Diagonised HepB in 2011

[prataphumble]

Hello guys ,

I was diagonised with HBSAG +ve when I went to donate blood in 2011 .Since then I am doing routine checkup every 6-8 months with LFT , HBV DNA & Ultrasound . Below is my latest report

LFT :
ALT : 39
AST : 69

Ultarsound :   Fatty liver with fat sparing

HBV DNA :  undetectable

HBEAG -VE

HBSAG : 66.6 IU/ML

HEPATITIS B SURFACE ANTIBODIES,     :   2.6
QUANTITATIVE

BMI:  22


Based on this report my doctor told me its still inactive & I dont need any treatment . Please suggest

1) me whether I am very contagious ??
2) Whats my current health of my liver
3) What chances are there that I'll get liver complications later in my life ??

Thanks in advance .

[Seattledude]

Please expound on the fatty liver and the hbsag thing, are you saying that fatty liver is actually helpful for reducing hbsag?

If so and I don't doubt you as you are very knowledgable, do you have a study or link I can examine?

Thanks

[stef2011]

only peginterferon can clear, not life style...

vitamin d levels must be over 40ng/ml, possibly 90-100ng/ml.do you have them checked?all hbvers are severely deficent and this makes metabolic diseaes, fibrosis of the liver, increase of cancer risk and fatty liver

[prataphumble]

I am really feeling better after joining this community . Many thanks to everyone for all the responses .

So to increase the chance of clearence of hbv what I should do ( interms of life style , food , excercise , anything)  ?

Will it spread to my girlfriend also ??

[stef2011]

be also aware that fatty liver helps to clear hbsag because fat kills more liver cells and among those killed many are infected.so the possible consequence of no treatment by peg and reduction of fatty liver may be increase or no more decline of hbsag

Do my saliva/semen/any body fuild  contains the hbv which can infect others ?

no except your blood and body organs, most of your virus is inside liver cells at this stage, hbsag is not infectious and few virions are in the blood

[prataphumble]

Thank you for the response ..

But My doc told told no medication required as of now & he asked me to reduce the belly fat & the liver fat . I am on it now . I'll achieve it soon .

Do my saliva/semen/any body fuild  contains the hbv which can infect others ?

[stef2011]

be also aware that your low hbsag allows definitive cure of hbv by peginterferon especially if genotype is a,b,d probably c too.

with such low hbsag also sides effect of pegintf are less, if you want to cure hbv you should go for pegintf, afterall if you dont tollerate it you can stop it

the only con of having hbsag detectable is liver cancer risk, if you clear hbv it ll be almost 0 while keeping hbsag there will always be some risk

you must also check liver by fibroscan because we cannot exclude you have severe damaged liver or cirrhosis by blood tests, also be aware your liver is not healthy and also your body organs, you have fatty liver and this means all organs are damaged by fat you must improve the quality of food in your diet and lose weight