yes, thats a good sign it means your immune system can detect even small amounts of virus, a very good indication for immune modulators like interferon and who knows maybe ntz too
for example i have hbvdna und but my alt are flactuating according to ntz dose 40-31, they haven t yet reached 20-30 range but as long as fibrosis regresses i don t care about alt difference between 40 and 20
So basically is it better if Viral Load is low and ALT high
it means interferon has good results, but high alt means also more liver damage
actually today we know that the only thing that matters is hbsag quantity if you want to know the number of infected cells/chances of hbsag seroconversion by interferon (i mean interferon because all other drugs are almost useless for this goal)
your doc is just a doc not a researcher or expert liver specialist, hbvdna has no meaning except for choosing if to use antivirals but if you are thinking about eradication only hbsag and interferon or ntz use matter, of course hbvdna und or close to und is good for ntz monotherapy
I nudersatnd he wouldn't be the best Doc but he is qualified hepatologist.
yes but what he saying is valid only for etv and tnf which are only active on hbvdna.with such low hbvdna they are of course useless and dangerous because they might even suppress your immune system, i think he is talking about that type of therapy only and not immune modulators like ntz/interferon
as regards ntz and interferon thi is the best moment to start because the virus is weaker, so it is absolutely the best moment to start ntz monotherapy if you want to
How about Alinia alone? Do you have Abbot Hbsag quantity test & Fibroscan available quiet commonly in Italy
yes every provincial hospital have them except extreme sothern italy, i don t know there because it is a poor and depressed area of the contry, as regards north/centre/south they are every where.
the first one were available from 2004 in main research hospitals/some private clinics
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