Hi Tehmin,
Welcome to HepBcommunity and thanks for sharing your story with us all.
There’s a lot of things that can affect your stiffness score other than fibrosis (including inflammation, having a higher BMI, having a different operator of the equipment, different time of day, etc.). That’s why there is a range of values for defining fibrosis score. With Hep B, the F0-F1 range (no to mild fibrosis) is 2-7, which you are in and which is probably why your doctors aren’t too concerned about it. You would need more than 2 data points to say for sure that you are continually increasing in CAP or F scores, so I would recommend staying under monitoring. Also, since nothing is really certain yet, I would hold off on worrying about it (easy to say, but difficult to do, I know).
Regarding Hep B and fatty liver, it seems to be the other way around: Hep B patients are less likely to have fatty liver (for unknown reasons).
Fatty liver and exactly how it comes about is still very difficult to understand, but it sounds like you’ve got the fundamentals down. I would consult with your hepatologist to see what they recommend. It’s also important to note that many of the problems that occur due to fatty liver occur over decades, so you knowing about it now helps you immensely with preventing any long-term issues. See it more as a marathon not a sprint. Keep working at it!
Hope this helps a bit.
Cheers,
Thomas