but before starting tenofovir you can try daily 10000(ten thousand) iu dose of vit
d and check its value bi-weekly,
and check your other parameters dna
and hbsag monthly. you can do this for 2-3 month and check the progress , you may get good results with vit d only and in future dont need to start tenofovir. even if you get partial response from vit d, u will be clear that vit d is helpfull for you, then after 2-3 months u can start tenofovir with vit d.