to dfine hbv status correctly:
fibroscan, only tool to monitor liver damage or repair accurately
hbsag, reflects infected cells and balance hbv/immune system
hbvdna, virus replication but hbvdna undetactable doesn t mean there is no virus replication.more a measure of antivirla efficacy
ast/alt hepatocytes lysis in the moment you take the test
hbeag, very good if positive, when positive virus has nt yet mutated and escaped a step of our immune respose to hbv so therapy has more chances to clear hbv
there are no hbv cures and monotherapies hae very poor clearance but sequential treatment tenofovir and then peginterferon add on has show for the first time good rates of hbv clearance.the goal of all therapies is hbsag negative and not just hbvdna und
all meaningless without hbsag in iu/ml, hbeag and fibroscan
hbvdna alone has very little meaning out of therapy because hbv life cycle and replication is not hbvdna and also the values of ast/alt and hbvdna have little meaning as regards liver damage
anyway you may expect low liver damage with such low hbvdna but only fibroscan can confirm
with a low hbsag less than 1500iu/ml you have good chances to clear hbv with interferon+tenofovir especially if hbeag pos