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For a novel twist on "HIV" viral load, and the possibility of clinical utility outside the HIV theory of AIDS, see https://www.bmj.com/content/363/bmj.k4419/rr

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Viral Load fits into the bigger big pharma scheme of unvalidated surrogate markers. A particularly egregious example is the use of viral load testing to diagnose "chronic" hepatitis C infections - approved by the FDA in 1997. The new miracle cure wonder drugs for Hepatitis C are all based upon a PCR "Sustained Virological Response" (SVR).

Here is a respected Hepatitis C doctor explaining why Hepatitis C viral load testing is a scam:

https://www.healio.com/news/hepatology/20160413/expert-svr-does-not-equate-to-a-cure-in-hcv

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