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Test Results

I recently had my blood test results for HCV completed. After reviewing the results, my question is, "do I have a moderate, chronic or severe case of HCV?" The liver specialist (MD) seemed to be evasive. He is also a gastroenterological MD and seemed more interested in performing my next endoscopy and colonoscopy.

SGOT (AST): - 101
SGOT (ALT): - 142
HCV RNA PCR: 6,000,000 (yes, 6 million)
HCV LOG10: > 6.8

Advise
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387294 tn?1207620185
Your viral load can vary alot, mine went from 600,000 to 9 million in 4 months that when it was explained to me that they now think it goes up and down in cycles and does not correlate to rate of progression/damage to your liver.  I was stage 1 mild damage.  My doctor said moderate or low alcohol intake was ok, but not regular.
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Avatar universal
the previous post should have read ......viral load "does NOT" have any correlation on how much liver damage you have.
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Avatar universal
the high ALT & AST do indicate that your liver is under some attack but those numbers or the 6 million viral load have any correlation on how much damage you have. the biopsy you are having is the right thing to see what if any the damage. high ALT or AST will not turn you yellow, it is a high bilirubin count that turns you yellow. if you want the best chance of living a long life with HCV, eat a good diet, exercise and avoid alcohol.
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Avatar universal
ah ah, we cant allow you to fear something that you dont know is there.
dont sweat it, none of us can predict our state of liver damage. you have
no real reason to think you have damage. i was discovered to be a stage
3 (i expected it because i was a heavy drinker) and i was thrilled not to be a stage 4!!!!!!!!  noe that ive treated i believe that in another few years of good lifestyle and no relapse i will be back to stage 1 or better.
dont be disappointed by your doc, its your fault, you have the wrong one.
you will feel much better when you see a liver specialist. you will see a different
attitude from them about drinking as well.
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Avatar universal
Good morning from Virginia Beach, VA,

Thank you for the personal insight on alcohol consumption with HCV. I literally had two of my last PCP MD's tell me that it was okay in moderation. I've totally quit, now. I'm still disappointed that the "gastrol MD" is more interested in the forth-coming GI procedure than helping me treat my HCV.

Because of the alcohol consumption, perhaps that is why I seem to catch quit a few colds, flus and other local diseases despite shots and a fairly good physical and cardio work-out routine three times a week...my immune system is taxed. There seems to be a causal connection. I will miss my 3-4 ozs of Jim Beam Black borboun every other night. It helped me relax and sleep. I fear that after my liver biopsy, my results won't be encouraging.

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Avatar universal
the stakes are so high that its really not a good idea to drink. there is scientific evidence
that says very moderate intake isnt harmful. i personally beleive a few drinks a week
is ok (after you are healed) but the docs will say no including mine. my advice to you is to stay really dry at least until you beat the disease. alcohol overworks the liver
and feeds the hepatitis fire and supresses your immune sytem, all big no no's.
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Avatar universal
I sincerely appreciate the information and support. They just drew blood this morning for the genotype.  It seems most of North and South America has been traced to and infected with is 1a and 1b according to recent research.

The liver biopsy is scheduled for 03/24/08

I'm still curious as to whether an occasional beer or glass of whiskey is harmful. The MD said stop now. I quit for 15 years, 8 months and 25 days. I became HCV positive in July of 2000. I started to drink beer on weekends and after sporting events on 09/25/06. What did your MD say?

Jeff
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Avatar universal
your liver numbers alt ast are not that high, mine started at 200 and they go
into the thousands sometimes. (thats when you turn yellow!!)
the 6 mil is classified as high but doesnt classify you as an extra bad case.
you wont really know until the biopsy is done and the genotype. otherwise you might be classified as a moderate case. get a full blown hepatologist if you dont have one,
success rates are much better.
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