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According to your test results, it is very encouraging that both the HIV combo and Elisa tests were negative. The 3rd-generation Elisa test is reliable and fairly accurate in detecting HIV antibodies on the 45th day. Don't forget HIV symptoms can be different; however, the most common ones are flu-like symptoms, rash, and fatigue.

Coughing up blood can be alarming, but it’s not always due to something serious like cancer. Common causes include lung infections, bronchitis, or excessive coughing. If you notice blood in your spit, it’s best to inform your doctor to help identify the cause. They may run some tests to find the underlying issue. See a doctor to make sure everything is okay.

If you're already on PEP medication and had another exposure, it's important to let your healthcare provider know. They will, however, determine whether you require additional PEP treatment. Sometimes symptoms of HIV can take a while to develop, therefore it is better to be safe than sorry. PEP treatment assists in reducing the chances of acquiring HIV, nevertheless, it is still preferable to consult with your doctor to ensure that you are following the correct plan.