EXPLAINER: Lab results and their interpretation

REPOST

Dear Thomas and Other Hep B Survivors,

Context: Past results since March 2021:

  1. HBsAg Screen: Confirmed “positive abnormal” from the blood bank results.
  2. Hep B Core Ab, Igm: Negative
  3. Hep B Surf Ab Quant: <3.1. (Low).
  4. Hep B Core Ab, Tot: Positive Abnormal (reference range: negative)

I have not yet been advised to take medications. I see my gastroenterologist in June as a precautionary measure and for “peace of mind” (recent colonoscopy was fine) and I visit my primary next week. My primary noted that my past 2 years of blood work have been normal, including liver enzymes and tests for cancers and diabetes because I WAS obese 3 years ago.

Now I have new results, updates, and some questions.

New test results: HBV DNA RealTime Abbott

Hep B Quantitation: 320 IU/mL
HBV log10: 2.505 log10 IU/mL

  1. Are these numbers a positive sign? hopeful? concerning? dangerous?
  2. Do these numbers help me to understand how long I have had the virus (e.g., 3 months, 1 year, 10 years, 25 years, since birth)? I am 52 and was diagnosed March 2021 by a blood bank donation.
  3. Do these numbers help me to understand if I can transmit the virus?
  4. Do these numbers provide any hope of one day being in that miraculous group where the infection can “spontaneously clear itself from the body” (FAQs about Hep B by Immunization Action Coalition, St. Paul, MN).

As a side note, for the past 2 years prior to diagnosis, I have been eating more healthy, exercising regularly, losing weight, and doing more mindful breathing exercises. I’ve never been a smoker nor do I consume “hard” alcohol and I might have a glass of sweet wine once every few months. But…

I have a history of high blood pressure (as do family) and I take medication for cholesterol and potassium. My grandfather died of prostate cancer and grandmother died, I believe, from liver cancer. I am not sure of all the illnesses my parents had before they died.

As always, thank you for patience, listening, and sharing.

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