I have This 2conditions but m'y hepato didn't put me under nucs because she sees that I have 0fibrosis so no damage.i think treatment of hbv defer from doc to another and from patient to another .i will see her next month and see what will suggest according to my blood test and us.i did biopsy and fibroscan on April if I remember well.
Ya my professor think no medication at all. Even ultrasound every 2 years. She say im young and when i ask her about the articles and guidelines. She say most of these statistics are made for asians and who didnt get monitored and no drugs were avaialble then. She said im under monitoring and once she see a rise in my hbv dna > 20000 iu or a raise in Alt she will use antiviral or peg
Ut is true m'y hepato wants to put me under interf but she hesitates because of sides effects on me and on my children so no problems with insurance.but my next check I will discuss well with her about this I want really to give my body a chance.
it kind of follows drug makers/insurance companies power over governments...US and UK too lately almost run by these entities on helathcare field
I think it's US specific that doctors or maybe rather insurance companies don't like interferon. In Europe it's usually first line drug if no contraindications. But that depends on the country too, in UK they prefer nucs too.
I can relate Mike. Although I really like my Hepatologist, a have lost faith in all specialists in my State wanting to cure HBV. Yes, they want to treat with antivirals but when asked about add on Interferon down the road none are fans. Is this what you are referring to?