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Second opinion on HBV
Jul 13, 2008

Dear Dr. Holodniy, I am seeking to your advise/opinion about my HBV screening lab results whitch came back as: ALT=23U/L; AST=22U/L; Albumin=4.5g/dL; Protein Total=8.8g/dL; Bilirubin Total=0.4mg/dL; Bilirubin Direct=0.0; Alk Phos=78U/L; H.B core A igM i=0.11; H. B core A total=Reactive, HBsA i=<0.10; HBsAg=Reactive Confirmatory; HBsAg=Reactive; HBe Atibody=Positive; HBeAg-Negative; HB Viral DNA PCR, Quant i=534400 copies/mL (which is up from six months ago of <100; everything else are very much stayed the same). With this lab results, what should I be doing at this stage ? Is this something I need to be concerned/worried about ? I also already had 2 abdominal ultrasounds done with in the past 6 months which both times came back good(normal). Thank you.

Response from Dr. Holodniy

There is nothing urgent to be done at this point. You should consult with a liver specialist regarding the requirement for treatment at some point.



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