My test results
Dear colleagues, It’s great to have this space to talk to you.
I would like to kindly ask for help in interpreting my test results. I was going to show the results to the doctor who is treating me, but she is on vacation.
I have had hepatitis B for 11 years. My levels have always been below 2000.
I have had hepatic steatosis for 10 years.
My TGP has always been slightly elevated, with values around 50.
The January 2024 Fribroscan showed F2. The doctor prescribed me tenofovir since February. It’s been 3 months since the Ministry of Health stopped tenofovir and put us on the tenofovir + lamivudine combination.
Results of the exams with alterations:
TGP at 50
TGO 26
Ferritin - 306 (reference 280)
HDL - 30
What has me worried is the result of the ultrasound:
Ultrasound result:
Grade 2 steatosis
Tiny hyperechoic image, adhered to the posterior wall of the gallbladder, which may correspond to a polyp or cholesterolosis.
What do you think of this ultrasound result? Is the presence of this alteration in the gallbladder worrying?
Thank you.
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Hi @RicardoMachado,
Sorry about the late response to your questions. From the results you shared, your ferritin level is high (it is a protein that measures how much iron is stored in the cells/body). Your results indicate that you are storing a little more than normal. If you are taking iron or on a special iron diet this can be adjusted with the help of your doctor if needed.
Your ultrasound results indicate that you have a stage 2 fatty liver (when extra fat is accumulated in the liver). You might want to keep an eye on this as too much fat in the liver can increase the chances for inflammation which in turn could do serious damage to the liver. Tiny hyperechoic image (posterior (describing the location): means further back ) to the wall of the gallbladder means that part of your liver seems denser or solid than normal. Have a conversation with your doctor and see whether this needs any further tests to find out what is going on. That is the best way to understand this more and whether you need to be concerned. Please, talk to your doctor about this. Best, Bansah1
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Dear @RicardoMachado,
Polyps and cholesterolosis are generally benign features and are common. Many people have them and don’t know at all because they do not cause any symptoms. They are not necessarily linked to hepatitis B. It is common to do nothing regarding treatment of them because in many cases they do no harm.
Your doctor may recommend that you just keep an eye on it for the time being and monitor its status over time. However, this is something that (as @Bansah1 has mentioned) you need to talk to your clinician about.
Hope this helps,
Thomas
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