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TOPIC: Hepatitis Cure Doesn't Mean End to Risks

Hepatitis Cure Doesn't Mean End to Risks 5 months 2 weeks ago #27928

  • beahavan
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Donghee Kim, MD, PhD, of Stanford University School of Medicine reported in Gastroenterology that mortality from cardiovascular disease or diabetes increased among patients with hepatitis C virus (HCV) infection after treatment with DAA. This is just one study from one country and it goes on to say that "long-term post-treatment extrahepatic outcomes should be available in the next five years. These data may better elucidate whether the increased extrahepatic mortality risk is higher among successfully treated patients, untreated patients, and the general population."
www.medpagetoday.com/infectiousdisease/hepatitis/80742

I am on a low salt and low sugar diet. I walk 3 miles every morning. I am not overweight 5'7" and 140 lbs. I am 68 yrs old. I am concerned about heart health since I have a family history. My blood pressure is a bit high 134/73. My ASCVD risk is 7.8% I have been doing everything I can think of to stay health. I have CBC and Comprehensive Metabolic Panel run twice a year. I am always trying to lean new ways to stay healthy and reduce inflammation.
drweil.com/diet-nutrition/anti-inflammatory-diet-pyramid/dr-weils-anti-inflammatory-diet/
My journey to recovery is ongoing. I am always looking to incorporate new wellness ideas into my life. Hopefully we will stay health together.
G4
F0-F1
diagnosed in 2006
Tx naive
Treatment started 8/12/16, Ledipasvir/ Sofosbuvir (Harvoni) supplied by Monkmed
8/1/16 ALT 36 AST 40
1/4/17 ALT 17 AST 21
7/13/17 ALT 17 AST 25
12/28/17 ALT 22 AST26
2/22/18 ALT 19 AST 25
7/10/18 ALT 26 AST 32
1/8/19 ALT 16 AST 28
7/2/19 ALT 16 AST 26
Hcv Rna, Quantitative Real Time Pcr <15 NOT DETECTED (IU/mL) NOT DETECTED
Last Edit: 5 months 2 weeks ago by Mar.
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Hepatitis Cure Doesn't Mean End to Risks 5 months 1 week ago #27929

  • DrJames
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Hell beahavan,

Yes, getting cured substantially reduces the risk of premature death for patients with Hep C but does not entirely eliminate it.

Patients with cirrhosis definitely need regular 6 monthly AFP and Ultrasound. For everyone else, routine checkups are about it.

Accepting that life is a terminal disease, and sexually transmitted at that the basis of good health is pretty simple. Don't smoke, don't be diabetic (or be well treated), don't have high cholesterol (or be well treated) and don't have high blood pressure (or be well treated). These 4 are the major causes of the heart attacks and strokes that carry 60%+ of us out of here.

With your blood pressure, it's fine. 134/73 is not high and is not something requiring treatment. Over 160/90 is high and needs treatment.

Other useful things for health are staying fit and active, maintaining your social relationships, being in the healthy weight range, eating a good variety of fresh food, getting enough sleep, and not drinking too much (note that moderate drinkers live longer people who abstain)

www.ncbi.nlm.nih.gov/pubmed/25207479
YMMV
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Hepatitis Cure Doesn't Mean End to Risks 5 months 1 week ago #27932

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I live in a community of retirement homes. On my walk this morning I passed 2 estate sales. Yes, I am constantly reminded that life is a terminal disease. Thank you for your suggestions on ways to stay healthy. I have to work on eating a variety of fresh foods. I live alone and have gotten into a fixed food routine. I will work on incorporating a variety of fresh foods into my diet this summer.
G4
F0-F1
diagnosed in 2006
Tx naive
Treatment started 8/12/16, Ledipasvir/ Sofosbuvir (Harvoni) supplied by Monkmed
8/1/16 ALT 36 AST 40
1/4/17 ALT 17 AST 21
7/13/17 ALT 17 AST 25
12/28/17 ALT 22 AST26
2/22/18 ALT 19 AST 25
7/10/18 ALT 26 AST 32
1/8/19 ALT 16 AST 28
7/2/19 ALT 16 AST 26
Hcv Rna, Quantitative Real Time Pcr <15 NOT DETECTED (IU/mL) NOT DETECTED
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Hepatitis Cure Doesn't Mean End to Risks 5 months 1 week ago #27939

  • Greedfighter
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Hi beahavan,

If you are interested in nutrition, check out nutritionfacts.org/

Dr. Greger has a lot of videos and research. He has a NY Times best selling book : "How not to die". Be warned though, he has a lot of research backing up not eating a lot of things, like eggs!
Gt 1a, F0, VL 6.5 million, AST 59, ALT 62
Started Twinvir 1/15/16
6 wk. labs, VL UND, AST 27, ALT 20
EOT labs, VL UND, AST 23, ALT 19
SVR 16, VL UND, AST 28, ALT 17
SVR 24, VL UND, 10/8/16
SVR 125, VL UND, 9/22/18
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Hepatitis Cure Doesn't Mean End to Risks 5 months 1 week ago #27940

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Thank you. I will check it out. A friend just sent me Eat to Beat Disease by William W. Li. Lots of information available. I just hope I make the right choices.
G4
F0-F1
diagnosed in 2006
Tx naive
Treatment started 8/12/16, Ledipasvir/ Sofosbuvir (Harvoni) supplied by Monkmed
8/1/16 ALT 36 AST 40
1/4/17 ALT 17 AST 21
7/13/17 ALT 17 AST 25
12/28/17 ALT 22 AST26
2/22/18 ALT 19 AST 25
7/10/18 ALT 26 AST 32
1/8/19 ALT 16 AST 28
7/2/19 ALT 16 AST 26
Hcv Rna, Quantitative Real Time Pcr <15 NOT DETECTED (IU/mL) NOT DETECTED
The administrator has disabled public write access.
The following user(s) said Thank You: DrJames, hanknassi, Mar
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