How long can someone live with a CD4 count over 100?

In general, individuals with a CD4 count over 100 can achieve long-term survival with standardized treatment, whereas without treatment or with inadequate therapy, life expectancy may be significantly shortened. If concerned, it is recommended to seek medical advice promptly. Detailed analysis is as follows:

If standard antiretroviral therapy is initiated promptly, medications are strictly taken as prescribed, and good treatment adherence is maintained, viral load can be effectively suppressed, CD4 cell counts can gradually increase, and immune function can be restored. By actively preventing opportunistic infections and maintaining a healthy lifestyle, life expectancy in such cases can approach that of the general population.

Without treatment or with irregular medication use, CD4 cell counts may continue to decline, leading to severe immune system damage and increased risk of opportunistic infections such as Pneumocystis pneumonia and tuberculosis, as well as malignancies. The condition may rapidly progress to AIDS, potentially shortening survival to just several years or even less, along with a significant decline in quality of life.

It is essential to seek medical care promptly to start treatment—never discontinue or adjust medication doses without medical guidance. Regular follow-up tests for CD4 count and viral load are necessary, and any symptoms or discomfort should prompt immediate medical evaluation to fully protect immune function.