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Doctor insights on: Detailed Portrait Drawings Aspergers Low Latent Inhibition

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Person w/ SCAD deficiency, autism, mood disorder. Acutely became agitated, aggressive. Labs/UA wnl except B12 >1999 pg/mL; Folate (folic acid) >19 .9 ng/mL? toxic?

Person w/ SCAD deficiency, autism, mood disorder. Acutely became agitated, aggressive. Labs/UA wnl except B12 >1999 pg/mL; Folate (folic acid) >19 .9 ng/mL? toxic?

How old are you?: We need to know your age. Please put it in your public profile. We cannot answer questions from minors. Knowing your country or state helps, too. Age, location, and gender, can affect our answer, since some conditions are more likely in different places or in different age groups. Be honest! You expect if of us, & we expect it of you! List any meds you take, & any chronic medical problems, too. ...Read more

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With bipolar ii, adhd, & c ptsd, what additional tests are beneficial? Ie: hormone, neurotransmitter , DNA mutation (mthfr, a1at ...) methylation etc.

Yes: I would definitely check mthfr and comt. Both these are involved in methylation. One is involved in neurotransmitter synthesis, and the other in breakdown. Therefore polymorphisms can impact mood, etc, and if so, vitamins and supplements can help the methylation cycle. I check mthfr in most of my patients. ...Read more

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Ideop Neurop, IPE=Monoclonal IGGlambada present. No free lambda light chains seen. Mprotein seen below threshold IPE. SI all in ranges Igg 1.4. mean?

Ideop Neurop, IPE=Monoclonal IGGlambada present. No free lambda light chains seen.  Mprotein seen below threshold IPE. SI all in ranges Igg 1.4. mean?

Neuropathy in MGUS: Periphral neuropathy is common in gammopathies. If just sensory (numbness/tingling) we follow it or treat symptoms. If there is motor involvement (muscle weakness) it may need treatment. Risk of converson to a bone marrow disease is about 1% per year. You need to be followed by a neurologist/rheumatologist (if interested in neuropathies). MGUS means monoclonal gammopathy of unknown signifcance. ...Read more

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Fatigue studies (CFS?): Merit of mitochondrial tests e.g. ATP-ATP, ANT/AAC, Mg-ATP, mito. O2 util., Zn/Cu-SOD, Mn-SOD, GSHPx? Any viable treatments?

Fatigue studies (CFS?): Merit of mitochondrial tests e.g. ATP-ATP, ANT/AAC, Mg-ATP, mito. O2 util., Zn/Cu-SOD, Mn-SOD, GSHPx? Any viable treatments?

No proven Rx: CFS remains a puzzling problem and there is no specific test to pinpoint the cause. I have a feeling that your tests were ordered by someone not in traditional medicine . There are many ways people with CFS may obtain relief but supplements (if that doctor wants to sell you some ) are not likely to offer proven benefits. . ...Read more

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How could free testosterone measured by equilibrium dialysis (mayo labs) be over 50% more than calculated free testosterone (issam.Ch)? Data (4/26): tt 533, shbg 41, albumin 4.5, cft 9.7, ft 15

How could free testosterone measured by equilibrium dialysis (mayo labs) be over 50% more than calculated free testosterone (issam.Ch)? Data (4/26): tt 533, shbg 41, albumin 4.5, cft 9.7, ft 15

Lab variation: The calculated free t will depend on how accurately the lab measures each component (total t, shbg, albumin) as well as the algorithm used to do the calculation. The free t by dialysis can be more accurate, as it depends on one test being done correctly. However, labs vary enormously in how well and accurately they can do the test. If the levels are normal, don't fret the details. ...Read more

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Can this be cll? Rbc 3.97 low- mean platelet volumes 7.2 low, ly 46.8 high, hct 36.5 low, DNA abs double stranded abnormal 5 iu/ml, low iron, low vitd

Can this be cll? Rbc 3.97 low- mean platelet volumes 7.2 low, ly 46.8 high, hct 36.5 low, DNA abs double stranded abnormal 5 iu/ml, low iron, low vitd

Concern: It is extremely important whether the lymphocyte count is an absolute number or a percentage. If this is the absolute number, namely 46.8 thousand/microliter, I am very concerned about the possibility of cll. Consulting a hematologist for peripheral blood morphology, flow cytometry, cytogenetics, and molecular studies is of paramount importance. If 46.8% with normal wbc, I am not so concerned. ...Read more

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16yo male healthy male with c/o inattention and anger issues, labs-ammonia 94(nlup to 32) alkphos185(33-136)other labs all nml- ?Workup and rx

16yo male healthy  male with c/o inattention and  anger issues, labs-ammonia 94(nlup to 32) alkphos185(33-136)other labs all nml- ?Workup and rx

May be lab : I will at times see elevated ammonia levels if the specimen is not handled properly and i always repeat those. You can fractionate the alkphos for bone vs biliary system to get better idea if issue or not. If all normal and no cardiac issues and meets criteria for adhd can do low dose stimulant to see if anger issues worsen. May need second med for anger if therapy not helpful. ...Read more

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Can lupus directly impact the brain? Myoclonic seizures, major depression, GAD, major mood swings. No official diagnosis, but positive for antibodies.

Can lupus directly impact the brain? Myoclonic seizures, major depression, GAD, major mood swings. No official diagnosis, but positive for antibodies.

A few comments: Yes, lupus cerebritis can occur. Spinal fluid measure of P-ribosomal protein might help. Your myoclonic seizures could be Juvenile Myoclonic Epilepsy, and could benefit from Depakote or Keppra (levetiracetam). Your emotional state could be assessed by psychiatry. Recommend you see a neurologist, and have all of this looked at thoroughly. ...Read more

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U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?

U/s confirmed many nodules.Bx schedules, high platelets, wbc, pot. &anemic.Chronic fever.Low acth 3. Checking addison's, cancer, hashimotos. Any thoughts?

Expert specialist: Care is needed and it appears you are in the loop. It sounds as if you have multiple nodules in the thyroid, and concerns about thyroid disease. Biopsy will help with the question of cancer, but follow up with an endocrinologist is essential. ...Read more

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30 yrs female, Medicine student, I feel laziness,body aches,attention deficit, short term memory.Hb 13.2, sleep cycle disturbed due to study overload.

30 yrs female, Medicine student, I feel laziness,body aches,attention deficit, short term memory.Hb 13.2, sleep cycle disturbed due to study overload.

Not enough sleep: It sounds like you're experiencing real symptoms from lack of sleep. Sleep is crucial to maintaining body functions, especially attention and memory, but also bodily functions like activity and energy level. I don't like to prescribe sleep meds, much better to try natural means so your brain can do what it's supposed to: rest and restore! Hope you get a break soon! ...Read more

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5/2012 3TIA/shock 68/45/mottling/flushing/tinn/MCA 4/2013 Daily HypCrisis HR 48-147 PP 18-22 CerebAneurysm Tbthk sput visible blaschko acrocyanosis +ppl lips/tong Orthypnea Afib Glob Hypoxic injury?

5/2012 3TIA/shock 68/45/mottling/flushing/tinn/MCA 4/2013 Daily HypCrisis HR 48-147 PP 18-22 CerebAneurysm Tbthk sput visible blaschko acrocyanosis +ppl lips/tong Orthypnea Afib Glob Hypoxic injury?

Multiple conditions: Your cardiologist and neurologist are your main sources of help. There are signs of thromboembolism related to atrial fibrillation. Hopefully there is no signs of cerebral impairment- weakness on one side, forgetfulness, slurred speech etc. U need help from ancillary services- physical/speech therapy, rehab etc we need serious help from the supreme being! god bless u! ...Read more

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What does a small increase in plasmocytes (0.07 - reference value <0.01 10E9/l) and a very high positive ANA (homogeneous pattern >1:640) tell?

What does a small increase in plasmocytes (0.07 - reference value <0.01 10E9/l) and a very high positive ANA (homogeneous pattern >1:640) tell?

Nothing alone: This is not a "very high ANA" and many healthy people have titers this high. Counting plasmacytes is an unusual lab test and standards aren't well-understood. If you have clinical features suggestive of lupus, autoimmune hepatitis or one of the other illnesses in which there's usually ANA, this helps establish the diagnosis. Otherwise, keep living a healthy lifestyle & don't trouble yourself. ...Read more

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What would b the cause of chronic high T cell counts, cd4, 5, 7, and 8. A T-cell beta gene rearrangement, elevated IGG, elevated LGL's, but normal CBC?

What would b the cause of chronic high T cell counts, cd4, 5, 7, and 8. A T-cell beta gene rearrangement, elevated IGG, elevated LGL's, but normal CBC?

Reason for doing it: What was the reason you got this done. In all patients we don't do T cell count, Immunoglobulin level estimation etc. What were your symptoms. Based on your answerc an give a better explanation. In any patient we do CBC- complete blood count with differential count.Only in people with suspected immunodeficiencies/hematological problems-dyscrasias is the term we use, detailed Tcell,B cell ,Ig done ...Read more

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Recently diagnose with prostate cancer Tic, gleason 7(3+4), PSA 4.97 Had some labs done. Absolute lymphocyte 4.3(High), immature granulocyte .5(High). Other labs normal. What does this mean?

Recently diagnose with prostate cancer Tic, gleason 7(3+4), PSA 4.97

Had some labs done. Absolute lymphocyte 4.3(High), immature granulocyte .5(High).  Other labs normal. What does this mean?

Review with your doc: Your urologist will review this in detail and consider your surgical options with you. Please get on his treatment plan and this will help avoid future worsening of this disease and as well give you peace of mind. There are many labs followed and checked prior to surgery and other treatments. They get compared to your previous baseline levels. Your doctor will explain this regarding your case. ...Read more

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Anemia of unknown origin, Hemoglobin as low as 6.0. Negative endoscopy, negative colonoscopy, negative occult fecal blood. Low iron: 17 Ferritin 980?

Anemia of unknown origin, Hemoglobin as low as 6.0. Negative endoscopy, negative colonoscopy, negative occult fecal blood. Low iron: 17 Ferritin 980?

Anemia of Chronic Dz: Your elevated ferritin and depressed serum iron suggests an anemia related to chronic disease. This is a perplexing problem to solve without a careful search of your history and what is happening elsewhere in your body. While the endoscopy helps exclude cancer as the chronic disease, defining the setting as ACD first might have negated the urgency for this. ...Read more

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FEV1 60% under DLCO-Dsb 86%, D/VAsb 78% VAsb 110%. This past year is a different format and shows diffusing capacity DLCO 68%, DLCO/VA 67%, VA 103%?

FEV1 60% under DLCO-Dsb 86%, D/VAsb 78% VAsb 110%. This past year is a different format and shows diffusing capacity DLCO 68%, DLCO/VA 67%, VA 103%?

Abnormal asthma or: copd [chronic obstructive lung disease] see lung dr. for evaluation which it appears you have , never smoke this is a death sentence and will only get worse or other toxic things to lungs ...Read more