My Test Results.

[emeraldeyes]

This is going to be long, but they did a lot of tests and I don't know which ones are relevant so I'm posting them all. The ones with an * are the ones that are marked as abnormal on the sheet. The 1st number is my level, the number in parentheses is the "reference range" per the lab.

TEST #1 - 11/12/08

This was taken in the early afternoon. I hadn't eaten or had anything to drink except water since the night before, due to anxiety about the bloodwork. I have a needle fear. I had also recently taken a B-Complex vitamin.

CBC With Platelet and Differential

WBC: 4.8 (4.0-12.0)

RBC: 4.63 (3.50-5.55)

Hemoglobin: 13.9 (12.0-15.0)

Hematocrit: 40.7 (36.0-45.0)

MCV: 88 (80-100)

MCH: 30.0 (27.0-33.0)

MCHC: 34.2 (31.0-37.0)

Platelet Count: 268 (150-400)

Neutrophils: 63.6 (49.0-81.0)

Lymphocytes: 26.7 (14.0-41.0)

Monocytes: 5.9 (0.0-11.0)

Eosinophils: 2.3 (0.0-6.0)

Basophils: 1.5 (0.0-3.0)

Absolute Neutrophils: 3.02 (1.96-9.72)

Absolute Lymphocytes: 1.27 (0.56-4.92)

Absolute Monocytes: 0.28 (0.00-1.32)

Absolute Eosinophils: 0.11 (0.00-0.72)

Absolute Basophils: 0.07 (0.00-0.36)

Progesterone: 5.02 (Luteal: 3.34-25.56/Mid-Luteal: 4.44-28.03)

Amylase: 67 (20-100)

Comprehensive Panel

Lipase: 39 (7-60)

Calcium: 9.12 (8.00-10.50)

Alkaline Phosphatase: 47 (0-120)

Total Bilirubin: 0.4 (0.2-1.2)

*Total Protein: 8.3 (6.0-8.0)

Albumin: 4.8 (3.6-5.0)

BUN: 10 (6-23)

*Creatinine: 0.53 (0.60-1.40)

Glucose: 90 (65-99)

AST: 16 (10-40)

ALT: 10 (2-45)

Sodium: 141 (135-145)

Potassium: 4.3 (3.5-4.9)

Chloride: 107 (96-110)

Total CO2: 25.0 (20.0-30.0)

Anion Gap: 9 (2-16)

IgA, Serum: 201 (85-385)

Helicobactor pylori IgG: <0.4 (0.0-0.8)

(The following is word-for-word from my sheet, I don't know what it means or if it's even a test! But I'll post it here anyway, just in case.)

Prometheus Thiopurine Metabolites

6-TGN Metabolite Result (230-400)

< the lower limit of detection 3

6-TGN Metabolite Result Assesment

Not quantifiable. Lower Likelihood of Response.

6-MMPN Metabolite Result (<5700)

< the lower limit of detection 246

6-MMPN Metabolite Result Assessment

Not quantifiable. Lower Risk of Hepatotoxicity

TEST #2 - 12/17/2008

This was taken in the early afternoon. I hadn't eaten anything since the night before, except a couple bites of a raspberry muffin, and only had water to drink. Once again, I was nervous about the blood test. (I dont know if anxiety can affect the results, which is why I'm bringing it up) I had also recently taken a B-complex vitamin, which affects my urine.

Routine Urinalysis

Color: Dark Yellow (Yellow)

Appearance: Turbid (Clear)

*Specific Gravity: 1.034 (1.003-1.030)

pH: 5.5 (4.5-8.5)

Leukocyte Esterase: Negative (Negative)

Nitrites: Negative (Negative)

*Protein: Trace (Negative)

Glucose: Negative (Negative)

*Ketones: Moderate (Negative)

Urobilinogen: Negative (Negative)

Bilirubin: Negative (Negative)

Blood: Negative (Negative)

Sedimentation Rate: 5 (0-20)

No Culture was Indicated

Microscopic Urinalysis

*WBC: 5-10 (0-5)

RBC: 0-2 (0-2)

*Squamous Cells: Many

Bacteria: None (None)

*Casts: Hyaline seen

(I think the rest is bloodwork)

Hemoglobin A1C: 5.2 (4.0-6.0)

T3 Uptake: 27.1 (23.0-37.0)

Total T4: 8.1 (4.5-10.9)

Vitamin B12: 593 (211-911)

TSH - Ultrasensitive: 1.33 (0.35-5.50)

Anti-Nuclear AB

ANA Screen: Negative (Negative)

Endomysial Antibodies, Serum

Endomysial IgA: Negative (Negative)

Tissue Transglutaminase Ab IgA/IgG

Tissue Transglutaminase Ab, IgA, S: 1.0 (<4.0)

Tissue Transglutaminase Ab, IgG, S: 0.9 (<6.0)

BIOPSY - 12/23/08

Once again, this is word-for-word from my sheet.

Clinical History: Abdominal Pain

Pre-Op Diagnosis: Gastroesophageal reflux disease

Post-Op Diagnosis: Same

Specimen 1: Distal duodenum (I guess they took 4 fragments, if that matters)

Microscopic Diagnosis

Distal Duodenum, Biopsy - Fragments of duodenal mucosa with normal villi and no histopathologic abnormality.

Okay, so that's it. Sorry to make you read all of that, but you wanted me to post them, so here they are Any feedback?

[Mother of Jibril]

Progesterone: 5.02 (Luteal: 3.34-25.56/Mid-Luteal: 4.44-28.03)

Glucose: 90 (65-99)

*Total Protein: 8.3 (6.0-8.0)

*Creatinine: 0.53 (0.60-1.40)

*Specific Gravity: 1.034 (1.003-1.030)

*Protein: Trace (Negative)

*Ketones: Moderate (Negative)

*WBC: 5-10 (0-5)

*Casts: Hyaline seen

Overall, your labs look GREAT. You are creating some antibodies in response to gluten, but not enough to cause visible damage... have you tried the gluten-free diet yet?

Some thoughts about your other numbers (keeping in mind that I'm not a medical doctor)

Progesterone: kind of low... how old are you?

Glucose: pretty high for a fasting level

Protein, creatinine, etc... These are all numbers related to kidney function. It looks like you were dehydrated, but you could also have some impairment (my guess is... it's a "watch and wait," not something that will need immediate treatment... but if it were me I would follow up with my doctor). It's not normal to have protein in your urine. Elevated WBC indicate some kind of infection.

Gluten intolerance puts a lot of strain on your liver, gallbladder, and kidneys... so does diabetes. Have you ever been screened for that?

You can really find a lot of information about the CBC, CMP, and urinalysis by googling the specific terms (creatinine, hyaline casts, etc...)

[Mother of Jibril]

I just looked at your other thread... 25 is very young to have such low progesterone! That could definitely explain your infertility (and depression). Two suggestions...

1. Make an appointment with a Reproductive Endocrinologist if you haven't seen one already

2. Get a copy of the book "Taking Charge of Your Fertility" by Toni Wechsler... this is a GREAT resource to use in combination with medical care

[happygirl]

In regards to Celiac -

Your doctor ran :

total IgA - and you are not IgA deficient (based on bloodwork)

tTG IgA: negative

tTG IgG: negative

EMA IgA: negative

Those are the most sensitive tests for Celiac. Coupled with the negative biopsies, it does not appear that you have Celiac. What symptoms are you having, and what feedback/next steps has your doctor recommended?

Some people without Celiac still find they feel better on the gluten free diet.

[neesee]

I'm surrounded by diabetic's, your fasting blood sugar is very good. Your celiac tests are negative. That's all I can help you with.

neesee

[emeraldeyes]

happygirl: I posted my symptoms on another thread. As I've said before, I wasn't sure if I had Celiac or not, but it explained so many things I couldn't rule it out! If my tests are definitely negative, I'll go ahead and say that it's not the problem though. Is it possible that I have an intolerance or sensitivity that wouldn't show up on those results? I know how I feel, and I know that those test results don't come close to showing how sick I've been! My doctor thinks I have gastroparesis, but that doesn't explain a lot of my symptoms, and anyway I've always had such a healthy appetite (one of the main symptoms is getting full after only a few bites and that rarely applies to me) up until I got sick with food poisoning back in march. Even after that, the appetite has faded gradually, most likely because of my illness-induced smaller portion sizes and the nausea. Actually my Zegerid seems to severely slow my digestion, so I rarely take it anymore. I think the GP is secondary to something else, and like I said, Celiac seemed to make sense.

Mother of Jibril: The nurse that I talked to said that there were no signs of infection, so I don't know why the wbc was elevated. I don't know if I've been screened for diabetes, but there's never been a reason to suspect it. My glucose levels have always been normal, and I have no family history of it at all. And I probably was dehydrated the days I went in for the tests. I've had lots of bloodwork done over the past 2 years (standard procedure when you get new doctors, I guess) and everything has always been completely normal, except for protein in my urine which my family doctor said could be a problem, but most likely was just contamination. It's my own fault for not going back to redo the test over a year ago when she first found it. But all my organs looked normal on the ultrasound they did back in september, so it's not an organ problem.

As for the progesterone, I actually have paperwork from a RE, I just have to make the appt. With as sick as I've been though, I wanted to figure out the cause before I went and paid for treatments. I'll take a look at that book, but as I said before, my husband is the primary problem.

And I have not tried the gluten free diet yet, just in case I had to do more tests. I did try some gluten free pasta though (I was craving spaghetti and wanted to see if it was any good) and it knocked me out with severe stomach pain and painful stomach contractions for nearly 2 whole days! I do want to get screened for food intolerances/sensitivities/allergies. I just need to get a referral to whatever doctor actually does that.

neesee: Every bit of feedback helps! I'm glad you read my glucose levels as normal, it eases my mind a bit after hearing from a previous poster that they could be considered high.

I guess it's back to square one for me. My short-term plan is to get back on my effexor for my anxiety (being sick has made my anxiety worse, which doesn't help my symptoms, although my docs initially said that anxiety was my entire problem. ) and unfortunately get even more tests. It may shock you, but before all this I actually rarely went to the doctor. I treat everything at home unless it gets serious! Now I can't get away from the medical community!

Have a good weekend everyone!

[nora-n]

Your numbers were not 0, like mune, and I think that means something.

My biopsy as negative too, he took 4 samples.

Your report only mentions 1 sample.

I read a posting here just a few days ago (you can still find it) and they did also capsule endoscopy, which will show every inch of everything inside you, not just some random places, and it showed some blunted villi.

I am thinking, maybe just keep on eating gluten and get another test done, maybe also the antigliadin blood test, as your ttg-tests had a number.

Maybe get video capsule endoscopy.

Just thinking.

With me, doctor said they proved I could not have celiac, and that was just after 5 weeks back on gluten. No more blood tests were taken, and the tests done while off gluten did have a number.

I was accidentally off gluten because of a low-carb diet, and I baked gluten-free bread for my celiac daugther.

Did you have anything trigger this?

with me, it was clearly stress that triggered it.

And I got so fatigued.

Clearly they only diagnose celiac when it is very advanced.

nora