Test results from Entrolab Please review

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Doug
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Test results from Entrolab Please review

Post by Doug »

I stopped taking Gluten on Jan 06 (cut out like 98%)
Stopped drinking soda on Feb 20th I think soda was a problem for me, all that carbonation.

I felt better for the most part, still has some minor bloating a few hours after eating.

Here are my test results (Gluten ok, Rice is bad?), funny thing I replaced wheat with rice and corn in the form of chex cereals and I would have stomach churning for two hours after eating breakfast. I plan to change to wheat today and see if there is any difference.

Please review my results and let me know what you think




A + C) Comprehensive Gluten/Antigenic Food Sensitivity Stool Panel
(Combines Panels A and C at a discounted price)
Mean Value 11 Antigenic Foods 5 Units (Normal Range is less than 10 Units)

Fecal Anti-gliadin IgA 10 Units (Normal Range is less than 10 Units)

Fecal Anti-casein (cow’s milk) IgA 5 Units (Normal Range is less than 10 Units)

Fecal Anti-ovalbumin (chicken egg) IgA 6 Units (Normal Range is less than 10 Units)

Fecal Anti-soy IgA 4 Units (Normal Range is less than 10 Units)

Interpretation of Mean Value 11 Antigenic Foods: A mean value of 5 Units indicates that overall, on average, your food sensitivity reactions are mild. However, there was some detectable evidence of immunologic sensitivity to one or more of these antigenic foods.

Many foods besides gluten, cow’s milk, eggs, and soy are antigenic in their own right; the main classes of which include other grains, meats, nuts, and nightshades (potatoes being the primary food eaten from this latter class). Minimizing exposure to antigenic foods is an important component of an anti-inflammatory lifestyle to optimize immune system health. This is especially important for those with chronic abdominal symptoms and/or chronic immune/autoimmune syndromes, or for those who want to prevent them.

For immunologic food sensitivity testing, the actual numeric value (in Units) for any given test or for the overall average of a group of foods is important mainly for determining: 1) if the immune reaction is present or absent, and 2) in relative terms, the immune reaction to different foods tested in a given individual at a given point in time. It is not a score, per se, to be interpreted as a measure of clinical or immunological severity for that individual or between individuals. This is because the amount of IgA antibody made by a given person is particular for the immune function of that person. Furthermore, sometimes a person can display what can be viewed as immunological and nutritional “exhaustion,” whereby a more significant and symptomatic immunologic food sensitivity is accompanied by a lower positive measured anti-food antibody value (rather than a higher positive). In such an instance, following clinical improvement and improved nutritional status (while the suspect antigenic foods are withdrawn), values can actually be higher for a time before finally falling into the negative range after several years.

Thus, the overall average food sensitivity antibody value for this panel is an assessment of your overall humoral immunologic food reactivity, which can help determine if dietary elimination trials may help you. If the mean value is less than 10 Units, the humoral immune reactions can be considered absent (negative); if greater than or equal to 10 Units, they can be considered present. Rather than reporting the absolute value of a positive result for each individual food, since it cannot be considered as an assessment of severity, the results are reported in relative terms between the foods tested. This provides you with the knowledge of which foods are stimulating the most immune response which, in turn, is indeed the most practically applied information to dietary elimination trials. The report information that follows is based on these facts.

While all of the foods tested can be immune-stimulating, the hierarchy of reactions detected were as follows:

Food toward which you displayed most immunologic reactivity: Rice
Food for which there was no significant immunologic reactivity: Chicken, Tuna, Oat, Corn, Pork, Walnut, Beef, White potato, Cashew, Almond

Within each class of foods to which you displayed multiple reactions, the hierarchy of those reactions detected were as follows:

Grains:
Grain toward which you displayed the most immunologic reactivity: Rice

Dietary Recommendation Based on Test Results to Individual Foods: This test panel was designed to guide your choices when building a new more healthful, less antigenic dietary plan. The results are delivered in such a way that you are not left with “nothing to eat,” but instead they guide you in avoiding the foods in each group that are most stimulating to your immune system. We discourage dietary changes that involve removing too many foods at once. This can lead you to feel too hungry too often, especially if adequate healthful replacement foods are not readily available. Dietary elimination (beyond gluten-free, dairy-free, and soy-free) is best approached over a period of weeks to months and sometimes years, removing one or two additional foods at a time, rather than removing many foods at once.

If you reacted to more than one of the grains, meats, or nuts, we recommend that you first eliminate from your diet the one food from that class you reacted to most strongly, while keeping the ones you reacted to less strongly. When you want to try and eliminate additional foods, do so in the order of the strength of reaction from highest, intermediate, to least. In the case of potato, you may want to eliminate it if you reacted positively to it.

You can use the hierarchal results from each specific class of food, within which you reacted to multiple antigens, to make the wisest dietary decision when choosing which food(s) from that class to keep in your diet. Choose the food(s) to which you were least reactive (or in the case of potato, non-reactive).

Avoiding all grains, most antigenic meats (such as these), and nightshades is an important part of the most optimized anti-inflammatory diet.

As nuts and seeds are a very healthful source of vegetarian protein and heart-protective oils and minerals, rather than avoiding all nuts and seeds, you can render nuts and seeds less antigenic, more digestible, and more easily tolerated by choosing the few that you seem to best tolerate overall, soaking a one-day supply in a glass jar filled with clean water for 4-8 hours (or for ease, overnight), and pouring off the water and rinsing before eating. The resultant soaked nuts or seeds can be eaten as is (alone or with fresh or dried fruit), blended into nut butters (by adding some water), or added to “smoothies.”

Interpretation of Fecal Anti-gliadin IgA: The level of intestinal anti-gliadin IgA antibody was elevated, indicative of active dietary gluten sensitivity. For optimal health; resolution or improvement of gluten-induced syndromes (mainly falling into six categories abbreviated as NAAAGS – neuropsychiatric, autoimmune, asthma, abdominal, glandular deficiencies/hyperactivity or skin diseases); resolution of symptoms known to be associated with gluten sensitivity (such as abdominal symptoms - pain, cramping, bloating, gas, diarrhea and/or constipation, chronic headaches, chronic sinus congestion, depression, arthritis, chronic skin problems/rashes, fibromyalgia, and/or chronic fatigue); and prevention of small intestinal damage and malnutrition, osteoporosis, and damage to other tissues (like nerves, brain, joints, muscles, thyroid, pancreas, other glands, skin, liver, spleen, among others), it is recommended that you follow a strict and permanent gluten free diet. As gluten sensitivity is a genetic syndrome, you may want to have your relatives screened as well.

For additional information on result interpretation, as well as educational information on the subject of gluten sensitivity, please see the "FAQ Result Interpretation," "FAQ Gluten/Food Sensitivity," and "Research & Education" links on our EnteroLab.com website.

Interpretation of Fecal Anti-casein (cow’s milk) IgA: A value less than 10 Units indicates that there currently is minimal or no immunologic reaction to milk, and hence no direct evidence of food sensitivity to this specific food. However, because 1 in 500 people cannot make IgA at all, and rarely, some immunocompetent people can still have clinically significant reactions to a food antigen despite the lack of a significant antibody reaction (because the reactions primarily involve T cells), if you have an immune syndrome or symptoms associated with food sensitivity, such as chronic headaches, abdominal symptoms (pain, cramping, bloating, gas, diarrhea and/or constipation), chronic sinus congestion, arthritis, chronic skin problems/rashes, fibromyalgia, and/or chronic fatigue, it is recommended that you try a strict removal of suspect foods from your diet for up to 12 months despite a negative test. If you have been on a diet reduced or devoid of the suspect food for many months or years (usually but not always requires two or more years), this can also (but will not always) reduce your fecal antibody level to that food into the normal range despite underlying ongoing sensitivity to that food.

Interpretation of Fecal Anti-ovalbumin (chicken egg) IgA: A value less than 10 Units indicates that there currently is minimal or no immunologic reaction to egg, and hence no direct evidence of food sensitivity to this specific food. However, because 1 in 500 people cannot make IgA at all, and rarely, some immunocompetent people can still have clinically significant reactions to a food antigen despite the lack of a significant antibody reaction (because the reactions primarily involve T cells), if you have an immune syndrome or symptoms associated with food sensitivity, such as chronic headaches, abdominal symptoms (pain, cramping, bloating, gas, diarrhea and/or constipation), chronic sinus congestion, arthritis, chronic skin problems/rashes, fibromyalgia, and/or chronic fatigue, it is recommended that you try a strict removal of suspect foods from your diet for up to 12 months despite a negative test. If you have been on a diet reduced or devoid of the suspect food for many months or years (usually but not always requires two or more years), this can also (but will not always) reduce your fecal antibody level to that food into the normal range despite underlying ongoing sensitivity to that food.

Interpretation of Fecal Anti-soy IgA: A value less than 10 Units indicates that there currently is minimal or no immunologic reaction to soy, and hence no direct evidence of food sensitivity to this specific food. However, because 1 in 500 people cannot make IgA at all, and rarely, some immunocompetent people can still have clinically significant reactions to a food antigen despite the lack of a significant antibody reaction (because the reactions primarily involve T cells), if you have an immune syndrome or symptoms associated with food sensitivity, such as chronic headaches, abdominal symptoms (pain, cramping, bloating, gas, diarrhea and/or constipation), chronic sinus congestion, arthritis, chronic skin problems/rashes, fibromyalgia, and/or chronic fatigue, it is recommended that you try a strict removal of suspect foods from your diet for up to 12 months despite a negative test. If you have been on a diet reduced or devoid of the suspect food for many months or years (usually but not always requires two or more years), this can also (but will not always) reduce your fecal antibody level to that food into the normal range despite underlying ongoing sensitivity to that food.

Thankyou for any thoughts you might have
Doug
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Post by jgivens »

Doug--
From a cursory look at the test results, the thing that jumps out at me is that your gluten level is a 10, gluten includes wheat, barley, & rye. It says normal is BELOW 10. You are not at a normal level, which means you are sensitive to gluten. I would NOT eat wheat or any gluten again, nor would I eat rice if I were you.
Hopefully people more experienced than me with Enterolab testing will weigh in on this. I'm still waiting for my results. How long did you have to wait for yours?
Jane
Diagnosed with Lymphocytic Colitis 12/19/12
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Post by tex »

Hi Doug,

Jane is quite correct, of course — gluten is your only positive test result, and rice may be a minor problem. so it probably would be best to avoid rice at least until you have recovered. Note that the low positive number does not mean that you are only slightly sensitive to gluten — it means that your antibody level is still low, because you have not been reacting to it for a long period of time. As time goes on, if we continue to eat gluten, our antibody numbers continue to rise. You're very fortunate to catch your gluten sensitivity so early, and to have so few food sensitivities.

The cause of your stomach churning after you eat GF Chex cereals, may be the sugar in the cereal. When our intestines are inflamed, they may not be able to produce enough enzymes to properly digest sugars. Together with a light sensitivity to rice, that may be causing the symptoms that you associate with breakfast. Chex Honey Nut cereal causes me to have D, too, because of the sugar. I do OK with Corn Chex, as long as I use a very minimal amount of sugar. Of course, when we're short of enzyme production, other sources of sugar can be a problem, also.

Do you mind if I add your results to out list here?

Tex
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Post by KD »

My results were only 11 for gluten but I also had genetic testing done with Enterolab and I carry 2 genes for gluten intolerance. It is amazing I made it till I was 50 before I started to have symptoms. I am extremely sensitive to any gluten contamination!!!! :eek:
Two roads diverged in a wood, and I took the one less traveled by and that has made all the difference.
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Post by Leah »

Hi Doug.
Tex is right. STAY AWAY FROM GLUTEN 100 percent! I also think that sugar may be your problem. it comes in a lot of forms.... sweetened cereals, sweetened almond milk, lactose from regular milk, FRUIT...etc. I have problems still with too much fructose ( gas and bloating).

You are very fortunate that gluten is your only sensitivity.

Take Care
Leah
Doug
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Post by Doug »

Yes you can post my results that is not a problem.

In the body of the results it states

Food toward which you displayed most immunologic reactivity: Rice
Food for which there was no significant immunologic reactivity: Chicken, Tuna, Oat, Corn, Pork, Walnut, Beef, White potato, Cashew, Almond

Wouldn't oats include gluten


Also

Fecal Anti-gliadin IgA 10 Units (Normal Range is less than 10 Units)
Anti-gliadin is this Gluten?
I am at 10 if i was at nine would I be ok?
Leah
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Post by Leah »

Hi Doug. oats don't have fluten, but their protein is VERY similar to gluten, so most of us can't eat them. However, you may be the exception. Just look for those that are labeld gluten free oats.

As for the number, I am not an expert, but I think a 9 would indicate you'd be OK, but like Tex said, the number is representative of how long you have been reacting,not WHETHER you are reacting.

Leah
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Post by tex »

Doug wrote:I am at 10 if i was at nine would I be ok?
Yes, 9 would be a negative result.

And the result of 5 on the 11 antigenic foods test means that you have only a very slight sensitivity to rice.

Tex.
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by t girl »

I just received my entrolab results and thankfully it was best case scenario! Sensitive to gluten and oats - dairy was at 9 so I will be careful with dairy while I am healing! After reading so many people's results I was truly afraid that I would be one that was sensitive to so much...on the other hand what to do if I wasn't gluten sensitive? I have tried entocort and nothing was helping with the D (after a 1 1/2 yrs) so happy to at least have something to work on!

Doug - I'm not sensitive to Rice and Chex cereal is not good to me - I was eating the cinnamon so maybe it was the sugar!

Good luck!
Leah
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Post by Leah »

That is good news t-girl. Just remember that it may take a while to see improvement with the gluten free diet. And also, if you are still having issues with D, to try to stay away from fiber and raw fruits and veggies until your gut heals. Good luck.
Leah
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