Why wait a full year before starting Hep B Treatment?

[luckyman316]

I was a bit surprised that the last doctor I went to, told me that they wanted to wait the full year before starting any kind of treatment (sounds like a pill a day). Why is this? I thought with Hep B, they judge chronic cases after 6 months and then do treatment? Should I ask him if there is a possibility to start the treatment earlier?

[luckyman316]

Thanks Stef, I realize that and this wasn't me that did the test.. it was the GI doctor, who I did not think tested enough. Hence why I went to a Hep B specialist this past week, to get these results (which I, unfortunately, do not currently have in hand as I have not received them back yet).

[stef2011]

sorry but yu are missing all main tests to define hbv infection, by these tests you can t say nothing, you can even say if the infection makes no damage or if it does
you just did hbvdna which is useless to define the infection without the quantitative antigens and fibroscan

[luckyman316]

Stef, I've posted my numbers before and you suggested it was an old chronic infection. My mother or father never had Hep B... I've never done drugs in my entire life so sharing needles was out of the question (knowingly of course, I can't rule out dental or doctor's needles). I've also had sex with only one woman in my life and she too never had Hep B.

Anyway, the specialist's ran more tests on me to determine my genotype and such, which my GI doctor did not do. But for numbers sake, here were the results of my tests again in case you don't want to search:

From what I can gather, all these numbers are in normal range.

Protein, Total, Serum: 7.3 g/dL
Albumin, Serum: 4.3 g/dL
Bilirubin, Total: 0.6 mg/dL
Bilirubin, Direct: 0.15 mg/dL
Alkaline, Phosphatase: 59 IU/L

These numbers have gone down over the months:
AST (SGOT): 45 -- Previous was 77 at start and then decreased to 53 then to 42 and now this number
ALT (SGPT):  107 -- Previous was 127 to start and then 119 and then got to 90 and of course went up to 107 now.

Unfortunately, these numbers have gone up:
HBV IU/mL: 5,635,700 IU/mL (previously 272,980)
log10 HBV IU/mL: 6.751 log10IU/mL (previously 5.436)
HBV Copies/mL: 32,799,800 Copies/mL (previously 1,588,800)
log10 HBV copies/mL: 7.516 log10copy/ML (previously 6.201)

Also, on 08/29/2013 with my previous test, my HepBe Antigen was reported as negative

Ironically, all my symptoms came about when I first discovered the Hep B in August -- weakness, weight loss, etc.

[stef2011]

posts the tests to define the infection:
fibroscan
hbsag quantitative in iu/ml
hbcab igm
hbeag
hbeab
hbvdna
ast-alt

most liver specialists are ignorant but you may be your tests indicate acute hbv and all adults clear hbv in 12 months by immune system, only at birth or while immune suppressed by pregnancy you can get chronic hbv