You have chronic Hepatitis B and your HBeAg is negative. Please see your doctor to test your liver functions, hbvdna to see whether your disease is active or not. You may or may not require treatment at this time.
ALT is an important marker, but you will also need your hbvdna level, at least, to ascertain the state of your liver. As ALT, hbvdna, etc may fluctuate over time, it is important to keep regular monitoring. Do consult your doctor.
It would be important to know your HBeAg status.
If it is positive, you may be in the Immune Clearance phase, then you may observe for another few months to see whether hbvdna continues to decline.
If it is negative, then you may be in the Immune Escape phase and treatment should be considered as both your hbvdna and ALT are elevated.
In either case, A Fibroscan and age would also be important factors to be taken into consideration when deciding treatment or not.
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