
What Does This HBV Test Report Indicate?

You don't have Hepatitis B
Detailed Answer:
Hello and welcome,
The results of a Hepatitis B panel can be confusing. But the results show you don't have Hepatitis B, and apparently have not had the Hep B vaccine.
Here are the meanings of each part of the test.
Hep B Surface AB (surface antibody, sometimes abbreviated Anti HBs):
If this is positive or above 3.1, it means that you either had a Hepatitis B infection in the past and recovered or that you have had the vaccine.
Yours being low just means you never had the infection and never had the vaccine. Not all labs flag a low level, but apparently the lab that did your's anticipates that people should have had the vaccine.
HBSAG (Hepatitis B Surface Antigen)
If this is positive, it means you are actively infectious.
Hep B Core AB (also called anti HBc)
If this is positive, it means you have a previous or ongoing infection.
So, putting it all together, you never had, and don't currently have Hepatitis B. You also (according to the CDC) are considered "susceptible" because you have not had the vaccine (therefore the flag for being under 3.1).
Here is an explanation from the CDC: http://www.cdc.gov/hepatitis/hbv/pdfs/serologicchartv8.pdf
I hope this information helps. Please let me know if I can provide further information or clarification. I'm going to bed in a little while, but if you have further questions I can answer them tomorrow. Best regards.


Lymphocyte and monocyte levels not worrisome
Detailed Answer:
Hello XXXXXXX
I looked at the labs you uploaded. The lymphocyte and monocyte elevation is very minimal - just over the edge of normal by the lab that did your CBC, and by many standards, not elevated at all. Some put the upper end of lymphocyte range at 3.5. Yours is not in the range where I would have concern about cancer.
Lymphocytes can increase from a wide range of things including viral infections and allergies.
Your symptoms are nonspecific and can be from being run down. Getting a physical exam is a good plan to as this will provide a larger picture of what might be going on.

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