d. Incorrect. 

According to the current guidelines, antiretroviral therapy is clearly recommended at this patient’s CD4 count of 220 x 109/L to arrest further immunologic deterioration. Uncontrolled HIV replication is associated with an increased risk of cardiovascular disease (N Engl J Med 2006; 355:2283–2296, Antivir Ther 2008; 13:177–187), and HIV suppression has been shown to decrease various surrogate markers of cardiovascular disease.( J Am Coll Cardiol 2008; 52:569–576, AIDS 2009; 23:929–939, J Infect Dis 2009; 199:1186–1194).