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hepa b
im hepa b carrier for 6 monts. the virus is still replacating,but im starting to develop anti Hbeg.. is it good or bad? is it chronic?
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hi edma,

i assume by "anti Hbeg" you mean the anti-HBe antibodies. If the body manages to establish those antibodies, it is considered good: They fight the HBe antigen, which is associated with HBV replication and infectivity. Hence, your antibodies, definitely slow down the disease right now.

The question whether your body may be in the process of shaking off HBV or not, is too difficult to me to answer. For that, one would need to know:

- is HBsAg (surface antigen) detectable: if it is detectable for more than 6 months, Hep B is considered chronic
- is HBeAg (e antigen) detectable: if it is not detectable, you may still be a (passive) carrier, but at least not in active disease progression
- is HBV RNA present (is HBV PCR positive): if it is for more than 6 month, it is considered chronic

in case you are chronic, you may want to seek a good hepatologist/infectious diseases doctor who 1. is experienced 2. has many hepatitis patients and 3. stays on top of current research.

He/she may recommend a treatment or supervision strategy for you. For example, in case you shake off Hb-e antigen, one could try treatment of interferon to get rid of the rest of HBV. But again, there are many factors to consider and only a real specialist can tell what the best approach is to your case.

However, the fact that you seem to be infected only recently, makes me think that you should be a bit agressive in seeking treatment. It is common wisdom in ALL hepatitis viruses, that early treatment often achieves better results than treatment in later phases.

good luck, i am sure you will beat this in the foreseeable future
Joachim
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