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Suggest Treatment For High Cholesterol Levels

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Posted on Mon, 23 Jan 2017
Question: Hello,

Hoping you can help out.

I am a 39 year old, relatively healthy male and on July 19th I had unprotected intercourse with a female I had just met (not sure her health status). I felt fine until October 2nd when I got a bout of Shingles (there were some stressors in my life around this pointand time and sleep was on a low and alcohol consumption was on a high) – I had a routine blood test done on October 24th and all was good minus a tad high Cholesterol, slightly elevated Triglycerides and slightly elevated Ferritin (ALT was normal and I had normal Bilirubin blood levels). On the 7th of November, with some nervousness I went for a full STD work up and all came back negative. Still after some more nervous nights, I went for another STD work up on December 21st and once again, all came back negative.

Time Line
July 19th Unprotected Sex

October 2nd Shingles (took a 7 day antiviral and some pain medication)
*75 days post possible infection.

October 24th Routine blood work (all normal but tad high Cholesterol, slightly elevated Triglycerides and slightly elevated Ferritin (ALT was normal and I had normal Bilirubin blood levels).
*98 days post possible infection.

November 7th STD work up (Chlamydia, Ghonorrhea, HBcAB (Core AB) & 4th Gen HIV 1 & 2) – All Negative.
*112 days post possible infection.

December 21st Advanced STD work up (Chlamydia, Ghonorrhea, HBsAB (Surface AB), HBcAB (Core AB), HBsAG (Surface AG), Hepatitis C Ab & 4th Gen HIV 1 & 2) – Again, All Negative.
*156 days post possible infection.

I guess my questions are,

A, Are the above time lines / negative test sufficient enough to put this ordeal behind me and move on Knowing I do not have an STD?

B, Would the shingles and/or the 7 day anti-viral I took for them effect my test in any way or manipulate the Antigen / Antibody levels for detection?

C, Do I need to go back for further testing?

D, There are many different references about testing time lines for Hep B & Hep C, does the above fit the criteria for a conclusive result with in your organization?

Appreciate any clarity you can provide.
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
You are perfectly fine and need not test any further sir :)

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. Here are response to each of your queries in the addressed manner sir:

A. Yes, the time lines are perfect and in my opinion testing after the 75th day since exposure was not even required.

B. Nope, in fact the shingles in my opinion appeared probably because of an immunocompromised state caused by high stress levels (common trigger), poor sleep, and high level of alcohol consumption.

C. No you need not sir

D. Yes it does

I am sure you are healthy and need not ponder or fret over what happened in the past as you were lucky enough to get away with a clean chit of health. I wish you good luck and a healthy long happy life. Please do not hesitate to write to me for any further clarifications or information, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Shoaib Khan (10 minutes later)
Thank you,

Quick one per,

Q:
B, Would the shingles and/or the 7 day anti-viral I took for them effect my test in any way or manipulate the Antigen / Antibody levels for detection?

A:
B. Nope, in fact the shingles in my opinion appeared probably because of an immunocompromised state caused by high stress levels (common trigger), poor sleep, and high level of alcohol consumption.

***So the anitviral would not affect or my immuncompromised state would not affect the Anitbodies?

Just curious,

Q:
D, There are many different references about testing time lines for Hep B & Hep C, does the above fit the criteria for a conclusive result with in your organization?

A:
D. Yes it does

Why do some professionals list a 180 day (6 month) window for Hep B & C?
doctor
Answered by Dr. Shoaib Khan (19 minutes later)
Brief Answer:
No sir; 180 days is for Hep C which is almost never transmitted sexually

Detailed Answer:
Hello once again sir.

1. No sir, this very rarely happens, and in such cases we request for retesting, which you have done later, and so this can be ruled out.

2. The 180 day incubation period is for Hep C, and Hep C is very rarely transmitted sexually (route is most commonly parenteral, which is the use of common needles). So, both Hep B and C can be ruled out safely in your case sir.

I hope I have explained things in a manner best understood by you. Please do not hesitate to write to me for any further clarifications, I am always here to help.

Best wishes.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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Suggest Treatment For High Cholesterol Levels

Brief Answer: You are perfectly fine and need not test any further sir :) Detailed Answer: Hello sir and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. Here are response to each of your queries in the addressed manner sir: A. Yes, the time lines are perfect and in my opinion testing after the 75th day since exposure was not even required. B. Nope, in fact the shingles in my opinion appeared probably because of an immunocompromised state caused by high stress levels (common trigger), poor sleep, and high level of alcohol consumption. C. No you need not sir D. Yes it does I am sure you are healthy and need not ponder or fret over what happened in the past as you were lucky enough to get away with a clean chit of health. I wish you good luck and a healthy long happy life. Please do not hesitate to write to me for any further clarifications or information, I am always here to help. Best wishes.