I believe there's a period of time that your body can fight off Hepatitis B but I'm not sure if you're in the acute or chronic stage--possibly that's why he's waiting. But for the most part, with chronic hepatitis, the enzyme levels are not the best indication to be treated. I'm speaking more about Hepatitis C but this may also go for B. People near cirrhosis can have normal or slightly above normal levels. A biopsy is really the only way to know what shape your liver is in.
If your hepatitis is in the chronic stage (you've had it a while) and your doctor is giving you a "wait and see" with the enzyme level, I'd suggest either getting a biopsy and/or seeing a specialist--Hepatologist or a Gastroenterologist--and getting yourself thoroughly tested.
You may also want to post your question over at the Medhelp Hepatitis site: http://www.medhelp.org/forums/hepatitis/wwwboard.html There's plenty of people over there with C, B and Auto-Immune that would be happy to answer you. There's also a great GI-PA that pops in occasionally and answers questions if you also put attn GI-PA in the subject line with the rest of your subject.
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