Hepatitis B Community
The best place for treatment of Hepatitis is India
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This forum is an un-mediated, patient-to-patient forum for questions and support regarding Hepatitis B. Topics in this forum include but are not limited to, Causes, Diagnosis, Family and Relationships, Living With Hepatitis B, Research Updates, Treatment, Success Stories, Support, Symptoms.

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Avatar_m_tn
no it is not possible
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Avatar_m_tn
Hello,

on November 25, 2011 I found the presence of Hepatitis B in my body as positive. During that time the level of ALT was 39 u/l and HBS Ag was 1633..0 and my doctor prescribed me to take a vitamin, forgot the name of the drug.

Subsequently, on 27.06.2012 the level of ALT was 50u/l and 1220.0 was the quantity of HBS Ag which was present in my body. Please note that I started taking ENTECAVIR 0.5 mg from that day with fasting condition.

On 17.10.2012 the level of ALT reduced to 43 u/l from 50 u/l. During that time I had been continuing ENTECAVIR.

Finally on 23.03.2013 on the diagnosis the level of ALT increased to 49 u/l from 43 u/l and the quantity of HBS As increased to1605.0.

Please note that I have been taking ENTECAVIR 0.5 mg since last June till today and at all the relevant time HBE Ag remained negative. Additionally, on 27.06.2012 I have had fatty lever Grade II.

Can you please advice me where I am heading to with Hepatitis B in conjunction with Lever??

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Avatar_m_tn
i am sorry but you can monitor hbv infection by alt tests or hbsag tests where the numbers are not followed by iu/ml

the tests todefine your hbv infection are:
fibroscan
hbsag quantity in iu/ml
hbvdna in iu/ml
hbeag/hbeab
ast/alt

fatty liver is the same or worse than hbv infection so you must get low weight, low bmi 21-24 and change your diet/excercise.all processed foods which are not fresh must be cancelled from your diet, no foods with chemicals of any kind added, no red meat and no fat.lots of fresh vegetables, fish, coofee

mek your vitd3 blood levels 60-90ng/ml, take fish oil with dha/epa 2-3g
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Avatar_m_tn
Hi Stefano,

1. I had started vitd3 drops. Did not check my level pre-hand. After 2-3 weeks taking 4000-5000/day, checked and found my total vit d as 37.3 nmol/L (Sufficient is 75-250).

2. I mistakenly bought and started dl-type vit E drops (label said natural). (Brand name: Nature's Bounty). Label says its natural; comes from soybean oil, corn oil, sesame oil, germ oil, lemon oil).

Questions:
1. Many sites advise against overdose of vit d (and e).
To monitor progress etc, how frequent vit-d testing do you suggest?

2. Is the dl type vit E just less effective (50% effective, some say) or is it HARMFUL too? If its just weaker, i can take more of it. I have stopped taking this vit e (dl type) for fear of any bad effects.

3. How good is omega 3 oils (dha+hpa) for hbvers with no apparent liver damage? If its protective, whats the recommended daily dose for me?

4. You have emphasized HDL and glutathione a lot, but i cannot summarize how much i need at this stage. Do I? Also our bodies have problem with glutathione absorption/making useful? So.. how to intake HDL and glutathione and make it useful for body?

(i understand there are people who are much more in need of advice than I am right now, but i just want to remain secure for as long as possible by prevention/caution).


Many many thanks.. again.
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Avatar_m_tn

avoid tests in nmol/L which are made up just to confuse on ranges, norml range is 50-100ng/ml with max effect on highend of normal

some machines still reporting 30ng/ml as sufficent but for what?boosting immune effect is not seen at 30ng/ml and flu and cancer prevention is seen at 80-100ng/ml.

keep checking both vitd25oh and calcium until you reach higher balance, 5000iu daily wont be sufficent to increase to 80ng/ml


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Avatar_m_tn
Questions:
1. Many sites advise against overdose of vit d (and e).
To monitor progress etc, how frequent vit-d testing do you suggest?

this is just terrorism, only look at research made on humans and with big numbers on pubmed, all the rest is trash, you can find all vitamins are toxic just reading online, vitamins, especially d3, ruins drug makers profits so you ll always find lies online
it is easy to make them shut it is not the dose what matters but the blood levels, there is no vit d dose you can even take 600.000iu monthly by injection it all depends on the dose needed for you to reach the normal levels and every patient with chronic diseases has very little response, mine dose for example is 10.000iu daily probably due to past cirrhosis, with 5000iu i dont even keep the level

natural vit E has no problems of toxicity and doses on fatty liver are 800-1200iu daily on human trials, if you dont have fatty liver 200iu is ok
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Avatar_m_tn
3. How good is omega 3 oils (dha+hpa) for hbvers with no apparent liver damage? If its protective, whats the recommended daily dose for me?

it is protective on general health as for liver, most products on the market are useless because doses are below what human trials used for results.epa+dha 2-3g daily, it must be purified from metals


4. You have emphasized HDL and glutathione a lot, but i cannot summarize how much i need at this stage. Do I? Also our bodies have problem with glutathione absorption/making useful? So.. how to intake HDL and glutathione and make it useful for body?

glutathione only in liposomes from livon labs or by injections, all other forms of glutathione are useless because not absorbed

hdl is just the good cholesterol, you cannot take but only boost its production by a healthy diet.vit d, fish oil and glutathioen all boost hdl levels.if still low you may use vit b5 niacin but better use it as last chance
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Avatar_m_tn
MY TOTAL PROTEIN- 8.6 GM/DL
ALBUMIN- 4.4 GM/DL
GLOBULIN- 4.2 GM/DL
A/G RATIO-1.0:1
SGOT-32 U/L
SGPT-28 U/L
T-BILIRUBIN-0.67 MG/DL
D-BILIRUBIN-0.28 MG/DL
ALKALINE PHOSPHATE-93 U/L
GAMMA G T-19 U/L
HBEAG - NEGATIVE
ANTI-HBE- POSITIVE
HBV DNA- 118 IU/ML

I AM DIAGNOSIS WITH HBSAG  POSITIVE SINCE THEN I AM DOING 3MONTHS LFT. DOCTOR ADVISED NO NEED OF MEDICATION.LAST WEEK HAVE DONE LFT, TOTAL PROTEIN AND GLOBULIN IS ON THE HIGHER SIDE. PLS ADVISE
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Avatar_m_tn

take hbsag quantity in iu/ml and fibroscan, all other tests are complementary to these main tests and cannot tell anything about your status
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Avatar_m_tn
  Once again thanks a lot. So helpful. I will try to incorporate these.
1. So, if I understand correctly, 'dl' type vitamin E is also not too bad, I will just keep quantity a bit high, like 300/day.
2. For glutathione, I will try to look around in Pakistan for the medicines or injections you mentioned. Is there an optimum level to maintain? What dose can achieve that?
3. For fish oil/omega 3, best brand avl include Seven Seas etc. I think it's better to start that, than to have nothing.
3. I use normal dairy yogurt both for taste and coz research says it enhances life.  But off course it has fats. Is it OK for liver?
Thanks.
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Avatar_m_tn
hi . recently i got info abt  GS-9620 therapy. u hve any idea. thanks for supporting all .its good to hve u in this forum. is GS 9620 will give complete cure for hep b
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Avatar_m_tn
1. So, if I understand correctly, 'dl' type vitamin E is also not too bad, I will just keep quantity a bit high, like 300/day.

if you can get a blend of natural vit E it would be best, vit e types are several not just one type, while the synthetic one done in lab is one type only.if you use it for fatty liver you need 800iu daily if not 300iu day is ok

2. For glutathione, I will try to look around in Pakistan for the medicines or injections you mentioned. Is there an optimum level to maintain? What dose can achieve that?

only liposomal type or injection type works, the other forms are not absorbed at all, 1g day can be ok

3. For fish oil/omega 3, best brand avl include Seven Seas etc. I think it's better to start that, than to have nothing.

dha plus epa at least 2-3g and filtered for metals otherwise it is dangerous because of mercury

3. I use normal dairy yogurt both for taste and coz research says it enhances life.  But off course it has fats. Is it OK for liver?

it is very ok, if you can get bifidus it is even better

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Avatar_m_tn
http://www.livonlabs.com/cgi-bin/start.cgi/liposome-encapsulated/lypo-spheric-gsh.html

thisis the best brand i know
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Avatar_m_tn
hi ,

When my husband donated blood we came to know that he is infected with Hep B virus and consulted doc he said us he is a silient carrier no need of medication , these words made me relief i started taking vaccination. but we are un-ware how he got infected. when i browsed came to know it will transfer throught un-procted sex same as HIV. these things i am not able to digest started suspecting my husband, not sure how to handle these situation.
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Avatar_m_tn
You can get chronic hbv only at childhood or at birth. Adults normally have acute hbv and do not become chronic.
So leave your husband along with your suspicions.  
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Avatar_m_tn
Hi ,

I'm effected with Hepatitis-B , I'm going to marry in next six months . My question is , Is she infected with the virus even though she was vaccinated against Hepatitis-B , when i did the sex with her
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Avatar_m_tn
If she still has immunity from the vaccine your hbv is like water to her. To check the immunity test hbsab quantity.
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Avatar_m_tn
i was recently diagnosed with hepatitis -b
after i donated blood at a camp..
my sgpt is 78 U/L
my sgot is  83 U/L
my hbv dna  quantitative report is
1540 IU/ML  which is 8932 CPS/ML
i am overweight and my liver is fatty .
i am not taking any medicines should i  be ob medicines noe..whats ur opinion ..i am really scared about it kindll help me..\
my e mail id is- shivam.***@****
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Avatar_m_tn
at the age of 37  dr found out for surgical check up blood  tests found  is infected with hepatitis b,  hbv dna was undetectable lft was normal no medicine given ,even lft sgot increase to 115m/l later  and prescibed vit e  and  till taking up to today i. e19.01.14  my recent hbv dna shows 731iu/ml  and lft normal become normal to sgot 40.
my present age is now 41yrs and in family suggesting to get marry a women and dr adivised me give vaccine hepatitis  to for that women and have safe sex, later 5th month you can  plan go for child
hemanth bangalore india
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Avatar_m_tn
no problem to  marry
just vacinate your wife if she vacinated then no problem to your children also
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Avatar_m_tn
Hi Stef,
A very happy new year to you, your parents and sister. Hope you all are doing well.
I am much better than what I used to be around 2 years back. Thanks for your timely intervention and advice.

Here are my latest reports.

Date        hbsag(iu/mL)  hbvdna(iu/ml)  Fibroscan vitd3(ng/ml) SGPT SGOT
16.12.13     17,000            2,150           2.8kpa       67.5          54       32
04.03.13     15,075          12,500           -------          66.2          53       35
20.09.12     20,600          12,900           3.5kpa       38.2          28       38
21.02.12     22,000           6,450            3,6kpa       56.8          38       27
05.09.11     16,000          12,800           4.0kpa         6.2          47       35

So, far I have not started medication. I am still only on vitd3, B-complex and Probiotic (occasionally). Now, my doctor wants to start antiviral sequential therapy because my SGPT is increasing and he has prescribed me Peginterferon alfa 2b.
However, I do not find any problem rather I am much better than what I used to be few years back. Shall I wait further for better medicine to arrive in market or start the medication.
If I need to start medication, shall I start "peginterferon+tenofovir+ezetimibe" or only peginterferon.
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Avatar_m_tn
first of all going straight for pegintf with hbsag so high is not a good choice, although you can try and see what happens in 24 weeks of treatment and stop it if hbsag doesn t lower to very low (0.5-1log), i think it is not the best choice to start with.if you don t want to rush for treatment id monitor or try sequential starting with tdf

i also dont understand why considering alt for treatment, that s a very old view and not significant, especially because your alt are so low

according to me there are two ways and since you are in india also drug might be cheaper:
pegintf mono and if no hbsag decrease by 12-24 weeks stop, very low chances

tenofovir for 1-3 years to see if hbsag goes down or even if high if peg add on will respond, very high chances

tenofovir plus telbivudine for 1 year and then discontinue telbivudine and add on peg intf
tdf+telb 1 year
tdf+pegintf 1-2years (telbivudine might be kept for 12 weeks together with peg but there is possibility of Peripheral neuropathy so very strict monitoring needed)
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Avatar_m_tn
peg+telbivudine had 1log decrease of hbsag by after 12 weeks of combo 14% patients developped Peripheral neuropathy instead of 4% when on telbivudine mono
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Avatar_m_tn
Thanks a lot for your guidance.

I do agree that my ALT is not so high moreover my Finroscan report is perfectly normal and I do not find any problem at present. So, I will rather wait for some more time may me another 3-4 months and depending on the test reports, I will try one of the alternatives (preferably- tenofovir + Peg).
Thanks again.
By the way,  following your advice, I have been taking yugart every day since last 1.5 years and it has helped me a lot.

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Avatar_m_tn
remember always choose sequential because tdf+peg all at once has almost no improvment in pegintf hbsag response
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Avatar_m_tn
Hi,
I am diagnosis with Hepatitis - B +ve and doctor adviced no need of medication for now. Could you please advice how to get out of this?

HAV - igG --> Positive
HAV - IgM --> Negative

Anti HCV   --> Negative
HBs Ag --> Positive
Anti - HBs Ag --> 0.0 MIU/ML

HBe (e Antigen) --> Negative
ANTI - HBe (e AntiBody) --> Positive

HBV Quantitative (Viral Load) --> 164 IU/ml
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Avatar_m_tn
Nothing to worry at this point of time. Just check your LFT and keep a healthy life style. Avoid any thing like alcohol which can put stress on your lever.
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Avatar_m_tn
Hi Stef

I want to thank Brij and you for all the support and information you have been providing in these post . I followed the post by brij and visited ILBS and did the testing .

I am 40 years old Male and I was diagonised with HBsag in 1996 with HBV DNA load: 271 iu/ml . However I did not do anything about it till 2011. During 2011 since felt pain on my liver side I started with Herbal medicines . Lately my condition became very worst with lot of pain and bloating stomach . I have stopped all the herbal medication .

I immediately started probiotics yogurt and it worked . I want to thank you and brij for providing this information . I did all the test in the ILBS and below are the results

HBV DNA :3196 iu/ml
Hbsag :944iu/ml
Fibroscan :3.7 kpa with 100% probability
Vit D 25 OH : 16 ng/ml
Alt : 15
Ast : 15
Serum billirubin : 1.0
HBV geno type : Result awaited .

I dont know what needs to be done now . Please help me in understanding what status am I and what treatment should I take .

Finally want to thank for helping so many people with your valuable information .  





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Avatar_m_tn
definitely vitamin d deficent, you need to take 10.000iu of d3 daily to make vitd25oh around 90-100ng/ml, when this is done you can start pegintf plus simvastatin (like otan did) and get rid of hbv definitely, your very low hbsag allows to get rid of hbv by peginterferon
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Avatar_m_tn
Thanks Stef for your help  , I will start with 10,000 IU  of  D3 daily and keep you posted about the results . I think it should take me another 3 months to reach there . I went through all the post of Otan ( Simavastatin + Interferon 16 weeks clearance of Hbsag ) . I really appreciate your thought process and the way Otan got rid of HBV. Just one more clarification . I wanted to know if  I need to start Simavastatin earlier then Peginterferon or should I start it along with peginterferon .
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Avatar_m_tn
Thanks for your suggestion, anyways I am not alcoholic.
But I wanted to know if there is any medicine to cure this from the initial stage?

Thanks in advance.
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Avatar_m_tn
We will need to know your HBAag quantitative value, Lever Function Test and vit d3 level. If vit d3 level is low, first boot is to around 90-100ng/ml. If your HBSag count is low, there is good probability to clear the virus by using the treatment which stef 2011 has suggested to yibok on Feb 01, 2014 post.
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Avatar_m_tn
you need to know your hbsag level first and possibly genotype too, only after we have these values we may know if peginterferon will work or not.

simvastatin may just be a little boost to peg but if hbsag levels are higher than 1000iu/ml response is much much lower.in the cases with high hbsag and high hbvdna it is best to start tenofovir first for 3 years and then add on pegintf
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Avatar_m_tn
Thanks Stef for your reply. I will be getting the results of  Genotyoe on 17th of feb , My Hbsag level as reported on 1st of feb 2014 was 944 iu/ml.Just keeping my fingers crossed . What should be my genotype to have best interferon response.
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Avatar_m_tn
Hi Stef

I went through the post of Vitamin D associated with HBsag clearance . I could see that many members reported there Hbsag values have been dropped by atleast 1000 iu/ml when the Vit d25Oh was maintained at 100ng/ml . For people with low Hbsag values like 100-1000 iu/ml , can they get rid of virus completely by maintaining the levels of Vit d25OH at 100 ng/ml for three to six months . Probably the answer is NO but just wanted to know your thoughts on this one .

Thanks
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Avatar_m_tn
all genotypes are getting more immune control with hbsag less than 1000iu/ml when starting pegintf but only genotype D has most of studies on this

genotype A has the highest intf response in general, with these low hbsag levels much more
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Avatar_m_tn
no you can clear hbsg or hbv by simply taking vit d, it will improve immune response and help especially peg intf but it can t clear hbv on its own.

vit d refects damage of the immune system so when it goes up without supplements immune system has probably got repaired and so you see hbsag go down.a rise of vit d happens in those clearing by peg and also gcmaf makes a rise of vit d on responders
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Avatar_m_tn
sorry wrong typing:

no you can't clear hbsg or hbv by simply taking vit d,
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Avatar_m_tn
Thanks Stef for your response .
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Avatar_m_tn
Hi Brij

Do you know any other lab in India which gives Hbsag in iu/ml apart from ILBS.and one which render international services. I tried to find but could not locate one.
Thanks for the help
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Avatar_m_tn
thank you bro I am following you here
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Avatar_m_tn
DR. LAL Path lab in anywhere in india
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Avatar_m_tn
CMC vellore and Apollo Hospital in Hyderabad are some which I know. But you check with good path lab in your city, they might be able to get this test done for you by sending the blood sample to where ever it available.
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Avatar_m_tn
Hi Brij

if Appollo hospital does it . Do Apollo clinic also does the test and post in the result in iu/ml

Thanks & regards
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Avatar_m_tn
Thank you the for the details. Please find the latest test results as mentioned below.

LFT:

AST (SGOT) --> 23.00 U/L
ALT (SGPT) --> 51.00 U/L
GGTP   --> 25.00  U/L
Alkaline Phosphatase (ALP) --> 90.00 U/L
Bilirubin Total --> 0.80  mg/dL
Bilirubin Direct --> 0.16 mg/dL
Bilirubin InDirect --> 0.64 mg/dL
Total Protein --> 7.90 g/dL
Albumin --> 4.40 g/dL
A:G Ratio --> 1.26

PROTHROMBIN TIME STUDIES:

Mean Normal Prothrombin Time (PT) --> 13.20 Sec
Patient Value --> 14.40 Sec
Prothrombin Ratio (PR) --> 1.09
International Normalized Ratio (INR) --> 1.12

Hepatitis B SURFACE ANTIGEN; HBsAg, SERUM --> >250 IU/mL

HBV DNA QUANTITATIVE --> 44 IU/mL

The DNA Quantitative has been reduced from 164 IU/mL (Nov, 2013) to 44 IU/mL (Mar, 2014).

Please advice.
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Avatar_m_tn
Thank you the for the details. Please find the latest test results as mentioned below.

LFT:

AST (SGOT) --> 23.00 U/L
ALT (SGPT) --> 51.00 U/L
GGTP   --> 25.00  U/L
Alkaline Phosphatase (ALP) --> 90.00 U/L
Bilirubin Total --> 0.80  mg/dL
Bilirubin Direct --> 0.16 mg/dL
Bilirubin InDirect --> 0.64 mg/dL
Total Protein --> 7.90 g/dL
Albumin --> 4.40 g/dL
A:G Ratio --> 1.26

PROTHROMBIN TIME STUDIES:

Mean Normal Prothrombin Time (PT) --> 13.20 Sec
Patient Value --> 14.40 Sec
Prothrombin Ratio (PR) --> 1.09
International Normalized Ratio (INR) --> 1.12

Hepatitis B SURFACE ANTIGEN; HBsAg, SERUM --> >250 IU/mL

HBV DNA QUANTITATIVE --> 44 IU/mL

The DNA Quantitative has been reduced from 164 IU/mL (Nov, 2013) to 44 IU/mL (Mar, 2014).

Please advice.
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Avatar_m_tn
Hepatitis B SURFACE ANTIGEN; HBsAg, SERUM --> >250 IU/mL

this is a fraud from the lab, they did not dilute blood sample and so there is no hbsag quantitative.ask for money back or blood dilution to get hbsag quantity

this result is useless
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Avatar_m_tn
I have got the same kind of report (>250 iu/ml) though earlier i used to get the exact count.  I told my lab that i will not accept this result and asked them to provide the exact count.  then they have taken blood sample and given me the report with exact count.  they also said going forward i will get the report only like >250 Iu/ml if the count is higher than 250.  do not understand what is their problem!!
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Avatar_m_tn
brij116 and all friends any recommendation of supplement to regain weight and health which are available in India.  
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Avatar_m_tn
Hi Jrai

what was your weight before the treatment and after the treatment
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Avatar_m_tn
Weight was 72 - 73 when i started the treatment and now also is around 72-73. Whats worries me is my skin hanging and sometime unable to concentrate or focus. My weight used to around 82 to 85 KG, before i was diagnose.  
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Avatar_m_tn
Hi Stef and dear friends please help what need to be monitor and advise

Got my report

HBsAg         -     1022.09         IU/mL           NOW
HBsAg         -     >250              IU/ml            Before

HBV DNA     -     <20                IU/mL           NOW
HBV DNA     -     160                IU/mLl          Before

Vit D            -      12.1              ng/ml

Thanks to my dr. i never had a baseline on HBsAg and my Vit D was also very low ( I am taking Calcirol 60,000 IU per Week Now) He should have asked before putting me on peginterferon alfa-2a to have a baseline and check Vit D. I spend almost $2000 on PEG an got nothing out of it. Stef is right we need to educate our self an help others " NOT TO PUT OUR HEALTH AT THE MERCY OF THIS ARROGANT DR".  
  
FibroScan: I am advise by my Dr. to wait for FibroScan as i was under peginterferon alfa-2a and my reading might not be accurate as i was on peginterferon alfa-2a i am not sure on this as while but i will Wait on this as i did FibroScan before the treatment in Nov 2013.

Now i am on Vit D, TDF and Heptral (Ademetionine) eating healthy food, i am eating well but why am i not getting health.
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Avatar_m_tn

DR. LAL Path lab  has in Quantitative Test Code S125,  
SRL also has the test but can read only till 1000 not beyond
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Avatar_m_tn
HSAG Qantitative Test S215
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Avatar_m_tn
Hi Dr. stef
My Name is Nasir Ahmad living in Afghanistan I knew in 2010 that I have got HBs and continue the treatment at first I was Taking Zuffix tables but it did not work than my doctor recommended Enticavar 0.5m and I took it almost for one year + the DNA of my HBs is not detected now and stopped take Enticavar anymore for now I take daily one Eivan tablet which is vitamin E is that good to continue or do you want to add anything else to take daily? I read somewhere in comments that you have recommended Yugarts for some people is that the common cow yugarts or is it a special type of yugarts for HBs patients? Looking forward hearing you soon
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Avatar_m_tn
both lamivudine and entecavir after it were wrong, you went to an ignorant not a doctor

tenofovir is now the only drug you can use or peginterferon.tenofovir must be taken for life as all other antivirals, the only way to clear is take antivirals for 3-5years and then add on peginterferon and follow hbsag quantitative in iu/ml

i guess your country doesn t have hbsag quantitative, if so no way to cure hbv but only antivirals for life
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Avatar_m_tn
I have stopped taking medicine for now Dr.Sanjiv Saigal the liver transplantation professor in Medanta hospital in India. my tests shows Hbs antigen is negative and anti body is positive and the viral load is 20 ul/ml

The problem is that my radiology reports showed that my liver is Grade-I fatty changes I feel very light pain on my right side ribs and for this doctor has recommended Evion vitamin.  what can I use for Grade-I fatty liver to get it recover.  

Yes in Afghanistan we do not have PCR or Quantitative check I always go Pakistan or India for my blood checkup every 6 months.

Or the medicine that you write for patients is not available in Afghanistan. recommend me something which I can easily find here for fatty liver.

I Do not drink alcohol neither I smoke. I do not eat read meat. oil and spicy food.
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Avatar_m_tn
i guess hbvdna<20iu/ml undetected
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Avatar_m_tn
Yes even the Hepatitis B DNA is not detected.
But taking Enticavar for longer have weaken my liver and its now Grade-I fatty changes so now what you recommend for liver improvement? is Evion the vitamin E enough for should I take something else for Grade - I fatty liver

Thank you so much for your responses tell me about the Yugarts can It help somehow?
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Avatar_m_tn
Thanks for the info Stef.

I have asked them for the exact value and they did again with free of cost.

(SGOT) --> 23.00 U/L
ALT (SGPT) --> 51.00 U/L
GGTP   --> 25.00  U/L
Alkaline Phosphatase (ALP) --> 90.00 U/L
Bilirubin Total --> 0.80  mg/dL
Bilirubin Direct --> 0.16 mg/dL
Bilirubin InDirect --> 0.64 mg/dL
Total Protein --> 7.90 g/dL
Albumin --> 4.40 g/dL
A:G Ratio --> 1.26

PROTHROMBIN TIME STUDIES:

Mean Normal Prothrombin Time (PT) --> 13.20 Sec
Patient Value --> 14.40 Sec
Prothrombin Ratio (PR) --> 1.09
International Normalized Ratio (INR) --> 1.12

Hepatitis B SURFACE ANTIGEN; HBsAg, SERUM --> 112406 IU/mL

HBV DNA QUANTITATIVE --> 44 IU/mL

The DNA Quantitative has been reduced from 164 IU/mL (Nov, 2013) to 44 IU/mL (Mar, 2014).

Please advice.
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Avatar_m_tn
if test is correct hbsag is extremely high, peginterferon to work needs hbsag<1000iu/ml, you have to wait to reach this value to cure hbv

in the meantime you can wait and monitor or start tenofovir even if hbvdna is very low and antiviral is not stricly required

what is fibroscan value?
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Avatar_m_tn
does Chinna52 have a chance to  get his/her hbsag to 52000 :(
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Avatar_n_tn
hi.. I found in lab test hbsag+. iwan to know to cure asp.. and I applied job I kuwaint 4 months back.. they are accppted my resume .pls advice can I work Kuwait... how to reduce positive to Negative.
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Avatar_m_tn
It's a break through that I am now healed in Hepa B totally non-reactive, I got it though genes. It took me 6 years in taking meds, but I think it will took only 2-3 years in medication, if I did took the medication religiously. Just recently I had my latest result and happy that I'm now cured and I don't feel the depression.  
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Avatar_m_tn
how did u cure yourself
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Avatar_m_tn
Hi, we just found that my husband has hepatitis B and the


Hepatitis B surface antigen Rapid Screening Test,serum and the result says provisionally reactive.
Hepatitis B Viral (HBV DNA) Quantitive Real PCR is @94 IU/ml . what does it mean!
Hepatitis B antibody, Serum test  and the result is 0.01

Please reply.
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Avatar_m_tn
The HBV DNA indicates  your viral load is low. If the HBSag is also low then your try to clear the virus through medication mentioned in the earlier posts.

Please mention your LFT report.

We can also ask Stef for his advice
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Avatar_m_tn
Hi Stef

Here are my latest reports.

Date        hbsag(iu/mL)  hbvdna(iu/ml)  Fibroscan vitd3(ng/ml) SGPT SGOT
27.08.14     13,903            3,340           ----------       42.0          38       30
16.12.13     17,000            2,150           2.8kpa       67.5          54       32
04.03.13     15,075          12,500           -------          66.2          53       35
20.09.12     20,600          12,900           3.5kpa       38.2          28       38
21.02.12     22,000           6,450            3,6kpa       56.8          38       27
05.09.11     16,000          12,800           4.0kpa         6.2          47       35

There is not much change in my reports. I have yet not started medication but keeping perfectly fine.  Shall I wait for some more time.
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Avatar_m_tn
vit d is too low, make it at least 100ng/ml and check parathormone too and keep values stable for 6months, then retest
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Avatar_m_tn
Hello Stef,

I was Hbsag positive diagnosed on apr 2009. I started Homeopathy medicines in agust 2013.

Here are my Hbsag yesterdays test values .

hbsag 18.7 by elisa method.(current test result)
hbsag 17.2 by elisa method (feb-2014)

liver profile:
total bilirubin 1.1
direct bilirubin 0.4
indirect bilirubin 0.7
alp 63
alt  26
sgot 22
total serun protein 7.1
serum albumin 4.7
serum globulin 2.4
albumin/globulin ratio   1.9

HBV DNA <3.8  on 26-08-2013.

However with use of homeopthic medicines i got my weight incresed from 59  to 63 kgs.
Height 5.5
age:27 years.

doctors told me that, there is is no need of medicines at this point of time.
however i am wishing a cure .. is it possible stef?

thanks for ur service to patients.

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Avatar_m_tn
Hi Stef,

Thanks a lot. I will follow the same.
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Avatar_m_tn
your hbsag test is trash, elisa must not be used on chronic patients because from prehistory and useless

test in a real lab for hbsag quant in iu/ml by elecsys or architect and check fibroscan too, the tests you shown cnnot define anything about your status
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Avatar_m_tn
remember parathormone needs to be 10-20pg/ml when vitd25oh 100ng/ml, if pth is higher it means vit d is not reaching cellular receptors and is blocked
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Avatar_m_tn
Unprotected sex is only one way of transmission, any bodily fluid can transmit the virus...so don't suspect on your husband, soon.
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Avatar_m_tn
Anyone aware of any hospital in India where in the interferon treatment is given to patients with low Hbsag .

Thanks for the answers .
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