Do I need treatment?

[khl54]

I am 54 years old Asian-American.
According to my blood test, everything is normal except HBV DNA.
Ultrasound is normal.
Alpha-Petoprotein 2.8  (<6.1 ng/ml)
GGT 28
AST 21
ALT 34
HBV DNA 500000000 H ,100 IU/ml

Some doctor sugggested me to have just test in every three months.
Thank you.
Other told me to have treatment-taking antiviral medication (Viread).
Which is better to me?

[Lyn116]

Yes i also recommend you to ask your doctor about liver biopsy. My doctor said there's no other way  to really  tell how bad is your liver other than a liver biopsy. I'm having one on Jan. 2009.  Its only an  outpatient procedure , It depends which country you are.

[zellyf]

At 54 years old I think you need to consider treating regardless of e-antigen status.  That's assuming that you, like many Asians, were infected at or shortly after birth.  Is a biopsy in your future?  That could help settle the question.

[jay437]

eAntigen +
eAntibody -
Thank you

[stevenNYer]

What's your eAntigen and eAntibody status?  This is important in terms of deciding on treatment.

[bberry]

he is 54
he is of an Asian decent
he has high VL

i think he may need treatment. not sure if waiting for his body to seroconvert is the solution..
then again, you do know more about this that i do

[khl54]

Thank you very much

[cajim]

You may still be in immune tolerant stage.  

Maybe you can have liver panel to confirm that.

If right, you may turn HBeAg negative without treatment thereby avoiding resistance headache.