you are totally inactive carrier even no need to monitor closely since hbsag is only 250iu/ml your immune system is very little suppressed by virus, you have 8% or more to make hbsag negative naturally or try alinia and make both hbvdna und and hbsag negative within a year treatment
crazy doctors, i don t understand where they go unless sebvivo makes presents to them......
you have low hbvdna so you should reach hbvdna und fast but have you seen giudelines?sebvivo is not recommended
have you seen the rates of resistance of sebvivo and hbsag seroconversions?mutation higest together with lamivudine and seroconversions zero.what is the cure of sebvivo on you...zero
since the possibility to clear hbsag on nucs are almost zero i wouldn't risk virus mutations and would choose tenofovir (viread) which has no resistance or interferon as guidelines allow
combination with ntz with any of the choices is strongly suggested
also tell the dctor can i sue you if i have a virus mutation since hbv international guidelines do not allow use of sebvivo as first line therapy?is 1 million usd ok?
you probability of an improvment from where you are now is almost zero, your probability of resistance is high
also ask him if he is going to perform genome analisys for hbv mutations before starting antiviral since latest research has found many patients with nucs primary or secondary resistance naturally present before starting therapy
i do strongly suggest to see other doctors before doing such a stupid choice
absolutely not by antivirals, your immune system is already controlling hbvdna and alt itself and that's the only thing an antiviral can do.you need treatment to make hbsag lower or negative and only nitazoxanide can do that
also interferon might be a choice but since sides can be very heavy no doctor uses it with normal alt low hbvdna but you might try it, my sister's doctor did 15 year ago
i suggest ntz 4 weeks and if you see result you might add interferon or keep ntz mono
whre did you find this test in india?sathysh87 is desperately looking for it in india.if you really got hbsag 250iu/ml by abbott architect you are close to seroconversion, are you sure it is 250 and not >250iu/ml?becuase 250iu/ml is exactly the limit of architect range after that manual diluition is needed to find higher values and tech lazy or ignorant do not make diluition
Do i need treatment or just monitoring?
you can do both but i'd use nizonide500 now since the virus is very weak and hbsag seroconversion possible, not when hbvdna and hbsag are higher and drugs less effective for seroconversion
of course antivirals like tenofovir nad entecavir are useless for you since your hbvdna is already und
interferon might help comboed with ntz but since the high price, the sides and the possibility of eradication by nizonide mono i'd go for it
Here's my new test result yesterday kindly explain to me the situation especially regarding with the HBsAg and SGPT if these 2 test were increasing or decreasing and how you will read these numbers.... is it by million or hundreds?
Hope you will give me a clarification about this matter
Dec. 20, 2010 July 30, 2010
HBsAg 2112.0 < 2.0 R HBsAg 23.53 COV 0.13 R
AHBC IgM 0.07 < 0.8 NR AHBC IgM (0 PEI u/ml) COV 10.0 NR
Anti - HBs <2.00 <10.0 NR Anti - HBs (<5mul/ml 0) COV 12.0 NR
HBEAg 0.42 <1.0 NR HBEAg (0.00) COV 0.10 NR
SGPT 66.0H U/L COV 30-65 SGPT 33.11 U/L COV 0-41
DEC. 20, 2010 JULY 30, 2010
ULTRASOUND REPORTS ULTRASOUND REPORT
MILD (GRADE 1) FATTY LIVER MILD FATTY LIVER
Gallblader, pancreas and spleen NORMAL SPLEEN
I was not able to get to know regarding with the machine and yet when I got this result it was already in a black and white document.
Yes, I was missed the very important test due to not enough financial means that's why I didn't included the so called test but next around I would set to it that I would take upon your request to do so.
But if ever there will be a medicine/medication for my problem I would love to hear and have it now sothat I could get rid this hindrances of mine because I am so badly now I just want to work abroad as a Instrumentation Technician/Maintenance.
I just do hope that you would tell me the very best medicine to get rid this problem.
i think you may consult with very expert liver specialists, very expert, just in case hev is not cleared and use interferon
hev is similar to hav (hepatitis a) but some cronic cases after superinfection exists although extremely rare, also remember to check fibroscan 6 months after ast/alt are less than 200 becuase superinfections of hbv+hev or hbv+hav make a lot of liver damage on some patients
be sure to have your vitd25oh levels higher than 50ng/ml so that your immune system can work better
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