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Posted

So lab work reveals I am positive for Anti-HBc and Anti-HBs but negative for HBs-Ag.

 

I've tried to decipher the meaning of this prior to deciding which doctor to consult - i want to be a little clued up before a consultation, so far my understanding is this: 

 

  • Not from a distant vaccine as Anti-HBc would be negative? 
  • It's from a previous infection, that the body has cleared. (according to an NHS scotland pdf)
  • HBs-Ag being negative means nothing is currently active, my liver isn't getting beat up by this virus today minute by minute?
  • There is no way with the above trio to determine roughly an infection date - could be 20 years ago? 

     

Is that roughly correct?

 

Smallest liver profile package came back normal - AST and ALT are 19, and Alk Phos 48.  

Do I need to do anything?
Do I need to watch out in future?
Can it re-occur?

Should I get any more tests to get a better understanding of whats currently happening? 

 

Posted
57 minutes ago, uttradit said:

Are people supposed to get a Hep B vaccine booster every 10 years? I had 3 shots 15 years ago.

Booster doses are not recommended unless blood tests show lack of antibodies. If concerned, you can get an anti-HBs test to find out.

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Posted

I just had blood test for Hep B.

The took 2 blood sample with a 1 hour wait in between which I don't really understand.

Anyone know the reason for this?

 

Doctor said negative for infection and no treatment necessary which is all i really need to know.

 

But she said several times that my immune system was very, very active.

I am not really clear what she meant.

I had a Hep B vaccination series in 1998 so maybe that is why my immune system was very, very active when tested for Hep B.

 

I know I don't need treatment but I am not clear on the meaning of what the doctor said.

Anyone can clarify for me?

Thanks.

Posted
54 minutes ago, cdemundo said:

I just had blood test for Hep B.

The took 2 blood sample with a 1 hour wait in between which I don't really understand.

Anyone know the reason for this?

 

Doctor said negative for infection and no treatment necessary which is all i really need to know.

 

But she said several times that my immune system was very, very active.

I am not really clear what she meant.

I had a Hep B vaccination series in 1998 so maybe that is why my immune system was very, very active when tested for Hep B.

 

I know I don't need treatment but I am not clear on the meaning of what the doctor said.

Anyone can clarify for me?

Thanks.

I think she was just saying you had high levels of antibodies.

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Posted

I had basically the same situation as you a few years ago.

Anti hbc - negative

anti hbe equivocal

anti hbs positive

HBeAg negative

HBsAg negative

It was told to me in the end after confusing conversations with a few different doctors in Thailand, barcelona and australia that the results were likely due to my earlier vaccination for hep B and were nothing to worry about. It's really confusing and I think if you want peice of mind book in with the best doc you can find at bumrungrad or samitevej or somewhere and get them to explain it you

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