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i was diagnosed with hepatitis in the late 70's from a


Sent to Health Experts July 26, 2006 1:28 p.m.

i contracted hepatitis in the late 70's from a bad blood transfusion. eight years ago results from a blood test for an anual exam showed wacky liver functions. i was diagnosed with hepatitis c and did a 13 month interferon combo treatment. after the 13 month treatment i was labeled undetectable for hepC! my doctor said that i could have a glass of wine during holidays or special occasions. like i said before, it has been 8 years since i've been labeled as non-detectable hepC and my blood work for my liver has come back good for every yearly exam. i have recently been diagnosed with diabetes, but have also kept that under control with diet (no shots or pills). i've lowered my cholesterol to way below 200, lost 20 pounds and am in great shape. i have always been very phsyically active, exercising one to two times a day, running, tennis, swimming, biking, etc. my question is, can i now enjoy an 8 oz glass of wine once a night? oh, i am a 52 year old male who could easily pass for a 38 year old.

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Male , Age: 52

Customer (name blocked for privacy)
Status: Closed   Value: $8   
Answer
July 27, 2006 10:58 a.m. (21 hours and 29 minutes later)
ACCEPTED Check Mark

Hello!

Well, first, let me say, congratulations. Hep C can be an awful disease with a long and painful prognosis, as I'm sure you're aware... but, there is a small percentage of people who respond so well to the interferon therapy that they become essentially cured of the virus, and it is no longer ever detectable in their system. It sounds like this is the case for you, and that is terrific!

The question you're asking is one of risk/benefit, and how you choose to live your life. IF we presume that you are cured of hepatitis C then you could have a glass of wine every night for the rest of your LIFE and it would be absolutely fine. The French would even argue that it would be good for your heart. Your liver function tests will probably never become abnormal again, and since you have no virus in your system, you wouldn't be able to reactivate it with the additional stress on your liver.

However, IF there are a few cells still infected with the virus hanging around in your liver that have escaped detection, and you stress out your liver with a drink every night, could those viruses turn around and start taking over your liver again? It's possible.

Hepatitis C is found in people that have had blood transfusions (usually greater than about 20 years ago, when we started testing the blood supply for it), and in folks who get tattoos from questionable sources, but also people who use needles for drugs, and possibly even in prostitutes. In many cases, alcohol abuse is part of the drug abuse that goes along with hepatitis C infection, so we have seen what drinking excessive amounts of alcohol can do to the person with hep C... as you imagine, liver failure.

But for you, we're not talking about an abuse situation. And furthermore, it certainly sounds as though you may have actually been cured of the infection. And beyond that, there's the question of enjoying your life. Alcohol is a toxin... but the charred portion of a seared piece of meat is too. And so is just living in LA and breathing this air. As is going out in the sun without sunscreen...

You see what I'm saying?

The risk for you is that you will reactivate hepatitis C, and that will affect your life adversely for the remainder of your life. The benefit is that you will enjoy every day of your life a bit more. And, from what you've told me, I'd say that the risk of reactivation of the disease is low. But it remains, hence your doctor's conservative advice.

Only you can make the decision about what to do, and the best way to do that is to be well-informed. From my experience, I can tell you that your risk of disease is low, but I can't tell you that it's absolutely zero. But I also advocate enjoying life. That's why I get on a motorcycle (always with a helmet) when I can, even though I've seen so many folks who have died in accidents.

Hope that helps. If so, please accept my answer, and leave me feedback. Thanks.
Phil  -- Doctor (MD) -- 100% Positive Feedback on 76 Health Accepts
Specialize in internal medicine and pediatrics, also have a PhD in pharmacology

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