Slightly lower HbsAg (q) - please help

[oana_radu2012]

Hello everybody and thank you very much for your accurate and helpful activity here!
It took me some time to have the courage to write here but I have more confidence in some of you than in many doctors I’ve seen these days.
Long story short:
I discover I’m a HVB chronic carrier in April 2012 :

AgHbs – positive
AgHbe-negative
AcHbe (total)– positive
AcHbc (total) – positive
HBV DNA(limit <20UI/ml) – 7449 UI/ml
TGP(<55U/L): 41
TGO(<34U/L):32
Cholesterol total(35):65
LDL(<130):79

Fibromax: F0/A1/S0/N0/H0
Abdominal ultrasound: normal.

Nobody had told me about HbsAg(quantitative) or about the importance of Vit D level at that time.

Since with these results I didn’t qualify for any treatment in Romania (at least that’s why I’ve been told by my doctors), I started looking on my own for alternative ways to get rid of the virus. I know you’re not fans of alternative medicines so I will not write down any brands (unless you want me to).

At the end of June 2012, after I took an Ayurvedic medicine (30days only):
HBV DNA(limit <20UI/ml) – 20 UI/ml
TGP(<55U/L): 35
TGO(<34/L):25
AgHbs Quantitative(<0,05): 5769.7 kUI/L (chemiluminescence quant kit 1*)-just found out from you about this.

Starting from July 2012 till September 2012 (12 w), I've been taking a TCM combo:
HBV DNA(limit <20UI/ml) – 168 UI/ml
TGP(<55U/L): 30
TGO(<34/L):33
Cholesterol total(35):56
LDL(<130):126
AgHbs Quantitative(<0,05): 4314.83 kUI/L (chemiluminescence quant kit 1*)
25-OH Vitamin D(30-100ng/ml): 23.4 -just found out from you about this.

I’ll see my doctor next week, but I doubt she will be very helpful.
I know you’re all busy, but maybe you could answer my below questions:

1. I think the combo helped with lowering HbsAg. Am I wrong? Is it normat for HbsAg to fluctuate?
2. Should I continue with this TCM combo and perhaps add the ayurvedic medicine to lower again the HBV DNA?
3. How much Vitamin D should I take and when should I check it again (it’s pretty expensive)?

Hope I didn’t miss anything and thank you in advance.

[stef2011]

no meaning that is an obsolete test that number is useless, it is not iu/ml

[daddy143]

good evening stef, i would like to ask question for my hbsag last july 169.2 august 278.0 september 178.0... what is the meaning of this result? i realy appreciate your answer. godbless you more. thank you so much.

[oana_radu2012]

Thank you very much! I'll get back to you after the fibroscan.

[stef2011]

no just fibroscan and hbsag quantity with these two we can predict chances to clear/need of medication

[oana_radu2012]

Thank you. Is there anything else I could do, considering my above tests?

[stef2011]

Fibromax: F0/A1/S0/N0/H0

this is not reliable, cirrhosis can have all normal blood tests, do not waste money on this use only fibroscan monitoring

[oana_radu2012]

please ignore "(limit35)" - there's an error from the site. Sorry..

[stef2011]

both hbvdna,ast/alt and hbsag flactuate normally from high to medium to und off therapy, of all these tests a continuous hbsag decline is the most useful but constant

as to hbsag numbers if genotype D a value below 1000-1500iu/ml usually indicates immune control.

[oana_radu2012]

There's a typo in my cholesterol results that I cannot correct. I'll try to write it differently :
april 2012
cholesterol total was  157 (limit35)
and LDH was 79 (limit<130)

september 2012
cholesterol total was  203 (limit35)
and LDH was 126 (limit<130)