting under 100 | |||
| STI Screening | Negative |
Common ART regimens include Biktarvy, Cabenuva, Descovy, Genvoya, Triumeq, Odefsey, and others. Always consult your HIV specialist before making any changes to your regimen.
| Medication (Brand / Generic) | Class | Dosage | Timing | Start Date | Side Effects | Effectiveness (1-10) |
|---|---|---|---|---|---|---|
| Medication | Start Date | End Date | Reason for Change | VL at End |
|---|---|---|---|---|
Track the weeks you took your medication consistently. Goal: 95% adherence or higher.
| Week of | Mon | Tue | Wed | Thu | Fri | Sat | Sun | Notes / Missed Dose Reason |
|---|---|---|---|---|---|---|---|---|
| Supplement | Common Dosage | Why People Use It | ART Interaction Risk |
|---|---|---|---|
| Vitamin D3 | 2,000-4,000 IU daily | Immune support, bone health (ART can deplete Vitamin D) | Low |
| Zinc | 15-30mg daily | Immune function, wound healing | Low |
| Selenium | 200mcg daily | Antioxidant, may slow HIV progression | Low |
| N-Acetyl Cysteine (NAC) | 600mg 1-3x daily | Antioxidant, glutathione precursor, liver support | Low |
| Coenzyme Q10 | 100-300mg daily | Energy, mitochondrial support (ART can affect mitochondria) | Low |
| Omega-3 Fish Oil | 1-3g daily | Heart health, inflammation (HIV increases cardiovascular risk) | Low |
| Probiotics | 10-50 billion CFU daily | Gut health (HIV and ART can affect gut microbiome) | Low |
| Milk Thistle | 140mg 3x daily | Liver support (ART can stress the liver) | Moderate - tell your doctor |
| Turmeric / Curcumin | 500-1000mg daily | Anti-inflammatory, antioxidant | Low |
| St. John's Wort | AVOID - can reduce ART effectiveness significantly | HIGH - Avoid | |
| Supplement / Remedy | Dosage / How Taken | Purpose (why you take it) | Told Your Doctor? | Start Date | Rating (1-10) |
|---|---|---|---|---|---|
| Month | Avg Sleep (hrs) | Stress Level (1-10) | Exercise (days/wk) | Mood Average (1-10) | Energy Level (1-10) | Notable Changes |
|---|---|---|---|---|---|---|
| Date Started | Medication | Completed 28 Days? | Follow-up Test Date | Result | Notes |
|---|---|---|---|---|---|
With modern ART, people diagnosed with HIV today can expect a near-normal life expectancy. HIV is a manageable chronic condition, not a death sentence.
If your viral load is undetectable on ART, you cannot sexually transmit HIV to a partner. This is scientifically proven and life-changing.
Different people respond differently to medications. If you experience side effects, talk to your doctor. There are many effective options.
Grief, fear, anger, and shame are all normal. Many people find that these feelings ease significantly over time, especially with community support.
People living with HIV have fulfilling romantic and sexual relationships. Disclosure decisions are personal and there is no single right way.
Minor variations in CD4 count between tests are normal and do not always indicate a change in your health status. Trends over time matter more than single readings.
HIV stigma is rooted in misinformation from decades past. The science has changed dramatically. You are not who stigma says you are.
Millions of people worldwide are living full, healthy, joyful lives with HIV. Community, support, and science are all on your side.
You Are Not Your Status.
Your HIV status is something you carry. It is not who you are.
You are still worthy of love, connection, joy, and a full life. Nothing about this changes your value as a human being. Nothing about this makes you less deserving of the life you imagined for yourself.
It is okay if you are still processing. It is okay if some days the weight feels heavy. Healing and acceptance are not linear and you are allowed to take this one step at a time.
You are not alone in this. There is a community of people who understand, who have walked this road, and who are living proof that a beautiful life is absolutely possible.
Give yourself grace. Give yourself time. And most importantly, do not give up on yourself. The best parts of your story have not been written yet.
PositivePathways was built to meet you exactly where you are.
Community groups. Dating. Resources. People who truly understand.https://www.positivepathways.app
You Don't Have to
Do This Alone.
The fact that you made it through this workbook means something.
You took a moment to check in with yourself. To track your health, reflect on your journey, and understand your body a little more. That is not a small thing. That matters more than you know.
But the truth is, managing HIV can feel overwhelming. Tracking labs, medications, wellness, emotions, relationships and doing it all alone is a lot to carry.
That is exactly why PositivePathways was created.
A space where you do not have to figure this out by yourself. Where you can connect with others who truly understand, access resources, and find community on your terms.
You deserve support. You deserve ease. You deserve to feel seen and celebrated for showing up for yourself every single day.
Join the PositivePathways community and continue your journey with people who get it.
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This workbook is for personal tracking and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your HIV specialist or healthcare provider.