Doctor insights on:
Hepatitis C Undetectable Viral Load
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. ...Read more
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. ...Read more
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). ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. Help?
If viral load and: Hep C Ab are negative x 2, you do not have hep C and other test was false positive. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
Could be worse: But yes, it is still higher than it should be. ...Read more
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?
Depends: It means you are either on treatment for hepatitis C or that you are spontaneously clearing the virus on your own. It could also be a lab error. I would see a liver doctor if you haven't already. The great news is that we can cure hepatitis C in > 95% of cases with the newer medications. ...Read more
If u have hep c with no RNA (viral load) how come you're not infectious & no treatment needed? Thanks
Hep C testing: If you have no detectable hepatitis C virus -then you don't have the infection! The human body is capable of clearing out the infection in about 15% of people -by itself without any medicine. You probably have the Hepatitis C antibody showing in your blood. That is evidence your body 'saw' the virus and 'killed it' before any real damage was done. So this is GREAT NEWS! Congratulations! ...Read more
What could be the cause of elevated liver enzymes other than drugs or alcohol. Hep c+ no viral load in over 10 years?
Many things: In general, if hep c viral loads have been negative for 2 years it is considered a cure (or sustained viral response or svr). However, re-infection with another strain of hep c is possible, as well as acquiring some other form of viral hepatitis (a, b, e, g and others). Weight gain can cause non-alcoholic fatty liver disease. Are you drinking alcohol to excess? Your doctor can test for these. ...Read more
Hep c +, no viral load, RNA performed. Was told I cleared the virus 11years ago. In a new relationship. How do I explain this to my partner? Confused.
Hepatitis C Cleared: This means you were infected. But, you did not get the chronic or active infection. Clearing this infection means you are no longer contagious. ...Read more
My daughter is a beta thalassaemia major patient & taking regular blood transfusion for 10 yrs. Now she has hep c type 4 &viral load is 133964. Cure?
Don't rush: Young people tend to have fairly slow progression of liver damage wit hepatitis c. The pace of new drug development over the next 5-10 years will transform this disease. Get informed. Follow sophisticated websites like natap. Org for the latest clinical trial data. Today, treatment of hcv in people like your child is complicated, but we will have easier to tolerate regimens in genotype 4 in 2-4 y. ...Read more
Is it safe to stay on Suboxone after being diagnosed with hep c? So far no lft abnormalities, but HCV antibody positive. Pending PCR and viral load
It is very safe--in fact, I would insist one of my patients stay on the Suboxone especially if they were going to go through the interfuron therapy. It is bad enough trying to go off Suboxone without having hepatitis or being on the interfuron! Just make sure your doctor keeps up with your lft's.
Good luck! ...Read more
My son is a former IV drug user on suboxone. He is HCV antibody positive, but he did not have a viral load on further testing. Should his dad and I get tested?
Avoid toxins: A healthy diet for you and most of the rest of us would consist of eating mostly a plant based diet void of the chemicals found in highly processed foods or antibiotics/hormones found in animal products from today's factory farms. Also, avoid alcohol in excess and hepatotoxic drugs and you can rest assured you are on the right path. Good luck! ...Read more
I have a hepatitis b for past 2 years. Shall I go to marry. Pl tell it is dangerous disease? Pl tell the life time: viral load <3.8 iu/ml
Hepatitis b. new diagnosis of hep b, dangerous livers #s. after follow up in 3 wks liver #s normal, hep b viral load, 12000 iu. Sign of recovery?
Too soon: You need more testing before this question can be answered. Please be patient. You are not out of the woods yet. ...Read more
I am suffer from hepatitis b my viral load is reduced from 5000 to 3 point at last year 2012. This year till not checked. Pl advis shall I go 2 marry?
Anyone with hepatitis b infection should make sure that their partners and other people they live with get vaccinated for hepatitis b. That will help protect your loved ones.
I am not sure what "3 point" means, but this is a low viral load. The viral load and liver enzymes need to be measured about twice a year so stay in touch with your health provider. ...Read more
Could Ayurveda have any medicine to cure chronic hepatitis b or atleast lower the viral load drastically?
Ayurvedic medicine: I am not an Ayurvedic practitioner. However, I do believe that many alternative therapies can have overall beneficial effects on a person's well being. This, in turn, may translate into better response to traditional treatments. I don't know if anyone can give a definitive answer to your question, but if a person feels calmer, better, with alt. Therapies, this can only be a good thing! ...Read more
Could homeopathy have any medicine to cure chronic hepatitis b or atleast lower the viral load drastically?
Collaborative care: A homeopath may be able to help you with hepatitis b, in collaboration with conventional medical care. There are over 100 remedies that include liver inflammation (hepatitis) in their complete symptoms. It's important to realize that homeopathy is not the kind of medicine that eliminates viruses, but it can strengthen the individual's resilience so that s/he can better fight off infection. ...Read more
Likely not soon: Although hepatitis c can result in cirrhosis and liver cancer, the process takes a number of decades from initial infection if it does at all. Therapy is available as well to prevent this. Despite some gloom, most people who have the virus, when they die, they die with it, not of it. ...Read more
Hep b, HCV ab and HCV PCR all negative 2 years post exposure but elevated gpt, got, GGT recently, I just want to keep ruling out viral hepatitis, could i?
Some ideas: Hopefully you've gotten immunized against hepatitis b, and hopefully you're not doing needle drugs to put you at risk for hepatitis c. You'd do well to have labs to look for hemochromatosis, wilson's, and autoimmune hepatitis. Many people have elevated liver enzymes that can be lowered just be getting more physically active. Glad you don't drink. Best wishes. ...Read more
My weight is 154kg. Age 30.Height 6 feet. I have enlarged live and spleen. In my blood screening test HCV is +.But PCR RNA of hepatits c viral is negtive?
Maybe false positive:
Or the lab could have switched your blood with someone else's blood.
You may want to go to reputable lab like quest or bioreference, but not labcorp and have it rechecked. ...Read more