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Doctor insights on: Hepatitis B Titer Non Reactive

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Dr. Dan Fisher
Board Certified, Internal Medicine
22 years in practice
78M people helped
1

1
What does the titer result for hepatitis b surface ab test mean?

Dr. Dan Fisher
Board Certified, Internal Medicine
22 years in practice
78M people helped
What does the titer result for hepatitis b surface ab test mean?

Marker of immunity: Surface ab is either a response to hep b infection or to injection of hep b vaccine. The titer indicates how much antibody is present in the blood. This level varies with time during the course of infection or following an injection. ...Read more

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Dr. Bennett Machanic
Board Certified
47 years in practice
50M people helped
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Dr. Bennett Machanic
Board Certified
47 years in practice
50M people helped
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Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
2

2
The length of time between my hepatitis b series was greater than when each were supposed to be taken (now need titer).Were all shots still effective?

Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
The length of time between my hepatitis b series was greater than when each were supposed to be taken (now need titer).Were all shots still effective?

Probably effective: If one is doing a blood titer test, the result will decide if she is immune or not immune. The shot schedule in the past won't matter anymore. Everybody with close or frequent contact with a hep b carrier (especially healthcare workers) should have their titers tested. Some people who get the shots at exactly the recommended time can still have very low titers, and need additional booster shots. ...Read more

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Dr. Bennett Machanic
Board Certified
47 years in practice
50M people helped
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Dr. Bennett Machanic
Board Certified
47 years in practice
50M people helped
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Dr. Larry Lutwick
Board Certified, Infectious Disease
44 years in practice
9M people helped
3

3
What are the most effective ways to get a hepatitis b titer?

Dr. Larry Lutwick
Board Certified, Infectious Disease
44 years in practice
9M people helped
What are the most effective ways to get a hepatitis b titer?

Your doctor: Or a clinic can order one.

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Dr. Frank Kuitems
Board Certified, Internal Medicine
34 years in practice
1M people helped
4

4
If Hepatitis B titer is <3.1 after 1st series is it likely you will convert after a second series?

Dr. Frank Kuitems
Board Certified, Internal Medicine
34 years in practice
1M people helped
If Hepatitis B titer is <3.1 after 1st series is it likely you will convert after a second series?

Unknown: Really unknown if Titer is dropping this is good news . Ask your gastroenterologist for specific advice ...Read more

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Dr. Bennett Machanic
Board Certified
47 years in practice
50M people helped
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Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
5

5
I have to get a hepatitis b titer because the time frame of my hep b series. What does the titer procedure consist of? Also, should my results be okay

Dr. Robert Kwok
Board Certified, Pediatrics
28 years in practice
13M people helped
I have to get a hepatitis b titer because the time frame of my hep b series. What does the titer procedure consist of? Also, should my results be okay

Lots of people...: Lots of people get their hep b titers done. It is a simple blood test (just like getting a cholesterol test). The advantage of getting the titer done is that the titer will indicate whether or not booster vaccinations are needed now. If the titer is too low, booster shots are usually needed, regardless of the timing of the shots in the past. ...Read more

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Dr. Tanya Russo
Board Certified, Pediatrics
20 years in practice
8M people helped
6

6
If someone gets all three hepatitis b vaccines and a titer still indicates no immunity, what does this mean?

Dr. Tanya Russo
Board Certified, Pediatrics
20 years in practice
8M people helped
If someone gets all three hepatitis b vaccines and a titer still indicates no immunity, what does this mean?

Hep B non-responders: 5-15% of people do not develop the appropriate antibodies following the 3 vaccine series for Hepatitis B. If the series is repeated and there is again no response (30-50% of people WILL respond after a second series), the person is considered a 'nonresponder'. Nonresponders should be counseled about Hep B transmission and offered HBIG if exposed. ...Read more

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Dr. Michael Rupp
Board Certified, Allergy and Immunology
16 years in practice
620K people helped
7

7
What happens if someone gets all three hepatitis b vaccines but a titer still indicates no immunity. what does that mean?

Dr. Michael Rupp
Board Certified, Allergy and Immunology
16 years in practice
620K people helped
What happens if someone gets all three hepatitis b vaccines but a titer still indicates no immunity. what does that mean?

Boost It: Usually that means you need an additional dose of vaccine. Give the vaccine then check titers 6-8 weeks later and see if they are present. ...Read more

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Dr. Meena Khandelwal
Board Certified, Obstetrics and Gynecology
30 years in practice
196K people helped
8

8
Hepatitis b vaccination given but titer does not show immunity. What's this mean?

Dr. Meena Khandelwal
Board Certified, Obstetrics and Gynecology
30 years in practice
196K people helped

Need revaccination: The most common reason is improper interval vaccination. But some may not develop immunity and so repeat course is recommended. ...Read more

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Dr. Anthony Barone
Board Certified, Neonatology
26 years in practice
17K people helped
9

9
Can you tell me if someone gets all three hepatitis b vaccines but a titer still indicates no immunity. What does that mean?

Dr. Anthony Barone
Board Certified, Neonatology
26 years in practice
17K people helped
Can you tell me if someone gets all three hepatitis b vaccines but a titer still indicates no immunity. What does that mean?

Vaccine : Vaccine failure. I had similar response. 5 to 15 % do not respond (vaccine non responders). Your doctor can test you for hepatitis and if negative start another series of vaccines ...Read more

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Dr. Larry Lutwick
Board Certified, Infectious Disease
44 years in practice
9M people helped
10

10
I checked my hepatitis b titer , it is 800 so do I need to take still hepatitis vaccine?

Dr. Larry Lutwick
Board Certified, Infectious Disease
44 years in practice
9M people helped
I checked my hepatitis b titer , it is 800 so do I need to take still hepatitis vaccine?

More info needed: If you have not had any HBV vaccine and your anti-hbs antibody is positive, you've had the infection (and the anti-hbc antibody is positive too). No vaccine needed. If you are in the midst of a 3 dose HBV vaccine series and your anti-hbs is now positive, finish the series. It will provide better protection. ...Read more

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Dr. Bennett Machanic
Board Certified,
47 years in practice
50M people helped
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