Is it possible to still have elevated liver enzymes after clearing Hep B?

[luckyman316]

Just got my lab results back. Every time I have gone to the doctor's office, I get it back and he usually leaves a note "Still Hep B positive". However, this time... it did not say it :) (my last visit, he said I was HepE-antigen negative and Antibodies were positive)

So my question is pretty much in the subject, especially since the liver enzymes went up a little bit since last test (AST is at 47, ALT is at 105)

FYI, I also had a very low Vitamin D levels (big time) and low testosterone, both are fixable of course..

P.S.
Now up in the air about that liver ultrasound, especially since all other levels are within normal range.

[luckyman316]

Thanks for the comments, calebz. When I first learned of the HepB (In August), I was EAntigen negative and Antibodies were also negative. This has converted for me. I do realize my ALT is 2x the normal range (It did go up from last test) but that was my question... is it possible to see this, even after clearing Hep B

My doctor has dealt with plenty of Hep B patients and told me that the numbers he has seen for me (numbers I don't see), are from an acute infection and he'd rather not send me to a Hepatologist if I absolutely don't need it.  Granted, I could go on my own as there is one very close to me who specializes in clinical trials. My doctor also said that in his profession, he's seen people clear it as long as after a year.

For my own piece of mind, I'm still gonna do the ultrasound he prescribed.

[calebz]

The fact that you seroconverted the E antigene does not mean you are controlling the virus. What is considered a full recovery is the HBsAg seroconversion with antibodies for HBs present.
Your ALT is more than 2x ULN norm range.

In other words your doctor might be an idiot, try consulting a hepatologist that works close to clinical trials so hes well informed with current guidelines.