A 34yearold man presents to your ofce for follow up on lab results which were completed to evaluate an elevated AST and ALT. He is sexually active…

A 34—year—old man presents to your office for follow up on lab results whichwere completed to evaluate an elevated AST and ALT. He is sexuallyactive and engages in sex with both men and women. He uses condomsinconsistently. He denies regular alcohol use but states that he used toinject heroin. Currently, he reports some fatigue but says he feels wellotherwise- He hepatitis serology results are as follows: HBsAg—positive, anti—HBs—negative, and anti—HBc-positive. Anti-HDV and anti—HCV testresults are both negative.

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