Hello all.
Im not a native english speaker, thanks in advanced for your efforts to understand me.
I enjoyed reading this forum and i lower very much my anxiety and stigmatisation.
I wish all a good health
Im Alex 36 yers old, medical doctor specialist in psychiatrie, i practice in france.
I have bein diagnosticate in 2000 at 14 yers old with hep b chronic carrier whitin 2-3 years of periodical check ups ( i was hospitalised for hep a acute infection ). I dont have the results but i can search for them when i visit my parents.
I live in negation of my ilnes but awareness i can infect others …
It was a very anxiousness subject for me the denial was at a maximum level.
In the med school i somehow past over this subject i did not what to be aware of complications … witch was a very stupid point of view… and very imature …
In 2016 i need to see if i have the immunity to vhb or i need to do the vaccination …
I sort of lie the work doctor and made the blood test hoping i made the ati boodies naturali … but was not the case …
The blood work in 2 years interval
Hbv viral load 3 to 3,5 log or 5000 to 9000 ui/ ml
Atigen hbe negatif et ab positive for hbe
Hepatic markers in the normal range
Fibroscan < 6 kpa
Fibrotest F.0
VHc negative
delta negative
Stil imature and reste without testing until mars 2023
I stop smoking in December 2022 ( nasty grippe) i start smokig at 12 yers i change my whey of living start doing some exercises et eating more natural…drop from 105 kg approximately 220 ponds to 92 kg in 5 months…
Worried about my general health i become very aware of my hep b diagnostic and decided to make something about it …
So y made a self prescribe blood test to see where im standing in Mars( i was very scared to do it, insomnia lot of strees, after i stop smoking isomnia and night sweat was on daily basis)
Hepatic markers in range.
Viral load HBV ADN in march 29000 UI/ml
Alt 47 ( 0-55 normal range )
In june viral load HBV ADN 21500 UI/ml
(Alt 37)
Echographie incipient liver stetosis
Fibro scan 5.7 kpa and slight signes of liver steatosis ( faty liver)
Cholesterol frol 6.5 in march to 5.5 in june … upper limit range
After de first results i had a lot of panic and search of studies for understanding why i believed for many years i stil am a helthy carrier … and why i don’t need traitement.
I believe if the liver ia not affected and the viral load is < 20000 ui/ml i am in the safe zone.
After reading a lot i found litle in this range 20000 et 100000 ui/ml hbv adn.
My conclusion:
Aghbe negatives with positive antibody cand be a good factor if viral load < 2000 ui/ml but i also found some riters seeing it possibele to be cosider helthy carrier if loads of 20000 ui/ml … or maybe more
Or if viral load is very high ( i dont understant in literature very high 2000 + 20000 + ou 100000 + ) with aghbe negative it a pre c mutant ( with alt 2 to 5 Ă— N) with a very bad prognosis and not a good reponse to NAC traitement.
I am im the gray area , i didn’t found alot on this topic …
Many of u how shared your story u have litle hbv load ar extremely high.
I have to appointments with a hepatologue she told me a should start a treitement with out other explaining… on why … and she told me she will live for practice elsewhere very far …
I was 50/50 for traitement but i want a good Dr to be available and walk with me .
I have in October on apoiment with a another GI to asset the issue i hope will be more explicit.
What u guys thing i should start a traitement ?
How to know if is pre c mutant for sure ? Is it necessary?