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]

soda lemen water

yes keep it, i also take it, it prevents kidneys damage and in a study it reversed kidneys damage so that most did not need dyalisis anymore

[jcm60]

Sorry my mistake it is not trivia but TIRAVIR 300 mg . (Tenofovir disoproxil fumarate tablet) Also I am taking  Vitamin D 3 5000 iu x 2 Nos. daily make swanson & Vitamin k2 mk-7 100mcg. daily make Now.

For prostate enlargement Doctor suggested me urimax 0.4 mg.daily.

I checked cretinine & urea last month & the result was at par with the limit.Test due next month also . Previously you suggested me to take soda lemen water which i am taking daily.
Thank you,

[sorte]

how about USG when it comes to kidneys test, reliable ?

[stef2011]

i dont know trivia and i cannot help on other drugs i dont know, you should check with the doctor if they have potential for kidneys damage or interference with calcium/pth

the lower back pain is also experienced with kidneys issues (although many go to kidneys failure with no symptoms).i suggest check with doctor about kidneys issues too, the problem with the kidneys is we dont have tests showing damage when it is happening but only tests showing damage has been done.......for example when creatinine in serum goes up most kidneys are lost already (and this does not happen to all, many dont even experience any change in creatinine in blood)
creatinine clearance will tell you how kidneys function is, studyforhope suggested some other tests to see damage at early stage but i dont remember exactly, i think one was maybe urine microalbuminuria/creatinine ratio

[jcm60]

Thanks Stef ,
i checked with the lab. for the 24 hours collection of urine sample and taken the instruction from them. I will do this test soon with creatinine , urin phosphorus as well.
Fiine i will restrict water intake to 3 L.
I am taking trivia at 10 PM daily , is it correct to take in the night ?
Morning after breakfast i am taking Vit.D & Vitamin K-2 daily.
Also one more tablet for prostate enlarge i am taking at 11 PM daily.

I feel continues pain on my upper back behind chest.. Don't understand the reason.
Also reducing my weight as well.
Please let me know your views on it.
Thank you,

[stef2011]

when you  go for 24hrs urine collection add also creatinine clearance, urine phosphorus, these tests are very cheap, follow instructions on how to collect

4-5l is too much, go for about 3l, also too much water can be bad

the strange thing of your intact pth is that it regulates calcium too, so if ca is too much in blood pth must go down and kidneys filter ca to go in urine.the glands lose control of making pth when there is a tumor
so when we have all tests we should be able to have an idea about this ca in blood and where from