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  • 3 October 2016 at 11:15 am #23456
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hello Rohcv,

    Hep A is faecal oral. So you get it from eating someone else’s faeces (shit/poo/crap). Using human waste as a fertiliser is one way (we had a problem with imported frozen berries) but mostly it’s a 3rd world problem where drinking water and sewerage can mix. The vaccine provides and unknown duration of protection. They used to say a couple of years, now they say at least 10.

    With Hep B you may already be immune. I would test for this via Hep B Ab levels to see if this is the case.

    YMMV

    3 October 2016 at 11:16 am #23457
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    I’m no doctor, but I have heard vaccinations for A & B can be deadly if not all HVC is out of your system.

    Waiting to SVR seems sensible but I have not seen this advice. Do you have a link?

    We do know that in patients with chronic Hep B that Hep C treatment can cause reactivation of the Hep B, so it’s a bit like the Hep C weeds keep the Hep B weeds under control.

    YMMV

    5 October 2016 at 4:22 pm #23519
    Avatar photobeaches
    • Guardian Angel
    • ★★★★★
    @beaches
    ”James-Freeman-facebook” wrote:

    We do know that in patients with chronic Hep B that Hep C treatment can cause reactivation of the Hep B, so it’s a bit like the Hep C weeds keep the Hep B weeds under control.

    Do we know anything about the people who had Hep B reactivated? Are there any common features that made those people get their Hep B back?

    Jeeze Louise, I should not have counted my chickens too early dammit

    cryingbaby.jpg

    Genotype 1a
    Diagnosed in 2004, had HCV for all my adult life. Until 2016!!!!
    Harvoni treatment, started 19 March 2016
    4 week results Bilirubin 12 down from 14 pre treatment,
    Gamma 25 down from 52, ALT 19 down from 63, AST 19 down from 47,
    VL <15 down from a lazy 6 million or so

    EOT Results
    Bilirubin 10, GGT 18, ALT 19, AST 21, VL UND

    12 Weeks post EOT
    Bilirubin 11, GGT 16, ALT 22, AST 20, VL UND
    Cured baby

    5 October 2016 at 5:04 pm #23520
    Avatar photoklhilde
    • Guardian Angel
    • ★★★★★
    @klhilde

    As stated earlier upthread, I had the three shot A/B series … first shot before treatment, second in the middle of treatment, and third ended up well after end of treatment.

    I didn’t seem to suffer any ill effects. However, I still haven’t been tested to see if they have given me immunity.

    5 October 2016 at 6:31 pm #23524
    Avatar photore_roll
    • Guardian Angel
    • ★★★★★
    @re_roll

    After week 8 of treatment, I had the complete hepatitis panel done…..
    A, B, C. They were all negative and/or non-reactive. In addition, even
    though my HCV was undetected, it was reactive. This means that
    antibodies were found that indicated that HCV was present at some
    point in time. As I understand it….this is why we heppers cannot
    donate blood even after successful tx unless protocols have changed.

    Anyhow, never finished final Hep A/B vaccination. Didn’t really care.
    Personally, I believe the stuffed up GI Dr wanted to cover his arse
    before HCV tx. Ironically, I see him tomorrow. Again, I will wave my
    results under his nose and tell him generics indeed work…SVR12.

    contracted Gen 1a in the 70’s, dx in 2007…ast 27 to 35…alt 43 to 96…vl 1.2 mil to 8.6 mil.
    biopsy F-2 (2012)..pre tx results 1/23/16 ast 32, alt 46, vl 3.1 mil
    tx started 2/11/16…. lab results 2/24/16 ast 18, alt 18, vl <15 IU/ml
    28 days later………….lab results 3/9/16 ast 21, alt 21, vl UND
    56 days later………….lab results 4/6/16 ast 20, alt 22, vl UND
    139 days later………..lab results 6/29/16 ast 28, alt 30, vl UND…EOT
    SVR24

    5 October 2016 at 10:26 pm #23538
    beahavan
    • Topics: 5
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    • Guardian Angel
    • ★★★★★
    @beahavan

    This recent article said that it is a good idea to get vaccinations while on treatment.
    https://www.hepmag.com/article/can-get-flu-shot-vaccinated-hep-b-hep-c-treatment-wait-treatment-done

    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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