Best Treatment for HBv

[jcm60]

I am 53 years old last month I have went for preventive health check up and based on the report findings the followings noted; SGOT 83 IU/L ,SGPT 200 IU/L , Doctor recmended me to see the Gastro.consultant , the gastro.consultant advised me to go for others test the result are as follows: Anti-dsDNA 16.6 IU/ml. , HBsAg test value 9520(Reactive) ,HCV,IgG test value 0.12 ( non Reactive) ,Anti Nuclear Antibody ( ANA) 0.12 , Immunoglobulin IgA 279 mg/dl , Tissue Transglutaminase antibody IgA 0.40 U/mL , Anti Mitochondrial Antibody , Serum 0.26 UL/ml , ASMA 2.70 U/mL , LKM Antibody 0.02 U/ml , Hepatitis B envelope Antibody test value (Ab) 43.0 ( Reactive) , Hapatitis Be Antigen ( HBeAg) 0.15 ( Non reactive),AFP 4.38ng/ml  , HBV DNA Quantitative,Real Time PCR 5156250 IU/ml. Based on this the Doctor advised me for the treatment  Tab.Entavir 0.5 mg one daily. Here i went for second opinion with Lever specialist consultant and he advised me to go for Fibroscan which the result is 5.91 Kpa ( Negative for fibrosis).Now the lever specialist advised for Viraferon Peg 80 mg once in a week and monitor CBC & S creatin every 15 days.I have not started the treatment yet as I am going out of India for 1.5 months as Doctor told me that this treatment will be given under there supervision , please suggest which treatment is suitable under these report.Also with vaccine this problem will be solved and how long i have to take this treatment.

[stef2011]

this pth level is so strange, if there are no troubles with Parathyroid scan i d suggest to supplement with vit d cofactors like magnesium chelate 400-600mg daily, vitamin A retinoids about 3000iu daily.maybe vit d is not workign because there are other deficiencies but the very strange thing is calcium is high and pth is out of range.

when calcium is high pth must go down if not so there is something in Parathyroids not working, some parathyroid glands disease

it is best to lower vit d for now, what did Endocrinologist suggest to lower calcium?

[jcm60]

Hi Stef
Todays I gone for Bone blood anylisis , followings are result:


Vitamin D,25 Hydroxy:
- on 8 Nov.2013 : Vitamin D , 25 - Hydroxy ,Serum ( CLIA ) 41.05 nmol/L.
- on 22 June 2014Vitd25oh :18.22 ng/ml.
- on 24/8/2014 : 51 ng/ml.
- on 8 Nov.2014 : 51.2 ng/ml.
- on 5 Feb.2015 : 157.55 nmol/L ( Sufficient range 75-250 nmol/L )
- on 7 march 2015 : 164.50 nmol/L (CLIA method) Range 75-250 sufficient)
- on 3 April 2015: 174.12 nmol/L ( CLIA method - Ref.renge 75-250 sufficient )
- on 1 May 2015 : 65.2 ng/ml

PTH ( Parathyroid Hormone) Intact, Serum :
- on 5 Feb.2015 : 73 pg/mL ( Ref.Interval 14 - 72 )
-on 7 March 2015: 86.60 pg/mL ( CLIA method Ref.range 14-72 )
-on 3 April 2015: 73.60 pg/mL.
- On 1 May 2015: 83.80 pg/mL.

Calcium, Serum:

- on 23 Feb.2015: 10.60 mg/dL ( Ref.range 8.8 - 10.60)
-on 7 March 2015: 10.50 mg/dL .
-on 3 April 2015: 10.50 mg/dL.
- on 1 may 2015: 11.20 mg/dL.

Phosphorus,Serum:
- on 23 Feb.2015: 2.00 mg/dL. ( Ref.Range 2.40-4.40)
- on 7 March 2015: 2.20 mg/dL.
- on 3 April 2015 : 2.40 mg/dL.
- On 1 may 2015: 2.30 mg/dL.

First time I did the test for Calcium , Ionized , Serum : 1.24 nmmol/L. ( Reference range is 1.16-1.32) don't know much of this test , please let me have your comments.

My question is the value of Calcium ,Serum is on out of reference range mean on high side and the PTH is also not coming down , the vitamin D,25  serum also almost same as one month before. Please let me have your comments on it.
Last one month I have severe pain on my upper back just behind chest. Don't understand the reason.

I met with Doctor Endocrinologist and he suggested to go for Parathyroid scan which i  am doing on 4 May 2015 , this test is slighlty expensive @USD 140/

I am still taking Vitamin D3 & Vitamin k2 mk7 , let me know should I continue Vitamin D3 or stop for some time.
I am taking 3 litres water with 0 calcium on it.

Looking forward your suggestion / comments.

Others test like qHbsag , HBV DNA and kidney test , LFT will be done next week as a routine six monthly.

Thank you,

[jcm60]

Thank you Stef , Shall follow the instructions.

[stef2011]

They are the same and cipla is a good brand.remember you have to take with food, anytime si ok with food

[jcm60]

Hi Stef

Need your suggestion , till now i was taking Teravir 300 mg make NATCO now this company stopped making the medicine or out of stock , I have purchased Tenvir 300 mg CIPLA make . Please suggest both are same salt.. Also I am taking this tablet daily at 10 PM , Is this the correct time.. Thank you,

[jcm60]

Thanks Stef , you are a great help..