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Hbsag quantative test in Europe

Hello,

Since we don't have this test in USA. I'm planing to do it in Italy while visiting Europe next month and I have the following questions:

1) where in Rome I can do the test?
2) how much will it cost me ( hbsag quantity, genotype etc...)
3) do I need an appointment or I can walk in?
4) do they speak English I hope
Best Answer
Avatar universal
the best place to have it is private labs like synlab because in public hospitals it may be difficult to get access

1) where in Rome I can do the test?
there is a very small lab in rome collecting samples and shipping to main sylab laboratory.it is ll ok but not in the rome center, getting there by public transport very messy, you ll have to take a taxi
all public hospitals and many other private labs have hbsag quant but i dont know if you have access

a very good lab i know in civitavecchia (which is 30-45min train from rome) have both hbsag quan and nagalase test available

synlab is everywhere in the north with their own labs,milan is full of their labs, verona, florence, forli, cattolica too

2 hbsag at synlab is about 50€, i dont know for genotype and other tests.email them, they also have ip10 and other research tests available, oxidative stress tests and so on.hbsag in public hospitals is 8€ for italians and free for italian chronic carriers

3 no appointment but you have to explain carefully the type of test because they dont know it at reception (while public hospitals know the test) and confuse that with hbsag qualitative, hbsab quantitative or hbvdna
they have roches elecsys

4 i guess they do, better email them and have appointment so they dont make the wrong test

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Avatar universal
vit d might be lowering your hbvdna, although we cannot say for sure because response to vit d varies so much, it may be possible it gets hbvdna lower

i dont know i would not stop vit d and would force doctor on pegintf treatment
Helpful - 0
Avatar universal
I think it is safe.
My case: without medications 3 years.
fibroscan  (for the first time I did) 2 times during last 6 months without change (always F2),
hbsag was going down during this time.
Hbvdna was going up.

I am hoping that I am right:)
Helpful - 0
Avatar universal
Guys I'm a bit panicking is it safe to wait 3 to 6 months to my professor to finish her analysis before starting interfron? or does HBSAG quantity raise fast during the 6 months from 220 iu to above 1000?
Helpful - 0
Avatar universal
I wish my professor agree to this as my viral load since I started checking it in 2007 fluctuate between 900 iu and 30000 iu
Helpful - 0
Avatar universal
With your hbsag of 220 iu elevated ALT and High viral load you should start interferon treatment immediately. because

1) With so low hbsag you have a good chance to clear it by INF
2) If your VL stays that number most likely more cells will be infected in the  liver and HbsAg will go up never to return to so low figure.
3) High ALT means that your immune system is not fully fooled by HBV and responding to the virus so it may well respond to INF as well




Helpful - 0
Avatar universal
I've received my results today and my viral load is now 9400 iu/ml with ALT 55 and AST 35. The professor still undecided on treatment and suggested another same tests in 3 month from now to decide if treatment is necessary.
Helpful - 0
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