Hope you can help me decipher what my recent results mean. This is really overwhelming so I require your help.
About me: I am 28yr, male, asian. Healthy, with no ailments or on any medication.
I am a chronic Hep B sufferer as confirmed by my results below.
I need some guidance as to if I could get any medication to eradicate or get the HepB to UND levels. I desperatley want to get rid of this as I am hoping to work in the middle east where they check for HepB!!
I have been referred onto a Hep B specialist but as its the NHS, its anyones guess when I will be seen.
Please advise, my results listed below;
Hep B Core Antibody: Reactive
Hep B Suface Antigen: Reactive
Anti HBc Igm: Negative
Hep B eAg: Negative
Hep B anti-e antibody: Reactive
Can I use something like Entacavir or Alinia to get rid of this?
Please provide any feedback - good, bad or indifferent!
Can you tell me if I would be a candidate to get the HepB to a level where I could Seroconvert or get to UND?
no, only hbsag<1500iu/ml can have high chances of seroconversion with interferon and probably ntz too, so this test is needed to say probability
The two readings that have come out negative (Anti HBc Igm & Hep B eAg), what exactly do they mean?
nothing important as to clearance of hbsag
hbe negative is good because ntz is more effective (hbe negative have lower hbsag, hbvdna,cccdna in general)
hbcab igm but quantitatively (not qualitatively) can be used to confirm if your hbv is inactive together with alt and hbvdna.hbcab igm <0.2s/co grey zone inactive and <0.08s/co inactive hbv
What is the name of the test I need to undetake in order to confirm what the above level for me is?
abbott architet hbsag quantification in iu/ml range 0.05-250iu/ml, all hbvers are higher than 250iu/ml so a diluition 1:1000 must be done for values higher than 250iu/ml.you have to explain exactly this sentence because most doctors/labs are not aware or don t have this test and make the qualitative test instead of this test
Will this simply be in the form of a blood test? Or do I need to do a liver biopsy? As mentioned earlier I am in good health and on no medication.
fibroscan will tell you amont of fibrosis, biospy s risky and not needed
Finally - is interferon an injection based drug or simply a pill? :(
weekly injection, it can have no sides or bad sides, usually young people have no sides.
i suggest start with niazoxanide monotherpy (it is off label so very difficult to find a doctor to pescribe it but drug has no sides so easly to buy at pharmacy or online without prescription), if you see no hbsag decrease by 4-12 weeks add peginterferon
all hbe negative in our alinia group have had hbsag decline (hbe negative big decline while hbe positive very little/no decline) on monotherapy but be aware that those on ntz+peginterferon have had very fast results (ntz+peginterferon regimen therapy like for hcv)
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