|Therapy or not
Jul 12, 2005
Dear mr. Dieterich,
I have been diagnosed with HBV since 2000. All these years DNA HBV in the range of 5,000-50,000 cp/ml, HBeAG negative, fibrosis stage 1, age 37 -otherwise healthy. My doc reccomemds no therapy just formal monitoring (twice per year blood tests,HV DNA,etc...). He insists that a possible resistance on the therapy (quite often phenomenon) could harm my liver more than no therapy at all... What is your opinion? Otherwise, why doc's avoid give long term prognosis for HBV carriers, while even in HIV positive people they say they can live plus 20 years under the right medication and lifestyle??? Do you share this pessimism for HBV carriers?
| Response from Dr. Dieterich
No actually I do not share that pessimism. Indeed we are treating HBV at levels like yours. Not sure how long to treat, but we are treating. With drugs like adefovir and entecavir, resistance is much less of an issue in the long term. In particular using combination therapy is very effective at avoiding resistance. You are young and the stakes are high. If I were you, I would want to suppress the virus to zero for as long as possible to reduce my chances of developing liver cancer. Good luck! DTD
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Tingling Lips Could I Have Acute HIV Infection
- Sex With A Prostitute Could I HAVE AIDS
- Dry Cough After Breast Sucking Worried I Have HIV
- Fever After Oral Sex Form Sex Worker What Are The Chances Of HIV
- Rash After Mutual Masturbation Worried I Have HIV
- Sore On Tongue After Masturbation Worried I Have HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.