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What is your experience about the following results?

I am hep b carriers for many years. I usually check you hep b virus DNA load. It is usually under 10,000 ul/ml with normal ALT and AST. This time I checked, it is 14,000 ul/ml with normal ALT and AST. Someone told me in the forum before. No need to do anything unless the viral load is over 20,000 ul/ml. What is your experience?
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Avatar universal
Hi, can you provide all of your test results? The more history you have the better it is.

*** NORMAL ALT FROM THE AASLD ****
The upper limits of normal (ULN) for ALT in healthy adults are reported to be 29-33 U/L for males and 19-25 U/L for females.(94-96) For purposes of guiding management of CHB, a ULN for ALT of 35 U/L for males and 25 U/L for females is recommended
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Thanks for answering. My ALT is always 5 U/L for many years (normal value from the labs is 6-29 U/L) I asked the doctor that why I am lower than normal. He said that I have nothing to worry about. This time is 6 U/L (finally get to the lowest range of the labs). I have persistent very low ALT for many many years.  Dr doctor said that I have persistent normal ALT  for many many years and my hep DNA is between 2000 to 20000 ul/ml. I have  hbe antigen negative and hbe antibody positive. I am inactive hep b carrier.  I checked hepatic function and hep DNA every 6 months for many years. The DNA fluctuated from 6000 ul/ml to 9000 ul/ml in last 3 years but this time from 9000 ul/ml to 14000 ul/ml concerned me a little bit. But someone told me that if it is under 20000 ul/ml with normal ALT, I do not need to do anything. My last year ct scan liver was normal.  I do not think I need to do anything and continue to monitor in next 6 months. However, I would appreciate if you could give me your insight. Thanks a lot.
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