Deciding when to start treatment

Hello everyone. I am in a very similar situation - 35 years old, just found out from my first plasma donation. My first viral load test: 204 iu/ml, hbeag negative, ALT always hovering around 42-56 (weight lifting maybe elevates some)

Most likely born with it since my mother has it currently. She found out when she was pregnant with me and precautionary birth vaccines were given. She is 62 and has not done any treatment or monitoring. I explained to her that she needs to be monitored…she will follow up with doctor about this.

My gastrointerologist has prescribed me tenofovir. I have not started treatment. I am very concerned about the risk of starting/stopping or long term kidney damage.

Should there be more consideration before starting treatment? I have never had quant hbsag. I am just considering risk-benefit of medication. Also hoping strongly that I may be able to clear on my own.