my god new york doctors sound like drug sellers and not doctors, they are not even able to check an hbv infection....do not take those antivirals they dont cure hbv they cure liver damage and you cant take them if you dont know if liver damage is present, if possible sue those docotrs for malpractice (dont know in NY but in italy you can do that and we sue doctors all the time so that they are very very scared and do correct things...they double check all tests even those useless)
mumbay is much better for all the tests, US is missing too many main tests, this is what you require:
hbcab igm, if positive you are acute, if negative you are cronic.if this test is not performed those doctors are just pushing drug business and this is very very bad because this may ruin your health
hbvdna is not important, they just did this test to scare you on million copies....but this tests is not helpful if hbcab igm missing and hbsag quant missing
hbsag quant in iu/ml, this may help understand the phase of infection if cronic and drugs that may clear it.it is also useful to check monthly if acute so you see if you are clearing virus fast
fibroscan. you need more than one reading because after a alt flare there is much inflammation so you may read 13-16kpa which is all inflammation and not fibrosis.you can do it every 3 months and see if it goes down, if it is fibrosis it doens t go down a lot in months but only after years of hbvdna und
hbeag and hbeab can be done once we know it is cronic
to determine exactly in what phase you are is a dificult question and it has no clear answer.
hbsag quantification correlated with HBe Ag, Hbe Ab, and also with fibroscan results and HBV DNA number and ALT/AST level could give a good indication of the phase, if one of this are missing the prediction can be less accurate.
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