THANKS IN ADVANCE FOR U KIND SUPPORT

hello doctor
Hope you will fine.God give you long life bcz you are helping people. i post before my sister repot to you and as i told you she is using chanca piedra tea so now due to this tea her HBDNA is negative. her LFT report is below.
Bilirubin - Total 2.98 mg/dL up to 1.4 Spectrophoto.
Test results to be interpreted in the light of clinical/medication history & to be investigated further
if necessary.
Bilirubin - Direct 0.38 mg/dL up to 0.35 Spectrophoto.
**The above test Direct Bilirubin is not part of ISO 15189 scope of accreditation**
Test results to be interpreted in the light of clinical/medication history & to be investigated further
if necessary.
Bilirubin - Indirect 2.60 mg/dL 0.00 - 1.05 calculation
Alkaline Phosphatase 136 U/L 100 - 280 Spectrophoto.
Aspartate 27 up to 37
Aminotransferase
(AST / GOT)
U/L Spectrophoto.
Alanine Aminotransferase 27 up to 42
(ALT / GPT)
U/L Spectrophoto.
Gamma Glutamyl 19 11 - 49
Transferase (GGT)
U/L Spectrophoto.
Protein - Total 7.77 g/dL 6.0 - 8.5 Spectrophoto.
Albumin 4.19 g/dL 3.6 - 5.2 Spectrophoto.
Globulin 3.58 g/dL 2.00 - 3.50.

In this repot only Billrubin is increase what you suggest its mean lever is damage? she need any medication to reduce her billrubin plz let me know with you kind ideas Remeber her HBeag is negative and we did also her AFP TEST also see her AFP REPORT BELOW.
HORMONES/ENDOCRINE/TUMOR MARKERS
Alpha Fetoprotein (AFP)
Alpha Fetoprotein (AFP) 2.14 Iu/mL 0.5 - 5.5 CLIA
Kindly note new reference range effective 08/10/2009.
**The above test AFP is not part of ISO 15189 scope of accreditation**
Sample Type : Serum.

THIS REPT ALSO SHOW THAT THEIR IS NO CUMOUR ON HER LEVER

[Thomas D Schiano, MD]

all of the blood tests are very good.  the elevated indirect fraction of bilirubin is probably from concurrent Gilbert's disease, which affects 10% of the general population and is a benign enzyme defect in the liver and nothing to worry about.

[rafi86]

thaks a lots doctor.....

but people make me confuse they and one doctor told me that even with Low Dna or Undetctible DNA PCR your lever can be damage. i did altrasound before one hour and this report state that Lever is normal in size no damage is their but still doctor said that you need Fibroscan or bisopy of your lever now what i will do plz answer me.

i have only HBSAG POSITIVE.

HBEAG       NEGATIVE

AND Hb PCR is undectible now what i will do in futre plz explain me

[Thomas D Schiano, MD]

i do not think you need either a biopsy or fibroscan.  If the doctor felt strongly about having one or the other performed, the fibroscan would be sufficient.

[shellywinters]

That chanca piedra tea worked for me two. I started out with a viral load of over ten million and as of last August, its only 253! It has been made into a pill form called nuricide but I have never been able to find it. The tea had worked so well I stopped looking.