As @Bansah1 has mentioned here, yes, the virus is still present in your liver as you are HBsAg positive. It is best to maintain monitoring (even if you don’t feel symptoms) to make sure that your liver health is not getting worse. And if it is, then you can manage it with medications.
Hope this helps,
Thomas
Thanks for your attention, @ThomasTu and @Bansah1.
That’s my big fear: of developing liver damage without changing my enzyme levels. This is my anguish since I crossed the 2000 hbv dna marker. my rates remain normal, the result of my MRI with contrast (elastography) in January/2024 showed only mild ferric overload, my biopsy showed mild inflammation and mild a1f1 fibrosis.
In my country, it is not possible to carry out the treatment privately. it is monopolized by the state that grants the medicines based on the protocol. As I am a carrier of a mutant virus, the protocol indicates treatment for hbv dna > 2,000, however it requires proof of liver damage with ALT 2x the normal value or F2 fibrosis (which I still don’t have, I don’t know if for good or for bad).
My anguish is this: waiting for more serious liver damage to be able to treat it 
What gives me relief is that for now I am ruling out the possibility of another complication (HDV) in addition to the ones I already have.
but this is what we have, let’s fight, let’s follow. hug
Oh wow, that’s interesting and sorry to hear that. I empathize with you and I understand your concern. I hope your country can change that policy because it does not make much sense. Their standard is not in line with the other international ones out there. At least you are keeping up with your care so that is good. Hopefully, things changes soon. Thanks, Bansah1.
I really appreciate your attention, friend @Bansah1 .
in fact, we always have to try to look at things from the best side. The monopoly on treatment in Brazil prevents me from starting now, on the other hand, once started the medication is completely free. and, by the grace of God, I have been able to see a good hepatologist and undergo regular tests. As I said, look on the positive side, pray and live.
I wish you the best. fraternal hug
Dear @La.sciamachie,
Thanks for bringing this up and it’s great that HDV has been ruled out.
Just to let you know, the WHO has recently launched their new guidelines for HBV care and treatment (I was there at the launch in Japan, so I’ve been away for a bit). These can be accessed here: Guidelines for the prevention, diagnosis, care and treatment for people with chronic hepatitis B infection. They now include some additional provisions for the issues you are raising in the key remarks of chapter 5:
There may also be individual circumstances in which, although individuals may not meet any of the four options for treatment eligibility, there are specific individual concerns regarding infectivity, transmission, associated stigma, the risk of oncogenicity and progressive liver fibrosis and a strong individual motivation to consider treatment, despite the lack of direct evidence. In such cases, a patient-centred approach with discussion between individuals and their health-care provider will be key in helping them make informed decisions about whether to begin treatment or not.
Hopefully you can find a health care provider who will allow treatment along these guidelines.
TT
Thank you very much for the excellent news Dr. @ThomasTu !
I will soon see my hepatologist again and I will discuss this new treatment possibility with him. I hope that with this guideline I can finally receive treatment.
Dealing with same symptoms, I would highly appreciate to know the outcomes, how did you manage it?
Hi I was just diagnosed and I am a little confused.
I got a call to say I am hep b positive and to come in for further testing. I was really anxious so I called them back and they said it chronic to me over the phone after one test. The nurse said it could be a past infection but she is sure I am chronic and then took my blood for further testing she also scanned my liver and all my results were fine and the levels were really low.
No one in my immediate family has hep b and the only way I can think I contracted it was from unsafe sex in the past as I have not had any sex in the last 18 months. I have kissed someone and got a tattoo in march 30th but it is most likely not from that. I am 29 male live in Ireland and was born in the UK.
She did not explain much to me about a follow up or treatment I have another appointment in 3 weeks time to discuss the results but she is sure it’s not acute as I have no symptoms currently although I went to the emergency the week prior because of chest pain and pain in my heart.
I don’t know how to feel about it as now I am thinking of my life and how long I have left.
Welcome @Kenneth_Barnsley
This must be very anxious time for you and I’m sorry that you have confusion about whether it’s acute or chronic.
But let me assure you your life is not over. I have been chronic HBV from the age of around 20. I am now 64, healthy and enjoying my life.
It is quite common for this diagnosis to be a shock, and also to be told in a unprepared situation, it has happened to most of us. Have a read of some of our stories. just know that we are here for you, and if you have any questions we will gladly answer them or direct you to where you’ll best find the answers.
As @Bansah1 has said, no question is dumb.
Good luck with your results.
Hellos to everyone! Greetings! I am from India. 35 yo healthy male.
Few days ago I had dengue fever (NS1) which got resolved uncomplicated.
But doctor did all other tests.
Concern:
HBsAg. - Reactive
HBeAg. - Non-reactive (0.31)
HBV DNA - Target Not Detected
LFT, Ultrasound- All normal
Living normal life, no health concerns.
Your thoughts on my reports please?
My test results have also been termed as Chronic. They said it is as per book. As per the theory of the disease. May be if history of contact is not proven then they term it as Chronic only. Someone else may comment on this please.
Hello dear sirs, could you please provide your valuable comments.
Warm regards!
Dear @Livestrong,
Welcome to the forum.
If your HBV DNA is not detectable and you have normal ALT without therapy then you have inactive HBV infection (also called partial cure). Your risk of getting liver disease or HCC is much lower than someone with chronic HBV infection. There is very little concern here.
Starting NUC therapy will not give you any additional benefit.
It would be interesting to see what the quantitative level of HBsAg is to see how close you are to functional cure.
Dear @availlant sir,
Thank you for your input. Everything else is normal. By the way I never got vaccinated. I am not on any therapy or medication.
Now started taking extra care about my diet, work outs and things. I was an occasional drinker, stopped it. I am a non-smoker. Athletic healthy adult.
Warm regards to you! May God bless everyone with sound health! 
Dear sir, my Fibroscan revealed:
UGAP/CAP- 161 db/mm (15.70%)
Stiffness- 7kPa, IQR/median-26.30%
(F0-F1, 0-8.27)
I am 181cms, 34 Years, 75Kgs.
Scan shows Normal result.
Your thoughts sir ? @availlant
Thank you dear sir.
I got results for my Anti HBe also.
Attached.
Your words sir…? Always thankful from core of the heart for your efforts towards patients. 
Same comment as before @Livestrong. Everything is looking good.
Warm regards to you dear @availlant
