I am not a doctor. Your Dad's viral load is low and ALT is normal. If the Fibroscan indicates he has minimal or no fibrosis, then I would think treatment is not needed at the moment Please do make sure he has regular checkups.
Could you please relay you Dad age and when did he discovered HBSag positive.
It would be wiser to do one more test HBSag quant to nonitor as well how many cells are infected on tyhe cliver and as stephen suggested regular checks every 6 months is the result did not have major changesafter 1 year then test every year but if affordable i would tyest every 6 months.
it is abnormal but not yet allarming, if it goes at 7kpa it is better to treat at ages over 45-50yo, if it comes out genotype is C it is best to treat indipendently from serum or fibroscan due to the high hcc risk
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