So, what to expect now? Just carry on with entecavir and do regular blood tests to check if HBsAg quantitative decreases?
This whole thing is confusing. First of all never knew that I have this virus, by chance it showed up in blood test done on 1 February 2016 for insurance purpose. It camr as a shock as I never had any symptoms that may suggest I have hbv. I am 46 years of age now, don't know how long this virus has been in my body. My doctor is sure that it is not by birth.
Now I learn that taking antivirals will increase HBsAg initially and then decrease it. If I don't take antivirals then what happens? Sure liver damage in near future?
Doctors do not educate the patient. It's on this forum that I learnt about vitamin deficiency (when I Informed my doctor about my vitamin D deficiency, he said it is very common thing in India), I did not know anything about HBsAg quantitative test. Thanks to people like Stef, Aduiski, Stefen, and all others.
Thanks antistr
My doc says very small risk & the first thing to change is dna/alt & they will then consider treatment to decrease levels & bring back to what my immune system is currently doing. So risk of hcc/liver disease is very small.
Thank you
Good luck
I understand it is dna/alt that causes hcc, although studies say hbsag1500, dna und is about the same risk as most people without hbv. Is my 5000hbsag likely to stay at that level, decline or increase. Why am I told very small risk, more chance of being hit by lorry/struck by lightning. I get very conflicting info. Told don't need treatment so what will/could happen next? How does my hbsag level compare to other hbvers.
Also I thought around 1500hbsag is a good sign, he is 1666?
Although as I said his alt/dna are high.
Are you saying I am not in a safer place?
I am told I am inactive after accounting for my overall results over 23yrs.
It is just there, benign, not doing anything & he says it just means I still have the virus, nothing more.
Also is it because his alt & dna are high that he has risk.
I am told I will die with NOT from hbv.
After 23+yrs since diagnosis I have a perfect healthy liver, no inflammation or fibrosis/cirrhosis. Just monitored annually.
I have been told I am very lucky.
My hep. doc says I will not develop hcc or liver damage & I have 5000hbsag.
Alt 33, dna und. Never been more than 500. Everybody seems to be obsessed with hcc. Most people with hbv live normal long lives & die of other things.
Aduiski on this site read all my results & told me to live my life I have less than 1% risk of hep b probs my doc says 0.3% risk. How if I have 5000 & sphereaj has1666 he is at risk & my doc says I am not.
you need 5 to 10 years to see an effect on hbsag, a reduction of cancer risk and repair liver if damaged
if you are one of the lucky 1-5% you ll see hbsag going down, if you are like most you may see an increase first 2 years and then decline after 3 years
some dont get any decline but peginterferon add on after 5 years of etv makes a lot of responders with hbsag decline
Dear Stef
My HBsAg quantitative is 1666.10 IU/ml, what do suggest I do? Continue with entecavir for 1 or 2 months and do tests again? And if needed switch to tenofovir?
What are the chances of clearing this?
Hi Stef
Please guide.
My HBsAg quantitative result is 1666.10 IU /ml
Rest of the results are posted above.
Should I continue entecavir 0.5mg and monitor the outcome?
What are the chances of clearing
Indeed there is. Most people in 40ties have their hbsag value 3 logs something, just like him.
In fact all results except HBsAg quantitative are before I started taking entecavir
Thanks again Sorte
The both ALT results are before entecavir treatment
140 on 1 February came down to 69 on 12 February without medication. I started medication just 12 days ago
So compared to 15000 a reading of 1666 is certainly low, that gives me some relief. Thanks
Thanks Sorte for clarifying about about expected HBsAg quantitative reading at certain age
This HBsAg quantitative is after 8 days of entecavir. So as good as a reading prior to starting treatment (I can use this as a baseline reference) right?
Thanks joc2011
Any chances of clearing this?
Is the HBsAg quantitative of 1666.10 IU/ml
Low enough to clear?
Also experiencing some mild pain under right side ribs after starting entecavir
Thanks Aduiski
Any chances of clearing it??
Hbsag value is about as expected for your age.
Now that u decided to start, maybe it would be better to continue with it.
Sorry for above comment (looks like cannot use certain symbols)
For this HBsAg quantitative the reference level is LESS THAN 0.05 IU/ML
Less than 0.05 non reactive
More 0.05 reactive
For HBsAg quantitative the bio reference is < 0.05
= 0.05 reactive