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.

[jcm60]

Thanks Sorte , noted its quite useful..

[jcm60]

Certainly Stef I will go for 24 hours urine test , regarding water i take 4-5 litres daily .I got the water test report for my home & the result was Calcium NIL but  my office water the value is around 10-20 .. looks high..
KFT test i am plannig to do next month & shared the result with you.

Thank you..

[stef2011]

you may also check
urine calcium by 24hrs urine collection
ionized calcium

this will tell you more about calcium kinetics, before you get rise of ca in blood  you get rise of ca in urine.maybe there is a problem with kidneys, if there is low kidneys function you may have problems in ca, pho etc

[sorte]

not sure how in other countries but here vit d 25 is in ng/ml
here's a coverter if someone needs it http://www.endmemo.com/medical/unitconvert/Vitamin__D.php

75-250 nmol/L = 30-100 ng/ml

[stef2011]

Calcium, Serum

are you on low calcium diet?since then?are you on 2.5l of low ca water (ca 2mg/l or at least less than 5mg/l)?

[stef2011]

174.12 nmol/L still low, it is 70ng/ml.do not refer to ranges they are meanless because vitd25oh cannot tell if there is sufficiency in the tissues if not confirmed by intact pth, you have to go for 100-150ng/ml range at least

your intact pth confirms you are severely deficient on D, if you like you can stop using vitd25oh test and just refer to intact pth and calcium, i do so because vitd25oh is useless for me too