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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
maybe it would be advantageous with a high hbvdna prof an lok or studyforhope have more knowledge on this for sure

i mean:
peginterferon+sim (which we should consider pegintf mono, no real data on sim add on for hbv) vs peginterferon+tenofovir (not sequential, all at once) with low hbsag quant and low hbvdna quant
Helpful - 0
Avatar universal
very good question which i was including already in a previous answer but then i thought these are just gusses, i dont have real data

i dont think tenofovir can help because hbvdna is already low and immune system needs some virions around for better stimulation whiel on peg.i would go with peg+sim like otan did and only in case of no response i would go for tenofovir and then pegintf add on

this just a guess, no scientific real data here according to me:
i dont think peg+tdf all at once has a big advantage in this case, hbvdna is already low and suppressing hbvdna too much by tdf might lower immune activation.

maybe it would be advantageous with a high hbvdna prof an lok or studyforhope have more knowledge on this for sure
Helpful - 0
Avatar universal
One more question for you Stef(I do really appreciate your time);

Would it be better to do peginterferon + tenefovir
Or peginterferon + simvastatin
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Avatar universal
I have an appointment on September 17th with An Lok ( she was on board of arrowhead, Gilad etc...). I will tell her about all the info And will also ask her about the new drugs. She wrote many books and guidelines on hbv/hcv. For hbsag quantity I will travel to get it if I have to :)
Helpful - 0
Avatar universal
You scared for a bit :)) happy to hear. My alt/ast within normal range and my vitamin D is 32 ng/ml and will start on 10000 iu pills
Helpful - 0
Avatar universal

anyway result is 223iu/ml and it is an extremely low hbsag which clears by pegintf in the highest percentage
Helpful - 0
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