This has been addressed this in other threads: Having children and Hepatitis B - #69 by ThomasTu
Thanks! I had read through some of that thread and forgot that I bookmarked it to continue - it’s a long one but a good one, looks like a lot of people were sharing success stories. From what I can tell it’s just a slightly higher risk of infertility - which is nice. Do we know if lower/undectable viral loads correlate to less of a chance of infertility, or is there not enough research on that?
Yes! People with low inflammation and low/undetectable viral loads have lower chances of progression to liver cancer and liver disease.
Very refreshing to hear! Sounds like my chances of liver cancer or disease from my status as a Hep B carrier are just as likely as my chance of getting any other cancer or disease due to consuming a modern day American diet? (kidding, I try to be as healthy as possible not just for my status as a Heb B carrier, but for myself in general). According to the Hep B foundation, individuals chronically infected with hepatitis B have a 25% to 40% lifetime risk of developing liver cancer, which sounds a little scary. Do we have stats for those w/ lower to undectable viral loads?
Hep B Surface antigen can turn from reactive to non-reactive in a small number of patients (~1% per year).
It’s small - but the chance is there, so I’ll be optimistic 
Activity is based on inflammation. If your ALT levels are persistently normal, then it is accurate that you are classed as an “inactive carrier”
OK I’m a little concerned now. But maybe I should not be too concerned until I get advice from a professional / get to chat with my doc…I just looked at my most recent lab results from back in August of this yr and it looks like I have a weird ALT level… Is this the value you are referring to? It’s 22.0 but says normal reference is either 752 or 7.52, can’t tell lol. Nonetheless, that seems off…
Now, I will say, in that same month, I got an abdonimanl ultrasound just to ensure all was well and my comments on the result are below. Essentially, seems my liver was normal
Also, I have another ALT level from some bloodwork back in 2016 in which my value was 23, so just about the same as my 2023 value, although this normal range seems more refreshing to see vs the range they have on my 2023 results. Maybe I shouldn’t panic…this was done at 2 different labs and clinics so maybe their way of quantifying normal ranges is different…
