I think you are an inactive carrier. you need to get a HBV DNA test just to make sure there is no virus in your blood. as long as the virus remains inactive then you should be alright. How old are you?
there is no treatment for inactive carriers. I am inactive carrier myself. the chance to become negative is very slim. God knows when the virus will leave you.
in case you missed the very fine print, this forum is patient to patient only and no drs monitor the questions asked. If you have not consulted with a hepatologist yet, you might want to consider doing so in the near future. THere are a few hep b members here that can share their experience, but mostly, the members have hep c. If you do not have this resource, you might want to bookmark it. It has some patient support section:
The Serology panel that you decribed is not complete: We are missing the antiHBc IgG ( IgG) antibody. This will be positive.If not ( very, very rare!) I will explain what it could mean.
You are most likely a carrier in an inactive state hence the IgM negativity of the core antibody.
You need to check ALT, AST, bili and Albumin, - this is easy to get. If those are normal you are in the e-neg inactive carrier state. Viral load would be important but is hard to get for many people, particular if no active hepatitis exists at the moment.
You have no doubt been infected, but at some point your immune system has taken full control over the virus. No vaccination will be done. No therapy necessary. You are not infectious. But a small amount of the HBV virus remains - you need to mention this when you ever have immunosupressive therapy for rheumatic disease or cancer.
the virus is present when hbsag is positive, all other markers are needed to see if virus is active and if very active
hbsag and hbsab
also fibroscan/ultrasound are necessary to see if there is any liver damage although at your age is very very rare but better to check.
i have a friend who never checked anything when very young because she thought smoking made her eyes yellow.....so she developped cirrhosis from auto-immune hepatitis (not hbv) since she was 14-15yo
after you have checked all those you can see if virus is present and if a therapy is needed.usually at your age there is no need of therapy and only interferon can be considered
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