My HBsAg becomes negative after Chronic Hep B for 17 Years

What do my lab results mean?
21

My understanding is that alcohol does not affect whether HBV reactivates or not. However, alcohol does have effects on liver health, so it adds onto any liver injury that your past HBV infection has inflicted.

Thomas

2 Likes
22

Thank you Dr. ThomasTu

1 Like
23

Congratulations @Jason2024. This is an amazing news.Wish you the best

5 Likes
24

thank you very much. Wish you the best as well.

2 Likes
25

Hi all, this is Jason again, and I would like to provide a little update with my condition.
As you all know, I had great news with the blood work result and I did another Ultrasound test per doctor order about 2 weeks after my blood work.
The ultrasound result was good, no mass, no scarring of the liver, and mild fatty liver.
May I ask about the mild fatty liver? should I change me current menu ? or what should I do to make the mild fatty liver becomes the normal no fat liver?
Thank you everyone.

1 Like
26

Hi Jason2024

Congratulations for your HBV functional cure in the near future. 
          According to your question about ultrasound results with mild fatty liver. In general, ultrasound can detect  fatty liver if you have amount of fat at least 30% of the liver. It use the bright liver score to assess the severity of fatty liver and mild fatty liver equals to score1 that means you have increased echogenicity (signal)of liver but portal veins and diaphragm echogenicity are normal , however, Fibroscan can accurately measure more amount of fat in the liver than ultrasound by using CAP scores .
  Fatty liver disease is a disease that is frequently found in the general population and is silent killer. It is often discovered during routine annual check up.

Many people with these disease donā€™t know about its importance and long-term risk even some physician donā€™t aware of this importance. Most of the causes of fatty liver are due to NAFLD and alcoholic consumption, currently termed as MASLD. Itā€™s origin is located in the liver where glucose and free fatty acid
are created to triglycerides in liver cells leading to chronic inflammation from oxidative stress. Fatty liver is the key driver to metabolic syndrome.
You should assess your anthropometry eg: BMI , Waist circumference (WC) , WC to height ratio (normal <0.5 ) and testing for lipid profiles, diabetes, hypertension and consult with your doctor. If you are diagnosed as metabolic syndrome , then you are at risk of cardio metabolic complications such as Atherosclerotic cardiovascular disease(ASCVD). , Type 2DM , Stroke etc. The good news is that fatty liver will be resolved completely if you can lose your body weight for at least 5-10% in mild case with lifestyle modification , healthy diet ( Mediterranean diet) and exercise ( Aerobic/ Resistant training) , adequate and quality sleep.
I hope this may help you to understand about fatty liver which is one of the silent killer diseases in this world .
chul_chan

4 Likes
27

Thank you Chul_Chan for your advice, Iā€™ll eat as healthier as I can, less carb, more walking, more fruits, veggies, and see any if things will be different at the next test

2 Likes
28

Hi Jason. I am so excited for you. This sparks hope for some of us. Congratulations. It is possible.

3 Likes
29

thank you so much, best wishes for you too.

4 Likes
30

Congratulations, very luck :four_leaf_clover:. All the best

3 Likes
31

thank you so much, best wishes to you as well.

2 Likes
32

Congratulations @Jason2024 I am so happy to hear your good news. :lotus: :lotus:

3 Likes
33

thank you so much, best wishes to you as well.

2 Likes
34

First of all congratulations upon your successful results and am happy for you. I will much appreciative if my questions get responded.
Firstly what what was or is your current menu and secondly what medication were you taking ever since you were subjected on medication?

Thanks dear

2 Likes
35

Hi, thank you.
To answer your question,

  1. my current menu is very basic made of mostly homecooked meals. I eat chicken, pork, beef, fish, vegies, fruits, sausage, process food, pizza, you name it. I have no restriction when it comes to food.
    However, I do stay away from tobacco and alcohol.
  2. As for the meds, my GI doctor put me on Baracude during the year 2011-2014, and my treatment was stopped in 2014. No more meds ever since.
1 Like
36

Waaaw I love the menu.
However baracude is a new medication am just hearing about today. Is one of the antiviral drugs and how expensive could they cost??

1 Like
37

Hi Opa, Baracude is the brand name of entecavir.

1 Like
38

Congratulations @Jason2024 . If I may ask, do you remember your viral load and ALT before you start treatment

1 Like
39

Thanks @Jason2024. I pray you keep that healthy all your life on earth.
By the way, did you or you facing abdominal pain especially at right side abdomen? If yes how did you manage it?
Because this has become my worst experience ever with this virus besides depression.
Thanks dear.

Forgot to ask of your viral load before your medication.

40

Hi Opa, happy thanksgiving. I donā€™t recall to have any abdominal pain throughout the ordeal. I think itā€™s best if you bring it up to your doctorā€™s attention at your next appointment.
I was only med from 2011-2014 and so I have no clue what was the DNA viral load back then. I just donā€™t remember.

1 Like