Good luck with the treatment buddy.
I agree with you re: lab work. Currently I am doing the weekly lab work because of low numbers.
It's been a while since I posted here, so I thought I'd post an update for the community. I finally started Peg treatment last month and had the 4-week tests done. ALT 38 and HBVDNA 20UI. No side effects to speak of after five shots, although WBC and ANC decreased significantly from week 2 to week 4.
Not sure if the drop in HBVDNA is due to PegInt or immune system as I never had a chance to get baseline before starting the shots. Last DNA reading is from end of May @ 355K. No HbsAg quantitative out here, so I don't have that data to report.
Regardless, so far the only inconvenience is lab work to be done. They required testing every two weeks for 2 months and every four weeks after that. I'm getting to know the lab people by first name now.
The implications are that due to partial destruction of the thyroid there is a chance, to become hypothyroid. If that happens you need to know it, since hormone substitution will possibly be needed, depending on the degree of the dysfunction.
I didn't do these tests before I started treatment although the intf is still ongoing.
His case is close to mine due to high ALT and e_negative but I appeared to have been responding to intf. What are the implications? My Doctor never advice for these tests.
You should perform a thyroid panel, tsh and thyroxine to have a baseline. Ifn treatment frequently causes thyroid problems due to autoimmune activation.
Well, it appears that the recommendation of specialist is Peg for me. Will keep community updated. Stef2011 and I have been talking to the synlab about sending samples abroad for HbsAg quantitative. Still working on that to see if that is doable. I did have a question for Studyforhope. Being that I am/was experiencing a flare, any tests that you would recommend I run in advance of starting Peg that are necessary to keep track of side effects? All other blood perimeters and liver functions are within good ranges. VitD test is scheduled for next week. Any comments/input would be appreciated.
Do you know if synlab can correspond in English?
yes it is a network of labs in europe that tests also for human trials, if they say they dont accept samples tell them that you contacted the manager of italian branch and it was accepted, in case pm me and i ll give you the email of the secretary that confirmed they accepted
as regards fedex papaer work can be difficult so it is best you check in this CFS forum, these patients send samples to europe for advanced testing of their diseases because available in europe only and they already know all paper work, here is the link of their forum, look for the post about fedex
http://forums.phoenixrising.me/index.php?forums/gcmaf.10/
http://forums.phoenixrising.me/index.php
Thanks Stef. Unfortunately, I looked at the labs that studyforhope listed and I believe they just offer the standard test and no HbsAg quatitative. Unless I'm missing something on that. To be honest, I haven't looked much into shipping samples abroad, as we decided to wait and monitor since liver was healthy. I'll be calling FedEx to see what shipping samples abroad would involve. At this point, trying to gather as much information as possible to make the best decision. Do you know if synlab can correspond in English?
I don't have enough data to determine whether hbvdna will be lower after this flare or not. I only based my decision because in September my Alts were higher and they lowered when Hbvdna went to 8K. But now is back up so I'm thinking virus induced flare. In any case, I may be asking a few more questions in here after a few more labs. At this point, based on liver health from biopsy, I'm willing to wait a few more months for some more data points.
it doesn tmake sense to try pegintf without hbsag quant, if it is not 1500-3000iu/ml you are wasting your time, why dont you ship blood sample to synlab or check online labs in US making hbsag quant, studyforhope just posted two labs in US
having high alt doens t mean you are active:
if the high alt makes lower hbsag and lower hbvdna it is your immune system controlling hbv
if the high alt is followed by increasing hbsag and hbvdna it is hbv taking control of your liver and immune system and the high alt just makes useless liver damage
be like pouring gasoline in the fire?
no
hbcab igm can also help understand immune activation, if higher than 0.2sco there is immune activation
hbsag quantitaive otherwise it is impossible to understand what you are doing and where you are going