Hi al, today i got my lft result i am on tenofovir from 4 months i am noticing one thing that my Alt is increasing last month it was 62 this month it is 85 a bit spike in bilrubin too 1.9 from 1.4 but hbv dna is decreasing came to 200000 from 170000000 in 45 days and i am hbeag positive too so is it a good sign that spike in alt is removing died cells and immune system is working at its best?