teenager with acute freshers infection

This chap like about 200 others we have marched through our acute hepatitis b clearance programme consisting of

Rest and a regular sleep pattern recently had a policeman first aider who we got off a shift rota
Zero antibiotics so many patients feel fluey take them and go chronic as they stop our liver doing its job on HBV
Zero alcohol we have also noted when doing HBV vaccination camps the drinkers often fail to get immunity
Zero fried food, protein shakes and less or no red meat both of these take about 10 times the liver energy to break down when consumed
less medications, and

lots of water

the ownership of our Acute Chart that shows how alts of 2000 ish are a great fight back sign and the steps to expect seems to add a lot of direction to things also.

Finally patience some take 6 months to get anti Hbs and some take nearer 12 it is unique to each. But most of all we need to remember the human liver is just incredible and still even in this day and age cures a vast array of things science cannot, e.g. every cold we ever had, every flu, myriad tummy bugs, and probably a host of things we have yet to discover. We still have no idea how to replicate its ability to stop a cold being chronic for instance. Humbly the NHS is great but has its useless areas, and the 2 number one useless areas of info are hospital/health acquired infections like HBV and migrant infections like HBV. While its two number 1 useless areas of care are diet and emotional support, again the main helpers in HBV acute management so we all need to help ourselves here.