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All My Hep B Results HV DNA , LFT Advice please

Test Principle : Real Time PCR

Target Selected : Highly conserved pre-Core/Core region of the HBV genome across A-G genotypes is selected for amplification & detection.
Equipment : COBAS AmpliPrep and COBAS TaqMan

HBV - Hepatitis B Viral load (Quantitative) 35,935 IU/mL
Log Value                                               4.56


Test Details:
Limit of Detection: 20 IU/ml
Measuring Range: 20 - 170000000 IU/ml
Conversion Factor: 1 IU/ml - 5.82 copies/ml

Antigen Results

HBeAg-Hepatitis B Envelope Antigen
(Serum,CMIA)                          NON REACTIVE(0.41) S/CO Non Reactive: = 1.0
Anti HBe-Ab to Hepatitis B Envelope Ag
(Serum,CMIA)   REACTIVE(0.25) Ratio Non Reactive: > 1  Reactive:  250.00) IU/mL Non Reactive:  250.00) IU/mL Non Reactive: < 0.05

Can you advise how does it looks overall ? I would be going to hepatologist to give further advice as my partner wanted to clear the doubts before marriage.
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Avatar universal
He has given me the medication for Tenofir(I'll confirm the name) and he says i dont need to go through fibroscan since my load is high and in anyways i have to bring down the load whether or not fibroscan reports show positive or not also he says if you want to go through go ahead but not taking medicine and relying on chance that it would go down is just a possibility which are you trying to do as you plan to get married its important to bring down the load.He even mentioned that if you want take another doc advise infact he said take 2 more doc advise since the second doc opinion is going to be confusing so better visit 3 docs.


Finally he mentioned that reason why fibroscan is not required is because its better to take precaution and slow down the virus now instead of taking a chance.

@jcm60
What's the cost for fibroscan there ?
Helpful - 0
Avatar universal
Hi , If you can visit Delhi .. please take appointment with Institute of Liver & Billary Science ( ILBS ) this hospital is known for liver treatment only  also they have the latest Fibroscan machine.. I am taking the treatment from them ..Visit their website and take appointment..
Helpful - 0
Avatar universal
go for fibroscan anyway that s a test we all must do yearly unless one is on antivirals with hbvdna und and normal alt since years and already knows fibroscan baseline was normal

i d consider another doctor because the choice to treat or not is based on liver damage mainly, looks like this doctor is not updated.members from india posted a center which is very updated and one of the best internationally
Helpful - 0
Avatar universal
And what would be your advise should i start treatment ?

My doctor was telling me that presence of Anti Body to Antigen E positive is more dangerous than HbeAG + for which i'm negative
Helpful - 0
Avatar universal
Thanks Not sure why my doctor didn't want me to go through as per other doc its done to know stage of liver cirrhosis and whether treatment given is being responded or not but still I'm gonna ask the doctor for reason why i should not go for fibroscan
Helpful - 0
Avatar universal
Your viral load will fluctuate so now its 35000 iu and if you test next day it will be less or more so usually a good doctor will run full tests every 3 months for a year to find out the pattern and if you are precore mutant (chronic eag negative) or inactive carrier. If you ask me now i would say you have chrinic eag negative but a fibroscan is a must to see if you have fibrosis. Also hbsag quantitative is helpful. If you want an example of tests check my profile and you will see how hbv viral load fluctuated in my case
Helpful - 0
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