Is it true that for the purpose of antiviral therapy for hepatitis C should necessarily do a liver biopsy?

Respond Tatyana Stepanova, a gastroenterologist, hepatologist Are 100% - e indications for antiviral therapy of hepatitis C. In this case, we do not puncture the liver. However, if you have a high viral load, normal blood biochemistry, or if you have several years had normal ALT and AST, and they suddenly began to rise, it is advisable to puncture the liver. Determination of disease activity according to the biopsy will help us with the definition of appropriate antiviral treatment and the right choice regimens. Similar question: Sorry for the question, I can be somewhat confusing in my PCR Hepatitis C - since July 2006 when I learned about hepatitis during pregnancy ...