Aa
Finally got the first "full picture" of my results... Should I start treatment?
ast 18 (ref range: 10-30 u/l)
alt 19 (ref range: 6-29 u/l)
vit d, 25-oh, total: 28 (ref range: 30-100 ng/ml)
pth intact 35 (ref range: 14-64 pg/ml)
hbsag positive
hbsab negative
hbcab positive
hbeag negative
hbeab positive
hbv dna 1311 ui/ml
hbsag count ??? ui/ml (can't do the test in the US, but I'm guessing it's going to be more than hbv dna?)
alpha fetoprotein tumor marker 2.0 (ref range: <6.1 ng/ml)
liver fibrotest score: 0.29 (F1) minimal fibrosis
acti test (assesses activity (inflammation in chb)): score 0.05 (A0) no activity.
hep a ab negative (should I get vaccinated?)
hep d co-infection negative
Ultrasound: No significant abnormality is identified.
tests pending: hbv genotype
What do you think guys am I a good candidate to start treatment? If so, what treatment plan would you advise? Is peg-Intf an option? How likely will my fibrosis progress to F2? What phase do I belong to (e.g. immunte tolrent, clearance, inactive, etc)? How often should I monitor myself? Also, would it be beneficial to get a FibroScan in addition to the FibroTest I already got?
I'm going to discuss with my gi about my treatment options this Tuesday, and also going to have a second opinion appt with a hepatologist specialist next month. I would also appreciate if you could recommend good docs in LA area.
Thanks for your help!
alt 19 (ref range: 6-29 u/l)
vit d, 25-oh, total: 28 (ref range: 30-100 ng/ml)
pth intact 35 (ref range: 14-64 pg/ml)
hbsag positive
hbsab negative
hbcab positive
hbeag negative
hbeab positive
hbv dna 1311 ui/ml
hbsag count ??? ui/ml (can't do the test in the US, but I'm guessing it's going to be more than hbv dna?)
alpha fetoprotein tumor marker 2.0 (ref range: <6.1 ng/ml)
liver fibrotest score: 0.29 (F1) minimal fibrosis
acti test (assesses activity (inflammation in chb)): score 0.05 (A0) no activity.
hep a ab negative (should I get vaccinated?)
hep d co-infection negative
Ultrasound: No significant abnormality is identified.
tests pending: hbv genotype
What do you think guys am I a good candidate to start treatment? If so, what treatment plan would you advise? Is peg-Intf an option? How likely will my fibrosis progress to F2? What phase do I belong to (e.g. immunte tolrent, clearance, inactive, etc)? How often should I monitor myself? Also, would it be beneficial to get a FibroScan in addition to the FibroTest I already got?
I'm going to discuss with my gi about my treatment options this Tuesday, and also going to have a second opinion appt with a hepatologist specialist next month. I would also appreciate if you could recommend good docs in LA area.
Thanks for your help!
http://www.vitamindwiki.com/Vitamin+D+toxicity+after+50,000+IU+daily+for+2+years+(no+surprise)+%E2%80%93+April+2015
Vitamin D toxicity after 50,000 IU daily for 2 years (no surprise) – April 2015
Vitamin D toxicity after 50,000 IU daily for 2 years (no surprise) – April 2015
i myself take 4.600.000iu of vit d3 per month, 150.000iu daily since 2 years and many others here take since long time and how can it make damage with the monitoring?
https://www.researchgate.net/profile/Salvatore_Minisola/publication/221759661_Guidelines_on_prevention_and_treatment_of_vitamin_D_deficiency/links/0deec52cacdc1ef7a9000000.pdf
and 1million iu is not for sick patients but only for deficient patients
and 1million iu is not for sick patients but only for deficient patients
10.000iu of vit d is not a high dose, all hbvers must take vit d and must not have deficiency to stay healthy this is what we know for a fact.what is not proven is vit d to make damage there are only a few clinical cases taking millions of iu daily for over 6months and even in these few clinical cases there were no permanent damage.
italian guidelines for vitamin d deficiency prescribe 1million iu
http://www.vitamindwiki.com/How+often+might+50000+IU+vitamin+D+be+taken+-+results+of+clinical+trials
http://www.vitamindwiki.com/Vitamin+D+-+Facts+and+Myths
this said, dont take any vitamin d it is your choice
italian guidelines for vitamin d deficiency prescribe 1million iu
http://www.vitamindwiki.com/How+often+might+50000+IU+vitamin+D+be+taken+-+results+of+clinical+trials
http://www.vitamindwiki.com/Vitamin+D+-+Facts+and+Myths
this said, dont take any vitamin d it is your choice
Royal36, this study that Stephen quoted dosent prove that vitamin d helps fibrosis.
It only shows associative relationship with hbv, but it's not proven that it's the cause to hbv or that taking it helps to clear the virus. There is not one study that proves that, only show associative relathship. You might as well take other supplements that have associative relathionship, dosent mean anything...
If I were you I would be more worried about the damage a big dose of vitamin (10,000iu) can cause to your kidneys.
It only shows associative relationship with hbv, but it's not proven that it's the cause to hbv or that taking it helps to clear the virus. There is not one study that proves that, only show associative relathship. You might as well take other supplements that have associative relathionship, dosent mean anything...
If I were you I would be more worried about the damage a big dose of vitamin (10,000iu) can cause to your kidneys.
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Bringing PTH to minimum is not your target it's just signal that you have obtained your max safe vit d level when vit D has the best immunoregulation effect.