Help me understand my results plz

my liver scans are very good. I am still within 6 months but i haven’t had any type of symptom but my pcr havent raised beyond 3500 and my liver asat and alat have never go beyond the normal range. Does this mean I have chronic hep b ?

Test 14 August 2024 7 October 2024 20 November 2024
Ag HBs (Surface Antigen) Positive Positive Positive
Ag HBs Index 2650.00 2100.00 1910.00
Ac HBs (Surface Antibody) Negative Negative Negative
Ac HBs Level <2.0 mUI/mL <2.0 mUI/mL <2.0 mUI/mL
Ac HBc (Core Antibody) Positive Positive Positive
Ac HBc Index <0.8 <0.8 <0.8
Viral Load (HBV DNA) 423 UI/mL 3310 UI/mL 2590 UI/mL
ASAT (AST) - - 25 U/L
ALAT (ALT) - - 36 U/L
Gamma GT - - 11 U/L
PAL (ALP) - - 69 U/L

Dear @inin78649,

Yes, these results are consistent with a chronic hepatitis B infection. However, given your normal ALT level and relatively low viral load, you are in a relatively stable phase that is associated with limited liver disease progression.

It is important to keep monitoring your condition for any changes, but this is generally a good sign.

Hope this helps,
Thomas

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thank you, why do you say that they are consistent with chronic infection. Aren’t I still within 6 months window?

Hi @inin78649,

Apologies, I misunderstood and thought you may have been diagnosed before these tests. You are right that the first and latest tests are within 6 months, so it is still not certain whether this would be considered a chronic infection or not.

In any case, this community is here for your support. Best of luck to you.

Thomas

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25 January 2024 14 August 2024 7 October 2024 20 November 2024 08 January 2025
Ag Hbs Positive Positve Positve Positive
Ag Hbs 2653.00 Index 2100.00 Index 1910.00 Index 2331.00 Index
Ac Hbs Negative Negative Negative Negative
Ac Hbs <2.0mUI/ml <2.0mUI/ml <2.0mUI/ml <2.0mUI/ml
Ac Hbc Positive Positive Positive Positive
Ac Hbc <0.8 Index <0.8 Index <0.8 Index <0.8 Index
Charge Viral 423 UI HBV/mL 3310 UI HBV/mL 2 590 UI HBV/mL 128 UI HBV/mL

Hi, DR, middle of February is supposed to be the end of my 6 months. Last test I saw a sharp drop viral charge and all other blood test have going down. I don’t take any medication. What does this mean ?

Dear @inin78649,

Fluctuations in HBV DNA of this kind are expected with chronic infection (particularly the immune control phase). Taken alone, this change doesn’t mean anything in particular. What are you hoping to find out?

Thomas

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A post was merged into an existing topic: Does this mean a partial cure?

@inin78649 If you don’t mind sharing, I wonder what events / activities caused those sharp increase (423->3310) and decrease (2590->128)? Did you take any measure to bring it down? Thanks.