Garzie said...
hello sorry to hear of your suffering
there are so many conditions, causes and pathways that lead to chronic pain - its important not to assume a cause without some form of supporting physical evidence - aside from the subjective feelings that is.
what tests have you had done to date ?
- IGeneX Test on 9/12/22: B. burgdorferi is positive; IgM Immunoblot: Band 23 is positive with
IND 31/34/93/41 are consistent with active Lyme. IgG Immunoblot is negative. TBRF IgM
immunoblot IND consistent with species= B. Miyomoyio. Babesia (FISH) is negative HME-
Negative, HGA is negative RMSF is negative. Positive for Lyme and Miyamoto disease. Equivocal
Babesia duncani. Elevated mycoplasma IgG
- Cunningham panel on 9/15/23: elevated CaM Kinase II (193; normal ranges 53-130)
- Mayo Clinic Encephalopathy, Autoimmune Panel 9/16/23: elevated GAD65 0.08; reference value
<0.0.2)
- Spinal Tap - OLIGOCLONAL BANDS (IGG), CSF on 7/10/23: Comments - The patient's CSF contains
multiple restriction bands that are also present in the patient's corresponding serum sample.
We are unable to define whether these gamma globulins are of systemic or intracerebral origin.
CSF glucose/protein was normal. CSF essentially no cells. IgG index normal.
- EMG Report on 9/19/23: Nerve conduction studies were remarkable for the following:
1. Slow conduction velocities of motor nerves
2. Conduction block of motor nerves on proximal stimulation throughout
3. Prolonged F responses of the left tibial nerve and absent F responses of the left peroneal
nerve Impression: there is electrophysiologic evidence of a motor demyelinating neuropathy.
Patient was seen in consultation and advised appropriately.
- Vibrant Wellness Neural Zoomer on 4/12/23: Positive (IgG + IgA): Optical and Autonomic
nervous system disorder Anti-CV2, Brain Inflammation Anti-Dopamine receptor 1, Anti-Glycine
receptor, Infection Epstein Barr Virus EBNA1. Moderate (IgG + IgA): Brain Inflammation Anti-
Contactin-Associated Protein-like 2 Antibodies, Infection Epstein Barr Virus VCA gp125
- TLab Test Result on 10/26/23: Bartonella henselae 23s rRNA: Positive
- Real Time Lab Mycotoxin Report on 11/2/23: Ochratoxin A Urine 5.10000 ppb - Present,
Aflatoxin Group: (B1, B2, G1, G2) Urine 0.66200 ppb - Not Present, Trichothecene Group
(Macrocyclic): Urine 0.25800 ppb - Present 0.07, Gliotoxin Derivative Urine 6.30800 ppb -
Present, Zearalenone Urine 1.07400 ppb- Present
- Trace Elements Hair Analysis: 10/12/23 Nutrient mineral ratios - high calcium/potassium ratio,
and hypothyroidism. high zinc/copper ratio, low sodium/magnesium ratio, high
calcium/magnesium ratio, B6 deficiency. Toxic metal ratios - all ratios are within acceptable
range. Noted that there is slight raised uranium and aluminum
- GI Map on 2/10/23: Keystone bacteria- Enterobacter spp., - 3.08 L, Faecalibacterium prausnitzii -
<dl L, Firmicutes - 2.23 L. Dysbiotic/overgrowth bacteria - Bacillus spp. - 6.87 high, Streptococcus
spp. - 9.16 High. Anti-gliadin igA- 425 H
- GI Endoscopy and Biopsy Findings on 2/9/23: notes- Antral and funded mucosa with mild
chronic gastritis; negative for H. pylori, delayed gastric emptying noted. Gastric emptying study
came back mildly delayed indicating gastroparesis. Likely why you are feeling full easily. You had
16% of your tracer still in the stomach at the end of 4 hours. Generally normal is less than 10%
retention at 4 hours.
- Microbiology Rx Lab Report on 10/13/23: MARCoNS positive; Staph Coag Negative-LARGE
AMOUNT, Biofilm Analysis Organism-MARCONS: WEAK 1+, and Fungal – pending
- LabCorp Bloodwork Dr. E. Frid on 10/13/23:
o ANA 12 Plus Profile (RDL): Anti-nuclear AB by IFA (RDL): Homogeneous pattern positive-
1:80 abnormal- high; Speckled pattern positive- 1:80 abnormal-high; Midbody pattern
positive- 1:160 abnormal- high
o EBV/EBV Antibody Profile: EBV Ab VCA, IgG - 97.2 (High); EBV Nuclear Antigen Ab, IgG-
89.5 (High); HHV-6 IgG IFA- Abnormal; HSV 1 and 2 Ab, IgG: HSV 1 IgG- 2.99 High; HSV 2
IgG - 2.86 (High)
o Immunoglobulin E, Total C- 3 Low
o Iron saturation- 12 low
o Vitamin D, 25-Hydroxy- 17.9 Low
o TSH+T4F+T3Free+T3Reverse- TSH01 0.130 Low, Reverse T3, Serum A- 36.2 High
o Hemoglobin A1c 4.6 Low
- LabCorp Bloodwork Dr. Bock:
o Tryptase F- 15.6 High
- LabCorp Porphyrins, Qn, Random U on 3/8/24: Heptacarboxyl (7-CP) - 4 High, Coproporphyrin
(CP) I - 21 High, Coproporphyrin (CP) III - 145 High
- Heavy Metals Toxicity Test on 12/20/23: Bi****h – high; Uranium - high
- Invitae Diagnostic Testing on 12/18/23- Test performed: Invitae Primary Immunodeficiency
Panel, Auto-inflammatory and Autoimmunity Syndromes Panel, & Connective Tissue Disorders
Panel
RESULT: INCREASED RISK
o One Increased Risk Allele identified in NOD2.
o One Pathogenic variant identified in COL7A1. COL7A1 is associated with autosomal
dominant and recessive epidermolysis bullosa.
Additional Variant(s) of Uncertain Significance identified.
o NOD2 c.2104C>T (p. Arg702Trp) heterozygous Increased Risk Allele
o COL7A1 c.4011G>A (Silent) heterozygous PATHOGENIC
o ADGRE2 c.2024+1G>A (Splice donor) heterozygous Uncertain Significance
o COL5A2 c.1A>G (p. Met1?) heterozygous Uncertain Significance
o IGL Labor GmbH Test on 12/28/23:
o Investigation | Analysis councilarist, curative:
o Gating action of cytochrome-c-CL complex -poor - on pH change -normal
o Cytochrome-c-CL complex -low - Oxidative stress -normal –
o Phosphatidyl choline, PTC low 90,62 U/106 mt t
- DNA1- Adducts:
Total DNA high - 100,96 µg/ml reference 30,0 - 60,0 µg/ml
DNA1- associated Zinc (Zn) 9,41 ng/ml
o Status Leaky-Gut-Syndrom (sLGS):
o Zonulin high 34,96 ng/ml
o Pancreas-elastase high 4,88 mg/ml
o Calprotectin, L1-Protein mod. in serum high 22,89 µIU/ml
o α-1-Antitrypsin mod. in serum high 211,77 mg/dl
o β-Defensin high 2,62 µIU/ml
o Leaky-Gut-Syndrome - Total Index: medium
o IgE-associated intolerances: NMI-Index:2,39 – low
Health care Index and Life Indicator (HCI) Health-Index (Sensory Footprinting Assay):
1. Acidosis degree - 12% critical
2. Immune defense - 48% good
3. Substance conversion - 35% good
4. Detoxification efficiency - 4% critical
5. Oxidative stress - 65% good
6. Mental strain & ANS - 67% good
7. Regulation of inflammatory processes - 49% good
8. Connective tissue - 4% critical
9. Allergies, intolerances - 64% good
10. 10 Structure & degradation cellular level - 10% critical
- LabCorp - Metabolic Panel; SARS-CoV-2; Soluble Fibrin Monomer on 12/22/23:
SARS-CoV-2 Semi-Quant Spike Ab- SARS-CoV-2 Spike Ab Interp A, 01 Positive
Soluble Fibrin Monomer - Positive Abnormal
BUN – High
BUN/Creatinine Ratio - 32 High
Estrone, Serum02 20 Low
- LabCorp Blood Test on 2/26/2023 - IgG Allergens(14) Molds
**M001-IgG Penicillium chrysog - 67.6 High
**M002-IgG Cladosporium herbar - 130.0 High
**M003-IgG Aspergillus fumigat- 138.0 High
**M005-IgG Candida albican- 17.4 High
**M006-IgG Alternaria alternat- 3.0 High
**M007-IgG Botrytis cinerea- >200.0 High
**M008-IgG Setomelanomma rosta- 168.0 High
**M010-IgG Stemphylium
Herbaru- 113.0 High
**M011-IgG Rhizopus nigricans- 2.6 High
**M012-IgG Aureobasidi pullulan- 2.5 High
**M014-IgG Epicoccum purpur- 3.1 High
**M009-IgG Fusarium proliferat- 7.9 High
**M207-IgG Aspergillus niger- 76.1 High
- SPECT Scan Assessment Report on 8/18/23:
Findings: The most significant findings are in very mild to mild diamond plus patter of limbic
activity with exception of the moderately increased activity in the focal left region of the
thalamus, mildly increased activity noted in the left basal ganglia and focal right region of the
thalamus and very mild increases in the right basal ganglia, right temporal lobe and anterior
cingulate. Middle decreased activity in the inferior orbits of the prefrontal cortices
have you done any testing for Tick born infections - if so which and what were the results ( testing is not perfect - but can still help)
- yes positive for bartonella, Lyme, Babesia IND, TBRF IND, mycoplasma igg high, and erlicheia
have you had autoimmune panels done?
- yes, Mayo Clinic panel showed elevated gad-65, I did a neural zoomed and had multiple brain inflammation markers, I had spinal tap tested normal pressure but had oglioclonal inflammatory bands, and then I had a spect scan showing hypo fusion
Cunningham panel for PANS/PANDAS?
- yes only thing that was elevated was cam kinase and it was high
MRI?
- normal
what doctors have you seen so far and what conditions have been ruled out?
unfortunately the symptoms of many of the tick born infections are highly variable from one individual to the next - including many different types of pain - so the exact type of pain its location and how it feels may not be a useful guide to the cause - which is why the other physical evidence becomes important