What should you eat if you have mild hepatitis B (small three positives)?

Generally, individuals with "small three positives" (chronic hepatitis B surface antigen, hepatitis B e antibody, and hepatitis B core antibody positive) should support liver health through diet while managing their condition with medication. Foods commonly recommended include eggs, broccoli, sea bass, spinach, and oats. Commonly used medications include Entecavir Dispersible Tablets, Tenofovir Disoproxil Fumarate Tablets, Silibinin Capsules, Compound Glycyrrhizin Tablets, and Hepatoprotective Tablets. A detailed analysis is as follows:

I. Diet

1. Eggs: Rich in high-quality protein and lecithin, eggs provide essential building blocks for liver cell repair. Lecithin helps protect the liver cell membrane. Moderate daily consumption supports liver regeneration.

2. Broccoli: Contains abundant vitamin C, carotenoids, and dietary fiber. Vitamin C participates in liver metabolism, while dietary fiber promotes intestinal detoxification, reducing the burden on the liver. It is suitable for regular cooking and consumption.

3. Sea Bass: A low-fat, high-protein fish rich in various amino acids and minerals. Its low fat content and easy digestibility allow it to supply nutrients without increasing the metabolic load on the liver, making it an excellent source of high-quality protein.

4. Spinach: High in vitamin K, folic acid, and iron. Folic acid aids in liver cell regeneration, while vitamin K helps maintain normal liver function. When consumed with other foods, it contributes to balanced nutrition.

5. Oats: Contain soluble dietary fibers such as beta-glucan, which help regulate blood lipid levels and reduce fat accumulation in the liver. Oats can replace part of refined grains like white rice or flour as a staple food, promoting liver health.

II. Medications

1. Entecavir Dispersible Tablets: A nucleoside analog antiviral drug that inhibits hepatitis B virus replication and reduces viral load. It is suitable for patients with active viral infection who have "small three positives." Must be taken long-term and regularly as prescribed by a physician.

2. Tenofovir Disoproxil Fumarate Tablets: Has strong antiviral effects and inhibits hepatitis B virus DNA synthesis, slowing the progression of liver damage. Suitable for patients with drug-resistant viruses or those undergoing initial treatment. Must be used under medical supervision.

3. Silibinin Capsules: The main active ingredient is silibinin, which stabilizes liver cell membranes and protects liver cells. It improves liver function indicators and is appropriate for patients with "small three positives" accompanied by liver injury. Should be taken according to the product instructions.

4. Compound Glycyrrhizin Tablets: Contains glycyrrhizin, glycine, and other components, offering anti-inflammatory effects and liver cell protection. It helps reduce liver inflammation and improve liver function. Use must strictly follow medical advice.

5. Hepatoprotective Tablets: Composed of ingredients such as Bupleurum, Artemisia capillaris, and Isatis root, these tablets help soothe the liver, regulate qi, strengthen the spleen, and promote digestion. They assist in lowering transaminase levels and are suitable for patients with "small three positives" and abnormal liver function. Usage should follow medical guidance.

In daily life, avoid high-fat, high-sugar, and moldy foods, and abstain from smoking and alcohol. Regular monitoring of liver function and viral load is necessary during medication; do not discontinue or adjust dosage without medical advice. If symptoms such as fatigue or jaundice occur, or if test results show significant abnormalities, seek medical attention promptly to adjust the treatment plan.