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Chronic B & C+ - should I treat?
Aug 28, 2004

I just got chronic B & C pos results. Haven't hd gentyping or biopsy yet. Am super healthy feeling & even jog! Have been feeling the tiniest 'twinge' of feeling in my liver.

Some people say that b/c I have both B & C that I will definitely need to treat, others say it depends. What do you think? Also, I've heard that Interon-A is the only drug that I can take to 'clear' both Heps. However, pegysus has much better side effects. i know that Peg was just put up for approval for Hep B to the FDA. Would it be 'safe' for a doctor to treat me with Peg for my C & 'hope' that it will also clear my B? Very scared right now..........am 28yrs old, ex IDU - clean for 5yrs. Unknown HIV status - never tested, as I cannot handle a Pos test on top of these results right now.

Response from Dr. McGovern

Whether your hepatitis B will need treatment or not will very much depend on the rest of your panel of tests (ie E antigen, E antibody and HBV DNA (amount of virus in your blood). Whether your hepatitis C will need treatment will also depend on whether you have HCV RNA (virus) in your blood.

Next, I would pursue a liver biopsy to be certain you need to be treated after you have results of the above.

You are welcome to write back when you have more information. I would also encourage you to get HIV tested since this will be very important to know before treatment of your hepatitis. Dr. McGovern



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