ALT and fibroscan can increase because of other health issues and life style as well, so you need to find out the cause for their increase despite your undetectable hbv dna. Probably you need to find out the quantity of your hbsag.
Thanks Liverpatient. Hbsag is also very high - 49,000 iu/ml
Well, it is detected but less than 20 iu/ml. I meant to infer it is very low. I feel tired but not so much that I lose it, have backaches and a couple of joint pains. No abdominal issue or pain.
I just want to be sure there's no issue using TNF on a very low viral load.
Thank you for your kind advice. I will surely consider it. Doc actually did place me kn antiviral saying my case is not rare and that I can stop when I go lower than 500 iu/ml which I think might be hard considering the high number. I just wanted to have more opinion as it's a lifelong decision. I am sorry to hear about the CKD. How do you feel with the entecavir? Any reduction in HBV related symptoms?
I don't see the point of antiviral, Tenofovir or Entecavir, when your viral load(hbvdna) is already so low, < 20 iu/ml. Antiviral is used to reduce viral load only, it does not directly affect ALT. Also your serum HbsAg is very high and seems to be incompatible with your very low viral load without any medication. What is your e-antigen status?
I believe you need to re-test your hbvdna and or serum HBsAg.
Thank you for the information. You did not indicate when your HBsAg were taken, most unlikely recently. If your viral loads have been low for 5 years, your hbsag cannot be so high. There is a slight chance because of your persistent low viral load that your elevated ALT may indicate a clearance of your hbsag. Your mild fibrosis maybe due to previous damage when you were hbsag positive, or fatty liver. Anyhow, you should definitely wait for your new test results before starting anything.
It is very strange that your dna is low but, one thing to concider is checking for Hep D you may well be coinfected with Hep D
People, so the HBSAG Quantitative is out and it reads 42,000 iu/ml. I am so confuse.