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Avatar universal

Shold I seek a second opinion?

Hi, I'm a 54 year old Asian woman and have had Hepatitis B all my life.  Many of my family members also have it and have not had problems as yet.  I was recently told my 'numbers' indicate I need to start meds for it and I was prescribed Viread.  A little background: in 2015 I experienced an extraordinarily stressful lawsuit.  I lost everything I own and was in hell that year.  I mention this because that's when my Hep V Virus DNA was at its highest, 63984 < 20 (IU/mL) & 4.80 < 1.30 (LogIU/mL), and I can't help but think stress contributed to the spike.  Now, 2 years later, the numbers are lower at 45569 < 20 (IU/mL) & 4.65 < 1.30 (LogIU/mL).  My logic says that if the numbers are lower, maybe I don't need to start the meds (I'm told this prescription is something that, once started, can never be stopped).  I also had a liver biopsy which indicated a normal but fatty liver.
To those more experienced than I, should I consult another doctor, or does this scenario sound appropriate to start Viread?  Any help here will be greatly appreciated.
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Avatar universal
I am 33 old male. I am not a Dr hence can not suggest either to start treatment or not but I started treatment this week (Entecavir .5 mg). Will see how it goes but to give you idea my numbers are:

HBV Load:  14,500  IU/mL.
ALT (SGPT): 42  IU/L
AST (SGOT) : 32 IU/L
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Are you okay?
Avatar universal
Yes I highly recommend to seek a second opinion.  
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Avatar universal
I am not a doctor. Yes, stress can adversley affect the immune system.
If you are HBeAg negative and your viral load has been over 2,000 iu/ml for over a year now, then treatment is necessary. Has your ALT been greater than 19 IU/L?
HbeAg negative with high viral load indicates the virus has mutated (precore/core promotor mutation), the viral load will not come down on its own. With elevated ALT, it indicates disease will progress.
It is not true that you have to take oral antiviral forever. You do have to take it for several years until you meet the criteria (such as very low serum HBsAg or HBcrag) for stopping or a cure may be available by then.
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