I think the ideal combination will include TAF bec
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But the obvious choice is to use Biktarvy as the ART Because it is the most widely prescribed ART That is a one pill once a day combination of TAF, viread, and biktegravir.
To throw a monkey wrench in things, ViiV Also has an entry inhibitor (fostemsavir) that they got approval for in the last several years. It blocks gp-120 Which is a co-receptor for HIV to enterT-cells along with CCR5. HIV binds to both receptors in order to enter the T-Cell. It’s used mainlt for HTE’s (highly treatment experienced ) patients and the drug/drug interactions along with side effects Make LL the obvious choice but I thought I should put that out there That there are other entry inhibitors- fuzeon (obsolete) etc.
So there isn’t really a monkey wrench lol