Hi There,
Hope everyone is doing well...I did started treatment almost 2 years ago with tenofovir and since, I've had several blood works and Ultrasound done and so far, things appear fairly normal.
I presume I eat healthy (a lot of plant-based diet and occasionally indulge myself with white meat and seafood mostly salmon). I consistently juice various plants and mostly berries fruit every morning, exercise occasionally and take Vit D which was recommended by Steff in other posts. I drink a lot of water and have not consumed any alcoholic or sugary beverage in the past 5 years.
hbsag went up to 3100 and from 2700 and down to 2200 per my most recent lab. Bi-annual Ultrasound throughout the years have been normal as well as my metabolic panel - ALT/AST with latest values respectively 26/17. My creatinine fluctuates with latest – 1.01. Latest AFP is 5.7.
Although I’ve had low platelets/WBC in the past pre-treatment, I did notice my platelets level has been trending downward since 2019 and MPV upward - 139, 137 & 131. We plan to do a fibroscan in the next few weeks for precautionary measure. Last fibroscan was 4.4kpa back in 2017, but my doctor said she does not expect to see much change.
Due to chronically low WBC level (since 2006), a full blood chemistry analysis back in 2017 by my hematologist didn’t reveal anything malignant except that this was attributed to my ethnical background of black African-American. I have a history of Gastritis (occasional stomach pain and right side pain that goes away after I eat) since 2002 and have learned to live with it and occasionally take PPI if not rarely (try to stay away from Meds) and see my GI every 6 month.
I wanted to ask this panel here if this should be cause for concern and if there’s any advise you can give me.
Please advise
Thanks and stay well everyone :)
Im not sure if it is a doctor thing but my doctor keeps telling that I will be on meds (entecavir for the past 3 years) until I seroconvert. I keep asking him "isn't the chances of that happening very slow?" and he says ...."it happens.."
It sounds that he doesn't know what he is talking about but he is very respected and credited doctor in Israel. He has been involved in the creation of one of the main HBV vaccines and very much involved in testing new drugs. ....Maybe he is just trying to keep me positive.
fyi...where i live they dont test hbsag quantity also.... so know idea what my is.
You are right to be worried about getting on the treatment; in most cases, treatment goes on forever and nobody knows what the outcome would be - which is why I find it strange that your doctor is predicting and even putting a duration on it. You also appear to be HbeAg negative patient, they are more vulnerable to flares and complications after treatment, compared to their HbeAg positive counterparts. Read this journal All i can wish you and myself is - good luck!
Read this journal when you have time https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161793/
I don't know how and why Ur doctor predicted 2years coz I am not able to see any logical reason behind this. Anyways best of luck