please some one explain

[jkbittu]

I am a hbv patient i know it in 2006 while donating my blood then i treated my self wth ayurvedic medicine but i m still pistive now my dna test is 560iu/ml hbv quant 13491iu/ml my sgot 29 sgpt 52.83  upper limit is 41my pt=9.8sec inr=.81 wbc=9.3 10^3/ulrbc=5.41  10^6/ul plt 235 10^3/ul

Hct  47.6  which is high
Hgb 16.2g/dl
U/s report normal i m 33 old male married a son of two year scrneening of my family neagtive

[abc1235768]

that’s weird, try vemlidy, I had viread for almost 10yrs then transfer to vemlidy several years ago, my alt ast still low due to corn on a virus I was only tested 6months ago which seems fine

[jkbittu]

I willdiscuss  this with Dr

[jkbittu]

Meet my doctor today he advised to continue with tdf up to three months and test again if virus increase 10 times then we switchto entecavir if not increase then continue with tdf

[melcul]

Keep us posted.
Btw, did you used any medication prior to tenofovir ?
It again, seems really weird since i never heard of Tenofovir resistance.

[jkbittu]

Not any antiviral medicine used prior to tenofovir .i am using this since 21 sep 2019 continuously . I have viral flue two week before i used antibiotics for three four days for that  with that very weakness came in my body during that time i gave test for viral load. Is there any effect of Viral flue/ antibiotics on viral load?

[abc1235768]

3 months is too long, Someone developed  cancer within 3 months of period after stopped viread, Better to check every week, get immediate result, if the problem persists consult with more liver specialist, the more the better

[jkbittu]

Thanks for suggestions will discuss with some other doctor also

[jkbittu]

Today i consulted a gastroenterologist online he was MBBS, DNB(med),DNB(gastro) he prescribed me udiliv tab for two weeks he said that  decision of treating youself at this level of virus is not right and you no need of treatment. And you can talk to your doctor for this .he said that using of ********* medicine and occasionally use of alcohol in your life  may be the reason of alt increase

[jkbittu]

Hello my blood pressure remains high 150/100 what is the reason

[jkbittu]

After 3 month report of viral load target not detected sgot 33 sgpt 34

[GuitarRox]

Well, looks good from here.  your sgot and sgpt are within normal now. If your bp is still 150/100, consult with your doctor about that as borderline hypertension or full hypertension should also be addressed.

[jkbittu]

My report as on 18/07/22
Hbv dna < 20
Ast 28
Alt 34
Creatinine  0.89
HbsAg  4032.96iu/ml
Bp 140/90
Weight 69 kg

Report of 18/01/22
Hbv dna.  Target not detected
Ast 27
Alt 34
Creatinine 0.85
Report as on 15/07/21
Hbv dna <20
Ast 43
Alt 70
Report as on 15/01/21
Hbv dna Target not detected
Ast 33
Alt 34
Doctor advised me to continue tdf life time and do test once a year

[jkbittu]

My hb dna is 343iu/ml

[jkbittu]

My hb dna is 2300iu/ml as on aug 2019 doctor has advised to start the treatment as my sgpt is 74

[GuitarRox]

eh, sorry to hear man.  What treatment are they starting?

[jkbittu]

I have on tdf from last 1 year after first six months my viral load was less than 20iu/ml and after one year of treatment my viral load is 461 iu/ml my alt 98 ast 44 as on 16/10/2020

[melcul]

Are you being resistant to tdf ? What did your doctor said about this results ?
Tdf should be the strongest antiviral with no resistance from what i know ?
You would probably have to check HBSag quantity as well, maybe is going down and that's why the liver enzimes go up ?

[jkbittu]

Will visit the doctor on Saturday.after that i will post what he said

[varsa]

You should consult with good gastroenterologist high level of hbv may damage your liver if your hbv dna is high you need antiviral medicine to suppress it do not delay.

[jkbittu]

My hbv quantitative is 5000 recently tested

[jkbittu]

I m hbeag neagtive, anti hbe positi ve my sgpt is 41 as on 2apr13

[jkbittu]

my sgot is 29.6 iu/l and sgpt 41.8 iu/l as on 19.01.2018 i am not taking any treatment now

[stef2011]

your hbsag level is still too high to have high chances to clear hbv by pegintf if you are hbeag negative, but if you are hbeag positive the chances are very high

the only treatment to achieve very high hbv clearance rates is sequential treatment by tenofovir and then pegintf add on, if hbeag negative tenofovir needs years to rescue your immune response to hbv and have clearance by pegintf add on while hbeag pos can start combo right away

so check your hbeag, possibly quantitative and not qualitative and repost so we can suggest, also testing your hbv genotype is important, a and b have highest pegintf response, d, c and e the worst

[Arti Sharma, M.D.]

Hello,
It is best to consult a hepatologist for initiating the correct treatment. Antiviral therapy is indicated in people who are chronically infected and have persistently elevated SGPT which is a marker of liver damage, and HBV DNA levels. Routine follow ups are very essential along with regular blood monitoring to see if the virus is still active in your body and liver function tests to know how well your liver is working. Consult a hepatologist and get your doubts clarified. Keep me posted.
Best wishes and luck!

[jkbittu]

My sgpt 56 ref range <50
Hbv dna 343iu/ml