my feedback

[flyinsky]

hi everybody
here is my feedback from i know that i have heb till now
my biliburine prothrombine all in normal range


  05/06/2011(pregnant)
alt                   12
ast                   09
hbsag              2700ui
adnhbv            2500ui
hbeag and ab not done            
fibroscan          0.16kps
ultra sound       normal

     //11/2011(pregnant)
alt                   09
ast                  04
hbsag            3000ui
adnhbv          <20ui
ultrasound     normal
fibroscan        0.24kp
hbe not done

     03/2012'  (after delivery baby in january 2012)
alt                 16
ast                 12
adn undetectable  <12ui
ultrasound        normal
hbeag        ----
hbeab        ++99%inhibition
hbsag             3500ui
pre c mutant

    12/2012
nearly same results with march2012

     7/2013   (pregnant)
alat        26
asat       19
hbv adn    2600ui
hbsag       3700ui
ultrasound    normal
fibroscan      2.5kp
hbe ag -
hbeab+

january(feeling pains in arms and every where lUck of vit d  17ui
4/03/2014)
alat      166ul
asat       87
adn        44million

24/4/2014
alat   123
asat    65

7/4/2014
alat  111
asat 60

  22/4/2014
alat     169
asat    97

  10/05/2014
alat209
asat 102
adn   54 million

29/5/2014
fibroscan 6.1
  
7/06/2014
alat   156
asat    83

21/6/2014
alat     80
asat     49
fibroscan   7.4

05/07/2014
asat    49
alat     80

26/07/2014
asat    50
alat     78
adn     119 million
fibroscan  4.2

29/10/2014
asat   48
alat    70  waiting for check for 18/11(maybe fibroscan or biopsy)
viral load  80million
thans i  advance  about your opinions





    

  

[stef2011]

without treatment you better it does not start, it is immune system to damage the liver without making any difference to hbv.
you have to start tenofovir or entecavir for 5-10years to repair your immune system and then add peg, all the rest is just wasted time since 10years is not short

[melcul]

hcc is due to high viral load or hbsag or both ? can appear at any age/phase/fibroscan score etc or its just bad luck ?

[stef2011]

it is not known exactly but if you clear hbsag by the age of 50yo you lower the risk like those who were never infected, if you clear later it makes no difference

i think hcc is due to our immune system not clearing hbv and making inflammation and cellular damage.i read a study long time ago that said cells degenerate to hide from immune system and not being killed...maybe also this is part of hcc degeneration but it is probably a mix of inflammation, hbv integration in our dna.......how you prevent it for sure:
making hbsag less than 1000iu/ml on hbeag neg and of course no hbvdna and fibroscan less than 5kpa

[stef2011]

on hbeag pos/immune tolerant there is very little immune response so the HCC risk is very low whatever

[flyinsky]

and do you think with low fibroscan like 4.2 is it necessary to star nucs immediatly?

[flyinsky]

melcul few days before you waited for my check here it is but sure next time i will take treatment ,what about you?