Is it serious to get hepatitis B with the "big three positive" condition?

Patient's question:

135 is yang, elevated transaminase, but usually no symptoms, is it serious?

Doctor's answer:

You have chronic hepatitis B with an elevated alanine aminotransferase (ALT) level, and your condition is relatively severe, which may affect your future work. Although you don't have symptoms, you already have the active form of hepatitis B virus (HBV) in your body. The virus is highly active and contagious. If left untreated, it can progress to liver fibrosis and cirrhosis. It is necessary to implement liver protection and antiviral treatment.
If it's convenient, you can communicate directly with me, and I will provide you with a more comprehensive and detailed response. In fact, having chronic hepatitis B is not something to be feared. Patients should believe that they can overcome the disease. As long as symptoms are detected early and appropriate treatment is administered, the chances of alleviating the condition and achieving recovery are very high.

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