Initiating Treatment in Patients with Hepatitis B and HIV Coinfection

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B The patient should be started on a highly active antiretroviral therapy regimen that also will effectively treat hepatitis B.

This answer is correct. A normal ALT does not exclude the possibility of significant disease (fibrosis or inflammation) in HBV-HIV coinfected patients and would not preclude treatment of HBV. Regardless, once treatment for HIV is initiated, the regimen should have full activity against HBV.

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