Aa
Aa
A
A
A
Close
Avatar universal

Best Treatment for HBv

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.
Best Answer
Avatar universal
only if hbsag goes less than 1500iu/ml peginterferon add on before 3 years of antiviral makes sense
170 Responses
Sort by: Helpful Oldest Newest
Avatar universal
I will be going 3 years with teravir then may be plan for IFN, aagin depends upon the result & Doctor opinion.
Helpful - 0
Avatar universal
You are about to complete 2yrs of tdf treatment. U can try IFN now. Is it sure that hbsag will go down to 1500iu after 2-3yrs of tdf. IFN must be tried in young age and works different in different individuals.
Helpful - 0
Avatar universal
Thanks Stef ,
Shall try to bring down the calcium first and then planned for Vit.D3 and Ultra Thistle.
Helpful - 0
Avatar universal
what is your say on it?

i know it helps with liver fibrosis, dont know if it has ny effect on kidneys


which is the best time to take this combo.

now to see if calcium goes down fast


I was thinking to bring back the Vit D3 to sufficient level

not now, bring calcium down fisrt
Helpful - 0
Avatar universal
Thank you Stef for your revert,
I was looking in the website and you also suggested some time back milk thistle now it is available ULTRA THISTLE 360 mg. what is your say on it?
As suggested by you i will go for vit A from cod liver oil , i am already taking vit k2 mk7 100mcg last 6 month. which is the best time to take this combo.
I was thinking to bring back the Vit D3 to sufficient level , if i take 60K vitmin D3 weekly it helps need your clarification.As you may have noted my PTH is very high beyond the range in this way i can bring down the PTH as well.
Looking fowar your suggestion as always,

Thank you,  
Helpful - 0
Avatar universal
TrY the combo of vit A from cod liver oil 10.000iu daily and vit k2 mk7 200mcg daily and see  if calcium declines even more, stay at least 3-6months away from vit d and ifthis combo works protecting you may restart vit d to keep at least min sufficiency
Helpful - 0
Have an Answer?

You are reading content posted in the Hepatitis B Community

Didn't find the answer you were looking for?
Ask a question
Popular Resources
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.