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Do i need to test constantly?
Sep 21, 2013

Dear Lynn,

I was just wondering if you could help me with my question. I had Hepatitis B at the age of 1 and since then dozens of years passed. I do not recall any doctors giving me a diagnosis of chronic Hep B infection and i was never treated in any way for that. For the past 2 years I checked HBSAg 3 times, all 3 times negative, the last time was July 2013 (I was tested for all STDs and they did not test for all Hep B markers). In early 2012 I checked all the markers and the test showed a resolved past infection (HBSAG -, HBSAB + 747 IU/L, HBCAB +, HBV DNA <15 IU/ML = NOT DETECTED). What I dont understand is whether I need to constantly check the amount of antibodies to be sure i am uninfectious and protected from getting it again? One doctor even told me I need to retest in 10 years only and that my immunity is really strong and i cannot infect anyone. Is it true? I also wanted to ask about Zantac and possible reactivation of resolved Hep B. Can it really reactivate it? My doctor told me some chemotherapy drugs can cause that, but I found some info on the net about Zantac causing Hep B reactivation and a bit scared now.

Thank you for your help

Response from Dr. Taylor

It sounds as though you cleared your hepatitis B infection spontaneously and developed the protective antibody, hepatitis B surface antibody. I do not think you need to keep rechecking unless you ever end up on chemotherapy or immunosuppressive medications (for example medications used to suppress the immune system after transplantation or for autoimmune diseases). In general the surface antibody is protective for life. Your blood tests look very good.

Sequential treatment after peg interferon failure at 48 weeks for Hep B
alcohol and hepc

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