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Hepatitis C is a viral infection that causes inflammation and damage to the liver. It is caused by the Hepatitis C virus (HCV), which is transmitted through blood-to-blood contact. The Hepatitis C Antibody with Reflex to HCV RNA Quantitative Real-Time PCR is the most important test for diagnosis because it both screens for exposure and confirms active infection.
Hepatitis C infection is caused by the Hepatitis C virus (HCV), which spreads through direct contact with infected blood. Common transmission routes include sharing needles or drug equipment, receiving contaminated blood transfusions before 1992, needlestick injuries in healthcare settings, and less commonly through sexual contact or childbirth from an infected mother. The virus attacks liver cells and can persist for years, causing chronic inflammation that may lead to serious liver damage if left untreated.
The Hepatitis C Antibody with Reflex to HCV RNA Quantitative Real-Time PCR is the most important test for Hepatitis C because it provides comprehensive diagnosis in one order. This test first screens for HCV antibodies, which indicate whether you have ever been exposed to the virus. If antibodies are detected, the test automatically reflexes to measure the actual viral RNA in your blood using Real-Time PCR technology. This confirms whether the infection is currently active, quantifies your viral load, and helps your doctor determine if treatment is needed. This two-step approach eliminates the need for multiple separate tests and provides definitive answers about your infection status.
You should get tested if you have ever injected drugs, received a blood transfusion or organ transplant before 1992, are on long-term hemodialysis, have abnormal liver enzyme results, were born between 1945 and 1965, or have been exposed to HCV-positive blood. The CDC recommends all adults get tested at least once in their lifetime, as many people with Hepatitis C have no symptoms for decades. Testing is especially urgent if you notice unexplained fatigue, jaundice, or abdominal pain, as early detection allows for treatment that can cure the infection before permanent liver damage occurs.
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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