ALT/DNA/Ultrasound

[cally44]

Hi

I am 40, e antigen negative and have low alt but recently last year it was in the 70's then now it is in the 50's.  My dna viral load is 75,500.  
I am genotype D

I have never been on treatment but recently did a ultrasound that showed a mild fatty liver.  I know I need to exercise and watch my diet.

Should I be concerned?  My doctor is pushing me on meds but I really want to avoid it.  I am taking livatone plus instead and eating mainly veggies and fruits.

Also, all of my kids are vaccinated and one who had the Hep B and immoglublin at birth.  We have to check his titers again because he was given 1 booster because not enough titers were showing.  Should I be concerned?

THANKS

[StephenCastlecrag]

HBVDNA of 75,500 iu/ml is considered high for HBeAg negative. You should consider treatment, as liver disease progression is very likely. Livatone is just a type of supplement and will not cure or control your Hepatitis B.
If your kid is HBsAg negative and once had HBsAb greater than 10 iu/L, then you should have no concerns.

Just my opinion.

[cally44]

What dna viral load is considered low for e antigen negative patients?

[StephenCastlecrag]

For HBeAg negative patients, hbvdna is considered low if it is less than 2,000 iu/ml (or about 10,000 copies/ml). Clinical studies indicate for these patients if their ALT is persistently normal, i.e. less than the UNL(30 iu/L for male, 19 iu/L for females), the HBV disease progression will be slow and minimal, and treatment is not necessary, they can just be monitored regularly. It would be even better if their serum HBsAg is less than 1,000 iu/ml.