I went recently for my 3 year checkup after my liver transplant. All went well but my tx doctor decided to change my medication. The main reason for this was the side effects from some of the medication. He decided to remove the CellCept (2000mg/day) and replaced it with Certican (2mg/day) He also changed my Sundimunn(100mg/75mg) with Envarsus (2mg/day). This had an drastic effect. All my values went further down much more than expected by the doctor. My gamma was always high after the transplant but it remained stable. This had a drastic effect on the gamma values and currently the gamma is almost normal. The doctor was very happy with the result but this had also a negative effect. I had to go weekly for blood tests and after two weeks on the new medication they identified Hep B in my blood. This was never there before. In the meantime the tx doctor found that the donor was treated for Hep B before his donation and was therefore a carrier. This change activated the Hep B during this change of medication.