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HIV-2 infection is a type of human immunodeficiency virus that attacks the immune system and can lead to acquired immunodeficiency syndrome (AIDS). It is caused by the HIV-2 retrovirus, which is primarily found in West Africa but can occur worldwide and typically progresses more slowly than HIV-1. The HIV 1/2 Antigen and Antibodies, Fourth Generation test is the most important test for diagnosis because it detects both viral antigens and antibodies specific to HIV-2.
HIV-2 infection is caused by the HIV-2 retrovirus, which is transmitted through contact with infected blood, sexual fluids, or from mother to child during pregnancy, childbirth, or breastfeeding. The virus attacks CD4 cells (T-helper cells) in the immune system, gradually weakening the body's ability to fight infections and diseases. HIV-2 is primarily found in West Africa but has spread to other regions through migration and travel, though it remains much less common globally than HIV-1.
The HIV 1/2 Antigen and Antibodies, Fourth Generation test is the most important test for HIV-2 infection because it detects both viral antigens (p24 proteins from the virus itself) and HIV-specific antibodies produced by your immune system. This dual-detection approach makes it the gold standard for HIV diagnosis, as it can identify infection earlier than previous generations of tests by detecting antigens that appear 2-3 weeks after infection, before antibodies develop. The test specifically distinguishes between HIV-1 and HIV-2, ensuring accurate diagnosis and appropriate medical management for HIV-2, which progresses differently and may respond differently to certain antiretroviral medications.
You should get tested if you have had unprotected sex with someone from or who has lived in West Africa, if you have used injection drugs and shared needles, if you have received a blood transfusion in a country where HIV-2 is common, or if you have symptoms like persistent fever, night sweats, unexplained weight loss, or swollen lymph nodes. Testing is also recommended if you are pregnant or planning pregnancy and have potential exposure risk, or if you work in healthcare and have had occupational exposure to blood or bodily fluids. Early detection is crucial because HIV-2 often progresses more slowly and may remain asymptomatic for years.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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