Deciding on treatment and liver biopsy

Dear @John, welcome to the community and thanks for your question. You will require more lab tests to really find out what phase of chronic HBV you are in at the moment. I would recommend talking to a liver specialist about this.

Regarding lowering your HBV DNA load, there are no proven other ways to lower your HBV load. However, there are many ways to make your Hep B worse with poor health in other respects (low exercise, eating poorly, stress, etc.).

In any case, the HBV load is not necessarily what you need to worry about: people can have very high levels of virus but have very little damage to their liver. It is a complicated issue, one which I attempt to explain here: EXPLAINER: How Hep B infects the liver (English and Mandarin).

Hope this helps!

Thomas