I just returned from a hepatologist and was told that my platelets are 148, x10e3/ul, reference interval 140-415 and that i am in stage 2 or 3. Genotype 2b, viral load 505,010, ast 68, alt 94. I feel fine and keep myself in good shape with a good diet and exercise regularly. Wouldn't i have fibrosis if i'm in stage 2 or 3 ? Have monitored this closely and no one has ever told me that. The doctor recommends interferon/ribivarin treatment. I have heard so many bad things about this treatment, want to avoid it if possible. I am not sure what to do. Can anyone help ?
Hi Dan: Stage 2 or 3 typically refers to the level of fibrosis in the liver. Have you had a liver biopsy? Proceeding with treatment is a very personal decision. I'm sure many people will weigh in with their thoughts. I'm not very familiar with Genotype 2b, but I would treat if it were me. Best, GB
If your liver doc said you’re stage 2 or 3, he was likely referring to fibrosis of the liver.
Genotype 2 is probably the best news you could have received regarding an HCV diagnosis; it responds readily to available therapy and only requires six months of therapy, vs. longer duration for other genotypes.
If you’re stage 3 a yellow flag is waving and you should probably consider treatment soon to prevent advancing into cirrhosis.
With moderate fibrosis at either St 2 or 3 I would seriously consider having a discussion relatively soon with the doctor about commencing treatment ,especially given the good success rates for Geno type 2
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