hi, please share the following data
- age
- are u a carrier since birth?
- hbeag status: if it is positive you may have enetered into the serconversion phase leading to eag negative and hopefully low/end DNA
- haev u ever had an ultrasound test done?
Thanks andrey19. I will try to get Hbsag quantitative and fibroscan if available.
However, guys something is not clear to me. That is
Do I have to be careful about my diet in my condition?
Does sex adversly affect the disease?
And how about heavy exercise at gym? Is it responsible for worsening of ALT/AST in my case?
Stef2011 and others, what do you think?
with your elevated ALT you need to monitor your hbsag in quantity to understand what is going on with your hbv status. Fibroscan monitoring would be usefull to see if your elevated ALT makes liver damage. There are studies indicating that ALT flare during interferon theraphy is a good sign but I had never seen studies on ALT flare during NUCs.
http://www.ncbi.nlm.nih.gov/pubmed/11679974
Stef2011 thank you.
I have not done any Fibroscan and Hbsag quantitative in iu/ml tests yet. For sure I am going to discuss these tests with my doctor during my next visit and try to do them if available.
But before starting the Baraclude add on, I did not do a test for viral load. The only results that caused this decision were the ALT and AST being higher than normal for long period of a year. My last viral load test happened three months ago on Oct 2013 in which hbv dna was not undetectable that was 20 copies. In this case do you think that was a mustake not to test viral load before going on combo? I have been using the combo for 7 days now.
And what does it mean the virus is mutant? and is this a proper way of treating mutant virus?
Thanks again Stef2011 and waiting for your response, please.
keep the combo tenofovir plus entecavir, your doctor sounds extremely ignorant about hbv, it is correct to do the combo but it is not correct to keep entecavir only
ast-alt have nothing to do with liver damage and those number are not high, having abnormal alt while hbvdna undetectable on antivirals means you have a active immune system which is detecting infected cells and it is very good because it lowers hbsag faster
to judge your response to antivirals you need at least 1-2 years but it is correct to do the combo if hbvdna is not undetectable after 6-12 months
what is your fibroscan?this is what shows liver damage and not blood tests only
what is your hbsag quantitative in iu/ml?
and of course you need to take antivirals for life unless hbsag turns negative or you add on pegintf after 4-5 years on antivirals and hbsag goes und