how much it cost "hbsag quantative with dilution" in india. ?? i asked dr.lalpathlabs in our town (vijayawada,andhra pradesh,india)..they said 1200 rupee.problem is the person (girl) who attend my call hesitated to give the answer about dilution ? she callback to me after 15 min ..said yes we will do hbsag quantative with dilution ...so can i trust them ?
interferron response can be predicted with better confidence level if used for longer duration.(not guaranteed but with good chances)
best prediction needs 24 weeks.
better prediction needs 12 weeks
good prediction needs 4-6 weeks
I presumed hbe neg.
Intf response is checked on the 12th week not in 1 month.
perhaps sleepyeinstien is hbeag+.
if you go by hbsag<1000 for hbeag+ , then perhaps nearly no hbeag+ would be recommented for interferon as hbsag is generally very high in hbeag people.
best thing is try and see, even if there are slight chances, better give 1-2 month trial and see results than only hoping.
Intf along works more or less well only on hbe pos, for hbe neg independant of the alt hbs clearence rate is less than 10%
though viral load is high, but it is common in immune clearace phase. your alt is high, so interferon may work well for you. there is no general rule for starting interferon except high alt all other parameters are very much dependent on individual immune system working.
your age is only 25, so personal suggestion for now, donot start antiviral at any cost atleast for next 5 years.
as new things for better treatment are on the way 2017.
rome70 is correct do hbsag quantative with dilution in iu/ml before interferon. and your doctor is right go for pagasys before your alt will come down. you must decide early to get most benefitted.