it probably works this way, you patient take what we think is good for you, dont try to get cured unless it is what we want....
dr are monitored and when they do something the system does not like little problems appear so that they are advised where they re going
Good point. You have to live in the US to understand. I have asked 4 Hepatologists (one being at Mayo, one that works with Dr. Gish who is another highly World renowned Hepatologist, a past Hepatologist, and one GI doc who treat HBV). The only one who said that I "maybe could talk him into it" was the doctor at Mayo but he made it very clear it was not recommended by him. He said most go on SSDI (disability insurance) before INF because they cannot work or after the INF has long lasting immunological effects after that changes their lives. He also said he feels with my labs I could have a 30% chance to clear (sounds ok to me!), but without HbsAg quant it is pointless to push at this point.
Also, the US has to have a Doc prescribe medication and then whatever your insurance company is has to approve the medication, since INF is a specialty medication which requires a prior authorization for coverage. Without insurance coverage it would be super expensive here.
So, Mike's doctor is in line with any other doctor I've met. They go off DNA. I too would go to as many doctors as I could if I were Mike and knew my Ag quant was that low, but just letting you know the background here.
If I would be in your position I would find a doc that would give me peginf, as your hbsag is very low (unless you have some clear contraindication for taking it). It might be the case that your famous doc who wrote US Hep B guidelines doesn't want to break her own guidelines by treating you (she also can't take into consideration hbsag quant test because it is against her own guidelines).
Ya i dont understand why hbsag quantitative was never approved
US system is pretty corrupt when it comes to hep B...they banned hbsag test
Infected since birth and never medication