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Comparing HEPB Quant from 2 labs

Nov 4, 2007

Hello doc,

I have had 3 hep b quantitative tests done here are the results 12/06 H 54800 IU/mL 12/06 H 137255 copies/mL 03/07 H 4070000 copies/mL(the result paper also said approx 150,000 copies - 1 pg) all the above tests were done through the same lab. The 3rd test has the word Ultraquant under the test name.

10/07 273687 IU/mL (This was done at a different lab) Can you interpret what the trend is for me? and i should I start treatment or not?

currently my ALT = 49 AST = 39 Alkaline Phos =100 HBEAG + AFP = 2.950 IU/mL ref range 0.000-5.000 (I sent the same today without all the details i am providing here so you can really help me) I have not been treated at any point for hep b. Thanks Doc

Response from Dr. Holodniy

Well except for the 3/07 time point, the numbers are pretty consistent, even accounting for the slight difference between copy number and international units (IU)/mL. As HBV viral load goes, your numbers are on the low side, and not a lot of injury that can be seen from the other lab tests. You still need an evaluation from a liver specialist to determine if treatment is indicated at this time.

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