EBV

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) …

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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 …

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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 …

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MTHFR and EBV-HHV flares

Most have seen this: Warning: Improving your methylation may trigger an EBV relapse This article points to the idea of “correcting methylation causes EBV relapse”. In one sense, true BUT: without working genomics and especially methylation one becomes (much more likely to be) a chronic re-activator of EBV and other HHV Viri. We saw this association …

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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 …

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