Hepatitis B and Cholesterol Levels in College Health Checks

Q: Hepatitis B and Cholesterol Levels in College Health Checks

Hello, Mrs. <br>Lin： As you mentioned, the hepatitis B antibodies should be a result of effective vaccination. <br>The lower cholesterol content should not pose any health risks. <br>Changhua Hospital cares about your health. <br>Chen Shidian

Please provide the health check data?

Dear Director Chen,
Regarding my daughter's university entrance health examination, the following data is noted:
- Hepatitis B surface antigen (HBsAg) → Negative
- Hepatitis B surface antibody (Anti-HBs) → Positive
- Hepatitis B core antibody (Anti-HBc) → Negative
Could you please clarify, Doctor, if this means that my daughter does not have the Hepatitis B antigen, has antibodies, and does not have core antibodies? This would indicate that her antibodies were produced by vaccination and that she has never been infected with Hepatitis B, correct?
Additionally, my daughter's high-density lipoprotein (HDL) cholesterol is 46, which is within the normal range; however, her low-density lipoprotein (LDL) cholesterol is only 53, which is below the normal range.
Consequently, her total cholesterol is 108, which is also below 130.
Should we be concerned about this?
Thank you for taking the time to respond, Director.

Lin Mama, 40~49 year old female. Ask Date: 2014/10/28

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, Mrs.
Lin: As you mentioned, the hepatitis B antibodies should be a result of effective vaccination.
The lower cholesterol content should not pose any health risks.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2014/10/28

More Info

Understanding the results of health checks, particularly regarding Hepatitis B and cholesterol levels, is crucial for maintaining overall health. Based on the provided test results for your daughter, let's break down the findings and their implications.

Hepatitis B Results
1. HBsAg (Hepatitis B Surface Antigen): Negative
- This indicates that your daughter does not currently have an active Hepatitis B infection. The presence of HBsAg would suggest that the virus is present in the blood, which is not the case here.

2. Anti-HBs (Hepatitis B Surface Antibody): Positive
- A positive result for Anti-HBs means that your daughter has developed antibodies against the Hepatitis B virus. This typically occurs after vaccination or recovery from an infection. Since HBsAg is negative and Anti-HBc is also negative, it strongly suggests that she has been vaccinated against Hepatitis B and has not been infected with the virus.

3. Anti-HBc (Hepatitis B Core Antibody): Negative
- The negative result for Anti-HBc indicates that there is no evidence of a past or ongoing infection with Hepatitis B. This further supports the conclusion that your daughter has not been infected and that her immunity is due to vaccination.

Cholesterol Levels
1. HDL (High-Density Lipoprotein) Cholesterol: 46 mg/dL
- This level is within the normal range. HDL is often referred to as "good" cholesterol because it helps remove other forms of cholesterol from the bloodstream. Higher levels of HDL are generally associated with a lower risk of heart disease.

2. LDL (Low-Density Lipoprotein) Cholesterol: 53 mg/dL
- This level is below the normal range. While lower LDL levels are often considered better, extremely low levels can sometimes be a concern, particularly if they are associated with other health issues. However, in isolation, a low LDL level is not typically alarming.

3. Total Cholesterol: 108 mg/dL
- This total cholesterol level is also below the recommended threshold of 130 mg/dL. While low total cholesterol is generally not a cause for concern, it is essential to consider the overall lipid profile and other health factors.

Conclusion and Recommendations
Based on the results, your daughter appears to be in good health concerning Hepatitis B, as she has been vaccinated and has no evidence of infection. Regarding cholesterol levels, while her HDL is normal and LDL is low, it is essential to monitor these levels over time, especially if there are any changes in her diet, lifestyle, or overall health.

Additional Considerations
- Diet and Lifestyle: Encourage a balanced diet rich in fruits, vegetables, whole grains, and healthy fats. Regular physical activity is also crucial for maintaining healthy cholesterol levels and overall well-being.

- Regular Check-ups: Continue with regular health check-ups to monitor her cholesterol levels and liver function, especially if there are any changes in her health status or lifestyle.

- Education on Hepatitis B: It may be beneficial to educate your daughter about Hepatitis B, its transmission, and the importance of vaccination, especially as she enters a college environment where she may encounter new health risks.

In summary, your daughter's health check results indicate that she is well-protected against Hepatitis B and has a cholesterol profile that warrants monitoring but is not immediately concerning. Regular follow-ups and a healthy lifestyle will help ensure her continued well-being.

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