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Mutant Strain HBV treatment
Mar 18, 2001

Dear dr. Dieterich,

I have result : + core antibody, - surface antigen and antibody HBV. My liver function was high but after taking Milk Thristle gpt was dropped significantily, however I still have got and ggt slightly above normal range. My Hb is normal and RBC just above normal. I heard about mutant strain which mostly occurs in Asia. I am HIV -, HCV - and HepA - Ultrasonograph was normal but I have slightly abnormal blood differential. My qustions are:

1) Am I a HepB Carrier? (I believe, I might be infected years ago)

2) What is treatment or may be a "cure" for me beside milk thirstle? ( I suffered paleness and depression/obssessive about hiv)

3) Can you tell me more about this HBV with mutant strain?

Thank You.

Response from Dr. Dieterich

There is a mutant of hepatitis B called a precore mutant. However the B surface antigen is usually positive while the e antigen is negative and the e antibody is positive. If your liver enzymes are elevated you need a thorough evaluation with blood tests and ultrasound. Good luck! DTD

How long can Hep C live off the body?
Hepatitis C, what now?

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