Hello Dr.

I received these results from TDL at roughly 4 months after a protected anal exposure where I was on top. I have had anal sex roughly 11/12 times with 5 people, 4 of whcih were one offs. I have had a HIV test DUO at 28 days, 40-odd days, 90 days and 6 month mark (as well as INSTI test at 3 and 6 month mark) - all negative.

BIOCHEMISTRY
BILIRUBIN 15 umol/L 0 - 20
ALKALINE PHOSPHATASE 70 IU/L 40 - 129
ASPARTATE TRANSFERASE 19 IU/L 0 - 37
ALANINE TRANSFERASE 21 IU/L 10 - 50
GAMMA GT 37 IU/L 10 - 71
TOTAL PROTEIN 72 g/L 63 - 83
ALBUMIN *51 g/L 34 - 50
GLOBULIN 21 g/L 19 - 35
ENDOCRINOLOGY
Syphilis IgG/IgM by EIA Negative
Please note change in reporting format due to
change in methodology, effective 05/11/09

HEPATITIS "A" PROFILE
Anti-Hepatitis 'A' (IgG/IgM) Negative
Comment No evidence of Hepatitis A infection
Susceptible to Hepatitis A infection

HEPATITIS "B" PROFILE
HBsAg Negative
Anti-HBs <10 mIU/ml
Anti-HBc (IgG/IgM) Negative
No evidence of Hepatitis B infection.

Hep.C Ab ELISA ( 3rd Gen ) Not Detected
Method used for HEPC: Roche Modular

I just want to double check that everything is A-OK. I worried that the albumin level was slightly up, but my GP said not to bother. I read online that it is a low albumin level that is a sign of a Hep infection. A higher one could be due to dehydration? is that correct?

After 3.5/4 months are these tests conclusive? Would I have detectable anti bodies regardless whether I displayed symptoms or not by this time period?

As I said, I just want to make sure everything is ok regarding these tests. I have always had protected sex too, and I believe Hep B and C are not transmitted via oral sex, so even if I did not have the tests I would not be at risk.

Anyway, with all the above, would you said that I am Hep negative. My doc said, he would normally do a liver function tests first before a Hep panel as if i had hep, certainly after 4 months the LFT would display it.

[Dr Sean]

Hello

I just want to double check that everything is A-OK. I worried that the albumin level was slightly up, but my GP said not to bother. correct - irrelevant and often mildly "abnormal"I read online that it is a low albumin level that is a sign of a Hep infection. A higher one could be due to dehydration? is that correct?

After 3.5/4 months are these tests conclusive? yesWould I have detectable anti bodies regardless whether I displayed symptoms or not by this time period?yes

As I said, I just want to make sure everything is ok regarding these tests. I have always had protected sex too, and I believe Hep B and C are not transmitted via oral sex, so even if I did not have the tests I would not be at risk. correct

Anyway, with all the above, would you said that I am Hep negative. yesMy doc said, he would normally do a liver function tests first before a Hep panel as if i had hep, certainly after 4 months the LFT would display it.correct - your doctor is correct. You do not have any of the diseases you are worrying about.

best regards, Sean

Thanks Dr for the clarification.

Why are they often 'abnormal' - I read that the results can be slightly higher if one is dehydrated is that correct?

Also, out of general curiosity, is it a low albumin results that is indicative of the virus?

Thanks a lot.

Also Dr, I was worried that the lab TDL could have made a mistake with my specimen. I know you use them. Have you ever had an issue where specimens have been mixed up before? I think I am over-reacting, as I believe TDL has a terrific reputation.

Thank-you very much.

[Dr Sean]

Hello

Why are they often 'abnormal' - I read that the results can be slightly higher if one is dehydrated is that correct?

This really is too wide a question - the Forum is confined to sexual health issues - you do not have a sexually transmitted disease.

Also, out of general curiosity, is it a low albumin results that is indicative of the virus?no

With respect to your question about TDL getting your results wrong - yes, mistakes are possible - but I'm afraid I don't buy that either. There's nothing wrong with you mate despite your enthusiasm to have something.

best regards, Sean

Thank you dr.

I was just worried because I seem to have a complete intolerance to alcohol - when I drink it I get a pain in my shoulder. Apparently its referred pain. My liver also becomes sore and I get a pain from It . So I just do not drink anything, but that worries me.

Last question, do you think after six months of exposure, I would have had symptoms by now, had I contractd the virus? I know you are thinking, irrelevant because you do not have it, but if yould answer the question (jopefully in the affirmative) that will greatly help me believe the results.

[Dr Jose]

Not necessarily as it varies. In any case, it is irrelevant in your case becuase it has already been excluded.
Kind regards,
José