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You should be fine Sherif – those results show you liver is in ok shape.
The <15 and log <1.18 represent the same number.
1000 = 10*10*10 = 10^3 = log 3 - a convenient way to talk about viral load so 1,000,000 is log 6 and 100,000 is log 5 and 10,000 is log 4 and 1000 is log 3 and 100 is log 2 and 10 is log 1 and...
15 = 10^1.18 = log 1.18
YMMV
Hello Sherif,
About 20% of patients are still detected at week 4 so, while undetected is more reassuring, this is not that unusual. Cure rates remain very good.
Do you know your genotype and level of fibrosis? AST and platelets would be good to know too.
YMMV
Hello Cher1985,
The average viral load is 2 to 3 million so it’s not particularly high.
The actual number really has no impact on anything.
Best wishes
James
YMMV
TSH should not be so high. Your mother probably needs some T3 as well as T4. 200 of T4 is high dose.
Her other numbers are ok, actually quite good with low bilirubin, normal platelets and undetected HCV.
Has Hepatitis B been checked?
Low thyroid is key problem to fix, please get doctor to give small dose of T3 and check TSH in a week.
Live donor is safe enough if surgeon is good.
YMMV
Hello ale2271,
The hypothyroidism will not be helping. It causes fluid retention independently of liver disease.
Cirrhosis does not cause a problem with thyroxine.
Q: Is she taking the 200ug of thyroxine first thing in the morning and one full hour before food?
This is required of it will not be absorbed.
Levothyroxine is T4. Some patients (and this is rare) also require T3 (liothyronine)
https://www.medicinenet.com/what_distinguishes_the_use_-_cytomel_vs_synthroid/ask.htm
YMMV
Thanks for the update JerryD
How do you feel compared to pre treatment?
YMMV
Hi Cherr1985,
Thanks for letting us know how you’re going. With any luck things will just continue to improve.
Compared to the old treatments, these new ones are very mild.
Please keep us updated with how things are going.
A lot of people find it hard to believe you can just import the treatment and get cured.
YMMV
Hello ale2271,
I am sorry to hear about your mother.
While a creatinine of 1.93 is about 2x normal, and indicates 1/2 normal kidney function this does not require stopping diuretics (torasemid).
Urea nitrogen is not really a problem.
Some lactulose might help.
Albumin will help.
How many weeks is your mother into the treatment?
YMMV
Hello Cher1985,
There is no problem with taking Suboxone and Harvoni together.
The only thing not to do is take a lot of antacid with Harvoni. It needs a bit of acid to get into your system and do its job.
YMMV
Hi Cherr1985 – great to hear your journey has started. With any luck it will all be smooth sailing.
Best Wishes
James
YMMV
1. any site with a list of high protein food?
I’m sure there are heaps but it’s pretty simple.
- Any form of meat (beef, pork, goat, chicken, turkey, fish) is about 25% protein
- Full cream milk is about 1/3 1/3 1/3 protein, fat, carbohydrate with low fat varieties being ~ 50:50 protein/carb but only about 4% protein by volume. Milk products like cheese are much higher protein.
- Eggs are about 6g of protein per egg and you can boost the protein without adding extra fat by mixing 1 whole egg with 1-2 egg whites – still looks, smells and tastes like egg
- Beans, soy, and lentils are the highest protein vegetables with about 1/3 protein to 2/3 carbs
- Nuts are mostly 20-25% protein but also 50% fat so very energy dense
- Grains are about 10% protein and 70% carb
While there are all sorts of protein supplements they are usually modified skim milk or soy and heavily processed. I like food that looks pretty close to where/what it came from. We were eating stuff long before we had factories processing stuff so it is more natural.
2. my mother is around half of the treatment, when (if it happens) does the liver can start to heal and the cirrosis get better (if it does)
If your mother’s liver function has been tested you will almost certainly see improvements in the ALT and AST enzymes that get released when liver cells are damaged and die.
3. she is just on Epclusa, treatment for 24 months, as I read, when you have cirrosis, doctors prescribe another medicine at the same time… why ?
Cirrhosis goes from very mild to very bad. When it is mild no extra treatment is required. When it is bad we prescribe things like Diuretics (Furosemide and Spironolactone) to reduce fluid build up, Lactulose to remove toxins, Antibiotics (Rifamycin) to prevent spontaneous bacterial peritonitis.
4. can lymphatic drainage massage help her liquid retention?
No. Diuretics are probably the best option.
5. can Epclusa give extreme tiredness for all the treatment or can it just be her liver not working well?
Yes, some people do get tired on treatment. This is usually worst at the beginning when all the viral killing is going on. Most people have more energy, but some people remain tired until the pills finish.
With some people with cirrhosis we see that they get a little worse (at the start) before they start to get better. The CBC, CMP, AFP, and INR blood tests are useful in assessing what is going on.
Vitamin B12 may help with the tiredness and will certainly cause no harm. This can be as a single injection but the tablets in the pharmacy will work just fine.
YMMV
Hello Cher1985,
You know what they say “a watched pot never boils”! Glad to hear your medication should be with you shortly. Compliments of the season.
Please keep us posted about how you’re going. It can be a bit lonely, but you’ll find plenty of support here from people who have walked in your shoes.
YMMV
Hi Jerry,
You must be about 1/2 way through by now. How is it all going?
YMMV
Hello joy2world,
Welcome to the forum.
Don’t sweat it. You are still early stage, there is no damage evident yet, and you will probably get 8 weeks Mavyret which is an awesome treatment.
Your husband should get tested. Sexual transmission is just about impossible but the razor sharing is a real risk. If he’s infected he just needs treating. Either he is or he isn’t. Not testing won’t change that but will probably just remove the worry.
Great news that the kids are fine.
YMMV
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