Dear @Anon2023,
This has been addressed this in other threads: Having children and Hepatitis B - #69 by ThomasTu
Yes! People with low inflammation and low/undetectable viral loads have lower chances of progression to liver cancer and liver disease.
Hep B Surface antigen can turn from reactive to non-reactive in a small number of patients (~1% per year).
Activity is based on inflammation. If your ALT levels are persistently normal, then it is accurate that you are classed as an “inactive carrier”
Cheers,
Thomas
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