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Chronic Hepatitis C is a long-term liver infection that persists for more than six months. It is caused by the Hepatitis C virus (HCV), which continues to replicate in the body when the immune system cannot eliminate it. The Hepatitis C Antibody with Reflex to HCV RNA Quantitative Real-Time PCR is the most important test for diagnosis because it detects both antibodies and confirms active viral infection.
Chronic Hepatitis C is caused by the Hepatitis C virus (HCV), which enters the bloodstream and infects liver cells. The virus spreads through contact with infected blood, most commonly through sharing needles, receiving contaminated blood transfusions before 1992, or healthcare exposure to infected needles. Unlike acute Hepatitis C where the immune system may clear the virus naturally within six months, chronic Hepatitis C develops when your body cannot eliminate the virus, allowing it to persist and continuously replicate in your liver for years or decades.
The Hepatitis C Antibody with Reflex to HCV RNA Quantitative Real-Time PCR is the most important test for Chronic Hepatitis C because it provides a comprehensive two-stage diagnosis. This test first screens for Hepatitis C antibodies in your blood, which indicate exposure to the virus. If antibodies are detected, the test automatically reflexes to measure the actual viral RNA, confirming whether you have an active, ongoing infection. The Hepatitis C Viral RNA Quantitative Real-Time PCR is another essential test that directly measures the amount of virus in your bloodstream, which helps determine treatment strategies and monitor how well antiviral medications are working.
You should get tested if you were born between 1945 and 1965, as this generation has the highest rates of infection. Get tested immediately if you have ever injected drugs, received a blood transfusion or organ transplant before 1992, are on long-term hemodialysis, or have HIV. You should also test if you notice symptoms like persistent fatigue, dark urine, jaundice, or unexplained abdominal pain, or if you work in healthcare and have been exposed to needles or blood. Early detection is critical because chronic Hepatitis C can silently damage your liver for years before symptoms appear.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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