5million viral load

Hi @ScienceExperts

Can one have high viral load in millions when they have acute hepatitis B?or having high viral load mean that you are chronic?I don’t know where I got this virus. I am 32. I have been living with my husband for 10 years. But he is negative also my child is negative.And when you have such high viral load does it mean it will affect my liver? My liver function results came back normal.I am currently on treatment started in May 2024.I haven’t tested after 6 months to know if I’m chronic or not but doctor said I must start treatment because of high viral load.

Hi @thegiver25,
Yes, it is possible to have high viral load as an acute or a chronic patient. This is due to the high level of viral replication going on in the body by HBV. I am glad you started treatment, for living with that high viral load can lead to liver damage. Good to get that number lower. I hope this is helpful. Bansah1

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@Bansah1 Thank you for the response. So let’s say it’s acute and when I go test again after November which is 6 months. I find that I’m cleared . Should I stop the treatment or am I still taking it for life?

Your doctor should help you make that decision. It should be based on your results and if you have any symptoms. Don’t make such a decision on your own.

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Noted. Thank you! I will speak to him.

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Dear @thegiver25,

Very high viral loads like the one you have reported are usually accompanied by elevated ALT in the acute phase of infection. This might be acute infection or re-flare of previously inactive chronic HBV infection.

Starting NUC therapy was definitely the correct approach here. It should not be stopped until your HBsAg becomes undetectable for 6 months.

@availlant

Good evening @availlant

Thank you for your response and advises . This community assisted me mentally. Always assuring me that I’m not alone and I can live normal life. I am from South Africa and I have never heard anyone talk about this virus. I’m scared to share the news. But one day I will be brave.

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Dear @thegiver25 ,

You are already brave for sharing your story and seeking advice on this forum!

We look forward to hearing how things are going.

@availlant

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