3 months on viread dna positive <20 iu/ml

[mrt27]

Hello stef aduiski and other members. I ve been on viread for 3 months. The latest hbvdna is positive <20 ıu/ml. Before viread I was on lamuvidine and hbv dna was generally again positive <20 ıu/ml. I think it was 3 times undetectable at different times. Alt Ast normal afp normal. Do you think dna will be und next time? If it comes positive again what.  treatment or evaluation can you recommend ? I also started to take vit d3 daily 10 days ago. Thank you for your suggestions

[mrt27]

Thank you for your reply.

[Aduiski]

Yes you are undetected...monitor kidney and bone loss

[luckyman316]

I wanted to respond. As long as you stay on the Viread, you'll always be < 20 (which is considered undetected). There is no time frame for anything else other than monitor your liver with an Ultrasound (or Fibroscan if needed) every 6 months. Since you're taking Viread, you should rule out bone density loss over time with a DEXA scan every year. If you can get it done ever 6 months, then have it done. Also, monitor kidney functions through blood test.

You're doing just fine and 3 months is a great response! Make sure you take at least 10,000iu of Vitamin D3 daily and monitor as well!

[luckyman316]

I get the same thing. It's the baseline they use for Undetectable. So while it does say "detected" it actually is undetectable if it's under 20. Apparently it's the sensitivity of the test. There are other tests out there which offer a lower number, I'd suggest those if he can.

[mrt27]

hbvdna quantative  positive <20 ıu/ml.
alt 33
ast25
hbeag negative
antihbe negative
afp 2.98

[Aduiski]

What do you mean by hbvdna < 20 positive?

Post your exact test results of your DNA and ALT, as it writes on the results.

[mrt27]

I am hbeag negative
antihbe negative as well