Hi Bobby,

There are no concerns with local anesthetics and Epclusa or with Epclusa and dental work.

If you are more than 4 weeks into the treatment it is highly likely you have no viral load and therefore are non-infectious (although your dentist should be using universal precautions and working like EVERYONE is infected with something).

Best of luck with the treatment.

Let us know how it all goes.

Thanks for the kind words Cherr1985. Some people struggle to believe this can be done but… turns out it can.

Hi Barry,

So your

ALT has fallen = less liver damage
INR fallen = liver making clotting factors better
Bilirubin fallen = liver clearing toxins better
AFP is low = no liver cancer
Platelets have risen = less portal hypertension and splenomegaly due to less inflamed liver

That all looks great!

Hello joy2world

The homogonous echo texture means your liver looks uniform (ie not very fibrotic/cirrhotic)

Your liver makes bile which is a mixture of detergent to help digestion and waste products that end up in your stool. The hepatic ducts are in the liver and are joined by the cystic duct from the gall bladder (a storage reserviour for bile) to form the common bile duct. The common bile duct goes through your pancreas to get to your duodenum which is part of your gut tube.

Anyway, your common bile duct is slightly larger than the usual 6 mm and this has been commented on. The reasons can include being born that way, having a stone in the duct blocking it, some medications, or a tumour. The “etiology (reason) for this is unclear” means that a stone can’t be seen, a tumour can’t be seen ie there is no obvious reason for it.

The further imaging can be performed as clinically indicated is a standard clause so that the radiologist can blame the ordering doctor for not ordering more tests if it turns out that the cause was serious.

It’s probably nothing, but should be looked into/kept an eye on by your doctor.

Hi G,

Can you post your pre and post results here?

J

Hi Cher,

Thanks for sharing this part of your journey.

Best Wishes

James

Hello Sherif,

The old standard was <25 and undetectable was <15.

The more sensitive <15 test can detect down to about 10 so you would have been undetected with the older tests.

Things are on track. Take the full 12 weeks and trust in the statistics...

Best Regards

James

Hello joy2world,

1a is the commonest genotype and 2-3 million is the average viral load…

Yes viral load fluctuates a bit.