These numbers don't mean much as different laboratories use different standards and methods. All we need to know is whether your are positive(reactive) or negative (non-reactive) to the tests for
To determine whether you need treatment or not, we also like to know:
Also it would be useful to know:
Fibroscan or biopsy.
Your wife should be vaccinated, so should all your children. There is nothing to fear about Hepatitis B, there are treatments to keep it under control until we find a cure. All those close to you can be protected by vaccination.
You should have liver functions tests (ALT, AST, etc) and hbvdna. Establish a relationship with your liver doctor and get treatment when it is necessary.
If your wife is vaccinated and has antibodies, she will have immunity against infection. It is safe to have unprotected sex. So after your wife receives her 3 dose vaccination, have her tested for HbsAb.
Lamivar is Lamivudine, first generation antiviral drug for Hepatitis B. It is very seldom used now because of its drug resistance profile. What is the purpose of taking antiviral if your viral load is already very low or undetectable? I suggest you get a second opinion from a liver specialist, not just ordinary doctor. Also please remember, when antiviral is needed, you usually have to take it for at least several years, not just 6 months.
lamivudine is out of guidelines for hbv since many years, it simply doesn t work and just make resistance, tenofovir is the only antiviral you can use
antivirals dont cure hbv but only liver damage so if you have normal fibroscan there s no reason to take an antiviral, they are ment for life on those with liver damage since they dont cure hbv and have no effect on hbv clearance
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