<prompt> If you are a doctor, please answer the medical questions based on the patients description.sir i have been a hepatitis b positive for last one and half years.four months back i took viral quantification test.on that test i was having a viral copies of around 300 i.uml. last month i took test again inwhich i was having only 20 i.u ml.will i become negative person what are my chances.what kind of treatment i have to take?  <response>: Your viral load is very low, that is good. You have chronic inactive hepatitis B that is if you have normal liver enzymes as well. The guidelines state that there is no treatment necessary with such low viral load anything 2000, if liver enzymes normal and no evidence of cirrhosis. However, keep in mind that hepatitis B virus is carcinogenic, and increases your chances of liver cancer exponentially. I do know of some aggressive liver doctors that treat Hepatitis B no matter what, and there are many treatment options. These include interferon an injection given weekly, with A LOT of side effects, then Tenofovir or Endeavor which are pills, its taken once a day, minimal side effects. In your case with only 20 IUml, I would probably just watch you, as you might become negative in the future chances are about 1-2 per year. You cant donate blood, and your sexual partner should be vaccinated against hepatitis B if heshe negative. 