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From 490,000 to > 25 detectable in a week
Hi,

I found out 3 years ago I had HEP C.  I am genotype 1a stage 2.

I am Bipolar and we had to get everyone on the same page before my treatment could start.  My psychiatrist, family doctor and hematologist are all involved.  

I am a complicated case as I started with low hemoglobin due to Thallasemia Trait.  In short, it is a disorder that makes your hemoglobin look low when in fact it could be ok. So I was started out with Riba/Peg for 3 weeks alone to see what effect it would have on my Hemoglobin.   I was started out with a reduced dose of PEG .135 mg.  At the end of 3 weeks Incivek was added.  

I started treatment 6 weeks ago.  It has been 3 weeks with the combo treatment.  I have been getting blood work every week.  I got a viral load count on the 2nd and 4th week.   My 2 weeks my viral load was 490,000.  On the 3rd week Incivek was added.  After 1 week on the combo I went from 490,000 to > 25 but detectable.  My ALT went from 42>18

Next week I will test my viral load again.  It will be the 4th week on the combo.  

In the mean time, my hemoglobin has gone from 12 to 10.4 in 6 weeks.  My normal average is 10.5.  So the drop did not really bother me until yesterday when I started getting light headed.    

As far as my Bipolar illness, I have no signs of suicidal ideations.  No signs thus far of depression.  Maybe, as my psychiatrist said I am already on mental health medicines so I have a plus not a negative.  

Tomorrow I will get my CBC done again.  Next week I will test my viral load again.  It will be the 4th week on the combo.  

I am hoping my hemoglobin did not go down much from last week and that my 4th week blood work shows UND.  

I know I have a long way to go but so far so good.  I will keep you posted

Sending out hugs…..
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163305 tn?1333672171
Wow, thats a great drop. Keep up the good work !
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1815939 tn?1377995399
Wow! That is really good news and a good response. You must be very happy. Best of luck.
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I forgot to add that I started the treatment with .135 Peg and 600 Riba.  I am still taking the same dosage.
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Your post is very confusing on dates, times ,when viral load taken etc.
However sifting through it seems you started Incivek on week 3 ??
Why did you doctor do that ,if you know, when proper prescribing protocol is to start it at the beginning of therapy in combination with Peg/Riba?

Will
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Sorry I just noticed it was to see how HGB reacts.

Good work ..
Will
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2136167 tn?1374732251
Good luck you are doing very well!
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