It is possible hbv vaccination loose its strength over time, and require booster shot, or failed since beginning.
I was told cccDNA is the template maker for hep b virus, rooted deep in liver cells where no current drug or technology can reach.
Hep b surf antibody is produced by immuse system to supression the virus, if immuse system is supressed by chemotherapy or other immuse supression drug, there is a chance for hep b virus become reactive again.
I just had a chat with a dr. who just finished research and training, at harvard, Massachusetts, specialized in hepatitis, i am in the same boat, but i was a chronic hbv since birth, where now my hbv dna is not detected, hbv surf antigent is negative, hbv surf antibody is possitive, but i dont know my numeric value.
The dr told me to avoid any medication that contain steroid, hormones, that can affect the immuse system. Tylenol is ok, and not recommend to donate blood, or organ, may need to monitor the hbv surf antibody level for a little longer, 10ui/ml is considered positive, but a strong hbv surf antibody level is considered to be at hundreds ui/ml
Oh, also, the dr said once you have hbv surf antibody, you will not transmit the hbv to others, and other will not transmit hbv to you by contact either
Is your HBe antibody and HBe antigen negative as well?
I was under the impression that once you had a chronic infection you would never get the surface antibody.
My blood report from 2013 shown my hbv e antigen is non reactive, my hbv e antibody is reactive.
The dr. just warned me that some allergy medication may also contain steroid, safer to read the label for ingredient before use.
I am the lucky less than few percent chronic hbv patient that got hbv surf antibody by medication per year
Thanks, this is all great information and it is much appreciated.
It is possible that the HBcAb is a false positive. Because it is positive, your doctor concluded that you have recovered from an acute/chronic infection. If HBcAb were negative, then your results are consistent with having received HBV vaccination.
In the past few years, they discovered that patients who recovered from acute/chronic HBV infection, that is, HBsAg negative and HBcAb positive, may re-activate their HBV when undergoing immune-suppressive treatments. As a precaution, they would administer HBV antiviral treatment before these treatments. Usually, they will also stop the HBV antiviral treatment after the end of immune-suppressive treatments.
Thanks Stephen, this is all great information. My last question is should I still be worried at all? Is an immune-suppressive treatment the only way my HBV could reoccur? I am a healthy 20 year old male, what are the chances that it will come back in my lifetime? Does me having a low surface autobody count mean that I am more likely to get it? Or is it that you are either immune or you aren't?
Keep you immune system in a shape, so no alco/drugs, healthy diet cut sugar and artificial food, sport, good sleep. Test your vid d3 level especially in winter and supplement when necessary. Think about some probiotic, according to recent knowledge, gut flora has big impact on our immunity. I read also that intermittent fasting "resets" immune system in some degree.
Thank you for all this information I really appreciate it Steven. Is this correct what sorte is saying about my immune system? Do I need to do all these things if I am no longer infected? If it can't spontaneously reoccur then why would I need to worry about my immunity?
Thanks Stephen, its hard to find information about the disease. Even my doctor was clueless about most of my questions. I really appreciate the responses, I've been worrying about it all week but you've put my mind at ease. Thank you!
I join the others to say that you have nothing to worry about hepatitis b infection. Your immune system has successfully cured the infection, as is the case in >90% of those infected at adult age.
You don't have to worry about the Hbc Total Ab positive as well, because this is always the case with anyone who have once been infected with hbv. It is a kind of a marker that someone was once infected with hbv, it stays in the body for life, regardless if someone is cured or not. The most important thing is that you have an immunizing amount of HbsAb which would protect you for life.