Hep B Blog

Living With HBV and Drinking Coffee

The pros and cons of drinking coffee have been wildly debated for years.  However, for those with Hepatitis B and other liver diseases, the addition of a couple of cups of coffee per day to slow down the progression of liver disease, along with decreasing the risk of diabetes and heart disease just makes sense.

Dr. Melissa Palmer was a guest speaker at a previous Hepatitis B Foundation patient conference. The information from her presentation had all sorts of nutritional nuggets for those with HBV (Check out Dr. Palmer on podcast if you would like to have a listen!) She stated, based on studies, that coffee and caffeine intake has been associated with improvements in liver ALT and AST levels.  There also seems to be a correlation between increased coffee consumption and warding off cirrhosis and HCC.

Just recently there are was an article that discussed the benefits of coffee for those patients with HCV, undergoing treatment with pegylated interferon (PEG) and ribavirin therapy.  It claimed that drinking three or more cups of coffee a day not only reduced some of the difficult side-effects associated with treatment of PEG, but it also increased the treatment success.  However, like so many of these coffee studies, it was a small study and had to be adjusted for other factors.

We all know that HBV and HCV are very different viral infections, but you have to wonder if any of the benefits of coffee that is seen in those being treated for HCV can be extrapolated to include those with HBV being treated with Pegylated interferon or antivirals.  Dr. Palmer did mention that coffee did seem to have a greater impact on those with hepatitis C, although I have no idea why.

Regardless, if you’re living with HBV, you have to think about the pros and cons of adding coffee to your daily list.  Since all studies seem to show an increased number of cups of coffee having a more positive impact on preventing liver disease progression, or warding off cirrhosis or potentially reducing PEG side effects or benefiting treatment, you have to consider just how much caffeine you can take.  It does not appear that caffeine is the only factor involved, but rather the coffee bean itself and associated antioxidant features.  This seems to be the case because tea, despite all of its benefits, does not appear to have the same protective effect on the liver.

What about decaffeinated coffee?  I kept looking to see if it was specifically referenced, but I haven’t seen it. However, during the decaffeinating process, much of the bean is lost, and it may be treated with a chemical solvent, both which might nix the positive benefits.  If you’re going to give decaffeinated coffee a try, consider a coffee with a more natural decaffeinating process. Personally, I’d have a tough time balancing the jitters and racing heart rate associated with drinking more than a cup or two of high-test coffee a day, but we’re all individuals.  If you can drink coffee and sleep well at night, it seems like it can’t hurt your liver health to add a few cups to your daily regimen.

Comments on this blog are closed. If you have questions about hepatitis B or this blog post, please email info@hepb.org or call 215-489-4900.

169 thoughts on “Living With HBV and Drinking Coffee”

    1. According to studies, drinking coffee is good for those living with liver disease such as HBV. However, it does not provide any kind of cure. Please talk to your doctor if you think drinking coffee will cause other health related problems such as a rapid heart rate.

      1. I m Asadullah patient of Hepatitis B patient what precautions I have to take
        plz advice me

        1. Hello: When you have hepatitis B, you need to be careful about your blood and body fluids because they can transmit the infection. Please practice safe sex and be sure to bandage any cuts or bruises. You also need to avoid alcohol and cigarettes, eat healthy foods, get vaccinated against hepatitis A (you don’t want another liver infection), and be careful about taking over-the-counter medications such as acetaminophen.
          Make sure your family is tested for hepatitis B and vaccinated if needed. Good luck.

    2. I’m suffering from Chronic Hepatitis B , since more than 6 years
      and taking Entacavir (Entaliv 0.5) since couple of years.
      So.. by looking this article ; should I go for including Coffee in my daily life??
      Even doctor hasn’t bounded me for foods , he has suggested me to take healthy foods in routine as much as possible.
      But I do feel afraid to take some kinds of food , which are high in protein or Vitamin C & like that..
      What kind foods you can suggest for me , for my daily life?
      Sometimes I even feel like not eating food or seeing it.
      Why it happens?

      And most importantly , as like drinking coffee doesn’t have any negative (-ve) effect on patient’s health ,
      What about Chocolates??
      Does it have any bad effect on the health of patient of chronic hepatitis B ????
      or it also has some positive effect ??
      Pleaseeee let me know about this.

      1. Hello: While coffee appears to confer some protection on the liver, it does not make hepatitis B disappear. Eating a healthy diet and avoiding alcohol and cigarettes are some of the best things you can do for your health.
        Enjoy fruit, vegetables, carbohydrates in moderation and low-fat proteins and you will benefit. As mentioned, the darker the chocolate, the more healthy ingredients it has. Good luck.

  1. Thanks for the information on coffee and HBV.I tested positive to hbv since six years ago.iam not on treatment on any drug because all other tests E G lft,hbe, biopsy,etc.and even the viral load is below 1000.However iam addicted to kolanut which is a native stimulant here,it is very high in caffeine.could this be responsible for the non activeness hbv in my body.thanks.Gaany.

  2. i b came to listen this.i will always drink a cup of coffee every morning from now.
    i m regular reader of this article

  3. I thought coffe was good for hepatites b, i completely eliminated it from my diet but I think I am going to change this and drink at least a cup of coffe a day. thank you for the article.

  4. thank you ,
    i wonted to know about coffee because my son start drinking coffee and he has hep B, but because he has so much to study and he start drinking coffee
    and i still i am not sore if can or can not drink

    1. Not knowing the age of your son, or his general health, it is hard to say for sure that coffee will be good for him, but in general, coffee seems to have a protective affect on the liver, so it shouldn’t hurt anyone with HBV and may even benefit them. If your son has other underlying conditions, you might want to speak with his doctor.

        1. Hello: It is better that you eat a balanced diet with low fat proteins and lots of fruits and vegetables, rather than rely on energy drinks for nutrients. Good luck.

  5. hi, am a hbv patient, and i always thought coffee would affect me. now i will make sure to drink at least a cup of coffee a day.

  6. am a hbv patient. can you please help me with some lists of food that might help me. Thank you.

    1. There is no specific diet recommended for those with HBV. Just try to maintain a healthy weight by eating a well balanced diet filled fresh vegetables and fruits, whole grains, and lean meat. Please consider avoiding processed foods, fast foods, and fatty foods. Be sure to avoid raw shellfish as they can be associated with a dangerous microbe. Moderate exercise is also recommended. Hope this gives you some ideas.

      1. hi,am Joel Kintu from ug,two weeks ago,I was screened and found hbv positive.and am using a lot of a natural barbs than fruits,will it affects me

        1. Hello: I’m not sure what natural barbs are, do you mean herbs? The National Institutes for Health has published fact sheets on various herbal supplements, the home page is at: https://nccih.nih.gov/health/herbsataglance.htm
          Please keep in mind that herbal remedies and supplements are not regulated so you don¹t really know for sure what is in them, and that the contents could change from one bottle to the next.
          The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
          We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
          I would encourage you to discuss the use of these herbal remedies or supplements with your liver specialist, along with learning more about your HBV and liver health. I would also encourage you to focus adopting healthy lifestyle choices which go a long way towards maintaining the health of your liver.
          In the meantime, lots of fruits and vegetables are good for you, and please avoid alcohol and cigarettes.
          By the way, there is an organization in Uganda working on hepatitis B, here is the information if you are interested: National Organization for People Living with Hepatitis B (NOPLHB)
          Kenneth Kabagambe at kkabagambe@noplhb.org or info@noplhb.org
          Website: http://www.noplhb.org

  7. how can one determine when he/she acquired the hepatitis b because i have just tested positive with hepatitis b and don’t know when i acquired it

    1. Many people have no idea when the acquired their HBV infection since many have no symptoms. You can run an anti-HBcAB – IgM to see if it looks like a recent infection ,but it may not be conclusive. The best way is to return 6 months after your first positive HBV test and ask your doctor for a hepatitis B panel. It’s one test with 3 parts and tells you in you are currently infected, or have a previous, and the status of your HBV immunity. Save a copy of your results and look on our website for the details from this test. http://www.hepb.org/patients/your_blood_tests.htm

    1. There is no way to know for sure until you have waited 6 months. If you remain HBsAg+ after 6 months then you would be considered chronic. At this point you don’t really know for sure if you are chronic or acutely infected. Please be sure to take precautions and assume you are infectious to others.

    1. You really want to talk to a liver specialist about your HBV and your liver health to determine if treatment is a good option for you at this time. He will evaluate you, take your history, and run additional blood work to learn more about your HBV.

  8. Hi there,

    I am a coffee-lover and have been drinking 2 to 3 cups a day. I encouraged myself drinking coffee as I heard that it rather helps then damages your liver. My viral load was cca 7000 and liver function response 4 (this is a scale to 10 if I am correct, where 10 is bad). I just had my fibroscan and ultrasound done a month ago and both figures increased: viral load to 30,000 and liver function from 4 to 6. Is this something to do with coffee ?
    I am a chronic HBV carier and I have been positively tested for antigen as well.

    Thank you for response

    1. It is unlikely that your 2-3 cups of coffee per day has impacted your liver disease progression. Studies may show that coffee is good for your liver, but it will not prevent disease progression as a result of your HBV. Please talk to your doctor and see if treatment would be a good option for you at this time.

  9. hi there,
    i was diagnosed with chronic hep about 3years ago and am not taking any treatments for it because my viral load is abot 1500…. but i get to see my doctor every year…i have no idea how i caught the disease but all i know is that abput 7 years ago i went to see a nurse and she said something about it being very low…i had no clue what it meant and i continued living my life…and then 5yrs my GP gave me a booster…and i wasnt even explained what it was for…and it all makes sense why all these things happend years ago…i am just so worried because i havent told my mum that i have the disease…what should i do???…i dont want my mother to worry so much as she is in her late 60’s and am the only child and as well being adopted…what should i do?

    1. I would encourage you see a liver specialist to learn more about your HBV and your liver health. It’s not clear to me how carefully you have been monitored or are being followed. Did you receive a booster shot for the vaccine? This is not necessary and doesn’t help those living with HBV. Please know that your HBV infection is not your fault. It is very likely you have had your infection since birth. I dont’ think your mother would be angry, but she might worry like most mothers do. 🙂 Have you looked into the online HBV support group? You might like to engage with others living with chronic HBV. They’re a great community of people – supportive and very knowledgable. You can consider joining them at http://hblist.net

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  11. I tested postive to hbv n am newly married,n is affecting my relatinship with my hubby cos we can nt hv sex beacuse of my health n I really wnt to conceive what shld I do doc pls help me with gd response thank u.

    1. Have your husband get the hepatitis B vaccine series. It is a 3 shot series that will protect him from getting HBV from you or other sources of possible infection (ex. direct contact with infected blood). If your husband wishes to confirm his immunity, he should have his anti-HBs titres checked 1 month after the last shot of the HBV vaccine series. If it is greater than 10 IU/mL then he does not need to worry about getting HBV. Until then, be sure to practice safe sex using a condom and be careful he avoids direct contact with infected blood.

  12. I am 58 years old my dr tell me about 5 years ago that I am a carrier of hepatitis b I am very confused my husband and children are ok I never been with any other man would coffee will help me.

    1. Sorry to hear of your HBV diagnosis. HAve your husband and children all been screened for hepatitis B? This is very important just to confirm. It is possible that you have been in an inactive phase of the HBV virus for many years – since your marriage to your husband and prior to the birth of your children. Your husband might still benefit from the HBV vaccine. Please be sure you are evaluated and monitored by a liver specialist to learn more about your HBV and liver health.

  13. Thank you for your concern , my husband and I been together for 35 years and I never been sick with anything related to hepatitis, my youngest child is 28 years old and all my three children had the three series of the hepatitis shots my husband lab result is good . I will definitely consult a specialist .

    1. I am glad to hear your children husband are vaccinated. HBV often has no symptoms for decades, which is why they call it the silent epidemic. You don’t want to wait until there are symptoms. Definitely consult with a liver specialist. It just makes good sense. All those with chronic HBV benefit from a thorough evaluation and regular monitoring. Best wishes!

  14. Hi.thank you for the info coz im a hepa B carrier and I love coffee.i just want to ask if green coffee bean will not affect my liver problem? I just planning to try it to loose weight just to get my desired weight then stop.
    Reply is highly appreciated.

    1. I don’t know. I don’t have any study data regarding green coffee. Please be careful with your diet as you lose weight, which of course is good, but best when you work at changing your longterm eating habits and adding exercise rather than trying a quick weight loss diet. Please talk to your doctor if you have additional questions.

  15. Thank you for the provided information! I am a chronic hep b carrier and it has been suggested that I got it during childhood but not birth. I’m 23 and I found out 3 months ago, I tend to drink coffee 3 cups a day due to my studies, currently in my last year and planning to do a doctorate degree -so more coffee for sure:) but I have these unpredictable anger tantrums which make me feel so bad, and I feel so tired most of my day…my eye sight has worsened in the last 3 years and I can’t look to the far distance without my glasses on, my eyes hurt! I am anaemic so I’m using sulphate tablets (3 a day as prescribed when actually I should be taking 2 according to my weight). My hands, lips, nose and eyes are swollen from morning till about the early evening… I’m waiting on an biopsy appointment to come through but I’m really scared about the results:( do you have any recommendations? Is redbull bad for my liver? Becos I drink 1/2 of those occasionally. Or is it just the coffee that has goodness for the liver?

    I thank you in advance and look forward to your reply.

    Best,
    Anna

    1. Studies continue to show that coffee is actually good for those with liver disease. However this is not necessarily related to the caffeine in the coffee. I would think that coffee would be a better choice than Red Bull, since there are benefits to the antioxidants in coffee. The other thing to consider if your general health and mood. Too much of anything is not good. If caffeine is making you irritable or giving you other physical symptoms that are a problem then you should likely cut back. I would discuss this with your doctor and liver specialist. Hopefully your biopsy results will be favorable. I do not know if your problems are related to chronic HBV or something else.

  16. Thank you for the information, I have had HBV for for over 2 years since my doctor told me, and i have had series of text and it confirms that my liver is in order, but i want to know if there is cure for HBV and how long would it take before it gets to chronic HBV? What are the symptoms? And please i want to know what kind of meet i need to take and do i need to eat beans and fish? please i need the answer ASAP.

    1. A person that tests HBsAg positive for greater than 6 months is considered chronically infected, so after 2 years you would be considered chronically infected. At this time there is no complete cure for chronic HBV, but there are good treatments that control and manage the virus if a person learns they are a good candidate for treatment. it is important to know that not everyone with chronic HBV benefits from treatments available today. Often those with chronic HBV have few or no notable symptoms for decades. You don’t want to wait to have symptoms before you see a liver specialist to learn more about your HBV and liver health. They will run blood tests and possible do an imaging study to learn more. Be sure that you do NOT drink alcohol and avoid smoking. Maintain a healthy weight by eating a well balanced diet. Be sure to eat plenty of vegetables, fruits, whole grains and limited lean meats. Be sure to avoid fast and processed foods. Try not to eat too much sugar you find in sweets and sodas. Cut back on red meats, fried foods and eat meats like chicken or fish. Beans and nuts are good to eat. Try not to worry too much, most with HBV live long full lives, but you want to learn more about tour HBV and liver health

  17. Thank you for your message, but i would want to know the symptoms and what are the treatments for HBV?

    1. I’m not sure of your situation, blog comments are not threaded together. Anyway, roughly 70% with an acute infection have few or no notable symptoms. Symptoms may not occur for decades with chronic HBV. Serious symptoms that need to be addressed by your doctor ASAP would be jaundice (yellowing of skin, whites of eyes), swollen abdomen, severe nausea/vomiting may require supportive care. Treatments include control and management using a daily antiviral (such as tenofovir, entecavir), or the use of immune modulators for a finite amount of time such as pegylated interferon. You need to consult with a liver specialist to learn more about your situation and whether or not you would benefit from treatment at this time.

  18. Thank you for your information but my doctor told me to be taking LAMIVUDINE that it might cure it, but i would want to know from you if the medicine is good for curing HBV or not…

    1. lamivudine is an antiviral that controls and manages HBV. At this point it is not considered a first line antiviral like tenofovir or entecavir, but rather an older antiviral that is readily available and more affordable. Lamivudine or other antivirals do not cure HBV. Once again, blog comments are not threaded together in the dashboard, so not sure of your situation. You want to be sure you are in need of treatment. start with this resource which talks about managing HBV: http://ow.ly/gI5oy you and also look at AASLD, EASL guidelines

  19. I have chronic Hepatitis B, Started going to gym. i want to take some bodybuilding supplement: Preworkout, it contains : Caffeine, Magnesium Creatine, Beta alanine, Aeginine AKG, N-Acetyl-L- tyrosine, Vitamin B12, Folic acid, Niacinamide, Synephrine HCL, Vitamin C and puridoxal phospate.

    Can i take this ?
    Dr. said As it contains Caffeine, do not take this.

    im confused, what should i do ?

    1. Exercise is great for everyone including those with chronic HBV. I would follow the advice of your doctor and skip the body building supplement.

      1. he said because of caffeine,
        does caffeine active the Hepatitis B ? i mean does it effect the liver or any harm because of hep B ?

        1. Coffee is good for the liver. Evidently it does not matter if it is regular or decaffeinated coffee. Both are good for the liver. Therefore drinking coffee will not hurt your liver despite having hepatitis B. However, if you have other problems you might find that coffee with caffeine is not good for you (heart problems, anxiety etc). If you have specific questions, be sure to talk to your doctor.

          1. If u know please tell, if the bodybuilding supplements (Not the Steroids) is bad for liver having chronic hepatitis B. supplements like pre-workout (i stated in previous ques. about all salts, mainly it has caffeine ) , BCAA- branch chain amino acids, whey protein

          2. They would certainly not be recommended. Excessive amount of proteins may be hard to digest. I would discuss your specific situation with your doctor if you have additional questions.

  20. i’ve been under treatment with inteferon for 48weeks now. the result of my lastest blood test is still not good. Hence, the doctor recomend me for another 24weeks. I’m so worried if i still have bad result after another 24weeks. How long is it required for the treatment with inteferon? 48 weeks +12 weeks +12weeks maximum? When can i stop? My HBsAg is positive 737.

    1. Hello: Are you being treated with pegylated interferon, and get a weekly injection? The usual course of treatment is for 48 weeks. Doctors often stop interferon treatment after 12 to 24 weeks if they do not see a decline in your hepatitis B surface antigen (HBsAg). Have your HBsAg levels declined during your treatment? I know you mentioned they are now at 737. Also, do you still test positive for the hepatitis B “e” antigen (HBeAg)? Your doctor may be hoping the interferon causes you to lose HBeAg and develop “e” antibodies. Also, have you noted any reductions in your viral load (HBV DNA) during your treatment?
      Interferon works best in people with hepatitis B genotype A or B, do you know what your genotype is?
      The important thing to know with interferon is that it may take a while to work, so you may not see dramatic changes quickly. However, the usual length of treatment is 48 weeks. Talk to your doctor about why he or she wants to extend your treatment. Good luck.

  21. Thank you very much Doctor, your answers to all the questions has been so helpful to all. God bless you. How can I contact you.

  22. Many thanks for your kind response.
    Are you being treated with pegylated interferon, and get a weekly injection?
    Yes, it is a weekly injection, Pegasys with the medicine (Tenofovir and Lumivudine)

    The HBsAg levels declined from 7,516 to 800 after 24weeks treatment. the HBsAg slowly declined until 48weeks treatment. It is now at 737. I still test positive for the HBeAg and Negative anti-HBe. My HBV DNA is under detected, since the begining of treatment of interferon.
    Interferon works best in people with hepatitis B genotype A or B, do you know what your genotype is?
    My genotype is C.
    You’re right. my doctor is hoping the interferon causes yme to lose HBeAg and develop “e” antibodies. He will extend for another 24 weeks and then stop. I have no idea of what will happen. Or i have to stop with inteferon with HBeAg positive?

    Thanks.

    1. Hello: Some doctors have tried a longer regimen of interferon treatment in people who do not have genotype A or B. They think a longer duration of treatment may be effective. Your doctor may be encouraged because your HBsAg levels are declining as a result of treatment. Also, just to clarify, are you also being treated with tenofovir or lamivudine? Experts prefer tenofovir over lamivudine because it is stronger and has a lower rate of drug resistance. As long as you can tolerate the treatment, extending the interferon treatment 24 weeks as your doctor advised makes sense.
      One more thing to remember, even after you stop interferon treatment after 24 weeks, the drug can still have a positive effect, and you may lose HBeAg weeks or months after you stop interferon. Good luck.

      1. Hi, after finishing Interferon (one a week injection) for 72 weeks, the result of my HBsAg levels is 800. The doctor said I’m not able to stop the medicine, since the HBsAg level is still high. I’m continuing with the Entecavir (Baraclude) and Tenofovir. After 3 months, the result of HBsAg increases from 800 to 1350. I’m so worried on the increasing of the amount. Speechless from doctor. Is this the normal case?
        What should be the next solution? I’m so concern.
        What other test should I take to make sure I’m not in high risk condition?
        What if I want to have a baby? can I’m pregnant?

        1. Hello: In the U.S., the key thing doctors look at is our viral load (HBV DNA) not hepatitis B surface antigen (HBsAg) levels. High viral loads cause liver damage, so antivirals are used to stop the virus from reproducing. Antivirals have no direct effect in lowering HBsAg levels. If you have gone through pegylated interferon treatment and now antiviral treatment, you should have your viral load tested. If you have no signs of liver damage (with ALT or SGPT levels above 19) and if your viral load is undetectable, you should discuss whether you need to continue treatment.
          Also, medical guidelines in the U.S. never recommend treating patients with both entecavir and tenofovir (Viread). If you require antiviral treatment, you need only one of them, and either of these antivirals is an effective option.
          Here is a link to our directory of liver specialists http://www.hepb.org/resources/liver_specialist_directory.htm . It is not an exhaustive list, but may provide a suggestion for a liver specialist in your country. You are more likely to find a liver specialist at a larger hospital, teaching or research hospital. Ask for a hepatologist or a GI doctor with experience treating patients with chronic HBV.
          You can have a baby even if you have hepatitis B. It is very important that your baby is vaccinated with the first hepatitis B dose within 12 hours of birth and also get a dose of HBIG (hepatitis B antibodies). During your pregnancy, continue to have your liver enzymes and viral load monitored. Studies show it is safe to continue tenofovir during your entire pregnancy if your doctor recommends this treatment.
          Good luck.

  23. im positive in hep b my viral load is only 17.6 it my doctor advice me to take entecavir…it is necessary to take that medicine even my viral load low…thank you..

    1. Hello: If your viral load is only 17.6 IU/mL, then it would be undetectable and you would not need treatment. However, viral loads are often reported on lab reports with a “log” number. Depending on that number, you need to add zeroes at the end of the viral load number. Please talk to your doctor about exactly what the viral load is, in case you don’t have the right amount. Most medical guidelines take into consideration viral load, degree of liver damage, age, gender and other factors when determining if treatment is needed. Good luck.

  24. thank you for the reply doc..ive done my ultrasound of my liver..and theres no any damage of any part of my liver..my doctor give me a medicine entecavir entegard…he told me to take this medicine 3 months and after test again my blood if theres no virus…doc. can I test my blood even it is two months only just to check it..and test again after 3 months…now 2 months past already…thank you doc…

    1. Hello: I know you are anxious to see how the antiviral entecavir (Baraclude) is affecting your hepatitis B. We’re all eager to find out if our viral load is declining and our liver is getting healthier. Medical guidelines suggest that testing every three months is acceptable, sometimes it takes a while for the antiviral to work. I assume your doctor will want to see how the antiviral has affected your ALT/SGPT levels and viral load and will decide if entecavir is working or whether you need another antiviral. Keep in mind that once you are placed on an antiviral that usually you can expect to be on it for months or years. Good luck.

  25. hello doc..I already done my 2nd blood test for HBsAg and Anti-HBs the result is both non reactive…can I tell that im HBV free??
    can I stop now taking the medicine Entecavir entegard.??..i take this medicine for two months…can i get vaccine for hepatitis b now??
    Thank you doc…

    1. Hello: Congratulations on clearing the hepatitis B surface antigen (HBsAg). That means you have “inactive” hepatitis B, which means it’s not actively harming your liver at this time. However, until we develop hepatitis B surface antibodies we have not completely cleared the infection. You need to talk to your doctor about your health and medication. The doctor may have you on antivirals because of previous liver damage. Antivirals work for only as long as you take them, and your doctor may think it’s important that you continue to take them, even if you have cleared HBsAg. Good luck.

  26. thank you doc…the result of the ultrasound of my liver doc are ok..they did not found any abnormalities..they are unmarkable…thank you doc…

  27. I just read on the internet that one Dr.Marc Pellegrini and Dr Greg Ebert and colleques have developed a new treatment for chronic Hep.B infections that was 100percent successful in preclinicals trials.Please can you confirm for us.

    Also I am living in Ghana but I cannot find any Hep.B foundation here so please can you give me a link to any of the Hep.B.foundation we have in Ghana.

  28. Hi, My name is Daniel from Lagos, Nigeria. Just wondering if there is any foundation in Lagos for me to join. Was told I have chronic HBV two years ago and I have not done any further test or taken any medication since then. I really need someone to talk to for advice as am beginning to feel some pain around my Liver which is Scaring me already.

    1. Hello: The World Hepatitis Alliance has organizations around the world and there are several in Nigeria. Go to the alliance’s members page at http://www.worldhepatitisalliance.org/en/our-members, scroll down and select Nigeria from the drop down box to see what support organizations there are.
      Medical guidelines recommend that people with hepatitis B are monitored for liver damage at least once a year. Usually, doctors test your blood for ALT (alanine aminotransferase), an enzyme that liver cells release into the bloodstream when they are damaged. That shows if the infection is harming your liver. How often you are monitored depends on your age and whether you’ve shown signs of liver damage in the past.
      Usually, hepatitis B does not cause abdominal pain because there are very few sensitive nerves around the liver. The pain may be caused by something else, and you should talk to your doctor. For more information about abdominal pain and hepatitis B read this article: http://hepbblog.org/2015/09/14/when-is-that-pain-hep-b-related-and-when-is-it-something-else/
      Good luck.

  29. Dear doctor am living with HBV I just wanted to find out about the coffee and some product like spalina (chlorophyll they said it helps , so which type of coffee here we have the tablet ones and is always roast locally , is it good and once again do you have HBV foundation in Uganda

    1. Hello: You are right, there are several scientific studies that show coffee provides some protection against liver cancer if you drink one to two cups a day. (More information is at http://hepbblog.org/2013/10/23/coffee-consumption-reduces-risk-of-liver-cancer/) I don’t know that they’ve narrowed down exactly what in the coffee is so beneficial, or if certain roasts offer more protection than others. You are lucky to have access to great coffee!
      We do not know about any valid studies that find chlorophyll to be beneficial if you have hepatitis B. For more information about herbal supplements and their health value, visit the National Institutes of Health webpage at https://nccih.nih.gov/health/herbsataglance.htm
      To find information about hepatitis B support organizations in Uganda, visit the member page of the World Hepatitis Alliance website at http://www.worldhepatitisalliance.org/en/our-members
      Scroll to the bottom and select Uganda from the list of countries. There are about three organizations that address hepatitis B on some level. Good luck.

  30. dear doc. can i take a vaccine for hepa b..my HBsAg is now non reactive but my anti Hbs is still non reactive…can I take vaccine for hep b..can vaccine can help to reactive my anti HBs?? Thank you doc.

    1. Hello: To date, there is little evidence that getting a vaccine shot, which contain HBsAg, will spur the immune system to produce more hepatitis B surface antibodies. However, because there is no harm, some doctors are trying this to see if it will spur production of surface antibodies. There is very little scientific evidence to prove it will work. Good luck.

  31. Hi. I just came across this. I tested +ve for HBsAg in 2013. Then in march 2015 I had a series of tests. Result showed AST= 18, ALT = 4, HBeAg=negative, AFP=2.85, viral load= <1.0log (IU/ml). My doctor told me I needed no treatments and I've not been having any symptoms either. Please what are the chances that it could get worse than this as I'm not on any drugs

    1. Hello: Your doctor is correct, you appear to be healthy and your hepatitis B infection is not causing any liver damage (which would be indicated by above normal AST and ALT levels — yours are normal) and your viral load (HBV DNA) is low. Many people live long and healthy lives with hepatitis B and never need treatment. Make sure you continue to be monitored annually or more frequently as your doctor recommends, to make sure the infection does not re-activate. This can happen if your immune system is suppressed from another illness or if you take immune-suppressing drugs. Continue to eat healthy foods and avoid alcohol and cigarettes. Good luck.

  32. good day doc. Im so worried about the result of the test for heppa B because my HBsAg is now reactive again..the viral load is 10.76..my first test on september my viral load is 17.56..so the doctor give me entecavir entegard…but on november 3..I got my second blood test for heppa b…my HBsAg is non reactive and my A-HBs is still non reactive…but now my third check my HBsAg is reactive viral load is 10.76…the doctor said continue to take the enticavir entegard…doc im so worried now…doc is theres a chance again that my HBsAg will be non reactive again and my A-HBs will reactive…what food or fruits should I eat…thank you doc…

    1. Hello: In the U.S., doctors recommend antiviral treatment, such as entecavir, if your viral load is elevated and if you have signs of liver damage, usually indicated by elevated ALT or SGPT liver enzyme levels in a blood test. I may not be understanding your viral load correctly, a viral load of 17.56 IU/mL is low … so perhaps there is reference to a log or something that I’m missing.
      Hepatitis B surface antigen (HBsAg) levels can fluctuate, especially if we have inactive hepatitis B. They can drop to such low levels that a lab test cannot identify it (nonreactive). Then another day, the HBsAg level can creep up just enough to be detectable by the lab test.
      Your doctor will review your whole report, including history of liver damage, viral load etc. when deciding whether to prescribe treatment. Talk to your doctor about your concerns. If you live outside of the U.S., the World Health Organization has recently published hepatitis B treatment guidelines at http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      You may want to review those guidelines with your doctor to determine if you need treatment. Good luck.

    1. Hello: Current medical guidelines do not recommend any specific vitamins or supplements for people with hepatitis B. They recommend a well-balanced, healthy, low-fat diet rich in fruits and vegatables, and they recommend avoiding smoking and alcohol. Good luck.

  33. Hello Doc .. Thank you for helping all with Questions about personal issue !
    I would like to know what kind off food or drinks, herbs to avoid ? I also
    Just found out I have Hepatitis B two months ago and it’s chronic .

    1. Hello: The best thing to do is eat healthy foods and avoid cigarettes and alcohol, as both will damage your liver and weaken your immune system. One or two cups of coffee have been found to provide some protection to the liver, surprisingly. Good luck.

  34. Hello Doc. Thank you for answering question that concerns us .
    I just found out that I have hipititis B chronic I would like
    Know what kind of food and drinks Not to have ?

    1. Hello: You can eat healthy, low-fat foods, however it is very important that you avoid alcohol and cigarette smoking, as they harm your liver and your immune system. Good luck.

  35. hello doc. good day…i was affected hepa b last yr 2015.on september my viral load 17.5..the doctor give me a medicine entecavir entegard..on november went to lab to check my blood..and my HbsAg is negative already but my antis Hbs is still negative..after a month on december i check my blood again but my HbsAg is positive my viral load is 10.3…still continue my medicine after a month in this yr. 2016 i went again on lab..my HbsAg is already negative the result is .157 while the cut off is .216…but my A-hbs is still negative…doc is theres a chane that this virus will dissappear and it will not come back again?
    this time can I have vaccine for hepa b to help my anti Hbs to reactive..is theres no side effect to have vaccine even I was affected on that virus..thank you doc..have a good day…

    1. Hello: You have asked some great questions. Clearly the antiviral medication has worked and reduced the amount of HBV DNA (viral load) in your blood, as well as the hepatitis B surface antigen. However, your immune system has not yet been able to generate enough hepatitis B surface antibodies to be identified in a lab test. These are all good developments, you have inactive hepatitis B that does not appear to be causing liver damage (though you did not include your ALT levels.)
      I do not know whether you will ever totally get rid of the virus and develop surface antibodies. Many people with chronic infections live long and healthy lives with inactive hepatitis B. Keep up your healthy living habits, and avoid alcohol and cigarettes.
      Some people have tried the vaccine to see if that will spur the immune system to generate more hepatitis B surface antibodies, however results have not been very good. There are no side effects from getting the vaccine. Good luck.

  36. doc. if ever im a chronic carrier…it is possible doc that my medicine i take is for the lifetime?…even my HbsAg is negative already..

    1. Hello: If your HBsAg is negative, you do not require treatment for hepatitis B. Please consult your doctor. Thank you.

    2. Hello: You probably do not require treatment if your hepatitis B surface antigen (HBsAg) levels are undetectable at this time. However, consult your doctor and continue to be monitored. Good luck.

  37. i read in the other article doc. that if you are affected of the hep b virus with the old age..there is only a few percent to become a chronic carrier..and for my side i was affected of the age 25…and it is 5 months already since i was affected of that virus…and the result of my HbsAg is negative for now…

    1. Hello: If you were infected five months ago and your HBsAg is negative, it suggests your immune system is clearing the infection. Please get tested again in a month and see what the tests reveal. Good luck.

    2. Hello: Usually when healthy adults are infected with hepatitis B, their immune systems can take up to six months to clear the virus. Make sure you are tested six months after your first test to find out what your status is. It’s a great sign you are already negative for HBsAg. Good luck.

  38. Helo doc. I never knew I am hep b positive till I was diagnosed at school. My ALT is 42.1, AST 32.5, D-BIL-D is 8.5 everything else is flag NORMAL. Is there any reason for me to be woried? Am 33yrs Ghana

    1. Hello: To assess your health, doctors look at many things, including your ALT level and viral load. When the infection is harming your liver, its cells release the enzyme ALT, also called SGPT. Usually, normal ALT levels are about 30 or less for men, and 19 or less for women. However, each lab has its own “normal” range so an ALT level of 42 may be normal or only moderately elevated. Are you able to get your viral load tested? This HBV DNA test shows how much virus you have in your body. Those tests would also help give you an overall snapshot of your health, and also indicate if you ever need treatment.
      You can always review your test results with your doctor. Also, the World Health Organizations has published hepatitis B treatment guidelines that you can review with your doctor. They are found at http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      Good luck, in the meantime, eat healthy foods, practice safe sex, and avoid alcohol and cigarettes.

  39. Hi,

    I am hep B carrier since 10 years, i have never experienced anything wrong in my liver functions test which i do every six months nor took and treatment, also i do Hep B PCR and AFP yearly, and the figures were always fine, PCR always was less than 1000 copies/ml. Only last week I have done all my tests again and I found that all the liver functions test are still normal and within the range, also the AFP is normal, only there is a leap in the Hep B PCR to 7.9*10^3. My doctor who is following my case since 10 years advised to do the PCR test again in 6 months, and if it goes up again he will request a new test which is examining part of the liver, i dont know the test name but it seems that they will take very small part of the liver through a needle, this is the first time he requests this in 10 years, and i am very worry about this and dont know the consequences. also he advised me to drink lot of black coffee, by the way i dont drink alcohol…appreciate your opinion on my case.

    1. Hello: For some reason, your immune system was not able to control or slow hepatitis B viral replication and your viral load (HBV DNA) has increased. Your doctor wisely wants to monitor you to see if this was a rare occurrence, perhaps you were sick from an unrelated health issue at the time, or if this is continuing. Research has shown that one to three cups of coffee a day appears to confer some protection to the liver, however drinking lots of coffee may not be healthy. What you can do is eat healthy foods, continue to refrain from alcohol and also smoking. Good luck.

    1. Hello: I would eat a well-balanced diet of protein, fruits, vegetables and carbohydrates. Drinking power drinks and a diet rich in only proteins in order to gain weight and muscles is hard on your digestive system and liver. Return to a balanced diet and see if your viral load comes back down, and keep getting monitored and make sure your doctor knows about any dietary changes you are making. Good luck.

  40. I started drinking coffee that I grind from whole seed in my fruit blender about two years ago. I mix my coffee with one tea spoon of honey, one cup a day. I have tested no trace of Hep B virus in my blood in the last three blood test. Could this be a cure?

    1. Hello: Coffee does not cure hepatitis B. It appears to confer some protection to the liver, but it will not eradicate the infection. Your immune system was able to clear hepatitis B. Good luck.

  41. Hi Doc, I found out that I’m hep B positive 6 years ago but had no treatment. I consulted an NHS liver specialist twice around 1/2, 2 years ago who confirmed my liver is still fine. However, I have been smoking for roughly 5 years as I find it as a way to manage stress which later turned to an habit. But I quitted 3 months ago and been smoking the electric cig, I occasionally take alcohol (rare) and I use whey protein shake because I’m not having enough protein (I eat once or twice a day) and have lean muscle. Could nicotine through E-cig, occasional alcohol and whey protein worsen my condition? I take coffee too once a day. Thanks

    1. Hello: Electronic cigarettes, or e-cigarettes, are a popular new tobacco product that have still largely unknown public and individual health effects. In fact, you may be surprised to learn that e-cigarettes are entirely unregulated by the U.S. Food and Drug Administration (FDA) and possibly Britain. Because of this, there are no safety checks or requirements for what can go into an e-cigarette. The American Lung Association is concerned about the potential health consequences of e-cigarettes. Federal oversight and regulation of e-cigarettes is desperately needed to protect children and the public. This need becomes more urgent as e-cigarette use dramatically increases, especially among youth. The best thing you can do is try to quit E cigarettes also.
      No alcohol is better than an occasional drink, however try to drink as little as possible. Also, a well-balanced diet with lots of fruits and vegetables is recommended over relying in specific supplements.
      Good luck.

  42. Hello Doc,
    I am a Hep B carrier. Could you tell me if eating spicy food like garlic and chilli pepper is Ok?
    Thanks,
    Todd

    1. Hello: Eating garlic and chili peppers is fine, and can be part of a healthy diet. Also, avoid alcohol and cigarettes, and make sure to practice safe sex (use a condom). Good luck.

    1. Hello: Heat flashes are not listed as a common symptom of hepatitis B. We recommend that you talk to your doctor about what other medical conditions or stress may be causing the uncomfortable heat flashes. Good luck.

  43. Hello sir I am hb postive in 6 month and doctor consult take a entacaveir tab I have chronic Hepatitis B,please tell me when I am Started going for gym nd my test report of hbv dna something 7305. and HBsAg is postive.

    1. Hello: If I understand you, you have tested positive for hepatitis B (indicated by a positive hepatitis B surface antigen – HBsAg test) for six months. This indicates you have a chronic infection and may have been infected during childhood. It is important that you find out if the infection is harming your liver. This is indicated by a blood test for the liver enzyme ALT (also called SGPT). When liver cells are damaged, they release ALT into the blood. Health ALT levels are 30 and less for men and 19 and less for women.
      Medical guidelines recommend treatment (such as the antiviral entecavir) only if you are experiencing liver damage and have a high viral load. Talk to your doctor to see if your ALT test shows signs of liver damage, if so, then the antiviral entecavir is recommended. If I have not answered your question, please email again. Thank you.

  44. Back in 2014 I was diagnosed with Hepatitis B and my doctor told me that I have to take medication my AST and Alt was pretty high I’m taking viread tenofovir now she told me everything looks good my question to you is before she used to write the whole results in order but this year she wrote as code as indication Hepatitis B (070.30) is that scary ? And when google it is says Acute Hepatitis or unspecified without coma I’m so scared I don’t know what all that mean thank you this website gives me hope in the future

    1. Hello: I’m sorry but I do not know what that means either. You have a right to ask question, in fact it is very important for us to do that as patients so we get the best care we can. Have courage! Good luck.

  45. I Am Bn Hepatitis B Patient , Plz What Are D Food Good To Eat ? Does It Affect The Side Stomach ? And Is There Any Herb To Cure The Disease ?

    1. Hello: Unfortunately, there is no cure for hepatitis B, however there are very effective antiviral treatments that lower viral load and the risk of liver damage. Keep in mind most people never require treatment, especially if they eat healthy foods and avoid alcohol and cigarettes. Experts do predict a cure will be developed in the next few years. Good luck.

  46. Good evening Dr.palmers.
    in 2012 April I went to the lab for a comphensive test it was then that doctor told me that I am HBV + but since then I have never felt sick or got tired for work
    Up till now I am still bouncing healthy without any feeble.and I take a lot of ginger, garlic and bitter and coffee and other beverage such as tea. Should I continue with the those intakes or should I be placed on drugs?

    1. Hello: There is a reason that hepatitis B is called the “silent” infection because it rarely causes any physical symptoms. There are very few sensory nerves around out liver, it’s why two-thirds of people with chronic hepatitis B don’t know they’re infected. Keep in mind that not everyone with hepatitis B require treatment, many people live long and healthy lives with hepatitis B. Generally, medical guidelines recommend treatment only if you are experiencing liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19. Please consult with your doctor and see what your ALT levels are to determine if you require treatment.
      If you ever do, there are two very effective antiviral medications that are recommended: tenofovir (Viread) and entecavir.
      Meanwhile, continue your healthy diet, avoid alcohol and cigarettes, practice safe sex, and make sure your family is tested and vaccinated if needed. Good luck.

  47. Thanks for all your of responses to the various question asked. I was just told this month) October, 2016 that I am positive but I was not told my HBV load. I am only told to avoid oil and alcohol intake. I am confuse, please advise on what I should do to safe my life.

    1. Hello: The doctor may be postponing running a viral load (HBV DNA) or liver enzyme test to first find out if you have acute (short-term) hepatitis B or chronic (long-term) infection. When healthy adults are infected with the hepatitis B virus (HBV) their immune systems are usually able to clear out the infection within six months. Your doctor may be planning to test you again in six months to see if you have cleared the infection. If you are still testing positive for the hepatitis B surface antigen (HBsAg) in six months, I would expect the tests will be run for viral load and liver damage (the blood test for ALT/SGPT). Good luck, and we underscore the recommendations to avoid alcohol and cigarettes, eat healthy foods, and be sure to practice safe sex (use a condom) to avoid spreading hepatitis B. Good luck.

  48. Many thanks for your quick response. Can you please advice on below listed drugs recommended by my Doctor; they are Limarin-140, Liver Detoxifier & Sorbiline Syrus. Since do not my status and it’s assumed to be acute until after six months, please recommend some supplement that will strengthen my immune systems. My fear is that the part of West Africa I from to be specific Liberia, the Medical systems is not sophisticated. The conducted liver function test and outro sound test I was told my liver is okay and functioning properly. I eagerly await your expert advice.

    1. Hello: Your doctor has recommended herbal supplements that do not cure hepatitis B. Because they are not approved by the FDA, the foundation does not endorse or recommend these supplements. There is no objective clinical evidence showing that the supplements benefit liver health. Our other concern is that because they are not regulated, you can’t be sure about the concentration or quality of the supplements. We recommend a healthy diet and lifestyle, and of course avoiding alcohol and cigarettes.
      The two approved antiviral treatments for hepatitis B are either tenofovir (Viread) and entecavir.
      Good luck.

    1. Hello: Eating a well-balanced diet, including foods that contain healthy proteins and oils as well as fruits and vegetables, is highly recommended. Good luck.

  49. Good Morning Doctor, after further medical examination my doctor said my viral was inactive. Not replicating so I was not at risk but they did not have the equipment that can show my viral load but from test conducted indicates that my liver & Kidney function are normal but he still recommended Lamivudine treatment which I have already started taking but I am concern if this will not cause me any negative effects on my recovery since tested positive in October, 2016. I am very worry. So, Please advise.

    1. Hello: Keep in mind that not everyone with hepatitis B requires treatment, many people live long and healthy lives with hepatitis B especially if they avoid alcohol and cigarette smoking. Generally, medical guidelines recommend treatment only if you are experiencing liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19. You did not list any liver function test results. Please consult with your doctor and see what your ALT levels are to determine if you require treatment.
      If you ever do, there are two very effective antiviral medications that are recommended: tenofovir (Viread) and entecavir.
      Lamivudine is no longer recommended for hepatitis B treatment because it causes a high rate of drug resistance.
      You may want to review the World Health Organization’s hepatitis B treatment guidelines with your doctor, they are found at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      Good luck.

  50. Many thanks for the quick response. Please find here below my Blood Chemistry results:
    ALT = 22.6
    AST = 19.2
    Triglyceride = 70
    Glucose = 88
    GGT = 48.4
    T. bilirubin is 0.65
    Cholesterol is 163.
    Many thanks for the guidance. I eagerly wait for your response.

    Best regards,

    1. Hello: I don’t know if you are male or female, but your ALT (liver enzyme) indicates your liver is healthy. Liver damage is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19. Keep in mind that each lab has its own healthy range, so some labs may consider 40 or event 50 healthy. Good luck.

  51. Hi, i am carrier of hepa just want to ask what is the best vitamins for me. am taking entecavir now for 8 months. is vitamins b and omega good to rake?

    thanks

    1. Hello: Generally as long as you are eating healthy foods, and avoiding alcohol and cigarettes, you probably do not need any vitamins or supplements. Talk to your doctor if any supplements are necessary. Good luck.

  52. Iam HBV positive since 2 years ago at the same time I am high blood pressure patient. Can I drink coffee?

  53. Am HBV +ve and always feel some pain in both sides of the stomach yet am on treatment, what could be the cause of the pain?

  54. am tired of taking lamivudine which for the hepB patient.. list of food am to be taking because here am surrounded with carbohydrates,, garri, rice, and yam.

    1. Hello: Were you experiencing liver damage (with above normal liver enzymes – ALT or SGPT) and is that why your doctor recommended treatment?
      Keep in mind not everyone with hepatitis B requires treatment, many people live long and healthy lives with hepatitis B. Generally, medical guidelines recommend treatment only if you are experiencing liver damage. This is indicated by an ultrasound and a simple blood test for the liver enzyme ALT (also called SGPT). Our liver cells release ALT when they are damaged or die. Healthy ALT levels for men are up to 30, and for women they are up to 19.
      The other thing to know is lamivudine is no longer recommended for hepatitis B. It is one of the first antivirals developed, but it causes a high rate of drug resistance.
      If you do need treatment for liver damage, there are two very effective antiviral medications that are recommended: tenofovir (Viread) and entecavir.
      A healthy, balanced diet of fruits, vegetables, proteins and carbohydrates is recommended. Good luck.

  55. Helo Dr,am Agnes from UG.I was found positive of helicobacter ‘ulcers’and later tested Hbv positive,took a liver scan n swellings were discovered around it n that my liver has become big with bad enzymes ALT-72,ALP-761 with Hepatitis B antigen (Eclia’)positive, Anti-Hepatitis B anti-body (Igm )eclia’negative,n anti-hepatitis b core antibodies (IgG $ Igm eclia) positive
    N I have serious stomach complication n pain.so am confused Wether this is caused by the ulcer drugs am taking or the state of my liver is at its worst.so worried though still waiting for the results of my viral load.at that state can my liver still be rescued? Am in need of your advice

    1. Hello: It is important that your doctor makes sure that whatever medication you are getting for your ulcers is not harming your liver. Some medications are processed by the liver, and some of them can harm the liver if there is already a pre-existing infection or liver damage. Your elevated ALT level of 72 shows some liver damage is occurring. Normal or healthy ALT levels are up to 19 for women and 30 for men.
      Please find out what medicine you are being prescribed and ask your doctor to check if it affects the liver. There is an excellent website at https://livertox.nih.gov/ that you can use to look up your medication to see if it might harm your liver.
      Also, your ulcers may be affecting your overall health and immune system, which is why the hepatitis B infection may be harming your liver. Good luck.

  56. I was tested HBV Positive since 2010. My viral load was 989,400,000 copies/ml. Just last month, early march 2017, the viral load was 355,744,900 copies/ml.

    I am very healthy and active. I even feel healther during the first viral load result than now. Have been on serveral medications such as Lamivudine, Omega Wash, BHT, and now herbal suplements. I do not know which one worked or is working.

    My ASAT is 82.2, while my ALAT is 113.

    What should i do now?

    1. Hello: You have a fairly high viral load (HBV DNA) and your liver enzyme test result (for ALT at 113) indicates you are experiencing liver damage. Medical guidelines recommend treatment when your viral load is high and you have liver damage. The two antivirals recommended for treatment are either tenofovir (Viread) or entecavir.
      Lamivudine is an antiviral, but it is no longer recommended because it causes a high rate of drug resistance.
      Also, we do not encourage herbal supplements. The National Institutes for Health has published fact sheets on various herbal supplements. The home page is at: https://nccih.nih.gov/health/herbsataglance.htm
      Please keep in mind that herbal remedies and supplements are not regulated so you don¹t really know for sure what is in them, and that the contents could change from one bottle to the next.
      The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
      We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
      I would encourage you to discuss the use of these herbal remedies or supplements with your liver specialist, along with learning more about your HBV and liver health. I would also encourage you to focus adopting healthy lifestyle choices which go a long way towards maintaining the health of your liver.
      Please talk to your doctor about treatment. The World Health Organization’s hepatitis B treatment guidelines are at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/
      Good luck.

  57. I know that i have HPV positive before 8 weeks. I am single and i want to marry my lovely girl friend. She don’t know about this fact. Still we didn’t make any sexual intercourse. If she know the fact I may lose my gf. What is your advise for me? or what am i going to do? How i can protect her from this virus?

    1. Hello: It is important that you are honest with your girlfriend and that you disclose your infection. The longer you wait, the harder it will be, and of course you do not want to put her at risk for infection. For more information, please read: http://www.hepb.org/blog/romance-in-the-air-take-a-deep-breath-and-disclose/
      There is a safe and effective vaccine that will protect her against hepatitis B if your relationship develops, and it’s important that she has that information so she knows how to safeguard herself. If she finds out you hid this from her, it will make it very hard for her to trust you in the long-term.
      I am not clear from your message, did you first test positive for the hepatitis B surface antigen (HBsAg) eight weeks ago? If so, you will need to get tested again six months after your first test to determine if you were recently infected and had an acute infection, or whether you were infected during early childhood and have a chronic infection.
      Good luck.

    1. Hello: Unfortunately, when you smoke you ingest a number of toxins from the tobacco that your liver must work hard to get rid of. And as you know, over time smoking and its toxins can lead to cancer. The best way to safeguard your health and prevent liver damage from your hepatitis B is to lead a healthy lifestyle and avoid alcohol and cigarettes. Good luck.

  58. Hi, i’m carrier of HBV/ HDV since young age.
    Last 3 years i’m under medication and my HBV is now unactive.but i’m continue taking pills called Viread at the moment by doctor consult. And I’m just starting to go gym to gain some muscle weight as i’m so skinny. My trainer suggest me to take some protein to improve my exercises. But i’m not sure person with liver disease like me it is safe take any protein ? is it affect liver ? how much protein safe for liver or can’t take at all? is there any specific special proteins safe for liver ? (How about products are called “Ultra Nourish” by Natural Wellness , or “Pro-TF” from 4life Transfactors? any of this can be safe ?
    Thank you 🙏

    Thank you

    1. Hello: As you may know, a hepatitis B and D coinfection is a more serious liver infection than having just hepatitis B. Hepatitis D can cause liver damage, even at a young age. Have you recently had a blood test to measure your liver enzymes (called ALT or SGPT) to find out if your infection is harming your liver?
      Have you been treated with only Viread (tenofovir) for the last three years? Unfortunately, this antiviral, which is used to treat hepatitis B, is not effective against hepatitis D. It may have reduced your hepatitis B viral load, but it’s not recommended for hepatitis D treatment.
      The only proven treatment for hepatitis D is pegylated interferon. This treatment is administered in weekly injections, and interferon cures hepatitis D in up to 25% of cases.
      We have a section of our website dedicated to hepatitis D at: http://www.hepb.org/research-and-programs/hepdeltaconnect/ and we feature a list of commonly asked questions about hepatitis D at: http://www.hepb.org/research-and-programs/hepdeltaconnect/faq/
      Now to your questions about a high-protein diet and herbal supplements. A diet rich in protein can be hard on the liver, which processes proteins. Doctors generally recommend people enjoy a healthy diet with low-fat proteins and lots of fruits and vegetables. Of course you should avoid alcohol and cigarettes.
      The National Institutes for Health has published fact sheets on various herbal supplements, the home page is at: https://nccih.nih.gov/health/herbsataglance.htm
      To date, no herbal or dietary supplement has been clinically proven to be effective against hepatitis B or D. Please keep in mind that herbal remedies and supplements are not regulated so you don’t really know for sure what is in them, and that the contents could change from one bottle to the next.
      The other problem with herbal remedies in general is there is typically NO evidence (no clinical trials or data) to back up a claim for a cure, which is why the NIH fact sheets are so valuable.
      We at the foundation cannot recommend any claims for a cure that are not backed by scientific data or endorsed by the U.S. Food and Drug Administration. Sometimes, supplements and remedies can harm the liver more than help it.
      May I ask where you live? And is your doctor knowledgeable about treating hepatitis B and D?
      We also have a list of physicians around the world who are knowledgeable about treating hepatitis. You can find the directory at: http://www.hepb.org/treatment-and-management/physician-directory/
      Please feel free to email us if you have other questions about your hepatitis D.
      Good luck.

    1. Hello: Every time you drink alcohol, your liver has to process the substance, which stresses it. It is best if you do not drink alcohol or smoke if you have hepatitis B. If you must drink, try to drink as little as possible.
      Good luck.

  59. Dear doctor, I am an HBsAg Carrier since 2008. I am Female, My S.Bilirubin (total) is 1.8mg/dl. HBsAg (confirmatory) Patient OD 29.46 and cut off OD 1.0. S.Bilirubin (direct) 0.4 mg/dl and (indirect) 1.4 mg/dl. SGPT (ALT) is 97 U/L. Do I need treatment? if, what type of treatment should I need? Does intake of coffee make difference at this stage. (N.B. My father was also an HBsAg Carrier, But he got rid of it through Homeopathic treatment. ) Again, I feel a little pain in the right side of upper belly, that is really scaring me and have a heated palm everytime. Please, need your valuable suggestion.

    1. Hello: Your liver enzymes (ALT/SGPT) are high at 97, indicating you are experiencing liver damage. Healthy ALT/SGPT levels for women range up to 19. Please see a doctor and ask for a test for viral load (HBV DNA) and also for a test for hepatitis D.
      Medical guidelines recommend treatment with either tenofovir or entecavir when viral load is high and you have signs of liver damage. These are two recommended antivirals. They are pills that you take daily.
      Because there are few sensory nerves around the liver, we often don’t feel discomfort or side effects from hepatitis B, but please tell your doctor about your symptoms. Good luck.

  60. where can some one with a damaged liver due to HBV get a transplant and how much does it cost. after the transplant will the disease go away.

  61. I’m a huge coffee drinker. Reading this article gives me more knowledge about my favorite drink. Thank you for sharing this article.

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