hepatitis b

[philoking13]

> greetings of peace to everyone, i was diagnosed with chronic hepatitis b and was confined for 12 days. sgpt was 7000 on the first days then down to around 600 by the time i was discharged. a week after discharge, sgpt was down to 240. no liver biopsy nor fibroscan was done. hbv-dna was 1620 IU/mL. the doctor said i will have the dna count after 5-6 months. im on a strict diet, low protein, fruits and vegetables. i am taking lamivudine and vitamin k.

> i would love to have new acquaintances who have the same situation as I am, share the experiences and the recovery and way of life. i am scared, i have to admit. i did make a sort of half serious statement that i am giving myself until 50 but this reality struck me and i want to hear hope from those who have been living with it.

> the gastroenterologist, during the first follow up was somehow in a relaxed state during our conversation. she seems positive every test will yield good results in due time. although the infectious disease doctor had a worried face because the sgpt count is still high

> i would love to hear from you.. let us exchange stories. my email is philo.***@****

> the Lord keep us all.

[philoking13]

by the way, my case is really chronic. i have HBsAg and that's only for those who have chronic conditions, according to my doctor.

[philoking13]

You got me worried Stef2011, I went to my gastroenterologist right away. good thing she is just a couple of miles away. According to her, Tenofovir is not available yet in the Philippines. Probably costs $20 a piece. Interferon is also very expensive for a common Filipino at around $12,000 for 6 months. that's a lot of money for me considering my economic situation. that's about the whole 2 years of my salary granting i will not be spending it. how poor right?

by the way, how do you know all these things? i looked at your profile. ur working at a hepatitis research center?

thank you for your response

[stef2011]

i'd definitely change doctor, also consider that in the phillipines doctors are dangerous prescribing hbv drugs whose development has been stopped in the rest of the world for heavy sides and mutations

labs and hospital are missing the main tests to follow hbv infection too, hbsag quant and hbvdna pcr with high sensibility

[stef2011]

ask him to use tenofovir instead of lam because you don t want any risk....

or put it very simple to him if any hbv mutation will happen i sue you, what drug will you prescribe to me?

[philoking13]

hello. im practically following doctor's prescription. i read the mutation thingy. the issue of not being used anymore i have to research. i'll ask my doctor about it.

[stef2011]

i am taking lamivudine and vitamin k.

why lamivudine?tenofovir is the safest hbv drug with no resistance, lamivudine is not used anymore from years since it makes virus mutations very easily
what about your hbcab igm?your hbv is probably acute

high alt is a very good sign in acute hbv it mean your immune system is destroying all infected cell and clearing virus.at the same time liver function must be monitored just in case that immune reaction is too strong but this happens only in 1-2% cases

tenofovir is a much better drug than lam, also entecavir is but once you take lam it is not sfe because can become inefecctive