Hello Paul, Simone and Thomas, thank you so much for your comments and encouragements. I went to the endoscopy last week, since I figured it is better to find out if there is any abnormalities now then later. The procedure went well and the doctor found a single non bleeding ulcer and mild gastric. The doctor put me on protonix now. We are waiting for the biopsy. If the biopsy confirms the H pylori bacteria then I have to take antibiotics in addition to the vemlidy. That is a lot of drugs to take at once but that is something I have to do to get better. I am glad that I have found the forum for the people to share their experiences and encouragement and I am not alone in this long journey of chronic hepatitis b.