Hello @ThomasTu and everyone,
I am checking in to share the latest in my first 6 month check up since March 2021 diagnosis of chronic HepB. I’d like to also get some insight on comments my doctor noted in a well-written summary cover letter (have never, ever received such thoughtful comments from any doctor in my lifetime, so I am very grateful).
I am fine. No treatment is needed. The doctor wrote, “I am pleased to let you know the results of your labs are very reassuring!” My viral count is still less than 400 but increased by 30 from the first HBV DNA Quant.
My doctor consulted with an infectious disease expert and they all agree with my previous primary: every 6 months, get an ultrasound, repeat liver enzymes tests, and get the viral load test.
But here is where I’d appreciate some insight:
The doctor wrote: “Because you are negative for the Hep Be antigen, your risk of progression is less.” What is the relationship between negative Hep Be antigent and progression?
The infectious disease expert “suggested a viral load of 2 million as when to start treatment.” I am at 350. I thought treatment is typically activated at 2,000 viral count. Is 2 million too late?
Some results: ALT (11), AST (22), Bilirubin (0.2). Are these numbers just okay, good, really good, barely good, or close to the edge of potential trouble? On my lab results, the numbers appear to be in the column between “low” and “normal,” but I don’t know if that’s a formatting problem with printing or a way to actually read and interpret the data.
My ultrasound is in January 2022 for the 2nd check-up.
Thank you as always!