I'm 50 years old, chinese female, recently diagnosed with Hep B. Further test showed ALT 18 with HB DNA >100,000. Hepatologist wanted told me i belong to immune tolerant type, which doesn't really need treatment. But because of my age, he wanted me to start on Baraclude to prevent me from getting fibrosis or cirrhosis. He also recommended to obtain liver biopsy i'm little hesitant to do so. Should I start treatment? Thank you!
change doctor if he told you to start baraclude while immune tollerant, the most useless of the drugs
the point is there is no treatment that can work for you at all because immune tollerant means no immune response.second hbv makes no liver damage so as long as you are immune tollerant you have no illness
there are two mistakes about this doctor, i think he doesn t understand anything about hbv:
immune tollerant has high replication in the millions, 100000 is low bith as iu/ml or copies/ml
if you don t check fibrosis how can you know you are immune tollerant?biopsy in your case is better but if you don t want to do it also fibroscan can detect fibrosis althou less sensitive than biopsy on very low fibrosis.in any case fibrosca is ok
do not start any tretment until you are 100% sure you are immune tollerant:
check for hbsag quantity by abbott architet in iu/ml, immune tollerants have very high quantity 50000-100000iu/ml or more
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.