Hi Blessedat30,
The results you have so far show only a mild hbv infection. You have nothing to worry about. Just make the following adjustments in your life:
*Follow a healthy lifestyle: avoid junk food, eat healthy and balanced diet; excercise; you may also need to take some food supplements like Vitamin d3, minerals, etc.
*Drink coffee! several cups a day; coffee is particularly good for the liver; this is found scientifically.
*Limit alcohol consumption to the minimum; you could also cut it out altogether if you can.
*Quit smoking, if you did before
*Monitor your liver function and hbv status every six months
Good luck!
It is nothing to be concerned of much...especially as you are female. If you keep regularly checking your Hep B under a guidance of a good doctor...you won't have much of a chance of developing complications...as there are some good medicines nowadays which are initiated when one needs it.
As Stephen just suggested while I was writing my post, finding a good liver specialist to guide you trough is very important.
ALT being 40 for a female indicates that at the moment of the measurement there appears to be some level of liver injury happening.
You need to do fibroscan and ultrasound... when you have fibroscan result you can post them back here.
If your Fibroscan returns with a high value you might consider starting treatment...if not then it would be advisable to monitor every 3 months your ALT and DNA values and if they BOTH keep being high then start with treatment.
ALT >20 for females is considered abnormal (if you don't have any other liver problems which could be causing this high ALT such as fatty liver), but some specialist would be OK until ALT gets to be about 30 (for females)
With DNA, some doctors would consider it high at > 2000, others at > 10000 or similar levels.
If you are a female then the normal ALT for females is bellow 20.
You need to do Fibroscan... when you have fibroscan result you can post them back here.
If you are female then your ALT is now twice the normal range...which means that you should monitor closely (every 3 months) your ALT and DNA values.
In any case, you need a fibroscan results as well.
Next time you do blood testing you can also try to measure hbsag quantitatively (this must be in IU/ml units)
Where are you from (regarding your hep B genotype)?
How old are you?
Do you drink?