I feel a bit sick and I have this sensation in my liver (although not pain) which I think it would be expected taken my liver function tests .
All other values are normal.
My question is: as I've never had any risk behavior (no sex outside - my wife is vaccinated and don't have Ag - no needles) how can I have Hep B? And since I have hep B without any risky behavior should I get all my unvaccinated relatives tested?
yes! i think your infected since birth and you're a chronic HBV carrier..and according to your lab tst result your HBeAg (envelope) is non-reactive but your SGPT and SGOT are both elevated, i think you have to undergo an ultra sound of the liver to see if you have a fatty liver..you have a very high SGPT and you have to discuss it with your doctor..i suggest GODEX.
hbsag quantity in iu/ml might tell if you are clearing or not, hbvdna is not indicative of hbv clearance, anyway we can guess that after 6 months you are going to get chronic
you can do the following:
check your vitd and be sure it is 80-90ng/ml
start gcmaf treatment to get your immune system to competent, only adults with damaged immune systems go to chronic hbv and it ll be easy to see how your immune system is by nagalase and cd counts tests but i d not waste time on this we already know it is damaged since hbv is there
i ve met another adult coinfected hiv plus hbv and like you hbv was over 6 months and getting to chronic, in 1 month of gcmaf he cleared hbv and he got hivrna undetectable with no antivirals, it worths give it a try
ok if we are sure you got it as adult boost your immune system as soon as possible by making vitd25oh to 80-90ng/ml, as posted by recent studies vit d lowers hbv replication probably influencing trl7 activation
gcmaf is the best way to rebuild your immune system which is damaged, gcmaf.eu for all research on this
if gcmaf fails tenofovir 1-2years and then peg add on is the best therapy
also have hbsag quantity tested as soon as possible so it is possible to know if your immune system is totally tollerant or if you are actually responding to the infection at a minimum level, if hbsag is 1000-1500iu/ml peginterferon can be used immediately to clear hbv if higher peg monotherapy has very little chances to clear
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