tenofovir treatment

[rohul]

please help me doctor stop my tenfovir because my anti hbs was positive 22.87
and lft was 200 and my dna was < 20 in march and before my treatement my dna was 46 i/uml but lft was elevated but after 10 months of treatement it was 200 in one month back
now doctor want to start my medicine again as my hbsag quantity was 13456iu/ml please help me to start the medicine again is it a good decision

[Bm2016]

Your report shown currently you are still chronically infected with hbv, need to be treated with life long medication, but again, it is your body, you can do whatever you want with it.

[rohul]

thanks but my liver enzyme elevated after antiviral but since last one moths my liver enzymes alt is 65 which was exactly same when my treatement started my fibroscan show 11.9 kpa
biopsy show f4 still the reason is not clear

[Bm2016]

your favor option will be restart the life long treatment, and find out the cause of high alt, and check the health of liver using tests such as ultrasound, liver biopsy, fibro scan, it might not be a bad thing as high alt  may mean inflammatory or injury to liver, in case of just no injury and just inflammatory due to your own immune system responding to the hbv virus, it may help to clear the virus, in that case, you might have a chance to get off the lifetime hbv medication.

[rohul]

today my hbv dna report came it show 6.22 iu/ml without antiviral please sugguest what to do now

[Bm2016]

when I experienced high alt, over 200 at one time,  while taking truvada my dr was also very concerned if any damage to liver, then switched me back to viread, and alt was still consistently 80 to over hundred.  (I was taking lamivudine, hepsera initially around 2004 and was told the hbv mutated only in a few months, then switched to viread, and the virus was quickly under control in a few months, the dr. saw a good success rate, and asked me to try travada)

here is my opinion, find out what cause high alt first before stopping the pill.
and make sure only hbsab is positive while hbv dna and hbsag are both negative.  It seems like only good friend here is hb surface anti body.

[rohul]

pill has already stopped last moths and now doctor want to restart it again but my concern is my high alt during the treatement please sugguest

[StephenCastlecrag]

My opinion on HBsAb positive while HBsAg is also positive has been expressed to you previously. What do you mean by "lft"?
Treatment decision usually depends on hbvdna and ALT.

[rohul]

my treatement was stopped last months when my alt was 200 and now alt has come down 63 but hbsag quantity is 13000 and now doctor want to restart the medicine do you think it is good ?