EXPLAINER: Lab results and their interpretation

Yes please I’m super confused on these labs.


My assistant can help with telemedicine consults

Thank you

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Thank you but after seeing the prices it’s unfortunately not in my budget right now.

Hi @Brittneybc01,

I would agree with the what Dr. Gish has suggested. To sort things out, you should try to get a anti-HBc test done and a repeat of the HBeAg test.

In the meantime, the most important measures right now are HBsAg, HBsAb, and HBV PCR. Your results show that your risk of transmitting Hep B to your newborn is essentially nil.

Hope this helps.


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Thanks @ThomasTu @Joan_Block for your response and kind thoughts. Also for the selfless service you’re doing for humanity.

My apologies for staying away from the community and for my late response. There was so much to deal with after my husband demise. My children and I are just trying to cope even though it’s very difficult. Thankfully my son is fine but my daughter was asked by our Hepatologist to take two dose of vaccination; she took 1 dose in May and is scheduled for the 2nd dose in October. I also did a Fibroscan and the doc said it’s fine. Sometimes I feel great but other times I feel tired and weak. I don’t know if it has anything to do with HepB or something else. I will post the results of the Fibroscan here.


Dear @174,

No need to apologise at all, it is important that you look after yourself and your family during this tough time. I am glad to hear that you are still able to maintain monitoring of your condition and are making sure your children are protected.

I hope you are getting through this OK.

Stay safe,

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Hi Britney, unfortunately my eyes are not as good as those of Thomas and Dr. Gish!! I can’t read your PDF test results on my screen. But the good news is that you’ve had two experts read through your test results and agree that your doctor should repeat the anti-HBc test, and the other other 3 tests recommended by Thomas. But please know that if there continues to be any confusion, it would be ideal if you could have a telemed consultation with Dr. Gish who is one of the world’s leaders in hep b management. Especially since you’re pregnant and want to make sure your newborn is protected against a potential hep b infection. With that said, I completely understand a budget is a budget is a budget. Please do keep us posted. All fingers and toes are crossed that your test results come out negative and clear that you do NOT have hep b. Always, Joan

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Dear @174, I completely agree with Thomas. No apologies needed!! You and your family are dealing with so much grief and all the stuff that has to be done after a loved one passes. Just really glad that you’re taking care of your health, and your children’s health. Please know that all of our thoughts and prayers are with you during this very difficult and challenging time. Always, Joan


Hello Brittany,

I can help set a telemed consultation with Dr. Gish for you.
Where are you located at? He is seeing patients at various clinics via their telemed platforms. Insurance is accepted at the clinics as well, so we can work with your primary doctor for the referral.

Please feel free to email or call me.

Thank you,
Sarah Livingston
Assistant to Dr. Robert Gish
Cell: 602-625-4825
Email: snlivingston@outlook.com

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Please I need interpretation of my results. Thanks

Hi @Sirbay,

Considering these and your other results, the current EASL guidelines suggest you should remain under monitoring every 6 months.


@ThomasTu thank you so such and as I was told by the Doctor I don’t need medications because
I’m HbeAg Negative but my viral load is detectable now. Should I be worried or what advice can you give before I take another test in next 6 months?

Dear @Sirbay,

I don’t think it is useful to worry and there isn’t any need to do it at the moment. The issues that your doctor is probably going to focus on whether your liver inflammation goes up, which will be seen in your liver function test results if it occurs. In the meantime, follow any advice your doctor tells you and keep maintaining as healthy a lifestyle as you can by getting good sleep, regular exercise, and eating well.

You’re doing well by keeping your monitoring up!


@ThomasTu thank you sir

Hello All, I recently got some blood work done on mid April and after waiting 2 month (June) got an unfortunate call from my doctor that I tested positive for HBV. It was very shocking news and ever since then I’ve been doing a lot of research and so happy to find this community. I’ve been really been trying to be positive and changed my diet. I’m waiting to see a specialist to do more test to see if it’s acute or chronic. Below is the result I got and had a question.

Hepatitis Surface Antigen - Reactive
Hepatitis Core Total (IgG + IgM) - Reactive
Hepatitis Surface Antibody <2.00 miU/mL
Hepatitis Immune Status - No evidence
Alanine Aminotransferase - 21

My Question is in regards to 2.00 miU/mL result. Can someone help me interpretation while i’m waiting to see a specialist? Does that result mean I have any antibody that are slowly building? Is it it normal to see this result in a someone that has Chronic HBV?

Thank you in advance.

I’m hepatitis b positive
I need someone to read my result



LIVER - the liver span is 13.8cm , smooth edges and accentuated parenchymal echoes.No cysts or focal lesions seen . PV = 12mm and CBD=6.4mm…
Other intra abdominal structure are within normal limit
IMPRESSION: Essentially normal scan .

Liver function test
AIK.phosphate 100ul

Bilirubin 13.1ul
AST. 39ul
Alt. 25ul

Hi @Cheikh, welcome to the forum and thanks for your question. I’m sorry that you had shockingly found out your status this way, but glad to hear that you’re taking charge and trying to get the information you need to move forward.

Regarding your questions, it may be that 2miU is the lowest limit of the test, so it’s basically saying it is negative. To know if your antibody levels are building up, you’ll need to keep monitoring your condition with your health care provider. You won’t know if it’s acute or chronic until you have some further tests (e.g. HBV core IgG).

Hi @Ben2020,

Welcome to the forum and thanks for your question. Your results are consistent with the HBeAg-negative inactive or low-replication phase. People in this phase have a relatively low risk of liver disease progression.

I’m not sure if you had a specific thing you wanted to know about. If so, let the forum know (see the recent thread here for guidelines to asking advice about lab results - IMPORTANT: Best practice for posting lab results)


Thank you Thomas
What do I need to do ?

Do I need medication or what exactly is the next thing for me ?

Hi @Ben2020,

What happens next needs to be discussed with your health provider, but the current guidelines (at least for Europe) suggest monitoring every 3-6 months to see if your liver disease has progressed or not. In the absence of any other factors (e.g. family history of liver cancer), medications are not recommended.

Hope this helps,