Help with Hep-B results

[bhagwankabanda]

Hello, I was diagnosed with HepB around 2 months back and I had posted my results here : http://www.medhelp.org/posts/Hepatitis-B/Alt-level-Fluctuation-Hep-B/show/1328306

My doctor asked me to do further tests and following are the results (can someone help me understand these additional blood tests):


HBV Genotype:=>         D
Polymerase Mutations :=> Not Detected
Precore Mutations:=>  N/A
BCP Mutations:=> N/A
HepD AB total:=> Negative
HepD Antigen:=> Negative.
INSULIN SERUM:=> 5
FOLATE SERUM:=> 9.4

[cajim]

By 2007 Guideline, you will be recommended for antiviral or IFN treatments.  My case was similar but I chose a different route:

http://www.medhelp.org/posts/Hepatitis-B/How-I-manage-my-HBV/show/1337595

We are adults and we make our own decisions.  Education helps.

[bhagwankabanda]

thanks Stefano, but I didn't understand what you meant by this:
"but you are lucky still wild type because yu are young, after 40yo mutations, precore and bcp will proably become detactable in hbv population"

Request you to please explain me this, also do you think I should start the treatement or should I wait. Also I have my liver biopsy scheduled this week.

[stef2011]

cronic hbv but you are lucky still wild type because yu are young, after 40yo mutations, precore and bcp will proably become detactable in hbv population (i'm 41yo and have them all...), if hvdna stays so high better to treat than monitor

[bhagwankabanda]

Not sure Cajim, but the doctor didnt prescribe me for testing those again, although following were the old results, can you tell me what does above additional new results indicate?:
============
OLD RESULTS:
============
HB S AG W/Reflex Conf                        REACTIVE
HB S AG

HB CORE AB, TOTAL                            REACTIVE

HEPATITIS B SURFACE AB,QL             NON-REACTIVE

HEPATITIS BE AG                                NON-REACTIVE
HB E AG        

HB E AB                                              REACTIVE

ANA IFA SCR W/REFL TITER               NEGATIVE
ANA Screen, IFA

MITOCHONDRIAL AB w/RFX                  NEGATIVE
MITOCHONDRIAL AB

HEPATITIS B VIRUS DNA, PCR
HEPATITIS B VIRUS DNA                          281412 H (REF: <29 IU/ml)
HEPATITIS B VIRUS DNA                       1,637,818 H (REF: 169 copies/ml)

[cajim]

Why not retest HBsAG, HBsAB, etc.?