Do you need a vaccine for hepatitis B?

Patient's question:

Doctor, I had a health check-up, and my hepatitis B surface antigen and core antibody were positive. The surface antibody level was 31.101, and the core antibody level was 9.697. My cholinesterase level in liver function tests was over 500, indicating fatty liver. The rest of the results were normal. Should I get vaccinated?

Doctor's answer:

Your situation is that your hepatitis B surface antibody is positive, which is a protective antibody, and the higher the value, the better. The hepatitis B core antibody is also positive, indicating that you have previously been infected with the hepatitis B virus.
Recommendation: In your current condition, you do not need the hepatitis B vaccine because you already have antibodies. Elevated cholinesterase levels are likely caused by fatty liver disease, so it is recommended to control your weight through diet and exercise.
Hepatitis B poses significant harm to patients. Once symptoms are detected, it is important to seek medical attention promptly. Additionally, dietary management should be emphasized, with a focus on light and nutritious foods. It is hoped that hepatitis B patients can receive professional treatment.

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