I have hep B eAb positive with low HBV VL what does it mean?
I have discovered last year in April that I have Hep B eAb positive with low HBV VL,treatment no need and this year I have been to GP doctor and she has taken me blood again and when i got the result it says Hepatitis B surface antigen level,antigen detected
Serum total bilirubin level 25 umol/L
ALT/SGPT serum level 70 iu/L
AST serum level 84 iu/L
it means you have a worst and aggressive hbv infection, the antibody is useless and hbvdna is also useless unless totally undetactable with alt less than 30
hbeag negative has bcp and precore mutants with increased risk of cirrhosis and liver cancer, you should check if you have these mutants
these are the main and most important tests to monitor hbv infection:
fibroscan to monitor liver damage, less than 6kpa no liver damage, more than 8kpa increased hcc risk and relevant fibrosis
hbsag quantity, immune status and infected cells.if less than 1500iu/ml highest chances to clear on interferon+tenofovir
the only hbv cure at the moment is sequential treatment of tdf for 1-3 years and then interferon add on for 96 weeks
this means almost inactive hbv but to confirm this hbeag neg and low VL is not enough hbsag quantity in iu/ml can confirm inactive carrier state and slow clearance of hbv with no need of treatment
as to mild fibrosis it may be due o toher factors than hbv, do you eat fresh food and healthy life (no fats, no too much red meat, no alcool)?
antioxidant therapy like firboguard or diet like fibroguard can help get fibrosis to zero.fibroguard contains blueberries, curcumin, pomeganate, gree tea, reservatrol and so on
if you find hbsag less than 1500iu/ml you may clear hbv by interferon easily, if you find hbsag less than 500iu/ml you will probably clear it with no therapy needed
also alinia monotherapy can be a good therapy try since this has no sides but clearance in monotherapy has not happened until now on our members who tried it
if this is results from this year hbv is active again, you should check both hbvdna and hbsag quantitative in iu/ml to ocnfirm if it is virus active due probably to bcp or precore mutant or if you are clearing hbsag...very rare
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.