A 26-year-old man born in Vietnam who migrated to Australia at age 10 attends for a pre-employment medical. He is well. Blood tests show: hepatitis B surface antigen positive, hepatitis B core antibody (IgG) positive, hepatitis B e antigen negative, hepatitis B e antibody positive, HBV DNA 1,200 IU/mL, ALT 22 U/L (<40), platelets 260 × 10⁹/L, albumin 42 g/L. Liver ultrasound is normal. There is no family history of liver cancer and he does not drink alcohol.

Which one of the following is the most appropriate management?

Filed under internal-medicine › hepatology › hepatitis › hepatitis-b

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