anyway, i hope not to angry you with my questions.
I still have a lot to look into this problems and i hope to found a good medic / research center for a better monitoring or tratament if will be the case,
you haven t heard about hbsag quant because no available in east europe - it is available, I've jsut check and we have at least one laboratory (I only check one) that provide this. I say that I was not heard, from the doctor perspective.
I spoke also on some other forums (from my country) and nobody heard from his doctor something regarding hbsag quantitative and they are some doctors that made research or clinical trials or go to hepatology / gastroenterology seminars .... and this was the point that i try to show.
I'm sorry to hear about your cirrhosis, but I read in your journal that is going well, you manage to reduce the fibrosis ant this is a good thing.
no it is not personal for you, i get angree at these guidelines because ignorance of these guidelines made my cirrhosis and my doctor wasn t a researcher at that time so he followed guidelines mistakenly
so whenver possible it is better to find researchers/doctors or doctors that updates yearly or more at these conferences
you haven t heard about hbsag quant because no available in east europe
the new ones are from 2011, europe updates every 6-12 months according to new discoveries - maybe you are correct, but I only found on the internet this and this was posted like the official ones.
If you have the new ones, I will be more than happy to read it and to discuss it with my doctor and to post all the comets on this topic.
I can say that in Romania the official guideline look like the one that I presented above (they are looking for HVBDNA, AST, ALT and fibrose level (fibroscan or biopsy))
hi,
don't take this personal, I'm not a lawyer and I don't try to enforce the guidelines. I just say that I never saw the hbvag quantitative in a guideline and all are referring to the hbvdna.
Discution, I was not meant to be personal, i was only a to chalange some information taht was new for me.
I'm from Romania and in my case, fibroscan is recomandaate to be made each year, HVB DNA each 6 mouth and ALT, AST each 3 mouth (I've done also fibromax and i probably done it each year), but no doctor sad anything about the HVBAG quantitative and that is my dilema.
as regards europe they are all expired, those you posted are not valid, just for the safety of readers...2008 was like another century.
the new ones are from 2011, europe updates every 6-12 months according to new discoveries