Deciding when to start treatment

Living With Hep B Treatment and Monitoring
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I am CNN seeking opinions or views.
Am 42 yrs old male. 8 months ago by chance I tested positive for Hepatitis B surface antigen S/CO B value of 4984.21 . I suspect it’s from child hood since I remember someone close who had symptoms similar to acute HBV but still not sure where I got it from. My family know and have been vaccinated. Below are the following additional results same time or 8 months ago:

  1. Anti HBc IgG positive

  2. Anti HBs 2.7 mIU/ml

  3. Hep A negative

4.Hep C negative

  1. HBV viral load 121 IU/ML

  2. Anti HBc IgM negative

  3. S/CO CM value 0.07

  4. HBe antibody (anti HBe) positive

  5. HBeAG Hep B e antigen negative

  6. Hep C antibody HCV 3 at 0.05

  7. HIV negative

  8. Alanine Transaminase 25 U/L

  9. Total bilirubin 16.4 umol/L high range being 20.5

Two days ago or 8 months later .the following are the results

  1. Alanine Transaminase 29U/L

  2. Viral load 390 from 120 8 months ago

  3. No DTV from Doppler test

  4. High AFP 6.6ng/ml with or using a ref range of 0 to 5.8

  5. 3.9 kpa on fibroscan meaning absent or mild fibrosis. No mass or nodules seen

  6. CAP 270 dB/m grade 2 steatosis

Question for @ThomasTu and any anyone else in this good platform:

A. I Visited two top gastro specialists in Nairobi and one prescribed tenefovir and the other requested for review in three months. Why the difference? Something to worry me? Not sure who to listen to. One said treatment ensures I reduce to almost zero the possibility of progression then wait for drug advances in the next 5 or 10 yrs.

B. Should AFP worry me. What else should worry me? Or should I monitor closer

C. I have shortness of breath and painful legs always. Worse when I exert yet pressure is ok, no diabetes markers, ok reumatoid factor test

D. Any other or additional view based on my results above are welcome?

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