Does a hepatitis B carrier always have high transaminase levels?

Patient's question:

Is the alanine aminotransferase (ALT) level always high in every hepatitis B carrier? I am organizing the 2013 Anhui final exams, but I haven't had a ALT test yet and I'm still worried. I am a carrier, but I don't feel any discomfort. Is the alanine aminotransferase (ALT) level always high in every hepatitis B carrier?

Doctor's answer:

Your condition may further expand, and it is essential to receive proper treatment to slow down or cure hepatitis B and prevent further progression of the disease, which may continue to worsen. It is recommended to use traditional Chinese medicine ingredients such as Fructus Momordicae (Chuan Liao Zi), Citrus medica (Fu Shou Gan), Atractylodes macrocephala (Bai Zhu), Pteronia incisa (Ba Yue Zao), Buddleja officinalis (Mu Hua Die), Carapax testudinis (Gui Ban), Paeonia lactiflora (Bai Shao), Aquilaria agallocha (Hai Nan Chen), Panax ginseng (Gao Li Shen), Alisma orientale (Ze Xie), Scutellaria baicalensis (Huang Qin), Atractylodes macrocephala (Wu Zhu Fen), Poria cocos (Fu Ling), Bupleurum chinense (Chai Hu), Metal-essence powder (Jin Jing Fen), and Cerasus (Zhu Ku Dai Ju) for treatment. These traditional Chinese medicines possess the functions of soothing the liver, regulating qi, nourishing the stomach, and strengthening the spleen. They can guide the body to produce endogenous interferon, completely destroy the DNA polymerase and protease chains in the hepatitis B virus, and thus completely deprive the hepatitis B virus of its ability to replicate and adapt.

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