Suggestions or comments for my initiatives to control HBV

[Ram1982]

Hi All,

I am Hbsag +,
Hbeag -,
Hbeab pisitive
Undetectable viral load
Atl 39
Normal Abdominal Ultrasound result
Hbsag quantity is 4350 iu/ml
Vit D deficitent
B12 Vit deficitent.


As per the doctors I am an inactive carrier and dont need any medication for HBV.

After going through all discussion forums here and many suggestions I decided to take below staff.

Vit D suppliments,
B12 suppliments,
Brazil nuts every day two after dinner for selenium suppliment,
Black seeds half tea soon every day in the morning,
Lemon Juice and honey in the morning with empty stomac,
Garlic after dinner,
Cloves as mouth freshner

You guys can comment or suggestions if you want me to do anything else.Thanks.

[Ram1982]

Hi All,
Today I went for blood check up and found the below results.

HBsAg : 6210 iu/ml. Last year it was 4350 iu/ml
Alt. :.  18 . Last year it was 39
Vit d3 level: 22 ng/mL, took vitamin supplements last year for 3 months and stopped.level was 3.98 iu/mL

I was surprised to see rise of HbsAg although I am doing all these.

Any thoughts on these results?

As Alt is 18, didn't go for HBV DNA test as I feel that still it's undetected.

[Liverpatient]

The slight rise in hbsag is most probably due to the natural flactuating nature of a chronic hep.b disease.

[kaatot]

We should be more worried about the increase in HBV DNA than HBsAg. This keeps on fluctuating due to the HBV presence in the surface. I would suggest, you should do HBV DNA test. Anyway... Ram... which doctor you meet with for your treatment in Bangalore.

[Ram1982]

I have visited Dr. Thirumal in St. John's college Bangalore last year.

Thanks Liverpatient and kaatot for your suggestions.

[Ram1982]

Thanks flyinsky.

[Ram1982]

Hi All,

I eat lot of spicy food including additional green chillies in my food. Very very spicy food from my child hood.

Eating spicy food is good or bad for the people with HBV? Wanted to know.

[flyinsky]

I thinkna lot of spicy is mot good for ay one hbver or not.it hearts stomach and other digestive problems.try to eat them equilibry

[flyinsky]

I thinkna lot of spicy is mot good for ay one hbver or not.it hearts stomach and other digestive problems.try to eat them equilibry

[mer971]

I was taking 10.000 a day, than the levels went over 90, doc told me to stop, after e stopped for a couple of weeks I felt no good, so I begin to take it 5000 daily and I don't want to stop, feels better when I take it

[Ram1982]

Thanks Mer for sharing. I will start taking 5000 iu then.

[stef2011]

vitamin d cannot make abdominal discomfort but some brands have other ingredients, check what brand you used and ingredients.rancid oil in vitamin d pills can make this

vitd25oh 75ng/ml is low for a chronic hvb, you must keep it around 100ng/ml and check pth too because vitd25oh alone means nothing to chronic diseases

[Ram1982]

Thanks Steff for your thought on this and suggestion of keeping 100 ng/ml. Shall I start taking 5000 iu per day?

[Ram1982]

Doctor asked me to not to continue with Vit D3 as already have the level 75 standard units.I have stopped taking it since 4 days. I don't have any abdominal discomfort now...

Said no for colonoscopy and endoscopy as I started taking iron rich food for iron deficiency. All is well :)

Will check for Vit D3 level after 3 months and will decide if I can start the supplement again..

My question is, why excess Vit D3 causes abdominal discomfort? In my case is it by coincidence or really it causes discomfort? Ur thoughts are welcome.

I noticed that I started feeling discomfort after few months of taking Vit D3 supplements..My Vit D3 level was 3.97 standard units 6 months back.

[Ram1982]

Nurse from Doctor office called me and told me that I am having iron deficiency. It's the root cause for stomach discomfort. They want me to go for colonoscopy and endoscopy procedures to know the root cause of iron deficiency.

People with stomach upset and discomfort can go for iron deficiency test It's nothing to do with our liver I guess:).It's just my openion. Others can comment.

I was wondering why they asked me to go for these procedures instead of giving iron supplements.

[Ram1982]

Thanks a lot for your suggestion Stef. Will follow your suggestion.

[stef2011]

alt 19 is very good especially if you are overweight

discomfort in abdomen

not hbv in your case, get slim to bmi less than 24 and eat fresh organic, then you ll be ok

[Ram1982]

Hi All,

I have visited Hepatologist in US today and he ordered for routine blood tests and Ultrasounds. I insisted him for Fibroscan again, he denied for it for my condition. Ultrasound result came normal and other tests also came normal. I have got good levels of B12 also.

One interesting thing I found was my ALT level has come down from 39 iu/L to 19 iu/L in Six months of initiatives I have taken as described above.

Is it a good level of ALT? Does if interpret that there is not much inflamation to the liver? I told hepatogist that I feel discomfort in abdomen some time. He just said it's not because of HBV. Change your diet and start start exercising to loose weight.

I had stopped exercising, will continue to do this from today :). I am not sure if anyone wants to decrease ALT level they can follow what I was doing. Please comment on the same..

[Mrr49]

Why are they telling me my immune system is working fine but say I have it for the rest of my life? When you said most chronic hbvers are over 1000.
I do NOT have any inflammation or fibrosis, liver is healthy. It is very worrying & confusing reading from this site because some comments are contradictive to another.
Please reply
Many thanks for your time

[Mrr49]

I do not understand what I have been told.
I am told most of my hbsag is empty/hollow, can anybody explain why I still test + for hbv. Is it because my hbvdna is undetected & there is no dna in the antigens.
They said I am in a good place.
They only want to see me just to monitor me.

[Ram1982]

HiMrr49,

Sure.You cn go through all myprevious posts also.

[Mrr49]

Hi Ram1982
Would like to chat more to know how long you have had hbv & your full results to compare. I feel happier now I have found someone in a similar situation.
Hope you don't mind me asking.

[Mrr49]

They told me I am in a good place & exceptionally unlikely anything will change, probably die with it than from it. The first thing to change if at all is hbvdna will rise but they will treat it to bring back down to stop liver damage.
I always thought you had to have liver damage before hcc developed, as it's thought damage caused while eant.+ damaged liver thus hcc risk.
That really scares me, how do you feel.
Thanks for your blog.
Take care

[Ram1982]

Hi Mrr49,

I am in your stage only. Inactive and HBsAg is also around 5000 iu/ml. For me also doctors said the same thing. It will never harm you much. Only thing is that there will be risk of Liver cirrhosis and Liver cancer if untreated whenever it's required. Continue ur regular check up once in 6 months/year and take meds if it's active. So simple!!

[Mrr49]

My doc says there is no treatment at present with my test results. (See 17th Oct). I am inactive not true inactive what is meant by that. My virus has not reactivate do.

[Royal36]

The only way to reduce Hbsag is by being on treatment with combo drugs like peginterferon, tdf & replicor(which is not yet on market).

[Mrr49]

Still confused as my doc. says I am not active & minimal risk of hcc & cirrhosis.
He has never mentioned cccdna or what is going on in liver.
How can I reduce hbsag apart from vit d3?
Thanks

[stef2011]

Check older posts for full explanation

hbvdna is only virus replication, not infected cells in the liver, cccdna and integrated viral dna in our own human dna, two different things.hbsag is used by hbv to suppress our immune response, not the only mean to do it, but the most potent probably

5000iu/ml is not low, less than 1000iu/ml shows some immune control, hbsag undetectable gains immune control by getting free hbsab antibody

[Mrr49]

Why was I told by doc hbsag was mostly empty shell?

[Mrr49]

Hi Stef
Can you explain why my hbvdna is blq (below level of quantification) but my hbsag level is 5000iu/ml. Is this still a low level as I have read on this forum
much higher levels. I am inactive carrier. What exactly is happening as I asked before does this reading mean I have 5000 virus in my liver?
Many thanks

[stef2011]

it is ok but i will stay with max safe level of 10.000iu daily if you cannot check it, 5000iu daily might be easily insufficient

vit d here is 16€, very cheap

[twinboys1girl4me]

With insurance, as long as you do not have a deductible first, shouldn't be expensive to test vitamin d.  I did see not long ago while I was at Sonora Quest waiting they do offer some tests without a doctors note and vitamin d was one of them.  Of course it's cash pay (no insurance) but think it was very responsible, in the $30 range to test vitamin d.  

[Ram1982]

My Vit D3 suppliments for 3 months got over now(Once in a week 60Kiu) I will start taking 5000 iu/ml every day. I am in US, I am not sure how expensive it's to check my Vit D3 levels although I have insurance. I will be doing it once I go to India innext year.

Vitamin B12 suppliment also got over. I am thinking off giving break for this as of now.

Please suggest if you have anything to suggest on this!!