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Hi fibrosis f2 to f0 in 5months ? Could it be mistake by the nurse?

Hi, I got my result of my second fibrosis and it state f0  with 3.1kps was in last week done, but my first fibrosis scan was in july and it result was f2 with 8.1 kps.. just 5 months apart from f2 to f0. Could the nurse made a mistake doing my liverscan?  Cause in such short time it can never reverse so fast, Cause up to now did not take any medication. My hbv viral load is 210.000.000 iu/ml.. should I ask my doctor to do another fibrosis scan?  
5 Responses
683231 tn?1467323017
Fibroscans in mid range (F1, F2) are not as accurate. Having eaten prior can change results. Being overweight can also influence accuracy of results. Fibroscan is known to be most accurate at diagnosing either no damage F0 or F4 cirrhosis.

I can understand how that would be concerning not sure why they would have even performed the test so soon after your first.

I would recommend ask your liver specialist  this question. He is a medical professional and knows your specific medical circumstances.
2 Comments
Thank you, but in no way can f2 reverse to f0 in just 5 months right?  Am not overweight weight 130lbs..  5ft6inch 32yrs. and it was done with 2 different nurse did the scan. Will call my doctor to do another fibrosis scan. Even so if I am f0 and my viral load so high. Do I still treatment ?
No your liver did not improve in five months. Your liver has been under constant attack from the hepatitis B virus every day of those five months.

Visualize Hepatitis B as a boxer and your liver as a punching bag. That is what is happening to your liver...every...single...day....
683231 tn?1467323017
You have hepatitis B you need treatment  before damage can occur. Or before any additional damage can occur. Period.

Preventing a fire does no good once the building is on fire.

As I said the Fibroscan isn’t as accurate in mid range and more accurate at zero damage and F4 which is the definition of cirrhosis.

If you want a more accurate test you could undergo a needle liver biopsy. That is where the slide a largish needle into your side between your ribs and insert the needle into your liver to remove a sample to check under a microscope. The biopsy has it’s own limitations but has been considered the gold standard for determining liver damage.

I had four liver biopsies over the years I was infected with hep c. This was before there was such a thing as a Fibroscan test.

My liver biopsy results went from F1 to five years later F2 then in five more years F3 then finally on my fourth liver biopsy I was diagnosed as F4 fibrosis and told I have liver cirrhosis.

Trust me you don’t want to go down that road

Get treated.
1 Comments
Thx u
683231 tn?1467323017
Look I understand your nervous about taking treatment but try to trust your doctor and follow their advice. If your not comfortable with your current doctor get a second opinion from a different doctor knowledgeable in hepatitis b, it’s treatment, and liver disease.

But to me it’s worse to do nothing than treat your medical situation. The risk of not treating is worse then the much smaller risks of treating that is why these medicines were developed to help people and prevent them developing future more dire complications from the hepatitis c virus.

Do you have a good friend or family member as well as your doctor who can help you make this important decision about your future health and medical care? That is who you really need to be asking. We can’t make your decision to treat for you.
5 Comments
Thank you for reply, today went to see a second doctor who also say my viral load high need treatment but she prescribe me entectavir, while my first doctor vemlidy. Which do you think is better option   ?
Zero opinion I am a patient who had hep c and has liver cirrhosis. I have no medical training and do not work in the medical field in any capacity. I have no information about hep B or those meds beyond what I can google on the internet. The only thing I know about Vemlidy is that it was somewhat recently approved.

Did you ask either doctor why they recommend one versus the other for you in your own individual set of medical situation?

I would start by asking your doctors
Vemlidy patient information website

https://www.vemlidy.com/why-vemlidy/what-is-vemlidy?utm_source=google&utm_medium=cpc&utm_content=Drug+Information_Vemlidy-KW&utm_term=vemlidy&utm_campaign=2017+Branded&&gclid=Cj0KCQiAr8bwBRD4ARIsAHa4YyKp4Nhb8gA9lmoMG6M7q_l4o7oKXacDl2zOv6IucbEkq83k_dTzyQ0aAo87EALw_wcB&gclsrc=aw.ds


Baraclude (entectavir) patient information

https://packageinserts.bms.com/ppi/ppi_baraclude.pdf
“ Are Vemlidy and Baraclude the Same Thing?

Vemlidy (tenofovir alafenamide) and Baraclude (entecavir) are antiviral medications used to treat chronic hepatitis B virus (HBV).

Vemlidy is used to treat chronic hepatitis B virus infection in adults with compensated liver disease.

Baraclude is used to treat chronic hepatitis B virus infection in adults with evidence of active viral replication and either evidence of persistent elevations in serum aminotransferases (ALT or AST) or histologically active disease.

Side effects of Vemlidy and Baraclude that are similar include headache, fatigue, and nausea.

Side effects of Vemlidy that are different from Baraclude include abdominal pain, cough, and back pain.

Side effects of Baraclude that are different from Vemlidy include vomiting, diarrhea, upset stomach, temporary hair loss, skin rash, dizziness, and sleep problems (insomnia).

Both Vemlidy and Baraclude may interact with antiviral medications.

Vemlidy may also interact with drugs that induce P-gp activity, aminoglycosides, high-dose or multiple nonsteroidal anti-inflammatories (NSAIDs), anticonvulsants, antimycobacterials, and St. John's wort.

Baraclude may also interact with drugs that weaken your immune system (such as cancer medicine or steroids), amphotericin B, cyclosporine, pentamidine, sirolimus, tacrolimus, and antibiotics.”
This one looks interesting and not too hard to read

https://www.iodine.com/compare/vemlidy-vs-baraclude
Avatar universal
did you do anything special between these 2 fibroscan tests ? like stop drinking alcohol, diet, sport etc  ?
2 Comments
I do not drink alcohol,  never have in my life, i did cut out on sugar and use less oil to cook, and I jog once a week.
OK, I wish you the best. I hope you will clear it soon.
Avatar universal
https://www.hepatitisc.uw.edu/page/clinical-calculators/apri
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