Congratulations Su on joining the “TAF-treated” club!! And thank you so much for sharing your journey towards making this big decision. It’s really helpful to hear why you decided “now” was the right time to start. I agree that the treatment guidelines developed by the different liver-focused medical societies (AASLD in the US; EASL in Europe, and; APASL in Asia) are not one-size fits all. And that the affected person’s values and preferences have to be considered as well when making a treatment decision. Making this decision can take a long time because there are a lot of gray zones. And once a person starts, it’s not recommended to stop due to possible flares that could be life-threatening. But my impression is that the science and medicine of hep b is trending towards treating everyone because of the viral integration into our own body’s DNA, not just the liver cell’s DNA.
Really interesting about your transmission story … that you didn’t get it from your mother! What about from your dad? But yes, your grandparents could have been involved. At this point of course it doesn’t matter how you go hep b. All that matters is that you’re taking proactive steps to manage it. And treatment is indeed a big step. Probably really sensitizes you to what your own patients go through when you recommend treatment for hep b (or any other condition they’re suffering with). They’re lucky to have you since you have walked in their shoes!
Keep us posted on your journey. And yes, it is good to know that we can take a little pill to keep the hep b virus at bay. But we still need a cure!! And for that we have the Hepatitis B Foundation, the World Hepatitis Alliance, and many other amazing nonprofit/NGO’s to thank for keeping hep b in the global spotlight and the push to find a complete cure!! Always, Joan