Doctor insights on:
Liver enzyme: Gamma glutamyl transaminase / transpeptidase enzyme rises in some liver illnesses and supposedly is the first to rise in drinkers. It's a poor screen, some folks are born with lifelong high levels, but it's better than nothing. ...Read more
Antibody replacement: Combined antibody from a pool of healthy donors is given to patients who either do not make antibody for themselves or cannot make specific antibody against a pathogen. The product is also given in the context of several hyperinflamatory or autoimmune disorders because the pooled antibody either blocks the activity of rogue/autoimmune antibodies or downregulates overactive white blood cells. ...Read more
Plasma Vitamin D <4.2 ng/mL
Serum Vitamin B12 -197
Serun Alkaline Phosphatase-356
Need Vits D3 and B12: You are severely deficient in Vitamins D3 and B12. I recommend 10,000 IU of Vit D3 per day, and 1,000 mcg methylcobalamin each day. Your D3 levels should be 60-70 ng/dl. ...Read more
Slightly elevated beta fraction from serum protein electrophoresis. Beta 1.07 (high) (0.52-0.98) increased beta fraction, no monoclonal or polyclonal gammopathy seen. Immunofixation normal.
75y old(single kidney+chronic kidney disease),creatinine (~250),hemoglobin (~9.5),red cell count(3.6),Iron serum(107). Shall we use Aranesp (darbepoetin alfa) injection?
Azd 6244- mek inhibitor- a selective mitogen-activated protein kinase (mek) inhibitor. Mk 2206- akt inhibitor. Why prescription for me? It ? Nsclc/mets
Molecular targeting: These agents are designed to selectively knock out key pathways your tumor may use to grow. Presumably you already had your tumor tested for these different mutations. Ask the doctor offering these options to explain their rationale. These are investigational studies and many of the treatment costs may be covered-ask. ...Read more
Lfts worsening-serum gammagt level 647u/l, serum alk phosphate 654u/l.Othr blood/heps normal.Mri &scans done. 3polyps large14mm in gallbladder-remove?
See specialist: The elevation in ggtp and alkaline phosphatase in the setting of gallbladder polyps that large mandates that you see a liver specialist before embarking on surgery. There are two types of specialists you should see, a hepatologist, a liver internal medicine doctor to make sure this is not some type of hepatitis or liver disease and then a liver surgeon to decide if the polyp is cancerous. Do asap. ...Read moreSee 1 more doctor answer
No worries: This is of no consequence. I would ignore it. ...Read more
S it fine to take glutathione 500mg,milk thistle extract 100mg, alpha lipoic acid 50mg, combined with d alpha tocopheryl acetate 400 iu?
Analysis: Why do you take all these items?. Where did you find such advice? Glutathione is a wonderful anti-oxidant, but does NOT cross into the brain, so of questionable value in bloodstream. Milk thistle extract has questionable benefit in most cases. Alpha lipoic useful in peripheral and central nerve disorders. You are far better off using mixed tocopherols, especially with gamma. See holistic doc ...Read more
Globulin level: 4.5, Albumin level: 3.9, Total Protein: 8.4, Albumin/Globulin Ratio: 0.9, AST: 68, ALT: 105. What do these levels mean?
Need med history: You need to tell us why was this test done. Did you have some complaints? Once we know your symtoms, if any, it is easier to interpret your lab results. Your liver enzymes are slightly high and so is the globulin level which can occur due to liver problems like Hepatitis. Your doctor needs to recheck these labs in another one or two months and find the cause?hepatitis? ...Read more
Immunofixation, Serum FAH = Monoclonal IgG kappa immunoglobulin. Beta FAH = 10.5% Abnormal band, immunofixation to follow. I'm IgA deficient too. ??
Possibly: If I am understaning this right you have a monoclonal protien band? The most important next steps here would be to identify the band (immunofixation) and then perfrom quantitvaive immunoglobulin levels. IF there is a monoclonal band, you may very well have reciprocal depriciation of alternative immunoglobulins and IgA deficiecny with an IgG monoclonal protein is possible. ...Read more
Specific & limited: Pregnenolone is an adrenal hormone made from cholesterol, and is the pre-cursor for sex-steroid hormones. It is said to 'improve mood, ' but no strong data support. To my knowledge there is no role for it's use as a supplement. Aromatase inhibitors are for treatment of some breast cancers; they're also used off-label for ovulation induction in women. No other appropriate uses to my knowledge. ...Read more
Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the pattern could be due to liver disease, chronic inflammation in the intestine or neoplastic proliferation of plasma cells. Discuss it with the doctor who ordered the test. ...Read more