With advancements in HIV treatment, many people are living longer and healthier lives. Almost half of HIV-positive people in the U.S. are now over 50 years old. Modern antiretroviral therapies (ART) have fewer side effects, making it easier to manage HIV. Aging with HIV can bring age-related health issues like osteoporosis, heart disease, and mental health challenges. It's important to start ART early, have regular check-ups, make healthy lifestyle choices, eat well, exercise, and seek social support to maintain a good quality of life.