Hep B Blog

Ten Things People with Hepatitis B Need to Know in 2016

Image courtesy of Serge Bertasius Photography at FreeDigitalPhotos.net
Image courtesy of Serge Bertasius Photography at FreeDigitalPhotos.net

In 2015, doctors continued to unlock the mysteries of hepatitis B and uncovered promising new treatments. Armed with new information, here are 10 things we can do in 2016 to safeguard our health and help prevent the spread of hepatitis B.

  1. Get monitored regularly. No one likes a blood draw or to be reminded they have hepatitis B, but it’s important that you’re tested annually or more often if you have a high viral load and/or signs of liver damage. There’s no cure yet, but there are effective treatment options with more in the pipeline. So be brave, protect your health, and go to the lab for a blood test.
  2. If you’ve been prescribed an antiviral, don’t forget to take it. Taking a pill every day is tedious and it’s tempting to skip it, but failing to take your daily antiviral reduces its effectiveness and can lead to drug resistance. The hepatitis B virus is a master at mutating to escape whatever is attacking it. Forgetting to take your daily pill can lead to an uptick in your viral load and liver damage. Stay strong, take your daily pill, and keep that virus undetectable.
  3. Face it, antivirals are a long-term commitment. Until a cure is developed, antivirals—either tenofovir (Viread) or entecavir (Baraclude)—are the best treatment to quickly reduce both viral load (HBV DNA) and liver damage. But they work for only as long as we take them, and once we start, we are usually committed to years of treatment. Quitting antivirals before we’ve achieved undetectable viral load and lost the hepatitis B surface antigen (HBsAg) often results in a resurgence of both viral load and liver damage. Antivirals are a long-term treatment that help prolong our lives.
  4. Demand to be screened for liver cancer. Some experts say current medical guidelines that recommend when we should be screened for liver cancer  don’t go far enough to protect us. So take charge of your health and ask for a liver cancer screen, which includes a semi-annual blood test and an ultrasound.  Hepatitis B-infected Asian men (or of Asian descent) over age 40 years and Asian women over age 50 years, patients with a family history of liver cancer, patients with cirrhosis, and Africans over the age of 20 should all be screened. Think you’re not at risk for cancer because you take antivirals? Think again. Antivirals help reduce liver damage, but if you’ve had cirrhosis or are older, the risk of liver cancer remains.
  5. If someone promises a new cure or treatment that sounds too good to be true….it probably is. In our search to be rid of hepatitis B, we may be tempted to yield to clever marketing and try a supplement that promises to cure us. But first, do your homework and practice precaution. To check out an herbal supplement, visit the National Center for Complementary and Integrative Health’s website to see what scientific evidence exists for a supplement and talk to your doctor. There is no magic bullet that will cure hepatitis B. Experts hope to find one soon, but for now be patient and stay skeptical. If you want to safeguard your health, eat healthy foods and avoid alcohol and cigarettes.
  6. Experts say a cure is coming … so stay informed about new drug developments and clinical trials. There is lots happening on the research front. To find out what drugs are in the development pipeline, visit the Hepatitis B Foundation’s Drug Watch page for the latest news. You can also find out if you qualify for a clinical trial. Expensive blood work, treatment medications, and doctor’s visits are usually free-of-charge for those accepted into a study. The foundation features a list of hepatitis B-related clinical trials that are recruiting patients in the U.S. and around the world at its Clinical Trials page. You could become part of the cure.
  7. Pregnant with hepatitis B? Get your viral load tested and ask your doctor about antivirals. In November, the American Association for the Study of Liver Disease (AASLD) for the first time recommended that pregnant women with viral loads (HBV DNA) higher than 200,000 IU/mL (or 1 million copies/mL) receive an antiviral (either tenofovir or telbivudine) starting at their 28th week of pregnancy. The antivirals won’t hurt you or your baby and will reduce the risk that your baby will be infected with hepatitis B to nearly zero, as long as your baby gets the first dose of the hepatitis B vaccine and a dose of HBIG (hepatitis B antibodies) within 12 hours of birth.
  8. Fight discrimination against hepatitis B and know your rights. Hepatitis B should never be a barrier to the education or job you want. Sadly, ignorance and stigma remains in the U.S. and abroad. It depends on us, our friends, and our family, to stand up and fight for our civil rights. We can’t back down. If we don’t fight, who will?
  9. Practice safe sex and never re-use needles. Today, in some areas of the U.S., hepatitis B is increasing—even though a safe and effective vaccine exists. Unfortunately, not everyone is immunized and the infection is still getting transmitted sexually. In the midst of America’s heroin epidemic, it’s also spreading when syringes are re-used and shared. Do you want to end hepatitis B? Make sure your friends and family members know how to prevent sexually-transmitted infections (even if those conversations are challenging, their lives may depend on it) and support needle exchange programs in your region and state. Countless studies show that when needle exchange programs are available, HIV, hepatitis B and C rates decline! It saves lives and healthcare dollars!
  10. Be brave, disclose, and get your friends, family, and lovers screened for hepatitis B and vaccinated. Yes, it will be one of the hardest conversations you will ever have, but if you are infected with hepatitis B, you need to disclose your infection to people who may be at risk. If you just discovered you have chronic hepatitis B, which you may have contracted at birth, you need to tell your siblings and your mother and get them screened and immunized if needed. Dating someone, and about to take the next step? You need to disclose ahead of time and give them information and choices. It builds trust and it’s the right thing to do. You would want the same for yourself.

Happy 2016! Our hope for a cure continues.

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.

77 thoughts on “Ten Things People with Hepatitis B Need to Know in 2016”

  1. Hello, I just came across this blog on hepatitis b and it looks like a really great place to get informed…
    I have a question to you.
    I am 26 and I have been diagnosed with hep b on august on some random blood tests I’ve decided to do. On August
    ALT-SGOT 34.0 (normal <37)
    ALT-SFPT 53.0 (normal 170.000.000 & ALT-SGPT 68.0

    the doctors here told me that I need to wait the 6 month period in order to be sure if its chronic and then start the therapy with pegasys interferon
    but I am really worried I am already late due to the high viral load I have. What is your suggestion should I start the therapy as soon as possible? or should I wait?

    P.S Btw, since diagnosed I haven’t been using anything but these two http://imgur.com/a/sA6cV

    1. Hello: I know you are eager to know if you have an acute case of hepatitis B, which means it should go away within six months, or whether this is a chronic infection that you developed as a child. Unfortunately, you will have to wait until the next lab test six months after your first tests to figure out if you are chronically infected and whether you need treatment. Experts recommend treatment if your viral load is high, which yours is, and your ALT is above 30, which shows signs of liver damage. Both your ALT and viral load are quite high, however doctors are probably waiting to see if these decline rapidly in the next few months as your body tries to clear the virus. Email us again when your next round of tests are completed if you have questions. Good luck.

      1. The next round is completed except the PCR.

        HBeAg, HBsAg and Anti HBc positive, Anti HBe & Anti HBc negative. the same results as 6 months earlier.

        I had PCR 13 600 000 on August, over 170 000 000 on November and I am waiting for couple more weeks for the RT PCR I did in January (it takes a while, i live in a 3rd world country 🙂 )

        I am 26 and I am worried I will get cirrhosis with this viral load If I keep waiting on results and results, Should I start the pegasys interferon therapy as soon as possible? or what is your opinion?

        Thanks in advance.

        1. Hello: You ask an excellent question that we just wrote a blog about. You are in the immune tolerant stage of hepatitis B. You did not include it, but is your ALT/SGPT test normal? This liver enzyme test looks for enzymes that liver cells release when they are damaged or die. If yours is normal (which is the case for most young adults in the immune tolerant stage of hepatitis B), then your immune system is not noticing or attacking the infection, which is why your viral load is so high. Most studies have found that treating individuals in the immune tolerant stage does not produce any benefit. (Read the blog at http://hepbblog.org/2016/01/20/why-wont-doctors-treat-young-adults-with-high-viral-load-and-no-signs-of-liver-damage/)
          Until your immune system “wakes up” and starts attacking the infected liver cells and creating antibodies, no treatment will be effective. Additionally, doctors don’t want to start you on antivirals that you may have to take for many years.
          What is very important is that you continue to be screened for viral load, Hep B “e” antigen and antibody, and liver enzymes (ALT/SGPT) at least every six months so you can be carefully monitored. Good luck.

          1. Hello, thanks a lot, yes I’ve read it over and over as I am supposed to start a therapy (inteferon) in two weeks or so and this was one of the main concerns that I had. It was a good read and very informative. I really appreciate you are doing this.

            My results are as follow.
            5-6 months earlier: (HBsAg, HBeAg, AntiHBc positive. AntiHBe & AntiHBs negative, viral load 13million ui/ml) ALTSGOT 34, SGPT 53.0.
            2 months earlier (PCR > 170 million iu/ml, ALTSGOT 34.0, SGPT 68.0)
            1 month earlier (ALTSGOT 30.0, SGPT 38.0) Serology (HBsAg, HBeAg, AntiHBc positive. AntiHBe & AntiHBs negative).

            The therapy is given free by the Ministry of Health here, I will see If I can postpone it, since now I am not really sure if I want to go through it.

            Thanks again.

    2. I have hepatitis b.I have taking drugs like hepantivir and this is the result of my test
      It is good for my health or bad because my doctor say I shouldn’t take the again.but I need to clear it away from system

      1. Hello: There is no cure for hepatitis B and herbal supplements like hepantivir have not been shown to protect the liver or reduce hepatitis B (please see: https://www.hepb.org/blog/buyer-beware-when-someone-claims-to-have-a-hepatitis-b-cure-its-a-counterfeit-drug/)
        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.
        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.
        The World Health Organization has published hepatitis B treatment guidelines at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/ that you can review with you doctor.
        Good luck.

  2. Iam hepatitis b positive. My baby antiHbs is 75 IU/ml(tested year back) now again vaccine can ba given to my baby..the value of anti Hbs how long it lasts. My baby age is 6 years.whether she is safe…

    1. Hello: Yes you child is protected against hepatitis B and is safe. Once your child is immunized or has hepatitis B surface antibodies (anti HBs) measuring at least 10 mIU/mL, she is considered fully protected against infection. Good luck!

      1. may i ask if your anti HBs level is at least 10mIU/mL, is this going to be for lifetime or you still need to take boosters once you are in contact with the virus frequently.( I have a girlfriend (soon to be wife) with chronic Hep B)

        1. Hello: Experts says that after you have achieved the 10 mIU/mL level of hepatitis B surface antibodies (Anti HBs), that you are protected for life. It is common to have your antibody levels change over time, however your immune system retains it ability to recognize and fight the infection. You do not need a booster. Congratulations on your coming marriage. Good luck.

  3. Thank you for your advice…you are really great…providing valuable service to needed…. sir.. my baby anti Hbs value 75 iu/ml… how long duration(years) this value remains…in FUTURE I NEED TO GIVE VACCINE TO MY CHILD? OR NO NEED. Please kindly answer me sir…please…pls

    1. Hello: Your baby’s hepatitis B surface antibody level means your child is permanently protected against hepatitis B. Surface antibodies levels can vary over time, but once this level of antibodies is achieved, they are absolutely protected. Good job!

  4. Iam hepatitis b positive person. My question is if viral load is below 20 IU/ml meansiam in seroconvwrsion. Sir….What is mean by sero conversion? If low viral load is low means…STILL IAM CONTAGINOUS TO OTHERS?

    1. Hello: Even if your viral load is low, if you test positive for the hepatitis B surface antigen (HBsAg) you can still transmit the infection if someone comes into direct contact with your blood, semen or body fluids. Seroconversion means losing the hepatitis B surface antigen and developing the surface antibody. This is what we all want to happen. So continue to eat healthy foods, and avoid alcohol and cigarettes. Good luck.

  5. “Hepatitis B should never be a barrier to the education or job you want.”

    I am unfit due to HBsAg Positive. How I fight? Please help me. I live in Dhaka, Bangladesh.

    1. Hello: Unfortunately, some countries such as Pakistan and other Mideast countries discriminate against people with hepatitis B, even though there is absolutely no reason. We recommend you work with hepatitis advocacy organizations to try to change the laws in your country to strike down this inhumane discrimination. Please visit http://www.worldhepatitisalliance.org and look at its member organizations to find one near you. Good luck, we send our support.

  6. Hi,

    I have a girlfriend with chronic hep b and i want to ask if deep kissing will result in me becoming infected. I already know that we need to have protected sex and everything and also i want to ask if what blood test and boosters should i do to increase my immunity. (I already have been vaccinated against hep b when i was a baby.)

    1. Hello: According to experts, deep kissing will not transmit the infection unless you or she has an open cut or bruise in your mouths. Good luck.

  7. Hmm, have been with this virues is over ten years I never serious with the virues when I wanted to donote blood for a friend I was told I can not donate blood at first I thought maybe I have hiv knowing notting about the virues, just of resent I really understand the meaning and predicament am facing only I eat good food, I used muti-vitami and I do engage in exercess. The point is this to do the vira laod test here in nigeria is too much and I read a report about the new cure of the disease invented by Australia researcher name Dr Marc Pellegrini (L), Dr Greg Ebert and colleagues using the combination of cancer drug to cure the virues. How truth is this assertion? Here is the like http://www.wehi.edu.au/news/cancer-drug-shows-promise-cure-hepatitis-b oR http://www.wehi.edu.au/news/cancer-drug-shows-promise-cure-hepatitis-b I want to know how truth is this welcome development as been stipulate above no cure now and in the pipleline. If u are a single that have the virue I want to marry u

  8. Sir iam hepatitis b positive person. My wife received vaccine. Her antiHbs shows 1000 IU/ml. Is it ok? Shall we have to continue protected sex? Is she safe?

    1. Hello: As long as she has developed at least 10 mIU/mL, she is protected against infection, so with 1,000 iu/ml, you can have unprotected sex. Good luck.

  9. Hello sir..my child vaccine for hepatitis b given at birth&at 2nd&3rd month…but we not followed schedule as normally suggested….now child age is 5 years….antiHbs titre came as 71 iu/ml….is this value protects my child from infection..because iam positive for hepatitis b…sir…shall i give vaccine again to my child as 0, 1, 6 months schedule? How she developed the antibodies without following the schedule? Iam sure that 2nd& 3rd month vaccine…but not sure at birth the vaccine given or not…but doctors says at birth all child receives vaccine in hospital it self along with D SIR… MY QUESTION IS SHALL I REPEAT THE VACCINE SCHEDULE…OR LEAVE…THANKS FOR YOUR KIND ANSWER…

    1. Hello: According to your report, your daughter is protected against hepatitis B infection. To be protected you need at least 10 iu/ml of hepatitis B surface antibodies (HBsAb) and she has 71. You did fine, she is protected! Please double-check with your doctor, but based on what you provided she has immunity. Congratulations.

  10. Hai sir,your web site is amazing,very very helpful for hepatitis b victims. I think this is only a site in world provides much information. Sir….i have a straight question….MEDICAL FIELD DEVELOPED A LOT…BUT WHY DOCTORS AND SCIENTISTS FAIL TO CURE THE HARMFUL HEPATITIS B? IS THERE ANY COMPLTE CURE IS THERE? IN FUTURE ONGOING DRUGS IS THERE? I HEAR CANCER DRUG HAVE ABILITY TO CURE HEPATITIS B? ANY PROOF ID THERE FOR THAT STATEMEMT? thank u for answerimg..iam big liker of your Hepb site

    1. Hello: I am glad the website was helpful to you. The hepatitis B virus is complex and easily mutates, so to date scientists haven’t been able to find a drug that entirely eradicates the virus. However, with new microtechnologies and developments, experts now predict they will have a cure within a few years, which we very much hope they will. Good luck.

  11. Sir iam hepatitis b positive. My wife received vaccines and she has 120 iu/ml anti hbs value. Sir my question is shall we plan for child? After birth is baby needs to go for tests? Or any care has to be taken? Please reply to me……

    1. Hello: Because of your wife’s high level of hepatitis B surface antibodies, you can safely have unprotected sex. You are a good husband to make sure your wife is fully protected. When your baby is born, he or she should be immunized within 12 hours with the first hepatitis B vaccine dose, and then receive the second dose 30 days later and then the third dose six months after the first. Your doctor may want to test your child after all the vaccine doses have been administered to make sure the baby is fully protected against infection. Good luck.

  12. Sir, iam positive for hepatitis b.my question is anti hbs value 70 iu/ml is present to my son. I want to improve this value…doctors saying if anti hbs 10 iu/ml is more enough for protection. Sir….i dont want to take chance….if i continue givinghbv vaccine 0.5 ml to my child as 0, 1, 6 month schedule…is it cteate any problem …or single booster dose is suggested….with big hope &anxiosly awaiting for your reply….THANKING YOU

    1. Hello: Your doctor is correct, once someone has at least 10 Miu/mL of hepatitis B surface antibodies, they are fully protected against hepatitis B. Your son’s 70 mIU/mL levels of surface antibodies shows he is protected and another vaccine dose is not needed. Good luck.

  13. Hai …..chronic hepatitis b inactive carriers can have normal diet like non vegetarian food? Is any chance is there…that complete cure? Antibodies will develop in inactive chronic carriers? Is hepatitis b victims can have normal life…..means normal survival chances? What is the description of hepatitis b nosode30c…..kindly solve my problems…….waiting for your valuable guidelines…..

    1. Hello: People living with hepatitis B can live long and healthy and normal lives. As long as you avoid alcohol and cigarettes, eat a well-balanced diet, which can include meat, and are monitored regularly, you are doing all you can.
      Researchers predict they will have a cure within several years, we are very hopeful. I don’t know about the drug you asked about. Good luck.

  14. Hello….if husband having hepatitis b, wife needs to repeat the vaccine series every five years 3 series shots? Or is it one time series is enough for life long? Because iam victim of hepatitis b..and my wife received vaccine…her antihbs also 66iu/ml…kindly help me by your answer….thanks a lot…

    1. Hello: You need to take the hepatitis B vaccine only once. Because your wife has hepatitis B surface antibodies of 66 IU/mL, she is fully protected against infection, which is wonderful.
      Good luck.

  15. Can you please tell me any trusted medicine available to cure completely Hepatitis b.interferon if taken weekly once for one year…after that no need ti continue antiviral drugs?….any newly developed drug available?

    1. Hello:
      Today there is no absolute cure for hepatitis B. Interferon works in a small percentage of people, and antivirals will lower your viral load, but for only as long as you take them. Experts predict a cure will be developed in the next few years, and we remain optimistic. For information about hepatitis B drugs in development, please visit: http://www.hepb.org/professionals/hbf_drug_watch.htm
      Good luck.

  16. Sir…hepatitis b vaccine can be given to all? If a person 52 yeats old, and no any medical co-morbidities..is he can continue vaccine series?

    1. Hello: Yes, the vaccine is recommended for all people at all ages. A 52-year-old person can safely receive the vaccine. Good luck.

  17. Hello.. My brother have this hepa b, he took baraclude and stop using it after 6 months. Bec he believes theres no cure for it is a virus on blood. Its been a year now, is healthy lifestyle will help him protect his liver against the viruses? Im planning to make him lemon water everyday, will it help?

    1. Hello: Doctors recommend treatment if you have a high viral load (HBV DNA) and signs of liver damage. Antivirals, such as entecavir (Baraclude) work to reduce viral load, however it works only while you take it. If your brother had liver damage, he should go back on entecavir. A healthy lifestyle, with healthy foods and avoiding alcohol and cigarettes, will certainly help someone with hepatitis B. Experts predict a cure will be developed in the next few years, and we are very optimistic. Lemon water is not proven to help reduce hepatitis B symptoms. Good luck.

  18. Hai sir….i came to know that now a days haemodialysis developed for hepatitis b…is it true….and one more question the sixth month hepatitis b vaccine can be taken one or two days before or after..if pwrson forgot to taken or exact date has to be followed for it? Tganking u

    1. Hello: I’m sorry but I do not understand your question about haemodialysis, I do know that people on haemodialysis should be immunized against hepatitis B. If you are off-schedule on your three-dose hepatitis B immunization by a day or two, it should not be a problem. Thank you.

  19. One who completed 3 series shots( 0, 1,6 months scedule) will develop life long protection from hepatitis b?

    1. Hello: The vast majority of people who are vaccinated with the three doses will be protected for life. Doctors do recommend if you live with someone with hepatitis B or are sexual partners with someone who is infected, you should be tested to make sure you have enough antibodies (also called titers) to protect you against infection. If you don’t have enough antibodies, you can always get a fourth, booster shot. Good luck.

  20. Hai sir….iam hepatitis b positive person.my wife received 3 series vaccine. Her antibodies also tested further the value is 90 iu/ml. Now my question is now no need to give further vaccine for life time? This antibodies value will remain life time and protect her? Or otherwise i need to repeat the whole schedule at every 5 years? I really confused and depressed a lot! KINDLY GUIDE ME….

    1. Hello: Because your wife has created all those antibodies (90 iu/ml) after her three immunizations, she is now protected against infection for life. Over time, her antibody levels may change or decline, but she now has what is called “immune memory” and will be able to fight off infection. Congratulations!!!! Good luck.

  21. Hello, I have been tested with
    ATL = 63 Unit/L reference range 0-55
    AST = 38 Unit/l reference range 4-34
    INR = 0.98 reference range 2-3
    Mono Absolute 0.26X10(3)/mcl
    Hep Be Ab Positive (Abnormal)
    Hep Bs Ag Positive (Abnormal)
    Hep A Ab Positive (Abnormal)
    Hep B Core Ab Positive (Abnormal)
    Could you please explain me what these mean and what are the treatments. Thanks.

    1. Hello: It shows that you are currently infected with hepatitis B (this is indicated by the Hep Bs Ag — hepatitis B surface antigen test.) The hepatitis B virus has several antigens or proteins that make up the entire virus. The surface antigen provides the covering of the virus and the “e” antigen and core antigen are other components of the virus. To clear this infection, your immune system has to develop antibodies to each of them, and you’ve already developed “e” antibodies (Hep Be Ab) and core antibodies, which is good. To get rid of the infection, you have to lose the surface antigen and develop the surface antibody.
      You at one time were also infected with the hepatitis A, however you have cleared that infection and now have the Hep A AB (antibody).
      I don’t know your age, gender, or viral load (HBV DNA) or overall health condition, but your ALT level is 63, which is a big above normal. When our liver cells are damaged by hepatitis B, they release ALT (a liver enzyme) into our bloodstream. Your lab’s normal range for ALT is up to 55, and yours is 63.
      It is important that you consult with your doctor and continue to have your ALT levels monitored in the event your liver damage increases and you require treatment. Also, it’s very important that you eat healthy foods and avoid alcohol and cigarettes.
      Hepatitis B is spread through infected blood and body fluids, so it’s also important to practice safe sex and not share toothbrushes, nail clippers or personal jewelry.
      If this was your first hepatitis B test, you should be tested again in six months to determine of you were recently infected and have an acute or short-term infection, versus a chronic or long-term one.
      Good luck.

    1. Hello: There is no cure yet for hepatitis B, however there are two very effective antivirals -– entecavir and tenofovir (Viread) and its TAF formulation that was recently approved by FDA –- that quickly reduce your viral load (HBV DNA) and your risk of liver damage. To find out the latest in new hepatitis B drugs in development, please visit our Drug Watch page at: http://www.hepb.org/treatment-and-management/drug-watch/
      And, for an update from a recent international workshop on future hepatitis B cures, please visit: https://www.hepb.org/blog/global-researchers-brainstorm-solutions-search-cure-hepatitis-b/
      Good luck.

  22. my name is john i am 43 . i have hepb. my AST SGOT WAS 23 AND ALT SGPT : 23. PLEASE ADVICE THE CHANCES OF GETTING RID OF IT.

    1. Hello: Unfortunately, there is no cure for hepatitis B at this time. However, the good news is your hepatitis B is not harming your liver and your immune system is working effectively to suppress the infection as much as it can. Our liver cells release ALT/SGPT when they are damaged or die. Healthy ALT levels for men are up to 30, and yours are very healthy. Good luck.

  23. I was diagnosed with hbv and my doc recommended lamivudine for 6 months… after that, i stopped taking the drugs but im stil reacting to the virus…what must i do sir, tnx

    1. Hello: Unfortunately, antiviral medications don’t cure hepatitis B and work for only as long as you take them. They make it hard for the hepatitis B virus to replicate, so your viral load (HBV DNA) — the amount of virus in your body — usually declines, but when you stop taking antivirals the virus starts reproducing again.
      Keep in mind that not everyone with hepatitis B requires treatment, many people live long and healthy lives. 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 need treatment, there are two very effective antiviral medications that are recommended: tenofovir (Viread) or entecavir. Lamivudine is no longer recommended because it causes a high rate of drug resistance.
      Good luck.

  24. Hello Respected Sir, I am 32, 2 Years Before i went to Dubai on Visit Visa for searching a job, after searching i got a job in Hotel line as a Graphic Designer, they Started my visa proses during proses they did my medical check-up in that they found (Hepb),
    I was very much shocked, i was never knowing about this Hepb, God knows very well i was helpless there, i cried and request them but no use, finally they stop my visa proses and a come back to my Country India,
    Requesting you sir please help me for this, how i can be clear from Hepb ?, How i can fight with Hepb, and which things are increasing Hepb, Plz Sir Help me.
    Thank you

    1. Hello: Many people live long and healthy lives with hepatitis B, unfortunately there is no cure and no drug that will make the hepatitis B surface antigen (HBsAg) go away, which is unfortunately what some Middle Eastern countries like Dubai use to discriminate against people with hepatitis B.
      I know this was a terrible experience for you, and this discrimination is a violation of human rights. I hope people continue to fight these discriminatory and unnecessary policies.
      Good luck to you, take care of your health, eat healthy foods and avoid alcohol and cigarettes, and make sure your family members are tested and vaccinated for hepatitis B. Good luck.

  25. my name is jay i am 22 . i have hepb.curent diagnose.
    my AST SGOT WAS 27 AND ALT SGPT : 21 hbsag virul load 5670 co/ml.
    usg is normal.

    1. Hello: The good news is your liver enzyme test for ALT/SGPT at 21 shows you are not experiencing any liver damage from your infection. (Healthy ALT/SGPT levels range up to about 30 for men and 19 for women.)
      Also, your viral load (HBV DNA) at 5,670 copies/mL (converts to 995 IU/mL) is moderately low. Have your had your hepatitis B “e” antigen and antibody tested? That will also provide a clue to what stage your infection is at?
      Is this the first time you have tested positive for hepatitis B? If it is, you will need to get tested again in six months. If you are still testing positive for the hepatitis B surface antigen (HBsAg), then it means you have a chronic infection.
      If you are wondering, according to medical guidelines you do not require any treatment because there is no sign of liver damage and your viral load is low. Good luck.

    1. Hello: Please tell us more about your condition and what questions you have. We are here to help. Good luck.

  26. Hi,

    I have a hepatitis b and was diagnosed 2010 then my doctor advised me to take antiviral medicine for hepa b for 6 months then after 6 months I go back to my doctor and done another test but he said that I still have the virus and now it’s chronic hepatitis b. Now I am living with a healthy lifestyle but I didn’t take any medicine or antiviral. Is that okay or do I need to really take anti viral medicine? If so what would be the best anti viral that I should take that is not so expensive but effective. Thank you so much.

    1. Hello: Keep in mind that 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. 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.
      Keep up your healthy lifestyle and avoid alcohol and cigarettes. Good luck.

    1. Hello: Hepatitis B surface antigen (HBsAg) is the protein that provides the outer coating of the virus. The virus produces much more HBsAg than it needs, and researchers suspect that HBsAg plays a role in hiding the virus from the immune system’s antibodies and T-cells. HBsAg is often measured in international units per milliliter (IU/Ml), the same way that viral load (HBV DNA) is reported.
      Ideally, we want low or undetectable levels of HBV DNA and HBsAg. Higher levels, such as what you have, indicate the infection is present and replicating. For more information about HBsAg testing, please read: https://www.hepb.org/blog/doctors-get-new-tool-improve-hepatitis-b-treatment-monitoring/
      Good luck.

  27. I found out I have hepatitis B when I tried to donate blood. The doctor told me that I have been infected with the virus somewhere in the past but I’m fine now. What does that mean? Does it mean I am inactive carrier? Please help me, I am worried to death!

    1. Hello: It may mean that you were infected in the past, but your immune system was strong enough to clear the infection. Blood banks test for the hepatitis B core antibody, which indicates if someone has been infected in the past. Even though your infection is resolved, blood banks don’t accept blood from anyone who has been infected.
      The next time you see your doctor, tell him or her about this and they may want to test you again to confirm the results. Good luck.

  28. I was diagnosed hbsag positive ,4months ago when I went for ANC and am afraid to go for a test again because I’ve done unprotected sex with my for close to year now and I think if I got the infection from him then it might be chronic in my system .but I’ve accepted to vaccinate my baby immidiately I put to birth. Can ii be possible that am recently infected

    1. Hello: When healthy adults are infected with hepatitis B, generally they are able to clear the infection after about six months. It is important for you to get tested again six months after the first time you were tested and found to be positive for the hepatitis B surface antigen (HBsAg). Are you pregnant now? You are right, it is very, very important that your baby is vaccinated with the first dose of the hepatitis B vaccine within 12 hours of birth or else he or she may be at high risk of infection.
      Also, if HBIG (hepatitis B antibodies) is available, your baby should also get a dose at birth. Good luck.

  29. My report hbv dna quanitative real time pcr result below detection limit means less than 50 copies/ml
    2) hdv negative
    3) Anti HBc igm – 0.90 s/co Negative
    4) HBcAb Total – 0.09 s/co Negative
    5) Antibody HBe – 0.13 s/co negative
    6) HBeAg – 0.35 s/co Negative
    7) Antibody Anti Hbs 0.81 s/co Negative
    8)hbsag kit – positive
    9) sgot – 22 ,sgpt 16
    Pls explain my report pls advice me

    1. Hello: I am sorry but I am confused by your lab results. You appear to have no indication that you have hepatitis B other than #8. HBsAg positive. You test negative for all other hepatitis B antigens and antibodies, and have no signs of liver damage. You may want to repeat the test in a month or two. Good luck.

  30. Past i was hepetitid b +v and I took enticovir .5_mg and after that my pcr clear after 10 month per positive why

    1. Hello: Entecavir is an antiviral that stops the hepatitis B virus from replicating, so it is not unusual for you to have an undetectable viral load (HBV DNA PCR) after 10 months. However, while entecavir will lower your viral load and reduce your risk of liver damage, it will not make the infection (indicated by the hepatitis B surface antigen – HBsAg) disappear.
      I want to point out that medical guidelines recommend treatment only if you have a high viral load AND signs of liver damage, indicated by elevated liver enzymes (called ALT or SGPT) or an ultrasound exam of the liver. Were you experiencing liver damage before your doctor prescribed entecavir?
      The World Health Organization has published hepatitis B treatment guidelines at: http://www.who.int/hiv/pub/hepatitis/hepatitis-b-guidelines/en/ You may want to review them with your doctor.
      Good luck.

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