All My Hep B Results HV DNA , LFT Advice please

[rockla]

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.

[flyinsky]

For food try to avpid lot of oil sugar and food wich is not healthy and wich make liver works more .eat lot vegetables 3fruit max.for sport try to do it is good for us hbv patien or for healthy people.drink water avoid coca Pepsi and so one try to prepare what you eat.
I eat lot vegetables wich I prepare my self;I don't like and don't drink coca.....i walk every day one hour (with my children).
Eat bread with complete cereals once a month or twice I enjoy my self with some cake or chocolate or pizza.
Also I take natural supplement honey plus black seeds plus jelly royal plus propolis.to boost immune syst.

[rockla]

Thanks , I asked my doc and he said fibroscan is not needed i was talking on phone will be visiting him tomorrow and will be asking why he did he said that.
Also medicine name would be given by the doc.

Anything else i should be asking ? He said I can eat any food , exercise is not mandatory whats your take on food and exercise ?

[flyinsky]

I cant tell you if your viral load do damage or not some times very high viral load  don't do damage and contrary.for this you have to do fibroscan or biopsy because you have no data before this.maybe in the past you had an activation of virus and you don't know maybe not.so when you discover for the first time you have this illness docs wait and put the patient under monitoring to see the evolution and how your body react towards.
For side effects some sides effects can be controlled like bone loss .you should check your vit d and ca .for kidney try to drink lot water and your doc will do necessary don't worry.those antiviral are always under studies for viread is used for HIV patients and recently shows it effective on hbv and it hasn't long time to be used by hbv patient but it is well supported.baraclude also many patients take it some times resistance observed.so it is the Jo of you doc to decide.

[rockla]

Also does the medicines have serious side effects can't it be controlled I. E side effects

[rockla]

What's your opinion on fibroscan so you think with load of 35000 liver would have been damaged I have never taken alcohol in my life

[flyinsky]

You don't feel any thing in taking antiviral but you should be always under monitoring like bones density.kidney function and other test.don't worry when you are followed by a good doc he will check every thing .many here take treatment over years and they have no side effects.others do.
You can read here in forum the experience of many patients takingtreatment.
But before taking them;you should do fibroscan because treatment is imposed when you have f2fibrosis.ask your doc about this and he will explain to you