No one would argue that living a long time after receiving an HIV diagnosis is a good thing.
"I feel fabulous," says Carlton Smith, who was diagnosed with HIV 25 years ago. He is on the cusp of 50, "but I don't look like it," he is quick to say.
But what lies ahead for people like Carlton, diagnosed with HIV decades ago? They are living far beyond what anyone predicted when the HIV epidemic hit the United States in the 1980s.
By the year 2015, more than 50 percent of Americans living with HIV will be older than 50. As the availability of anti-iretroviral medications continues to expand, the rest of the world will not be far behind. But researchers are only beginning to understand how HIV and its treatment affects those living with HIV as they age.
Not that HIV hasn't always been a complicated disease for patients and their doctors to manage.
"Before aging was an issue,
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