Given the elevated viral load you’ve observed, it’s essential to adhere to your gastroenterologist’s advice to recheck the HBV DNA viral load. This is crucial as elevated hepatitis B viral load can indicate that the virus is becoming more active, which might require intervention to avoid liver damage over time even if your liver function tests like SGOT and SGPT appear normal.
From a Siddha-Ayurvedic perspective, managing such a condition involves balancing the doshas, particularly focusing on pacifying Pitta, as it is primarily associated with liver health. Here’s what you can consider doing:
1. Incorporate herbal formulations: Use herbs known for their hepatoprotective properties, such as Kutki (Picrorhiza kurroa), Bhumyamalaki (Phyllanthus niruri), and Kalmegh (Andrographis paniculata). You might take these in powder or tablet form, as prescribed by a qualified Ayurvedic practitioner, to support liver function and reduce viral activity.
2. Dietary adjustments: Prioritize a Pitta-pacifying diet. This would include fresh fruits, vegetables, bitter and astringent foods, and adequate hydration. Avoid spicy, fried, and overly sour foods which can aggravate Pitta and potentially the liver.
3. Lifestyle modifications: Regular exercises, at least 30 minutes daily, such as walking, yoga, or swimming, can enhance circulation and promote detoxification.
4. Detoxification Practices: Guided Ayurvedic detox programs or Panchakarma therapies focusing on liver detox like Virechana may be beneficial, but should be considered under professional supervision.
Remember, while these practices can help maintain liver health and bring about dosha balance, following up with your gastroenterologist is critical to ensure appropriate medical intervention if needed. Avoid delaying or disregarding any prescribed check-ups or treatments that relate to monitoring and managing hepatitis B, as timely intervention is essential when managing viral infections.



