Can HBsAg positive and HBeAb positive (HBV 45 positive) resolve spontaneously?

　　Hepatitis B refers to hepatitis type B. If the condition of hepatitis B is mild and there is no development of "big three positive" or "small three positive" status, spontaneous recovery may occur. However, once the "big three positive" or "small three positive" status has developed, the condition cannot resolve on its own. Detailed analysis is as follows:

　　1. Can recover spontaneously

　　A hepatitis B 45-positive result indicates the presence of hepatitis B core antibody and hepatitis B e antibody, which commonly occurs in individuals infected with the hepatitis B virus. However, if it's merely a simple infection without the development of "big three positive" or "small three positive" markers, the condition generally can resolve spontaneously.

　　2. Cannot recover spontaneously

　　If test results show hepatitis B 45-positive and the "big three positive" or "small three positive" markers have already appeared in the body, spontaneous recovery is not possible. Treatment under a doctor's guidance using antiviral and liver-protecting medications is required. Commonly used drugs include tenofovir disoproxil fumarate tablets and entecavir tablets.

　　In daily life, ensure adequate sleep, avoid prolonged熬夜 (staying up late), maintain regular作息 (sleep-wake cycles), and avoid consuming processed foods.