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help steff !!
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help steff !!

My aghbs quant came , i have 352820 ui/ml ?! I never saw on this forum this quantiti. I have also 170 mil adnvhb. I think this looks very bad. Should i start treatment right away ? Pleasr advice.
HbeAG poz, hbeAB negative, hbsab neg hbwsag poz.
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Avatar_m_tn
your are moving from immune tollerant stage, treatment not needed because there is no liver damage at this stage

if you start it is to go on sequential to clear hbv, so tenofovir for about 5 years and then pegintf add on
14 Comments Post a Comment
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7951432_tn?1400922437
What about your fibroscan and asat alat?if high treatment Is needed
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Avatar_m_tn
Alt was: jun:80 , july 110, august, 63 . Fibromax came f0, fibroscan came 1 time f2, second time f0(23 sound impulses, not standard 10) , arfi , f2 .very wierd
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Avatar_m_tn
But the scary part is that hbsAG quany came 350k , not 30k, which also was a very high quant
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7951432_tn?1400922437
So i think your doc Will wait to see how your immune Sys Will react,f1 Is not Bad So You have time before starting treatment,This Is m'y opinion,me toi i have f1f2 and last fibroscan 0for This m'y doc recommand biopsy to ne sure about the dommage and avoir treatment,m'y alat asat were vers high and now are 50 -40so on octobre i Will do an other tests to see,what dors cour doc suggest
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Avatar_m_tn
your are moving from immune tollerant stage, treatment not needed because there is no liver damage at this stage

if you start it is to go on sequential to clear hbv, so tenofovir for about 5 years and then pegintf add on
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Avatar_m_tn
Before it was a missinterpretation in myy blood test . I was hbeag pos and hbeab neg . since i discovered 3 months ago. I never repeat them. But why doi have so high values? All of you have such low values, never hbsag quant that high ..
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Avatar_m_tn
Why do you say.moving from imunotolerance phase? And moving to what stahe? If hbsag quant and hbvdna are so high doesnt mean that the treatment is gonna work even slowly? I am an active hepatitis b carrier since hbeag is neg right?
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Avatar_m_tn
Hbeab negative, hbeag positiv. This became so confusing
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Avatar_m_tn
google hbv stages according to hbsag quant

you are in the first phase we all had earlier which has no damage at all.as posted many times more virus is not equal to sicker but the opposite
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Avatar_m_tn
I tried to google, and find just a few studies with no data of this correlation ..I learned a lot in this 2 months, I am still trying to put them together, I know I ask for a lot of your time but can you please tell me the steps I should follow from now on ?
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Avatar_m_tn
http://www.wjgnet.com/1007-9327/pdf/v20/i15/4407.pdf

HBsAg levels in HBeAg-positive chronic hepatitis B patients
with different immune conditions
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Avatar_m_tn
" From all of our studies with interferon, lamivudine and adefovir(probably a very old post because of the drugs listed ), our drugs are most effective when given in immunoactive phase because there’s two things going on: the body’s immune system is trying to get rid of the virus, and then we prescribe an anti-viral agent, so it’s sort of like a double hit, an active immune system and an anti-viral agent. - hepatitis b foundation  ,  should I start treatment or wait ? what's your best proposition on this? thank you very much for your help so far, I couldn't get through with this without your help
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Avatar_m_tn
should I start treatment or wait ? what's your best proposition on this?

definitely wait if there is no liver damage by fibroscan.

we have myrcludex, arc 520 as new potent future drugs, i d follow results on these drugs and marketing dates

only if they take more than 5 years to marketing i d go for tdf and peg add on
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Avatar_f_tn
does it mean the hbveab shows positive , and hbveag  nagetive is the higher possible to clear the virues when a patient take medicine?
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