Doctor insights on:
Anti cyclic citrullinated peptide antibody value 0.58.. Sensitivity of method 68% and specificity 92% ... What does it indicate?
If eating foods with wheat gives one nasal congestion & headache & edema but celiac testing is negative, is that a wheat allergy or intolerance?
Is Iga ttg test reliable?. Is it really possible to have undesirable inflammatory symptoms from gluten foods w/o celiac disease
Ttg-IgA 8, IgA 1.8g/l, Anti Gluadin IgA 63- non Celiac gluten sensitivity. Can I still have wheat once a weak.doc says poor growth bcos of this.
Depends on these: These tests depend on the normal ranges of your laboratory. To treat Gluten sensitivty you would avoid all gluten. there are many gluten free products you can use to avoid wheat. It sounds like your physician feels it is better for you not to take in any wheat products. Look for Gluten Free substitutes. ...Read moreSee 1 more doctor answer
My wife antibiotic sensitivity test reports indicates lik this sensitivity-norflox,resistant- nitrofurmantoin..what does it mean?
Glasses too strong switched back to others, can it cause headaches light sensitivity sound sensitivity?
Various supplements: Clinical research has shown that several supplements, including chromium, magnesium, lipoid acid, vanadium can improve the body's response to insulin. Certain foods such as cinnamon, nopal cactus, and bitter melon can also enhance Insulin sensitivity and thereby lower blood sugar. This list is not complete, and each person's response varies. Don't stop diabetes meds if you do use any of these. ...Read more
Is food intolerance testing worth the money? Some places say IgG response food is normal. And is IgG or ALCAT testing better?
IgE: It is usually the specific IgE to foods which is important for diagnosing an allergy. . IgG4 response to food only indicates exposure to that food. None of the antibody tests can establish intolerance , just allergic responses. The quantity of IgE must be large enough to be significant. In general skin testing is more sensitive but both tests complement each other. ...Read moreSee 1 more doctor answer
I have hashimoto s disease. But have had recent bloodwork done and the anti streptolysin o qual is positive and the CRP high sensitivity is 6.42.?
Lab results: Lab values seldom have significance unless correlated with clinical findings (history and physical, etc.) a qualitatively positive aslo titer has no real meaning other than you may have a strep infection previously. CRP is a very non-specific index of inflammation and without the above evaluation is of questionable value (may be due to hashimoto). Ask the doctor who ordered it. ...Read more
Why does the media say eating "gluten free" can reduce glycemic spikes as gf still allows rice and buckwheat which is high carb?
The Media is Wrong: Good observation. "glycemic spikes" are due to carbohydrates not gluten. Gluten is found in wheat and many people who go "gluten-free" subsequently reduce their carb intake. Changes in glucose control attributed to lack of gluten are actually due to carb reduction. For people who have celiac disease, going gluten free is important. There is little evidence that it helps others. ...Read more
Doubtful, but. . . : The use of digestive enzymes can be beneficial for many patients. The side effects are mostly GI related, with occasional skin rash. So your dental sensitivity is probably not related to the supplements, but it can be related to your diagnosis. Gastric reflux. Reflux can bathe your teeth in gastric acid, more commonly when you are asleep, and result in sensitive teeth and gums.So keep up treatment. ...Read moreSee 1 more doctor answer
Yes: Igf-1 is a potent glucose lowering agent , in fact the new Insulin analogs Humalog (insulin lispro) and NovoLog have alterations in one of the Insulin components that were derived from the observation that when igf-i was injected through the skin it lowered the sugar faster than regular insulin. ...Read more
Is elevated kappa/lambda ratio on serum FLC test inherently monoclonal, even if neither kappa or lambda is elevated? Ratio high b/c lambda is low, not because of high kappa. SPEP/UPEP & IFE normal. High IgA, low IgG. Clean marrow biopsy. Polyclonal?
Clinical context : The use of light chains is limited in diseases other than monoclonal gammopathies, such as myeloma or amyloidosis. If this is the context that yours got checked the results do not suggest such a condition. With no gammopathy suggested by results the question regarding clonality has no grounds. As any other test, trending the results would help in integrating it in a meaningful clinical context. ...Read moreSee 1 more doctor answer
Kappa/lambda FLC ratio high (2.75) w/ normal K(10.21mg/dl) & low L(3.68mg/dl). Hem-onc unsure if ratio implies K monoclonality since serum/urine IFE ok & neither chain is elevated. Could monoclonal K be suppressing L? IgA a bit high IgG &IgM a bitlow
Useless test: K/L ratio is not a useful test. About one third of patients without monoclonal immunoglboulin have an abnormal ratio, usually with kappa excess. If you must, the next step would be a bone marrow examination. You may consult this article that I wrote: https://www.ncbi.nlm.nih.gov/pubmed/27473738 At your age you are unlikely to have myeloma. ...Read moreSee 1 more doctor answer
Is there rly a 'spectrum' of gluten intolerance 4 folks without celiac's? What r the scientifically proven effects of eating gluten for average prsn?
Genetics: Possessing certain genetic mix is associated with a high risk for gluten intolerance. There is no proof that genetically altered wheat is any different in term of the gluten issue. There is no scientific proof that eating gluten adversely affects one's health unless one has the intolerance issue. ...Read moreSee 1 more doctor answer
Free kappa light chain is high, FLC ratio is 2.205, no monoclonal gammopathy. IgA 389.43, lgM 125.95 and lgG 1771.02 H. Should we be worried? Thanks.
No: Abnormal FLC ratio is not diagnostic of any disease. More than 50% of the people with increased levels of gamma globulins have abnormal FLC ratio without a disorder of the plasma cells. ...Read more
Crp 0.4 but hs-crp showing 8.5 in the same week. Any explanation? Can spondylitis or lupus cause monoclonal light chain in urine lambda type? K/l 1.5
Many issues: CRP is measured in mg/dL and hsCRP is measured in mg/L. if the later is converted to CRP, the two values would be 0.4 and 0.8 and that is not that great a difference. K/L ratio of 1.5 is normal. The autoimmune disorders you mentioned may have an oligoclonal pattern and could result in monoclonal lambda chain in urine, without there being any cancer. About 10% of people your age have a benign monoclonal gammopathy. ...Read more
4yo. Extreme high IgA levels. Chronic diarrhea. Bright green stools for 1+yr. High WBC off and on. Are IgA levels indicative of anything or pointless?
IgA is associated w: immunity of the mucosa surface, ie, nose, mouth and GI tract tract. A low IgA would indicate that a person has poor immunity and would be subject to recurrent respiratory or GI infections. An elevated level is reassuring that her immunity is responding to inflammation, but does not give an explanation for the recurrent diarrhea or elevated WBC. ...Read more