Blood test results just came (VIT D too)

[melcul]

Hi,
So i did my vit D 25-OH : 20 ng/ml
ALT was in the last 5 months high from 80-100-50-80-60
and the only problem that came was :

Neutrophil 40,7 %  ( 45-80 %)
Neutrophil 2480 / µL     (2000-8000 /µL )

this one i think is kinda serious because i am below 45% lvl of neutrophil (probably because of the hepatitis B virus ?) this from what i understand are the white cells in the blood which can go down because of an infection with viruses for exemple , is this common between hep b cariers ?

i will also order Vit D 25oh from amazon 10.000 IU , are this ok ?  

http://www.amazon.com/Solgar-Vitamin-Cholecalciferol-000-Softgels/dp/B004TBXGS4/ref=sr_1_1?ie=UTF8&qid=1414064102&sr=8-1&keywords=vit+d+10000

[melcul]

Just a curiosity, i've seen many of you having high hbvdna like mine but noone having hbsag so high like 300k-400k  . And last time i've checked was still rising. Is it stopping at one point tha comes down, is it a rule there, or if i dont take some treatment wont stop ? I dont have an understanding of how hbsag works

[melcul]

I will try to see how much does.it cost me and where i can take.this tests here

[stef2011]

If u go for the no dairy diet you can take 50.000iu daily just be sure to check evrything i said by 3-4weeks, i think u ll reach 100ng/ml easily this way

[luckyman316]

melcul, you probably won't feel anything on 20,000iu either. For the low score you have, it  may take months to fix it. When I checked mine, it was at 14. It took approximately 4  months just to get it within normal range and it was at 76 at that time, doing nothing but 10,000iu daily. Just remember, a lot of results are not instant. These things do take time.

[stef2011]

Keep an eye on pth and calcium, these are the targets more than vitd25oh

[melcul]

I feel nothing with 10.000, i think i will follow your advice and switch on 20.000 ui/day.

[stef2011]

dairies is not mandatory with d3 10.000iu daily but i suggest you take 20.000iu and make no dairies diet/2.5l of water daily, so you will correct deficiency fast

remember to check parathormone, vitd25oh alone is not a reliable test for vit d deficiency, only when pth goes 10-20pg/ml and vitd25oh 100-150ng/ml you are sure there is no deficiency

recheck by 1month:
vitd25oh, pth, urine calcium, serum calcium, ionized calcium

another good point of latest studies i saw on hbv is:
inactive hbv has low pth and higher vitd25oh compared to active hbv

high pth suppresses immune system, low pth enhances immune funcntion

high vitd25oh with low pth suppresses IL17, high IL17 is correlated to worst hbv activity and liver fibrosis

so in the end it is good all studies are suggesting we need high end of normal vitd25oh, low pth, low IL17

[melcul]

today i just started to take 10.000 IU Vit D /day (last check i had 20 ng/ml) i will try to avoid al diaries and eat healthy as i am already. i will search for cucurmin or milk thistle too, see if i can find any natural ones, any other suggestions are appreciated

[flyinsky]

ok my check is on 18 i will give my news
but probably my doc will put me again Under monitoring since my alat asat are in the same range from jully
also my viralload decreases little even at high numbers,this my opinion i will let you

[melcul]

Flynsky please keep me updated with your situations as its closed to mine,  i was happy to kbow your hbsag q too. I am wondering when hbsag will stop rising or if i should stop it or after a while it will cone down. I want to mention that my father has hbv to for at least 10-15 years, i've seen he's alt results, and in 2004 were 80-90, now are the same, he never took medication or anything else. Just some hepatoprotectors for his liver. At least he doesnt have chirosis or anything else because he did an US now and provably will go for a fibroscan .

[flyinsky]

Melcil try to choose first an excellent hepato.and you should wait for 6monthes ends to be sure that you are not in acute phase may be you wait more.if you are chronic treatment is not imposed till the doc be sure that damage to liver is starting by fibroscan.at this point treatment is necessary don't worry a lot now your fibroscan is good and I am sure that your doc will ask you  again to do it after 2or3 monthes.alat elevated  with high hbvadn and high hbsag means that virus is multiplied and your body does' t search to defend it self.but it destroys the infected cells wich consider them as a threat so infection in liver and this wich make fibrosis rise .now let your doc guide you if things get worst you will start treatment.docs look at age of patient you are young so they gives body chance to defend it self.

[SafiSifa]

my HBSAG quantity was also ver high. It came to zero in 4-5 months. Consider natural supplements, especially black seed and cur cumin

[melcul]

I dont use anything right now, i just eath healthy, meaning lots of vegetables, potatoes, fish. I lost some weight,  and now i wait for the vitamin D to arive. My liver functions were ok, my fibroscan 5,6 wich is more than ok, it only scares me the hbsag q which keep getting so high and i dont know in which stage am i

[SafiSifa]

Do you use natural supplements?

[melcul]

why is my hbsag keep rising ?if i let it grow, wont be harder to get a response with meds ? in dec i will make 6 months since i;ve discovered it, should i go for treatment ? i registred to a GP here in uk and i'm waiting for an appointment and i will talk with a doctor then, what do you think regarding my status ? liver fibroscan is ok but this numbers like ALT and hbvdna/hbsag are contradicting each other .i mean looks like i would be in an imunotolerant phase, where my hbvdna and hbsag keep rising, hbeag positive, but alt is not as it should be, and that is normal ..

[stef2011]

your immune system is simply ineffective on hbv, also the killing of infected cells by alt flares is the most weak immune response, i had flares at 1500u/l and even that was useless

the best immune response purge cccdna from infected cells with no cells killing

[melcul]

i did my hbsag quantitive again, 2 months ago my hbsag was 350k , now just came in and it is 387990 UI/ml. I dont understand ! My liver was 5,6 kp but my ALT keep flaring the 80-110-50-80-90 ,it does not make sense, how is it that if hbsag is inhibing the imune system why alt is flaring ? and now my hbsag is rising.

[melcul]

I also saw your posts flynsky and you have high alt too for half a year now ? I will wait to see what the doc will recomand you too, i am very intersted as you also have good fibroscan score.

[flyinsky]

Melcul Just wait for 6momonthes to see if you are a cute or chronic then if treatment is imposed or not.but you're right choose a very good doc then fellow what he says

[stef2011]

MS researchers have had cases of vdr resistance that required vitd25oh at 4000ng/ml to reach receptors and no sides what so ever by avoiding all hgihg calcium foods like dairies

[stef2011]

I take 100.000iu daily and  vitd25oh is 995ng/ml just to give you an idea of how safe vit d is.of course when hgiher than150ng/ml docotr monitoring and diet is needed.
even this dose is low for me because pth does not lower, i have a strong resistance of vdr receptors, probably due to hbv

[melcul]

ok, that means 15 pills first day,sounds a bit frightening, but i will try, also i will drink milk thistle with lavender

[SafiSifa]

Hello stef,

What do you think about melcul's situation, does he need treatment or not?

[SafiSifa]

OK. That is what I think.

By the way, I suggest you to drink lavender tea. It is very effective for reducing ALT and AST.