The term 'How have you been?' is a standard formality in meeting or greeting someone. You have to judge for yourself how to answer it based on how well you know the person asking; how sincere or not the question seems.
Standard formal answer: 'Fine, thank you.' (unless you are seriously ill or dead)
More casual answer: 'I'm fine. How are you?'
Answer to someone who knows you well enough to be aware of any hardships you have recently encountered: 'I'm better, thank you.'; 'We're still working on it.'; 'The support of friends helps a lot.'; etc.
Surprisingly often, the greeting 'How have you been?' is answered by 'How are you?'; neither party actually answering the question.
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