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do I realy need to start medications?
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do I realy need to start medications?

Knaw to have chronic HBV for 11 years. in the last 6 months DNA levels went up to 4430(last cheked in january). the biopsy shows fatty liver, periportal/portal activity=2, lobular activity=1.
the doctor recommended to start taking baraclude/varead for life!!
I have started to take some herbs that helped a friend very mush few years ago and will check the DNA again in a month. in addition on started a diet few months ago.
what should i do?
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Avatar_m_tn
Indications for treatment
The indications for treatment are generally the same for both HBeAg-positive and HBeAg-negative CHB. This is based mainly on the combination of three criteria:
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Avatar_m_tn
Serum HBV DNA levels.
-Serum ALT levels.
-Severity of liver disease.
Patients should be considered for treatment when they have HBV DNA levels above 2000 IU/ml, serum ALT levels above the upper limit of normal (ULN) and severity of liver disease assessed by liver biopsy (or non-invasive markers once validated in HBV- infected patients) showing moderate to severe active necroin- flammation and/or at least moderate fibrosis using a standardised scoring system (A1). In patients who fulfil the above criteria for HBV DNA and histological severity of liver disease, treatment may be initiated even if ALT levels are normal (A1). Indications for treatment may also take into account age, health status, fam- ily history of HCC or cirrhosis and extrahepatic manifestations.



You should test hbsag quantity, genotype and mutation to choose correct treatment.
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Avatar_f_tn
which 3 criterias?
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Avatar_f_tn
thank you very much for the informaion.
never done these tests!!
How come the doctor(which is a head of dipartment in a big hospital) did not send me to these tests and did not explain it(a retorical question!)?!
what are the full curing rates for different treatments?
where can i find researches/articles for this issue?
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Avatar_m_tn
current treatments mainly do not treat but keep you alive.

The curing rate depends on the baseline HbsAg quantity a lot.

read this forum you will find out the articles.

You can read also http://www.easl.eu
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Avatar_m_tn
Which herb is that tsipi?
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Avatar_f_tn
Dandelion
artichoke leafs
Glycyrrhiza glabra
Silybum marianum
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Avatar_f_tn
thank you rome70/
will do...
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