Liver disease frequently produces no symptoms until it is advanced. The best way to find out is to have a check-up with your physician. Blood tests for liver enzymes can assess the degree of inflammation in the liver but accurate assessment of the stage of liver disease relies on a liver biopsy. There is no relation between the virus count and the severity of the liver disease. Consult your physician to determine the severity of liver disease and to determine if treatment is needed.
Some individuals remain well with no symptoms and normal liver enzymes.
Currently there is no vaccine that can protect against hepatitis C infection. The treatment can suppress the virus and decrease liver damage. Response rates are dependent on the treatment, virus count, HCV genotype, and the stage of liver disease.