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7522097 tn?1391580334

Should i take Peg-IFN now ?

Hello, I am SiZ ,

{ my story >> i have get HBV When i way only 19 years old at 2009 , i got my HBV from a clinical perform from needle .... , after that now my age is 24 and my ALT= normal .., HBeAg is negative, and DNA = 4000 , ( normally is 2000 ) my DNA Is higher }

I have been on follow Up for 4 years with HBV , Now My last test result's ( ALT, DNA, HBeAg ,Fibroscan ) == { , HBeAg-negative(0.41) , ALT= Normal (20) , DNA= 4000,Fibroscan- 6.2(stiffness)} , Now my OLD Liver Specialist Said to me to take Peg-IFN , And I have get find a younger Liver Specialist WHO is the Member of AASLD and EASL and More .. , He is suggest me to take Peg- IFN ( 48 weeks ) , I may Going to Take Peg-IFN .

Question : 1, Should It will be Better idea to start my treatment with Peg-IFN { My ALT is Now Normal and DNA is 4000 }

2 , What Should I Care when i am Taking Peg-IFN ? Any tips for Avoiding Side-effect From the Peg-IFN ?

3, Any chance to Cure from this stage ?

Note: {  My doctor told me to start take peg-IFN 48 weeks, and i have search for this treatment and i have find this is that " if anyone can get long time CHB And after that if he get " ALT= rising .., HBeAg is negative, and DNA >2000 , ( now my DNA is 4000 ) " should treated with peg-IFN for long time morethem 6 month's , but now my question is my ALT is normal and my virus load is higher ...=-> am i the right person to get this treatment and my ultrasound report was might i am with CHB And the big question is , is it works for me ? }

Note: { My ultrasound Report is ="The lives is larger in size.

The hepatic tissue character is course and uniformly low echogenic.

The hepato tree is not dilated.

The gall bladder is normal in appearance .

The spleen is normal in size but uniformly low echogenic in tissue patern .

The pesitoneal & does not contain asiuthsic fluid.

"

Note : i am sorry to say that, i am not a doctor and my ultrasound report are written by a doctor hand writing mode and for that coz i haven't read the all sentence , his hand writing is complex and if anyone would like to see my original scan copy , please message me..

Hope everybody understand .. }




Please Reply Me if you Wanna HELP me ....
25 Responses
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7522097 tn?1391580334
Could you like to tell me in details about   baseline  ... And  How do i know the baseline ?

Thanks for your Comment ..
Helpful - 0
Avatar universal
two main tests for you to see if inf is working is HBV DNA and qHbsag but you need to know your baseline before you start inf injections. If you do not know your base line you treatment will be blind.
Helpful - 0
7522097 tn?1391580334
High ALT. GL.  :O  , Should I need high ALT ?
Actually I want to cure from this worse HBV ....

I Love my Life ... I like to be with you this universal ,

I am Sorry for this speech ,  
Helpful - 0
7522097 tn?1391580334
So ... I am Going To take a blood Test for see my sides , and What Test will be shown that is this PegIFN Treatment is Working or Not ?

How Do i get full response of my 48 weeks Peg_IFN Treatment ?

My Doctor give me Alone full peg-IFN ( 180 micrograms/0.5 ml ) Brand Name is " Pegasys (  ) "



, And Very thanks for your Replay ...
Helpful - 0
Avatar universal
Blood test usually after 2 or 4 weeks. Your neutrophils level will be low and I guess you will want a high ALT. GL.



Helpful - 0
Avatar universal
the most important thing at start is be sure your vitd25oh is above 50ng/ml (check that unit is ng/ml, nmol/l is different scale).around 90ng/ml might be optimum levels

with low vitd25oh there is peg non response

high vit d levels boot pegintf response and might help a little with inflammation

also 4cup of coffee per day can increase peg response and in general are a must because it can block/reduce firbosis of the liver
Helpful - 0
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