Welcome back to our Forum.  I'll try to help.  We have several clients who have logged into the site using the screen name A including one person who I relied to last about a month ago.  if this is the case, you may find that my responses have not changed much over the past month.  There is a fair amount of confusion about HIV tests and their accuracy. This reflects the evolution of HIV test performance over the three decades since they first became available, as well as improvement in the performance of the tests themselves.  Within classes, no test "lags behind" similar generation HIV tests by a month.  At the current time all available HIV tests used in North America are either 3rd (antibody only) or 4th (combination HIV antigen/antibody) tests.  The Oraquick tests are third generation tests which have to pass the same laboratory performance standards as 3rd generation tests used in laboratories.  These tests will detect more than 99% of recent infections at 8 weeks following exposure and do not lag behind the performance of other 3rd generation tests performance wise.  Thus your Oraquick test result at 4 months should be considered conclusive and you should be confident that no further testing is needed. 

My advice is to stop worrying about HIV.  If you have persistent symptoms, rather than perseverating in worrying about HIV, my advice is to put these concerns aside and work with your doctor on what might be causing the symptoms you are experiencing. EWH

You are really overthinking this, not to mention making assumptions about performance and the prevalence of infection which are far too high.  The Alere test is WHO approved and in wide use and its results at 6 months should be believed. The figures on the sensitivity of this test are of relevance only in the first 4 weeks after exposure, then the antibody test takes over.  Your anxiety is misplaced.

I have nothing more to say.  EWH

There is no evidence or medical proof that ginko bilboa or rhodiola supplements have any effect on HIV test results or antibody production.  the advocates of these supplements often argue that they tend to STRENGHTEN the immune response and, if so, this would be expected to make HIV tests positive sooner, not delay the test results.  I am confident that your 4th generation tests, like your prior tests will be negative.  At that time, I hope that you will be able to move forward without further concerns.  It is past time for you to do so.

This is the third and, as per Forum policy, final response to these questions.  the thread will be closed late today.  Take care.  EWH