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Viewing 15 posts - 451 through 465 (of 1,968 total)
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  • in reply to: Any one from the united states #27929
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hello Sheldon,

    Yes, there are plenty of yanks who have taken matters into their own hands.

    Mike (search for mgalbrai) treated a couple of years ago and has been posting to the “Monthly USA Update” for the last 2 years and 3 months

    https://fixhepc.com/support-forum/buyers-club-nodes/653-monthly-u-s-update.html

    You’ll find quite a lot of US regulars like Greedfighter, re_roll and others there.

    The question you’re probably asking has been asked quite a lot, which is “Can someone prove to me that this website is legit?”

    https://fixhepc.com/support-forum/new-to-forum/1820-can-someone-prove-to-me-that-this-website-is-legit.html


    YMMV

    in reply to: Need advise for gt4 treatment #27920
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    If you get your CK that high after exercise you are doing harm, not good! This looks like muscle damage, not good training…


    YMMV

    in reply to: Hello new guy here #27918
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Viral load is essentially meaningless. Anything over undetected is a problem and the response to treatment is great regardless of starting viral load.


    YMMV

    in reply to: Need advise for gt4 treatment #27914
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    It is best to continue treatment at full dose for 12 or 24 week duration originally advised by your doctor.


    YMMV

    in reply to: Hello new guy here #27911
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Although your low level seems a good thing, what it means is that your body is having a “red hot crack” at trying to get rid of it. Your body does this by killing the liver cells containing it, so, as strange as it may seem:

    Patients with high viral loads are often less symptomatic than patients with low ones because all the virus wants to do is duplicate itself – it is your body’s immune system that is doing the damage by trying to kill it.

    There is some discussion here about this: https://www.webmd.com/hepatitis/c-hcv-viral-load#1

    While the 2 experts focus on what is high, what is low there is mention that viral load does not indicate disease severity, prognosis and progression.


    YMMV

    in reply to: Starting tx tomorrow night #27910
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    The suggestion to take Vitamin K for low platelets is unusual. If you are deficient fine, but if you have normal levels (from a normal diet and having not had antibiotics to kill your gut bacteria – these make about 50% of it for you) it will not do anything. The main role of vitamin K is in the clotting cascade so it may relate to you having an elevated INR. Vitamin K is fat soluble so you can get too much in and it is not excreted out like excess water-soluble vitamins so tends to be a “handle with care” injection.

    While 84 platelets is lower than the usual low limit of normal of 140-150 (depends on the country) it is routinely low for patients with Hep C and not at all at worrying levels. I have patients with platelets in the range 10-30 which is worrying. Above 50 is enough and I would get an automatic rejection from the lab for a request for platelets for anyone with levels over 50. The platelets themselves have a 7 day lifespan so it makes very little useful difference, for a very short period of time if you give them to patients. It’s usually done to either patch over a short term issue, or to keep people alive who run platelets consistently <50 and have life-threatening bleeding.

    Here are the British recommendations on platelet transfusion - you may note they use below 10-20 as the yes/no decision point. Your 84 is technically low, but not "we just gotta do something to fix this low"

    https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.14423


    YMMV

    in reply to: Need advise for gt4 treatment #27899
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Your ALT and AST should not increase like that.

    Do you have Hepatitis B core antibody and Hepatitis B surface antibody results?


    YMMV

    in reply to: Is HepB Vaccination okay during Harvoni treatment? #27894
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hello Christine123,

    You should follow the schedule and have it now. It will not impact on the treatment and the treatment will not impact on the vaccine.


    YMMV

    in reply to: Conflicting Viral Load Results #27886
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    This is a perfectly acceptable result for rhe 4 week test.

    I should probably have added that after the PCR fluorescent probes are added to detect the amplified RNA – these target commonly retained RNA sequences in the virus and assuming equal amplification the Abbot one(s) fit your virus slightly better.

    Your odds of success are 20:1 in your favour.

    In the unlikely event you are in the 1 not the 20 then retreatment is simple so don’t sweat it.


    YMMV

    in reply to: Conflicting Viral Load Results #27885
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    This is a perfectly acceptable result for rhe 4 week test.

    Your odds of success are 20:1 in your favour.

    I the ynlikely event you are in the 1 not the 20 then retreatment is simple so don’t sweat it.


    YMMV

    in reply to: Conflicting Viral Load Results #27880
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    PCR stands for polymerase chain reaction. It is an amplification process. When there is not very much to amplify… it may not amplify.

    The not detected test was done on a Cephied carteidge based system. They are good but possibly not quite as good as the Abbott Realtime or Roche Taqman systems which are giant machines.

    Where are you in your treatment cycle?

    The old tests crapped out at <30, <25 and <15 so you would be undetected on all of those.


    YMMV

    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    The babana is

    # woohoo !

    without the spaces and

    # dance

    gets the happy dance happening if you skip the space.


    YMMV

    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    And here is one from Gaj

    #dance


    YMMV

    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    #woohoo!


    YMMV

    in reply to: Hello new guy here #27862
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hi Nick,

    Was there a CBC (complete blood count) with platelets in it?

    Your results are typical – just some mild elevation of ALT and AST. Your liver and kidneys look in good shape.

    If your doctor thinks you can access the treatment on insurance it is definitely worth giving it a go. While the outcomes are not different (generic vs originator) US doctors have no problem monitoring patients who get the originator stuff via insurance, but can be unsympathetic to people getting generics. There is not a lot of monitoring required but it’s nice to have local support.

    Anyway, there is nothing terrible in those results (but do want to see platelets).

    In terms of what is what. Liver tests and Kidney tests are groups of tests

    Kidney

    • Sodium, Potasium, Chloride are all salts controlled by kidney
    • Urea and BUN reflect your level or hydration more than anything
    • Your Creatinine is a measure of kidney filtration rate – and anything over 60 ml/min is ok (100 ish is normal)
    • Bicarbonate (HCO3) and Anion Gap are measures of blood acidity

    Liver

    • Bilirubin is a waste product of Red Cell metabolism (haemogobin breakdown) and rises if there is an blockage in the drain pipes from the liver, either in the liver or downstream.
    • The liver enzymes LDH, GGT, ALT and AST are released from damaged liver cells so rise with liver disease. If the disease is like Hep C and intrahepatic (in the liver) the ALT and AST go up the most. If the issue is a bile blockage then not only does bilirubin go up so too do the LDH and GGT.
    • GGT goes up alone in heavy drinkers.
    • Your liver makes proteins (including albumin) so these fall in liver disease

    Calcium and Glucose are tests by themselves. Glucose goes up in diabetes of course.

    AST = Aspartate Aminotransferase, ALT = Alanine Aminotranferace, LDH = Lactate Dehydrogenase


    YMMV

Viewing 15 posts - 451 through 465 (of 1,968 total)