My cd4 count is 167 but they say they will not give me medication any advice?

I am 32 and HIV positive I have had HIV since 04 my whole life is now falling apart.I have a liver count of 278 inwhich it could be fatal for me.

Although a normal CD4 is 500-1500, one way in which HIV progession is monitored is by tracking levels below 500. I'm sure you already know this. No one single result should be focused on. It's more important how the levels are over a period of time, several months. I can't tell from what you've said how your levels have been over the past 3-6 months. And you haven't disclosed why medication was denied therefore I cannot address this either. I do not know who "they" are. There are a few LFTs - liver function tests - alkaline phosphatase (ALP), prothrombin time (PT), serum bilirubin and alanine aminotransferase (ALT or SGPT). So I'm assuming that your levels are from an ALP, based on the value you mention. ALP levels may be with isoenzymes, of liver origin or bone origin and each has a different range. However, what you have stated exceeds them all.

I can only suggest that if you have an Infectious Disease specialist, you speak to that doctor. Otherwise, consult with your primary physician and discuss your labs and your treatment options at this point. I truly wish you the best care.

If your liver is really in horrible shape, at least try to take milk thistle for your liver. You have not mentioned what your viral load is. I think that, often, meds are available for you if your viral load is 'asking' for medications.

Hi.
A CD4 cell count of 167 warrants HAART.

The reason why they dont want to give you the Meds might be because of the condition your liver is in. Most of the HIV meds are synthesised and eliminated thruogh the liver so giving you the meds could put your liver at a greater risk.

If your physician is good they should first try to find out why your liver enzymes are so high and try to correct that while they give you some supportive treatment in the mean time. There are very many reasons why your liver enzymes could be too high and some of the reasons are reversible meaning that they can be treated and cured while some unfortunately are not.

If they are not, Your physician should able to tailor your regimen to a more liver friendly one.