MRCP2-2755

A 24-year-old man presents to the HIV clinic for the first time after being diagnosed with positive HIV serology during an opportunistic screening at a local GUM clinic. He is feeling anxious about managing his disease and is eager to start treatment. He has no symptoms and has no significant medical history.

During his consultation, the diagnosis was discussed with him, and the role of antiretroviral treatment was explained.

Blood tests:
Hb 136 g/l
Platelets 390 * 109/l
WBC 7.8 * 109/l
Na+ 142 mmol/l
K+ 4.2 mmol/l
Urea 4.8 mmol/l
Creatinine 68 µmol/l
HIV viral load 210 copies/ml
CD4 count 920 cells/mm3

What is the most appropriate management plan to offer?