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Avatar universal

G3 UND @ 4 Weeks ~ Can we shorten tx?

Hubby is/was G3..cleared @ 4 week psr. He kept the dr that I fired, cuz it was only for 24 weeks & he didn't have the concern for liver damage that I have.
"Dr" has told hubby that he can shorten his tx..hubby has completed 5 months.  "dr" says hubby is done.
Pls advise. Is this prudent? Hubby contacted dr for last shipment of meds & dr would not OK the final shipment, saying he's ok to stop.
I've seen posting about shortened tx, but would like to see feedback all in one place.
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Avatar universal
If your husband has not had any severe adverse reactions to the treatment I would complete the 24 weeks. Why take the risk?

Most treat for 12 months or longer. Some multiple times. Why would your Dr refuse treatment when he is aware of the potential for relapse?

To save insurance company $$$? I wonder what the motivation would be...

Don't let your husband become a Lab Rat for their statistics on shorter treatments for Geno 3s. It's all a guessing game.

Insist on completing the 24 weeks - Put your requests in writing. Get another Dr involved for a 2nd opinion FAST.  
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Avatar universal
Thx for the input...I wasn't ignoring your question, Marcia.  Truth is, hubby never got a number for the VL...we're pretty sure that the test was done...we just never got that number.  Hubby is currently trying to chase down or PCP...she's been cc'd on all this stuff.

thx, ladies...& Merrry * Merry ** to you & yours..
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Avatar universal
I looked at dr Thomas Berg's suggestions for geno 3s. He is a famous German hepatologist who has researched individualizing treatment. He says if you have low baseline viral load (below 400,000 or 600,000 IU/ml), no cirrhosis (F3-4), HCV-RNA less than 10 IU/ml at week 4, weight based ribavirin dose with no significant dose reduction, then you can consider 16 week treatment.
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Avatar universal
Shortened tx provided you are UND at week 4 of course.

Good luck!
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Avatar universal
Is your husband on weight based dosing, ie 1.5 mcg pegylated interferon per kilo and about13-15 mg ribavirin per kilo?

In my country, Sweden, the recently updated guidelines for geno 3 are that treatment can be shortened to 16 weeks for geno 3s if they are on weight based dosing. However, it is stated in the guidelines that this means 10% lower SVR rate.
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476246 tn?1418870914
What was your husbands baseline Viral load?
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