Test result interpretation help.

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KarenT
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Test result interpretation help.

Post by KarenT »

Amazingly my EnteroLab results were back in 2 days! I'd appreciate your help interpreting them, and what it means moving forward:


Quantitative Microscopic Fecal Fat Score Less than 300 Units (Normal Range is less than 300 Units)

Fecal Anti-gliadin IgA 16 Units (Normal Range is less than 10 Units)

Fecal Anti-casein (cow’s milk) IgA 13 Units (Normal Range is less than 10 Units)

Fecal Anti-ovalbumin (chicken egg) IgA 13 Units (Normal Range is less than 10 Units)

Fecal Anti-soy IgA 11 Units (Normal Range is less than 10 Units)

Mean Value # Antigenic Foods 10 Units (Normal Range is less than 10 Units)

Mean Value 11 Antigenic Foods 10 Units (Normal Range is less than 10 Units)

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

Food to which there was no significant immunological reactivity:
Rice
Chicken
Tuna
Cashew
White potato

Food to which there was some immunological reactivity (1+):
Oat
Corn
Pork
Beef
Almond
Walnut

Food to which there was moderate immunological reactivity (2+):
None

Food to which there was significant and/or the most immunological reactivity (3+):
None

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: Oat
Grain toward which you displayed intermediate immunologic reactivity: Corn

Meats:
Meat toward which you displayed the most immunologic reactivity: Pork
Meat toward which you were next most immunologically reactive: Beef

Nuts:
Nut toward which you displayed the most immunologic reactivity: Almond
Nut toward which you displayed intermediate immunologic reactivity: Walnut


My numbers don't seem terribly high, given some other test results I've seen. Will I ever be able to have these foods again? Do I really have to avoid beef? (It makes the best bone broth! :-) )

Thank you.
Karen
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tex
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Post by tex »

Hi Karen,

Those results show that you are sensitive to gluten, casein (dairy), soy , and eggs, and need to avoid all of them while recovering. The good news is that your numbers are relatively low, indicating that you have not been reacting (producing antibodies) long. That implies (although it doesn't guarantee) that the damage to your intestines should be minimal, and therefore relatively easy to heal, compared with most of us. This minimal damage is also reflected by your low (minimal) score on the 11 other antigenic foods score (10).

This is strictly my opinion, based on the experiences of my own and many other members here, but here's how I would interpret those results:

Gluten, casein, soy, eggs, and oats should be avoided 100 % (at least for a year or so). After that you may be able to slowly add eggs and possibly soy back into your diet, especially if you don't eat them every day. Keep an eye on soy though, because for most of us, we're more likely to develop a sensitivity to soy, than to lose a sensitivity to soy. Gluten and casein will always be a problem. I would avoid the foods in the 1+ category until I was in remission (which should occur within a few months), or at least limit eating each of them to about once every three days or so. After you're in remission, those foods should be fine, with the exception of oats — virtually all of us are sensitive to oats, and that sensitivity is permanent because the avenin in oats is very similar to the gluten in wheat. That said, if you should notice that any of those foods cause problems, then continue to avoid them because there are exceptions to every rule and we're all different. The stricter you are with your diet during recovery (and for a few months thereafter), the better off you will be after you achieve remission.

That's my two cents worth, I hope it helps to shed some light on the situation.

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.
KarenT
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Post by KarenT »

Thank you, Tex. Your explanation shed considerable light for me. :-)

I'm glad I am cleared for chicken as it has been a mainstay for me since starting the elimination diet three weeks ago. I just wish I could get used to eating meat (protein) in the morning. For some reason it makes me kinda nauseous. Although I just found the uncured bacon and thought that was a gift, but since I'm sensitive to pork, that's out..... Maybe I'll try cashew butter, surely that has some protein?
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tex
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Post by tex »

Yes, it has.

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.
KarenT
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Post by KarenT »

I'm curious, how can I be sensitive to chicken eggs but be non-reactive to chicken?? Seems kind of improbable...... :roll:
Karen
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tex
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Post by tex »

About half of us are sensitive to the albumen (egg white) in chicken eggs. Every protein has a unique amino acid configuration, (chain of amino acids), so the amino acid structure of albumen is totally different from the amino acid configuration of any protein in chicken flesh. Therefore any sensitivity to either one would be totally independent of any possible sensitivity to the other.

That said, there is a very good probability that after a few years of healing, you may be able to tolerate chicken eggs again, at least in baked goods.

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.
KarenT
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Post by KarenT »

Thanks Tex! So interesting how things work! Now, I'm wondering if you know which came first: the chicken OR the egg? :lol: :lol:
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Post by tex »

I would make a wild guess that the egg sensitivity came first, simply because it's much more common than sensitivity to chicken flesh. :lol: If you're referring to the evolutionary sequence, it seems to me that the egg would have to come first (again), since all chickens are hatched from eggs, and so were their ancestors. You can't have a chicken without an egg first — but that first egg probably came from a reptile (assuming that dinosaurs were reptiles).

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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