Dear @Drew_rous,
Yes this can happen when not under NUC suppression. I would not be concerned about this fluctuation; it is not surprising given that you are still HBsAg positive.
Were the tests for HBV viral load (HBV DNA) referred by your GP and your hepatologist done at the same lab?
Hello! Thank your for your answer. I expected a smaller fluctuation within such a small interval.
As for the lab. I am not sure. I think not.
Following was my most recent test result:
HBV DNA IU/mL
IUnits/mL
Value
249,000,000
HBV DNA log IU/mL
log IUnits/mL
Value
8.40
The doctor adviced me that i do not need to take any treatment at this time. My ultrasound came out normal as well. I appreciate any input and comments.
Welcome @Tse
Hmm I can’t answer your question as I’m not qualified.
We do have experts who can help you, soon.
They shouldn’t take too long to respond.
We must listen to the advice of our Doctors.
But I understand your concerns of seeking a separate opinion.
Blessings.
@HealthExperts @Bansah1
HBeAg status is missing, viral genotype is missing, liver tests are missing and risk factors for HCC are missing, age ? All these info are crucial to define eligibility for antiHBV therapy, see new EASL 2025 HBV guidelines for further details, J Hepatol. 2025 May 8:S0168-8278(25)00174-6
Hi @Tse,
Welcome to the community. The results you shared indicate that your viral load is significantly high. This test alone can’t be used to make a treatment recommendation. You will need liver tests such as ALT, AST, HBsAg (with quantification), and other tests mentioned by @PLampertico. While HBV DNA/viral load and ultrasound are required tests, you are missing a few key ones here. Do you remember getting any of the tests, as mentioned earlier, done? They are important pieces in making a treatment decision. Thanks, Bansah1
Hi, Thomas
I’m a 31-year-old male from Pakistan, recently diagnosed with acute Hepatitis B 2 weeks ago. I had symptoms like fatigue, bloating, pale stools, and yellow urine. My energy and appetite is slowly returning.
Key Tests:
• HBsAg: Positive
• Anti-HBc IgM: Positive
• HBeAg: Negative
• ALT: 1149 U/L (recent last week initial was 4002)
• AST: 439 U/L (recent last week initial was 1723)
• Total Bilirubin: 1.6 mg/dL (recent last week initial was 1.7)
As a new member I can’t attach reports.
Medications:
• Hepa Merz
• Nexum 40mg
• Plasil Enzyme
Currently resting, eating clean, and trying to quit smoking. Can you please look at my last 3 LFT’s report i am very concerned to see those high values and my doctor has told me that there are only few chances that Hepatitis B resolves as its own in 6 months. Is it true? I am very worried as I also have a wedding planned in Dec 2025. Please advise.
Welcome @Shahrukh
Thanks for sharing your story and congratulations on your upcoming wedding.
Hopefully you will clear the virus and not be chronic. But even if you do there are many on this forum who go on to live a normal life, working, having children, enjoying life. Including me. I’m 65 years old, was married and had 3 children. I got HBV when I was 20years old.
I’m not a healthcare professional but one of our team will be able to help you more. Soon
@Bansah1 @ThomasTu
Hi @Caraline
Thank you so much for your kind words and encouragement t truly means a lot to me. Hearing your story gives me so much hope and perspective. That really helps me stay grounded and optimistic as I navigate my own journey.
If you don’t mind me asking, what precautions do you take in your daily life now, and how did you handle things when you were first diagnosed and going through the acute stage? Looking back, is there anything you feel you could’ve done differently at that time that might have helped or made a difference?
Thanks again for taking the time to share your experience it truly makes a difference.
@Shahrukh unfortunately I didn’t know I was in acute stage. Back in those days not much was known about HBV . I actually thought it would go away because it was a virus-like a cold virus.
So I didn’t take it seriously.
And the doctor didn’t give me any information except I had HBV.
Others will comment soon.
Eat healthy, exercise, no alcohol or fatty food. Stress isn’t helpful either.
It’s a good reason to get healthy 
I’m glad you found us, it’s a interesting informative group with science to back us up. There’s lots of scary info out on google. Beware @HealthExperts @ScienceExperts
Hi @Shahrukh,
I join my colleague @Caraline in welcoming you to the community. @Caraline, thanks for sharing your experience and story. It is educational and encouraging. Yes, it is highly possible for an adult who has just contracted the virus to clear it in 6 months; some patients have cleared beyond this mark (about a 90% chance). LFTs can get abnormal when your immune system is trying to gain control of the infection, but they will go back to the normal range after some time. Please be patient, rest, and give your body the time to recover and heal.
You mentioned marriage, if you got infected from your partner or someone else, please advise them to see a provider so they can get treated and prevent any further transmission. You must alert them as they may not be aware of their status and could continue infecting others.
I hope this helps. Bansah1
Thank you for sharing that it really helps to hear firsthand experiences. I can imagine how different things were back then with limited information. I’ll definitely take your advice to heart focusing on a healthy lifestyle and staying away from the Google. Grateful to have found this group and people like you. 
Thank you so much, @Bansah1, for the warm welcome and helpful information. It’s reassuring to know there’s a high chance of clearing the virus, even if it takes a bit longer. I’ll definitely stay patient and give my body the time it needs, I have also stopped smoking completely and eating healthy. My partner had a recent HBV test which came in negative so I did not get it from her and she just had the first shot of the vaccine. I am only worried at the moment is that I don’t know why but my doctor told me that you will be on radar for lifetime. You need to be tested after every 6 months and there are less chances it clears at its on in 6 months. This statement contradicts with what I’ve read in this community and on Google. Anyhow, thanks again for the welcome I hope to learn a lot more from you guys.
If this is an acute infection, then the 90% chance comes to play. But if the doctor thinks it is a chronic infection then chance of clearance even on medication decreases to about 1-5%. That is why most HBV patients on treatment stay on it for life.
Your doctor is right about getting blood work and imaging done but for acute patients it’s less than 6 months. I guess it’s a monthly until there’s enough evidence that the person has cleared the virus then those tests and imaging can be done yearly just to monitor the patient.
Right now, I will suggest you focus on getting your body back to good health and let’s talk more about this after 6 months. The last thing you need right now is stress. Keep resting, eat a lot of fruits if you have no appetite for regular food, and stay hydrated. Let’s keep our fingers crossed for a great outcome in the end. Wishing you a speedy recovery.
Glad to hear your partner is tested and getting vacinated. Bansah1