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HIV5 min read

Living with HIV: Managing Your Health Long-Term

Dr Ethan Chellan8 March 2026Updated 10 April 2026

A Manageable Chronic Condition

A diagnosis of HIV is no longer a death sentence. With modern antiretroviral therapy (ART), people living with HIV can achieve an undetectable viral load, maintain a healthy immune system, and expect a life expectancy comparable to that of HIV-negative individuals.

The Foundation: Treatment Adherence

The key to living well with HIV is adherence to ART. Missing doses — even occasionally — can allow the virus to replicate, potentially leading to drug resistance and treatment failure.

Tips for Staying on Track

  • Take your medication at the same time each day
  • Use a pill organiser or phone reminder
  • Modern regimens require just one tablet once daily

Regular Monitoring at NeoHealth

Dr Chellan follows a structured care plan that includes:

  • Viral load testing every six months to confirm undetectable status
  • CD4 count monitoring to assess immune health
  • Kidney and liver function tests
  • Lipid profiles and blood glucose
  • Annual STI screening

These visits help catch complications early and adjust treatment if needed.

Long-Term Health Considerations

People living with HIV are at higher risk for certain non-AIDS conditions:

  • Cardiovascular disease
  • Certain cancers
  • Kidney disease
  • Bone density loss

This is partly due to chronic inflammation and partly due to some older ARV medications. Your healthcare provider will screen for these and advise on risk reduction through lifestyle choices.

Mental Health Matters

Depression, anxiety, and stigma are common challenges for people living with HIV. Dr Chellan provides a non-judgemental, supportive environment and can coordinate referrals for counselling when needed.

U=U: Undetectable Equals Untransmittable

U=U is a scientifically proven fact. When your viral load is undetectable on ART, you cannot transmit HIV sexually. This knowledge is life-changing for relationships and quality of life. If you are living with HIV and looking for expert, compassionate care in George, NeoHealth is here for you.

About the Author

Dr Ethan Chellan

Dispensing General Practitioner & Co-founder

Stellenbosch graduate. Born and raised in Tulbagh, trained in the rural Eastern Cape. CMSA Diplomas in Child Health and HIV Management, FPD Mental Health certification. Your first point of contact for...

MBChB (Stellenbosch University)

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