Starting treatment with lower numbers

Hbv dna is more important than hbsag quuantative i guess… but my dr suggested to do hbsag test after every 3-6 months … just to c how antiviral is performing … coz in the end loss of hbsag is more important… and it also helps in knowing feom where u have started your treatment… but hbv dna test is the one that indicates dange…! I prefer both on my routine checkup…

I was reading on google it say if u hbsag quantative level is above 1000 iu/ml… then it is not considered to be inactive carries … is it true??

My hbsag quantative was 2800iu/ml but hbv dna was 890iu/ml hbeag negative , hbeab reaactive…

@Bansah1 @availlant @ThomasTu

Dear @Guru777,

An inactive carrier is someone who has HBV DNA < 2000 IU/mL and normal ALT in the absence of therapy. HBsAg can be < 1000 IU/mL but not always.

@availlant

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A post was merged into an existing topic: Deciding when to start treatment

Hi, jus want to know what are the chance of autoimmune hepatitis (AIH) in chronic hepatitis b patients….! If chances are more can we avoid this…??

@ThomasTu @availlant @Bansah1

Hi @Guru777,

I am not aware of any linkage between the incidence of autoimmune hepatitis and having Hepatitis B. My understanding is that the two are not linked at all, though happy to have the input of those more immunologically-inclined (@mat, @nina.le.bert, @ateekhakpoor, @Greg, @S.N) or any @HealthExperts.

Thomas

I think there is a real, albeit rare, association

I have seen a case where nucs controlled HBV and AIH resolved with no steroids

https://www.google.com/search?q=hepatitis+b+and+association+with+autoimmune+hepatitis&rlz=1C1CHBF_enUS1037US1037&oq=hepatitis+b+and+association+with+autoimmune+hepatitis&gs_lcrp=EgZjaHJvbWUyBggAEEUYOTIICAEQABgWGB4yDQgCEAAYhgMYgAQYigUyDQgDEAAYhgMYgAQYigUyDQgEEAAYhgMYgAQYigUyDQgFEAAYhgMYgAQYigUyDQgGEAAYhgMYgAQYigUyCggHEAAYgAQYogQyCggIEAAYgAQYogQyCggJEAAYgAQYogTSAQkxMzg3NGowajSoAgCwAgE&sourceid=chrome&ie=UTF-8

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Agree that there is no known clinical linkage with HBV and Autoimmune Hepatitis

However Hepatitis Delta has been associated with development of auto-antibodies but no clear link to overt autoimmune disease.

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