Dear @Wadani1,
AFP is generally quite low. As long as it stays below the normal limit, it is nothing to be worried about.
It’s unclear whether this is due to your natural bilirubin levels being high or something to do with the chronic condition.
Also, welcome to the community @Hopee, and thanks for your questions:
- Viral load goes down because the medication works on stopping the production of new virus. However it does not stop the virus that is in the liver from making its own proteins (HBsAg). So the response you are having is completely as expected.
- It is also normal that your viral load levels fluctuate over time as small differences in hydration, who is running the lab test, time of day, etc. can affect these levels. What is more important is the long-term trends. Log is just another way of showing the number: 1 = 1.0 log; 10 = 2.0 log; 100 = 3.0 log; 1000 = 4.0 log, etc.
- There are stringent conditions as to when you should be recommended to stop treatment and you should only do it while under close monitoring by your doctor. This is because if you stop the treatment, the virus can reactivate (your viral loads shoot up again) and this can lead to severe inflammation. Generally the recommendations for considering stopping treatment are: at least 3 years of undetectable HBV levels, HBeAg should be negative; no severe liver damage.
- Unclear what you mean here, as you said in the point above that your HBsAg levels are high at 1153IU/mL.
- Differences in an hour or 2 are unlikely to affect the effectiveness of the medication.
- It is recommended to limit any additional injuries to your liver, which includes minimising alcohol intake. There are several options for non-alcoholic beverages which might be worth considering, but there are definitely people with Hep B that do still drink. See this thread for further discussions: Vices - alcohol marijuana etc