I’m new, so apologies in advance if I miss something somewhere. This community seems great and welcoming, so I’m grateful to be a part of it now.
A few weeks ago, as part of routine blood work I tested reactive for HBsAg (and follow-up testing confirmed a positive reaction for HBeAg). Fortunately, I have no symptoms, the HBV DNA PCR showed an undetectable amount of virus, and the liver results came back normal. I was also vaccinated against Hep B as an infant, but I guess the efficacy has worn off since I didn’t test positive for any of the antibodies.
I’ve been taking Truvada (emtricitabine / tenofovir) for almost a year as an HIV prevention method. I’m currently 30 years old and tested fine last year when I got Hep B testing prior to starting Truvada. My hepatologist said the Truvada is likely the reason for an undetectable virus load now but it also means that my chances of going from an acute infection to a chronic infection are slightly higher, which worries me. He recommended I do not stop taking Truvada, so I will continue to do so. However, I am worried that continuing to take it is not helping my body, but I will continue to follow his advice.
Has anyone dealt with taking Truvada or Descovy, and then later becoming infected with Hep B? Will the Truvada make it significantly less likely my body will develop the antibodies needed to fight the virus? I should continue to take Truvada and hope for the best, right? This is all new and emotional to me, and I’m wondering how this will affect my social (severely reduced drinking, careful with cuts/wounds) and intimate life (with my current partner and/or others) if I become chronic.