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Doctor insights on: Hepatitis C Undetectable Viral Load

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What is the difference between hepatitis C viral load and hepetitis c genotype?

What is the difference between hepatitis C viral load and hepetitis c genotype?

Numbers and type: Viral load refers to how many viral molecules can be detected in the blood. It gives an idea about how active the virus is and can be used to monitor response to therapy. Genotype refers to a test that can identify subtypes of hep c. Certain genotypes are more likely to respond to a given therapy, so this information can be useful in deciding in what treatment, if any, would be best.

Dr. Robert Rahimi
578 Doctors shared insights

Hep C (Definition)

A viral infection that effects the liver that can result in chronic disease, liver failure, and ...Read more


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Is a viral load of 8590 iu/ml high low the hep c log value was 3.93?

Depends on context: If this viral load is after starting treatment for hepatitis c, it could be considered high. If it is without any anti-hepatitis c treatment, then it is a very low value. In that case, it would be easier to treat once ready. I would wonder about acute hepatitis c and if this reflects the body begining to clear the hepatitis c.

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My sister has hep c genotype 1. Just got it her viral load is very low. What are some holistic things she could do to keep it low?

My sister has hep c genotype 1. Just got it her viral load is very low. What are some holistic things she could do to keep it low?

No alcohol: Avoid any alcohol and avoid getting coinfected with hiv. The immune system works to control the virus so avoiding stress, eating healthy and no tobacco or any drugs may also help. Low viral loads should help lead to higher cure rates with antiviral treatment when she is ready. Low viral load does not predict slower rate of scarring (fibrosis).

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Hep c tested yesterday for routine matters. Came back + low levels detected possible false +. Did viral load and repeat hep c ab twice both neg.?

Hep c tested yesterday for routine matters. Came back + low levels detected possible false +. Did viral load and repeat hep c ab twice both neg.?

Hep C testing: If your first test for Hep C was positive, then you had 2 negative tests- it's quite likely the first test was a 'false positive'. If you were infected, the antibody should be positive. PCR testing can be 'false positive' if there is a small amount of contamination when the lab test is run. Hopefully your doctor can take the time to explain - or you can upload the lab tests here for more review.

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If you have a low viral load for hep c can that number increase over time? Do you need to take the same precautions as someone with a higher load?

If you have a low viral load for hep c can that number increase over time? Do you need to take the same precautions as someone with a higher load?

If you have...: ...detectable hepatitis C virus, regardless if the viral load is 100 IU/ml or 25 million IU/ml, you have active infection and are infectious. Please, PLEASE respect others and take appropriate precautions to avoid transmission. Also, get treated--there are amazingly good, all oral, options available today with phenomenal cure rates after only a few weeks of therapy.

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What precautions would someone with hep c need to take. Are the precautions the same for those with a low viral load and those with a high viral load?

Same precautions: Hep C is transmitted by blood contamination only usually through needle sticks. There is some risk with shared toothbrushes where blood contamination can occur. Intranasal cocaine use amongst infected persons can also transmit. Sexual transmission is rare but can occur. This would be the only situation where high viral load may play a role. Get treated and get rid of the Hep C.

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After one month of a 6month treatment for hep c genotype3 my HCV is undetectable and no viral load detectable! Does that mean im cured?

No: It is great that you are viral titers are undetectable at this point but it is too early to say it is a cure. Finished entire course of treatment as this gives you the greatest likelihood of success. I know that it is uncomfortable, nauseating and feels like the flu, but you already made it through part of the treatment and it only made sense to finish and guarantee a greater chance of cure.

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How concerning is a viral load of 57, 000 if you have hep c?

Good prognosis: That is a relatively low viral load for hepatitis c (if you are not on therapy). It indicates you are more likely to get rid of the virus with current antiviral therapies available.

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I was wondering is a viral load of 8 million bad with hep c?

I was wondering is a viral load of 8 million bad with hep c?

No: A hepatitis c viral load level does not indicate how much liver scarring someone has. And, with new treatment for hepatitis C, cure rates are the same no matter how high the viral load is. The important thing is to find a health provider who can help you on the path to cure.

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I was told I have hep-c but I have no viral load do I have it?

Not clearly: It depends on how they diagnosed hepatitis c. There can be false positive hcv ab tests in which case you will have no viral load. They can do a test called a riba to check further. The other possibility is the rare situation of clearing the virus on your own without treatment. Either way, without the virus in your blood your risk is extremely low.

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I have chronic hep c with a b viral load. What does b viral load mean?

I have chronic hep c with a b viral load. What does b viral load mean?

Not sure: I'm not sure. In people with hepatitis c we check hcv RNA (hepatitis c viral load). There's also a hepatitis b viral load (hbv dna)' but that has nothing to do with hepatitis c. Make sure you don't have both infections.

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What is meant if you hep c test is positive but they sai the viral load is nondetectable?

Depends: It could be a false positive hepatitis c antibody which can be seen in women and patients with rheumatologic conditions. Or, the person could have had hepatitis c, but cleared the virus.

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Hep c posititive. Undtectable viral load for eleven years. Why not treat? Can I get sick later?

Hep c posititive. Undtectable viral load for eleven years. Why not treat? Can I get sick later?

Hepatitis C: If you have an undetectable viral load for that many years, continued surveillance monitoring is a reasonable strategy. The treatment for hepatitis c is not easy and doesn't need to be attempted for somebody who has no consequences of liver fibrosis or evidence of a viral load. The treatment is also very expensive, difficult to take, with has a success rate that is not very impressive.

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I have hep c with a viral load of 9million and genotype cc and am 27 am I gonna die from this disease?

I have hep c with a viral load of 9million and genotype cc and am 27 am I gonna die from this disease?

Not if cured: There are now some truly excellent ; well-tolerated anti-hepatitis c treatment regimens based on recommendations of the aasld that incorporate or replace traditional interferon/ribavirin in combination with sovaldi. In interferon-ineligible patients, sovaldi + Olysio or sovaldi + Ribavirin shows considerable promise ; are entirely oral. Lots more rx options are on the way in the coming months.

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I have Hep C with a very high viral load and would like to participate in the new drug trials. I'm concerned due to depression. How do I apply?

Treatment: There are two new drugs currently available for hep C. These are very very effective. If you have depression, you can be treated with these oral medications without interferon (needle). Please talk to your gastroenterologist/hepatologist about various combination options.

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Dr. Camilla Graham
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