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Hepatitis B

Our communities are more likely to get chronic hepatitis B (CHB), which can lead to liver cancer.

Chronic hepatitis B affects approximately 2.4 million people in the U.S., with Asian and African-born communities at highest risk.

For many, the infection happened at birth when the virus passed from mother to baby—called “vertical transmission.”

Even without symptoms, CHB silently damages your liver over time. But here’s the good news: with proper care and treatment, people with chronic hepatitis B live long, healthy lives.

When we share our healthcare stories, we inspire others to take action—and that can save lives.

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Dr. Jennifer C. Lai

Hepatologist & Nutrition Expert

Help Your Liver Heal: Healthy
Habits for Fatty Liver/MASH
and Hepatitis B Patients

Medication is just one part of the solution. What else can YOU do to help heal your liver while on treatment?  Ask Jennifer C. Lai, UCSF-trained hepatologist and nutrition expert, how an optimal diet and exercise can help reduce inflammation and keep your liver as healthy as possible.

Learn from experts

Hear the latest facts about CHB and treatments from our physician experts.
Have your questions answered and get expert advice for free

“Hep B Guidelines Updated – What it Means for You”

Dr. Joseph Lim

Hepatologist

“Why Asians are at
Higher Risk for Hep B”

Dr. Danny Chu

Gastroenterologist

“Reducing Your
Liver Cancer Risk”

Dr. Lewis Roberts

Gastroenterologist

Patient Stories

Hear real patients stories from patients like you.

“When I discovered I had hepatitis B, my world turned upside down. It broke my heart knowing so many carry this condition without realizing it. But this painful discovery became my purpose— My greatest challenge has given me hope.”

—”Prince”, Chronic Hepatitis B Patient

“Three years ago, I went in for a routine physical, but when my doctor called me back about my blood work, I was not prepared for what he said: Hepatitis B positive. The fear of being judged was paralyzing, so I just ignored it and lived in denial for almost two years. Everything changed when my doctor told me, “If you continue to ignore this, you will develop liver cancer.” 

—Henry, Chronic Hepatitis B Patient

Interested in sharing your story? If you participate, you will be paid for your time.

Important Facts About Chronic Hepatitis B

  • In the US, CHB is most common amongst individuals born in Asian and African countries, where Hepatitis B rates are high.
  • Many people with CHB have no symptoms for years or even decades. 
  • All adults aged 18 and older should be screened for hepatitis B at least once in a lifetime, regardless of vaccination status.
  • Hepatitis B virus (HBV) is spread through blood, not through casual contact like kissing, sharing meals, or sitting together.
  • CHB increases your risk for liver cancer by 20x.
  • Effective treatments are available that can control HBV and reduce your risk for liver cancer.

FAQs and Answers

Question

Answer

“If I feel fine, my hepatitis B isn’t a problem.”
CHB often has no symptoms until serious liver damage has occurred.
“Hepatitis B means I will definitely get liver cancer.”
Early and continued treatment significantly reduces the risk for liver cancer.
“I should be ashamed of having hepatitis B.”
Many people in our communities unknowingly got hepatitis B from birth – it was not transmitted as an STD. Being ashamed can prevent you from getting the proper support and care.
“There’s nothing I can do about hepatitis B.”
Today’s treatments can effectively control the virus and prevent liver damage. There are even cures for CHB on the horizon. Your doctor can help you decide which treatment is right for you.

When to Start Treatment

Your doctor will recommend treatment based on:

  • The amount of virus in your blood
  • Whether your liver shows signs of inflammation
  • Your overall liver health
  • Your age and other health factors


Even if you don’t need treatment right now, regular check-ups are essential to monitor your viral load and liver health.

Why Treatment Matters

Without proper care, chronic hepatitis B can lead to serious liver problems:

  • Liver scarring (cirrhosis)
  • Liver failure
  • Liver cancer (hepatocellular carcinoma)

The good news: Research shows that antiviral medications can significantly reduce these risks. 

Modern treatments are simple (often just one pill a day) with few side effects.

Taking Care of Your Liver

You can protect your liver by:

  • Following up with a liver specialist regularly for the proper liver tests
  • Avoiding any form of alcohol, which can speed up liver damage
  • Maintaining a healthy weight
  • Exercising regularly
  • Talking to your doctor before taking any supplements

Protecting Your Loved Ones

If you have hepatitis B:

  • Make sure your sexual partners get tested and vaccinated
  • Ensure your family members are tested and vaccinated
  • Don’t share personal items that might have blood on them (razors, toothbrushes, etc.)
  • If you are planning to have children, talk to your doctor about the proper protocols 

Don't Suffer Alone

Living with stigma can hold you back from the proper care. Consider:

  • Bringing a family member to your appointments
  • Talking to a CHB advocate (in-person or online)
  • Asking your healthcare provider about community resources

Your Next Steps

  1. Get screened if you were born in a country where hepatitis B is very common
  2. Find a doctor who understands hep B treatments and care
  3. Discuss with your doctor your viral load, liver function tests, family history, and lifestyle to outline your treatment.
  4. Follow your treatment plan. Not doing so can hurt your liver.
  5. Keep all appointments for monitoring your liver health

Remember: You Are Not Alone

Thousands of people are living well with chronic hepatitis B (CHB).
With proper care, you can protect your health and continue to live a full, active life.

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The information on this site is for educational purposes only and does not constitute medical advice. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult your physician or qualified healthcare provider with questions about your medical condition. In a medical emergency, call your doctor or emergency services immediately. CHMConnect does not endorse any specific tests, physicians, products, procedures, or opinions on this site. Use of this information is at your own risk. - © 2026 CHMConnect™. All rights reserved.