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HBV improvement
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HBV improvement

Hi all, I would to seek for your advice regarding HBV. I would like to learn more to improve HBV condition so that I can help to improvement my mother condition. I know nothing about HVB and out of idea how to help to improvement the situation. Can advice me on how to start from here...
Now Doctor ask to take Baraclude 1 table daily. She already done blood test, but not sure which information require... Pls help to guide me. Thank you very much for all your help.
21 Comments Post a Comment
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Avatar_m_tn
Anyone can help me?
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Avatar_m_tn
Hi Justhelppp

You need to post your Mom Test report and there many people here who can guide you but you need to post the report first. A lot of friends here has good  knowledge.

To learn More about HBV!
http://www.hepb.org/patients/living_with_hepatitis_b.htm

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Avatar_m_tn
Hi Jrai2014, Thanks.

Liver Function screen report as below:
Total protein: 68 g/L (ok)
Albumin: 30 g/L (ng)
Globulin: 37 g/L (ok)
A/G ratio: 0.8 (ng)
Total bilirubin: 27.4 umol/L (ok)
Direct bilirubin: 18.7 umol/L (ng)
Indirect bilirubin: 8.6 umol/L (ok)
SGOT/AST: 59 U/L (ng)
SGPT/ALT: 59 U/L (ng)
Alkaline phosphatase: 126 U/L (ok)
Gamma-GT: 67 U/L (ng)

Venereal Disease Screen:
VDRL (RPR): Non-reactive
Hbe antigen: Non-reactive
*** RefRange Comment:
*** Interpretation: Consider negative for HbeAg by the criteria of Abbott Axsym Hbe 2.0 assay.
Anti-HCV: Non-reactive

Anything else info require, pls advice.

Thanks in advance.
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Avatar_m_tn
Anyone can help up?
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Avatar_m_tn
But what about the HBV DNA QUANTITATIVE AND Anti HBE AG? Have u done those tests?
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Avatar_m_tn
Yes, But i forgot the value. I will meet Doctor tomorrow to ask for HBV DNA QUANTITATIVE AND Anti HBE AG. Anything else information require? Pls help to advice.
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Avatar_m_tn
first of all HBSAG quantitative is needed..
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Avatar_m_tn
Quatitative HBV DNA PCR: Detected
Infectious Units per mL (IU/mL): 2253 IU/mL
Log10 value: 3.35
Copies per mL: 15771 copies/mL

Hbe antigen: Non-reactive

Didn't perform HBSAG test. What is HBSAG for?
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Avatar_m_tn
hbsag is hbv infection and its quantity reflects infected cells in the liver while hbvdna don t.so hbsag quant is the most important test which combined with hbvdna,ast/alt, hbv genotype and fibroscan reflects infection status and possible clearance
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Avatar_m_tn
Based on existing test report. Can we know how is the current health condition? Doctor ask to take Balaclude (Entecavir). I read from internet that once start with Balaclude, we can't change to Tenofovir. Is that true?
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Avatar_m_tn
Pls help! Once started with Entecavir. Can we change to Tenofovir? I heard that Tenofovir will cause our Kidney problem. Is that true? What are the altenative that I can choose? Seem like no way to choose... can help me up? Thanks!
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Avatar_m_tn
hbv infect kidneys cells and damages kidneys too, so some hbv carriers have damaged kidneys due to hbv infection.few tests can tell how kidneys are: urine microalbumine to urine creatinine ratio is the best test, followed by cystain C

no that is not true, tenofovir has no effect on kidneys function unless the kidneys are damaged already, and even in this case there are interventions to recover kidneys function and use tdf (fibroguard, baking soda, nac, liposomes of vit c, glutathione, resveratrol and curcumin or add on of telbivudine)

tenofovir is just not good for people with damaged kidneys baseline
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Avatar_m_tn
I use Entecavir for 6 months and do kidney test one time in 3 months and it seems OK. Drink water a lot.
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7951432_tn?1400922437
safi what did you doc say about your new result?
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Avatar_m_tn
Doctor say, Using Tenofovir, 3% of the people will facing Kidney problem. But, So far so good for Entecavir.

Entecavir is very expensive compare to Tenofovir. That's why plan to change to Tenofovir. But, Doctor say only can choose one. Once you choose, cannot switch to others. That's make me worry. Why got such medication?
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Avatar_m_tn
I am 29 years old and taking Entecavir for 6 months. I asked my doctor why I do not use Tenefovir. He told me that "you are young. We want to have an alternative weapon (tenefovir) if you develop resistance to Entecavir."

So, what we can understand that you can change from Entecavir to Tenefovir.
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Avatar_m_tn
Thanks for all your advice.
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Avatar_m_tn
Anyone heard about Milk Thistle, Globe Artichoke & Gotu-Kola can help?
Anyone tried before?
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Avatar_m_tn
Any idea?
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Avatar_m_tn
where i buy????
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Avatar_m_tn
I would like to know the effectiveness of milk thistle.
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