EXPLAINER: Lab results and their interpretation

Hi

I have posted here couple of months ago but let me start again . This is regarding my father , he is 67 years old lives in India.
He has been recently diagnosed with chronic hep b.
Here are his results

HbsAg : 6.63
Bilirubin total : 1.74
Alp:158
Alt/sgpt:187
Hbeag:0.67
Viral load >50,000
Hbv viral copies:>4,10,000

Was told mot to start any antiviral medication.

He was started on medication to get his alt levels to normal range which came back normal after few months

They repeated his labs again and these are his recent results


Due to his fluctuating alt levels they prescribed fib scan ( this is after 6 months he was diagnosed with hep b)

Cap :336(db/m)
E(kpa) : 27.2
Iqr: 3.9
Iqr/med : 14%

The doctor asked him to start antiviral mediation and repeat labs every 3 months
He is visiting us (USA) with just visitor insurance not sure how much of lab work can we do . How does his labs look. What can be the course of action . How to monitor his health . As he visiting us , I want to keep and my family safe .
Does his fib score looks bad . What supplements or additional measures can we take to improve his health .

Thank you
Sri

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