Past HBV infection with Anti-HBs (>1000 mIU/ml)

What do my lab results mean?
2

Welcome to the Forum Moe!

Answers to your questions are as follows:

  1. Anti-HBs > 1000 mIU/mL is not an over reaction but a clear sign of strong immune control. There is no danger of possible damage to liver cells.
  2. Anti-HBs levels are not related to infection / reactivation.
  3. The likelihood of you becoming co-infected with HDV is very small because your liver is not producing HBsAg (this is a critical building block that HDV needs to replicate).
  4. With HBsAg seroconversion there is no need for regular follow-ups. People with HBsAg loss do not develop liver disease except in extremely rare instances.

The only caveat with previous HBV infection is that it can reactivate with certain immunosuppressive therapies (including chemotherapy). It is important that any new doctor you see in the future be aware of your prior active HBV infection.

Hope this helps.

4 Likes