Worried - Start Tenofovir?

I'm a 34 year old  vietnamese male, recently diagnosed with Hep B.  I think I got it through Perinatal since my brother has it as well. I have over 100,000,000 viral count. My alt 46, ast 31. Fib score is 0.19, Nec score is 0.25.  I'm waiting for genotype results.

I want seroconversion before 40. Based on my stats, I believe I'm going into the  Immune response phase of the infection. My doctor is talking about tenofovir. Should I take it considering mutation, resistance, ineffectiveness of the drug given my early stage? Do I need to take it for life? Doc says a 5 year commitment. Want to do this right and live a long time for my young family.

[cajim]

Your HBeAg, HBeAB？

[johnnj]

Hep BE Antigen - Positive
Hep Be Antibody - Negative

I assume thats what you're asking for? Thank you cajim.

[cajim]

Hep BE Antigen - Positive
Hep Be Antibody - Negative

which means your high viral load is expected.

Any symptoms you can feel?

[johnnj]

I don't feel any noticeable symptoms. I recently encountered shortness of breath when talking I think its sinus/allergies related.

Been switching to a liver friendly healthier diet and exercise. I don't know what what more to do other than take meds. Concerned my necroinflammatory score is slightly elevated.

My  brother is better shape...Longer, no elevations on liver stats at all. Only 250K viral count.

[cajim]

Even with high viral load, HBeAg+ HBV may not have much liver damage and may stay being monitored till it becomes HBeAg- naturally.

Talk it over with your doctor or get a second opinion.

Best.

[johnnj]

How do I become HBeAg- naturally especially considering I'm Perinatal. I didnt even think it applies in my case.

[cajim]

"How do I become HBeAg- naturally?"

Via your immune system, though people vary.

[nic2012]

I have been on tenofovir non-stop for 7months now. I recently realise I was given two differnt types of tenofovir, one with has a short cup and the taplet is light blue & the other a bigger cup and the taplet is white. Ever since i started is white taplet i feel  a lot of pain below my ribs. am afraid it is distroying my liver. can someone advise me on what to do?.thanks