My HBSAG Quantitative result : 1473 IU/ML, Need experts advice

[kbl678]

HI,

My Hbsag quant: 1473 IU/ML , DNA:1000 IU/ML, Alt Normal:50(30-65 lab range) .
Hbeag:negative, Hbeab:Positive, Ultra sound normal. Doctor said no medication needed now. Can I ask for Inferon treatment? Experts please help me on this.

[hepbcurepls]

these are the guidelines for treatment of hepatitis b

http://www.aasld.org/sites/default/files/Terrault_et_al-2016-Hepatology.pdf

look over the guidelines to learn about the stage of hepatitis B you are currently in and about the progression of hepatitis b.

some experts believe in early treatment while other like the wait and see approach. What I can tell you is that you need to have a fibroscan to check your liver stiffness. This will determine if you need treatment right away or the wait and see approach. The good news is that DNA 1000 iu/ml and hbsag quant 1473 is quite good w/o treatment. I am not a doctor but to start treatment doctors usually will check , hbeag , ast , alt, fibroscan, family history, dna, and hbsag quant, ultrasound age, genotype, mutations and kidney function.

[joc2011]

From my last visit to my doctor, he mentioned interferon will really only make sence if HBSAG is less than 1000 IU/ML.
I am currently on TNF because i have a high HBSAG of about 5000.
Doctor says he will only start INF is i get to less than 1000 iu/ml.
I am only currently looking to switch to TAF when its more affordable.