Lamivudine

There are insurance companies who are blocking us from continuing access to TAF, as you know, or blocking access to starting it.

I got another letter today that I had to try a Defavir or Lamivudine first.

So there are some really antiquated concepts out there on the street, but this is state-of-the-art.

Each patient should get an S antigen yearly, part of the BEPI discussion, natural clearance, on treatment or stop treatment.

Our amalgam case today is going to be a 53-year-old woman who has a longstanding history of HIV.

She is currently well controlled with a fully suppressed viral load on an antiretroviral regimen of dolutegravir and 3TC, and her CD4 count is in the 400s.

She's had hypertension, for which she has been working on diet and exercise and mild hypothyroidism, for which she takes levothyroxine.

And her most recent labs show that she is euthyroid.