it is not always low alt low immune response, we have 2 types of immune response and the best one is without cell killing and without alt rise, this is by cytokines purging cccdna from infected cells.this is the type of response more likely to clear the liver with some cells killinng from the other type of immune response
the second one is by cell killing but this doesn t work unless replication is stopped
Nice info Steff, is it really possible for the immune system to cleave the integrated cccdna from host dna without any damage to cells. In such condition only hbsag decline will b the response indicator or any other marker or phenomena. My alt has almost normalised.
nono, I don't want more rise and my doctor doesn't want it too :) I just posted this as a question cuz I don't fully understand that relation between d3 and ALT.
Only thing we know now is that decent d3 level is strong factor in natural seroclearance.
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