Immune tolerant or break immune tolerant phase?

[freewind2013]

Hi everyone
  I am a chronic hepatitis b carrier, probably type B or C, since born. I am 25 years old right now.  My recent check shows  HBsAG and HBeAg are positive with high HBV DNA count. My ALT is normal as defined by my family doctor (i didnt check the exact number). Not sure of AST.  My doctor said I am still in immune tolerant state.  I am wondering of following questions
1. its is possible to stay in immune tolerant state for lifetime? (from research paper i read, most of ppl enter immune  clearing phase in 30 to 40s, so my guess is not?? i need confirmations)
2. Is it better to stay in immune tolerant phase or to break immune tolerant state? ( for this question, i cant rationalize a good answer. Since in immune tolerant phase, there is minimal liver damage, but high viral replication and high viral load (high HBV DNA). Minimal liver damage is always a good thing I guess. IN THE OTHER HAND,  breaking of immune tolerant state means high degree of liver inflammation for a period of time with HBeAg seroconversion and low HBV DNA. After immune tolerant most of people enters inactive (HBeAg negative) carrier stage (low HBV DNA, normal ALT)  and maintains that way. So low HBV DNA is also a good sign. Then which one is favoured???)
3. If breaking immune tolerant state is favourable,
    a) how to break it (increase in immune system? taking drug?)
    b) how to mimic liver damage during immune clearing phase (that is my major concern here)
4. Does entering immune clearing phase define as a Hepatitis B patient instead of carrier then? ( or the term carrier does not really mean anything)

Hopefully someone can give me advises to those question while i look deeper into individual research paper.
Thank you in advance.

[kinetix1208]

Currently my hbvdna is > 110,000,000 IU/ml and sgpt is 852.18 U/L

[stef2011]

e natural seroconversion is not ok because most of these seroconversions are bcp or precore mutant while on treatment it is possible to avoid this, i think the best is gmr treatment, tenofovir first and then interferon add on

do not use etv because hbv clearance is about 5% vs 16% of tenofovir and with intf add on it gets to 24%, i have no idea about the cost of the flights in asia but in europe there are many low costs flights less expensive than a bus ticket, take a flight to vietnam or any close country to see a doctor and get tdf prescription

[4est]

as stef2011 and  StephenCastlecrag already notice high ALT can cause that  Fibroscan result to be not than accurate, also this is specify on your list result "For Hepatitis B with elevated ALT".

[4est]

how about your ALT and HBV DNA (do you have any new result on this)?

[StephenCastlecrag]

Stef2011 will give you better  comment. Because your ALT is elevated, Fibroscan is not than accurate, as you can see only 1.4 (13.3 - 12.0) kpa between minimal fibrosis to Cirrhosis. Because of your ALT (800), you are most likely in the Immune Clearance phase - the question is: can you achieve the e Antigen seroconversion naturally?

[stef2011]

how is it possible you have no hiv drugs in the philippines?my opinion is they dont work on hiv but i dont see why they are not sold in the philippines