Liver Function Tests and Military Exemption Criteria in Taiwan - Gastroenterology and Hepatology

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Understanding liver function tests and military exemption criteria in Taiwan is crucial for individuals with liver conditions, particularly for those who are carriers of hepatitis B. In Taiwan, the military exemption criteria are outlined based on specific liver conditions, which include chronic hepatitis confirmed by liver biopsy, cirrhosis confirmed by biopsy, and decompensated cirrhosis with complications such as jaundice, ascites, or esophageal varices.
As a hepatitis B carrier, your situation is particularly relevant. Hepatitis B is a viral infection that can lead to chronic liver disease, including chronic hepatitis and cirrhosis. The presence of e-antigen positivity indicates active viral replication, which can increase the risk of liver damage. Your liver function tests, particularly the ALT (SGPT) levels, are critical in assessing liver health. If your ALT levels exceed the normal range significantly, it may indicate liver inflammation or damage.

To determine if you meet the exemption criteria, a liver biopsy is often necessary. This procedure allows for a direct assessment of liver tissue, helping to confirm the presence of chronic hepatitis or cirrhosis. If your biopsy results indicate chronic hepatitis or cirrhosis, you may qualify for military exemption under the specified criteria. However, it is essential to note that liver function tests alone cannot definitively diagnose the extent of liver damage; they must be interpreted in conjunction with clinical findings and biopsy results.

In terms of liver function tests, the ALT and AST (GOT) levels are commonly measured. Elevated levels can suggest liver inflammation, but they do not provide a complete picture of liver health. For instance, normal ALT levels do not rule out the possibility of chronic liver disease, as some individuals may have significant liver damage without elevated enzyme levels. Therefore, regular monitoring of liver function tests and imaging studies, such as ultrasound, is recommended for individuals with hepatitis B.

Additionally, lifestyle factors such as alcohol consumption, diet, and exercise can significantly impact liver health. Chronic sleep deprivation and high-stress levels, as mentioned in your inquiry, can also contribute to liver dysfunction. It is advisable to maintain a balanced diet, avoid alcohol, and manage stress effectively to support liver health.

In summary, if you are a hepatitis B carrier with slightly elevated liver function tests, undergoing a liver biopsy is a prudent step to determine the extent of liver damage and assess your eligibility for military exemption. Regular follow-ups with a healthcare provider specializing in liver diseases are essential for monitoring your condition and ensuring appropriate management. Always consult with your physician regarding any concerns about your liver health and the implications for military service.