chronic viri

HIGH ASO TITER MANAGEMENT CONT

QUESTION: Patient with History of Fatigue and sleepiness. * Hashimotos Thyroid (mild elevation of both Tg and TPO Ab) * Over weight, under slept , etc * Found ASO titer Elevated (218) * High EBV chronic markers (EBV IgG VAC and NA both > 5.00 (quest max sensitivity)) * High Mycoplasma p. (IgG titer 1.43) …

HIGH ASO TITER MANAGEMENT CONT Read More »

VIRAL LAB INTERPRETATION CONT

QUESTION: As per your recommendation, I switched to LabCorp but noticed they report their viral results from Quest differently…for HHV 6 IgG < 1:10 is normal and for LabCorp < .76 is negative, for CMV IgG < .6 is normal vs < .9…is there a way to translate between these two ways of reporting results, …

VIRAL LAB INTERPRETATION CONT Read More »

WELLBUTRIN, CHRONIC VIRI, NEUROTRANSMITTER TESTING, AND FATIGUE CONT

QUESTION: I have a pt with Labrix urinary test showing low levels of neurotransmitters across the board (I.e. low serotonin, dopamine, norepinephrine, epinephrine, gaba, glutamate). Has used ecstasy regularly in the past – though not a giant dose and not more than once every 6 weeks according to pt. Also used Provigil off-label for depression for …

WELLBUTRIN, CHRONIC VIRI, NEUROTRANSMITTER TESTING, AND FATIGUE CONT Read More »

HASHIMOTOS ENCEPHALOPATHY CONT

QUESTION: Have you ever treated Hashimotos encephalopathy? ANSWER: Yes sadly I have. The Cliff note version: If ambulatory, ramp doses of oral Boswellia up to 3-4 grams a day, along with 1-2 grams Meriva or BCQ TID. LDN can help as well, and Melatonin 5-10 MG HS. In addition to that I’d hunt for EBV …

HASHIMOTOS ENCEPHALOPATHY CONT Read More »

EBV LAB INTERPRETATION CONT

QUESTION: If a patient is positive for antibodies for EBV VCA IgG, EBV EA IgG, EBV NA IgG and negative for antibodies for EBV VCA IgM, does this indicate the tail-end of a primary infection or a re-activation? CBC and CMP unremarkable. ANSWER: Positive EaIgG indicates an active reinfection (or maybe primary IF IgM is …

EBV LAB INTERPRETATION CONT Read More »

AUTOIMMUNITY Cont.

MY QUESTIONS ARE: What is a way to attempt to think globally about autoimmunity so I can consider as many potential causes when beginning a diagnostic and therapeutic approach? ANSWERS: Autoimmune cause areas to consider – Multiple cause areas can be considered and identified – Generally in most autoimmunity there are multisystem considerations Follow therapy, …

AUTOIMMUNITY Cont. Read More »

Scroll to Top