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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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HBSag Reactive, Anti-hbs Negative, Anti-hbe Reactive, Liver Function Test Abnormal, LDL And Cholesterol High. What Now?

hi, i am HBSag reactive, anti-hbs negative, anti-hbe reactive. the test also says 0.0 less than 10 MIU/ml. I realized that i probably got it when i was borned through a blood transfusion. I am 31, my liver function test are AST:29 and ALT:35. These are my latest test, blood work came out great with all the right values, same for blood glucose, triglycerides, although high LDL colesterol at 139. I want to know are my life prospects limited?
Fri, 24 May 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
After going through your history, you are HBSag positive and anti HBe reactive which is indicative of viral replication and viral load.
Your liver function are normal and hence you are carrier of hepatitis,please visit a Physician/Gastroenterologist for assessment and take care of Cholesterol and LDL.
This is possible that HBSag becomes negative spontaneously or if chronic hepatitis develops and HBV DNA viral load is indicative then antiviral like lamivudine , adefovir , tenofovir , telbivudine and entecavir, and the two immune system modulators interferon alpha-2a and PEGylated interferon alpha-2a .
Your life will be normal just take care and consult a Gastroenterologist.
Take care.
Good Luck
Dr.Akhilesh Dubey m.D.
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HBSag Reactive, Anti-hbs Negative, Anti-hbe Reactive, Liver Function Test Abnormal, LDL And Cholesterol High. What Now?

Hi, Welcome to HCM, After going through your history, you are HBSag positive and anti HBe reactive which is indicative of viral replication and viral load. Your liver function are normal and hence you are carrier of hepatitis,please visit a Physician/Gastroenterologist for assessment and take care of Cholesterol and LDL. This is possible that HBSag becomes negative spontaneously or if chronic hepatitis develops and HBV DNA viral load is indicative then antiviral like lamivudine , adefovir , tenofovir , telbivudine and entecavir, and the two immune system modulators interferon alpha-2a and PEGylated interferon alpha-2a . Your life will be normal just take care and consult a Gastroenterologist. Take care. Good Luck Dr.Akhilesh Dubey m.D.