I am 34 years old, since I was diagnosed with Hepatitis B, I have been undergoing annual blood tests and ultrasounds as recommended by my doctor. Currently, I am not receiving any treatment because my SGOT and SGPT levels are usually within the normal range, and my HBV DNA levels remain consistently low.
Here are my results from last year and this year:
This year, I noticed that my viral load is lower compared to last year, which is a good sign. However, my SGPT level is slightly higher than before. Should I be concerned about this, or is it considered okay?
I will also be going for an ultrasound tomorrow.
Last Year: 2024
SGOT: 28
SGPT 25
HBV DNA: 5418
Ultrasound: Normal
This Year: 2025
SGOT: 37.3
SGPT: 50.6
HBV DNA: 2948
Hi @JeeshA,
Welcome to the community. Thanks for sharing your results and for your question. You are right about your SGPT (ALT) being slightly elevated. The standard range is different by lab company; some use 7-56 IU/L, while others use 0-44 IU/L. Either way, I would not worry too much about it since this is the first time you have noticed this. It becomes concerning if it stays this way for some time (multiple lab tests), but a slight elevation should not be a huge concern. Keep an eye on it. It is good to see your viral low decline as well. Keep up with the monitoring. Best, Bansah1
One more question: I also exercise regularly. Can I continue, or should I stop for now?
Also, can I use creatine monohydrate and protein powder to maintain muscle mass? Are they safe to consume if I have Hepatitis B?
Hi @JeeshA,
Yes, you can continue to exercise. If your SGPT elevation is related to muscle damage from the exercise then that should recover after some time and the numbers will decrease. Please don’t over do it, use moderation.
As for those protein powder, my knowledge is limited on that. But the same care exercised around other supplements should apply here. This could be something to discuss further with your doctor. Best, Bansah1
Regarding exercise, yes, physical activity is recommended for general health and is not contraindicated by hepatitis B.
This issue of protein powder and creatine has been addressed in previous threads:
Essentially, supplements are very poorly regulated, so anything could be in there - it is therefore difficult to say if a particular one could be harmful or not. Moreover, no supplements have been shown by clinical trials to consistently and meaningfully improve liver health - so the benefits of these supplements are not obvious.
im not the first to say this on this forum, but the problem with supplements is that they’re not regulated, so for me if you’re not the one making the protien powder i wouldn’t ingest that, simply out of health reasons but also hep b makes one more deliberate in taking care of their health.
if you’re considering a protien supplement i suggest what i have started doing is making your own yogurt - greek yogurt if possible- as you’re you’re in control of what gets into it and you can make it into smoothies
for creatine, same thing applies, although i feel its less likely to contain harmful addatives like protien powder, but there some pharma grade creatine pills you can get at a pharmacy which are tested and regulated
also you might know this, excercising raises your ALT and AST without any harm or indication of harm to your liver, so keep that into considerating
You should be disclosing to your doctor about your hepatitis B and they will be in the best position to tell you whether it is safe given your specific history and physical condition. That said, as far as I know, there does not appear to be anything specifically contraindicating HCG for people with Hepatitis B.
As mentioned in other threads, small decreases in sperm number have been reported, but it is unclear whether these are actually clinically relevant changes.