no hbv and hcv are silent killers they have no synthoms, actually in general the killing diseases have no synthoms until too late
so it is important to check very carefully the disease, it can be very very mild or very aggressive but you don t feel it at all, i reached cirrhosis without any sign or blood test showing it, only fibroscan did, so follow all required tests to monitor and fibroscan yearly and your risk is almost zero
hbvdna und likely to infect only by blood, hbvdna detec infectious by sex/blood, very high hbvdna in the millions might infect by saliva/body liquids too although very difficult
hbvdna in the millions is only when there is no immune response, immune tollerant phase, usually when infected at birth or very young
Your sgpt (or ALT alanine aminotransferase liver enzymes) 80 is HIGH. ALT usually indicate liver condition. If you are a female, a normal value should be up 20, 30 if you are a male... This can be lowered down by an antiviral treatment but the decision to start these treatment should be discussed thouroughly with your Dr because the treatment do not "heal" and you need to keep taking them for good (most of the time). There is also a cost and age aspect as these are very expensive and some people just want to wait and see how things evolve. Some people would just monitor their liver through either yearly ultrasounds, fibroscan to monitor liver damage and blood works to monitor any viral loads increase and they start treating only when there is a liver damage. It is important to discuss with your Dr all the scenarios and consequences on your life.
i made another mistake, i am writting too much lately...
these two drugs might even eradicate hbv if hbsag is <15000iu/ml:
these two drugs might even eradicate hbv if hbsag is <1500iu/ml, inactive hepatitis have usually hbsag between 0.1-4000iu/ml, inactive carriers usually <1500iu/ml, truly 100% inactive carriers with more than 10% probability of seroconversion per year <500iu/ml
anticolesterol and anidiabetes drugs are active on hbv too so you can take drugs like simvastatin and similar or rostiglitazone (or similar name) if needed
avoid alcool fat foods and meat, these ones as little as possible
you should also check your liver with fibroscan yearly to check the liver damage (the only machine that can tell liver damage) so you are safe...blood tests and ultrasound are useless to see liver damage, i d avoid biopsies because your are probably inactive with no liver damage and monitor hbvdna, alt, US, firbroscan
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