As you know my fibrosis is 3 and the viral load is 557 million.This is my 4th week with Entecavir (before that I have not used any medicine).
Does it mean that my fibrosis will not go to 4 from that point and turn back to 2-1-0 because of Entecavir? or Is it possible to go to 4 even I use this medicine.
it is hard English. Difficult to understand for me:) Please be clear :)
absolutely and it is also on guidelines by now that high hbvdna leads to pegintf non response, we know all the pathway by which hbv blocks intf
i think that the best approch is mine, all thanks to pisa researchers who shared some data since 2009 about avoiding peg all at once or combo peg+nucs all at once and starting by longterm sequential treatment
since we also know that nucs are necessary to recover some immunity for the add on of immune modulators it makes sense to make hbvdna und first and then try all immune modultor drugs available or vit d and gcmaf
i dont have yet my sister's results as hbsag but as an example she had no effect from gcmaf and vit d on hbvdna and alt, so according to me making hbvdna und is mandatory to expect good response from peg, gcmaf, vitd and so on
the apporach is ok... better lower DNA before ifn... ifn may also lead to heavy flare during therapy so they can be dangerous in your casw with F3..
am I right Stef?
Doctor was thinking to start with interferon. But after he saw my HBV DNA and Fibrosis, he started with Entecavir.
Thank you for all of your shadings dear friends. I think he plan Tenefovir as the ultimate or alternative weapon if Entecavir does not work.
Do you think that if I have a health life style and goof eatings?
MORNING
07:00 am ; eat one dessert spoon of black seed (nigella sativa) with honey and continue sleeping
08:00 am ; eat one dessert spoon of honey-royal jelly-propolis-bee pollen mix and continue sleepig
08:45 am ; wake up and breakfast (bread+white cheese+juice) plus garlic
09:30 am ; start working (by computer in my office)
NOON
12:00 am ; lunch (with vegetables and a little bit meat)
13:00 pm ; start working (by computer in my office)
AFTERNOON
16:00 pm ; a little bit junk food (such as; biscuit)
17:30 pm; stop working
EVENING
18:30 pm ; at home
18:45 pm ; dinner (with vegetables or fish ) plus garlic
19:30 pm ; fitness (15min treadmill and 7 exercises OR swimming )
21:30 pm ; stop fitness
NIGHT
22:00 pm; at home, watch TV (or internet surfing), and eat some fruit
23:00 pm; take natural turmeric (curcuma longa)
23:30 pm; eat one dessert spoon of honey-royal jelly-propolis-bee pollen mix
24:00 pm; go to bed
So maybe take Entecavir two hours after breakfast or two hours after lunch?
Don't be too concerned about taking the medication at the same time, but a routine does make you remember to take it everyday.
If you are taking antiviral treatment for the first time, the empty stomach rule is not that important, according to the label information.