hep b Test results

[manmadan]

Can Any one tell me ....what is to be done for my results
HbsAg - 2650 IU/ml
Anti HBs - 67.5 IU/ml
HbeAG -Negative
HBV DNA PCR- 24 IU/ML
LFT - Normal

Pl. suggest for further. I am healthly Carrier for 8 years(Since I know)

[smile_boy]

I hope Mutation test is available in Hitech , Labs Chennai.

HBV - YMDD MUTATION DETECTION -


_http://www.hitechlabsindia.com/2010/testnew.asp?cat=H

[manmadan]

how to check the mutation of hbsag ? what is the test name sothat I would check it in india?

Manmadan

[stef2011]

hbsag mutants are also at very high risk for cirrhosis and liver cancer so if it was possible to confirm hbsag mutation i d go for treatment immediately

in italy hbsag sequence is available at some hospitals, did you find a place where to have it confirmed?

[stef2011]

what about hbvdna and ast/alt

definitely an hbsag mutated case

have you checked vitamin d25oh levels?

interferon would be good but better prepare to have a good interferon response before going at it:

vitamin d levels 80-90ng/ml, to reach these levels you need vit d3 supplemnts 10.000iu daily and need to check calcium and d serum levels every 3 months

if hbvdna is detactable it is better to use tenofovir for 1-3 years to make hbvdna und, rescue your immune response to hbv so that interferon works

see our posts about: aldara, alinia,vitamin d3, simvastatin, all ahev mild effect but all can boost interferon response

do not start interferon ow because hbsag levels over 1500iu/ml have no hbv clerance, sequential treatment with tdf for 1-3 years and then peginterferon add on worked on levles of hbsag around 8000iu/ml but too little patients so it ibetter to lower hbsag as much as possible before interferon and tenofovir, alinia, aldara cream and vit d3 may help a little on this while simvastatin may boost response when interferon is added

[manmadan]

Dear Stef,

after almost a year I checked my blood..
hesag -17700 iu/ml
anti hbs - 173 in/lit

Presently not taking any medicines....
can i go for interferon....injecion....

rgds,
Manmadan

[raja1972]

Thanks a lot.