Welcome to the forum and thanks for your questions.
The antibody levels coming up means your immune system is actively fighting off the virus. This is reflected by HBV DNA going down to low levels.
The surface antibody is promising, suggesting that you may be on the edge of clearing the virus. It might be worth asking for a quantitative HBsAg test to see if this is going down.
This doesn’t mean that the liver disease is progressing. Your ALTs (a measure of active liver disease) look normal, suggesting no active liver damage. To find out whether there has been past damage, fibroscan/ultrasound should be done.
This is pretty consistent with what you’ve said earlier. Your HBV DNA levels are pretty low, so transmission risk is also quite low. The DNA levels are so low that under the current guidelines you would not be recommended treatment (as long as your liver function tests and ALT levels are normal too).
So that’s a good thing to know from what you saying. that’s interesting they don’t treat at that level but at that level what’s that process? the crazy thing is I got the hep b vaccine six weeks ago an then I got tested for it a few days ago being positive that would not interfere with anything right sorry for asking so many questions but I trust your answers
No problem, @Eddie. It is a lot of information to take in and totally understandable.
The threshold is 3000 IU/mL. If you are above that, then the medication has some beneficial effect. If below that, then no great improvement unless it is to slow down active liver inflammation (which can be seen by liver function tests).
I see. so is my diagnosis way below that? Basically my rundown as what I sent you and I have a positive core anti-body an hbeag negative an hbe anti body positive does this favor me in the long run
Wow those HB E Antibodies being positive an HB E Antigen negative seems they play a very good role so that being said I should not worry so much it seems like I just take care of my self get my check ups my life should be good
I see thanks for the reply I have test coming up in the next six months but didn’t see a hbsag test or hbssg test of what the load is I see people have gotten that I live in the states is that something that needs to be checked or is called something different where I’m at for that type of test
So the discussion we talked about were talking about the same thing right? about the HBeag being negative and HBeab positive not about Hbsag hbsab right because that link doesn’t talk about Hbeag an Hbeab Just making sure what you said is right I do have advantages because of my HBeag- an Hbeab+
that gives me a better prognosis and led progression to any liver disease just to clarify
Thanx Thomas for the reply if it is not too much to ask I live in the states and when they sent me my results my dna load is 841(h) an my viral load is 2.92 can you break this down for me to understand?
Yes, 841 means that the approximate number of viruses per mL of blood. 2.92 is just another way of expressing the value (841 = 10 to the power of 2.92).
So correct me if I’m wrong so that means out of being under the 2000 copies and US standards of treatment I’m only 841 copies pretty much from 2000 or viral load?