EnteroLab Results

Discussions can be posted here about stool testing for food sensitivities, as offered by Enterolab.

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Rick
Posts: 1
Joined: Fri Oct 25, 2019 10:33 am

EnteroLab Results

Post by Rick »

Struggled off and on for years, until getting worse to the point a had a colonoscopy and was diagnosed with MC. Ordered the EnteroLab test after finding this group. Hoping I could get some collective group insight on the results and recommendations.

Quantitative Microscopic Fecal Fat Score 1276 Units (Normal Range is less than 300 Units)
Fecal Anti-gliadin IgA 12 Units (Normal Range is less than 10 Units)
Fecal Anti-casein (cow’s milk) IgA 16 Units (Normal Range is less than 10 Units)
Fecal Anti-ovalbumin (chicken egg) IgA 8 Units (Normal Range is less than 10 Units)
Fecal Anti-soy IgA 9 Units (Normal Range is less than 10 Units)
Mean Value # Antigenic Foods 8 Units (Normal Range is less than 10 Units)
Mean Value 11 Antigenic Foods 8 Units (Normal Range is less than 10 Units)

Food to which there was no significant immunological reactivity:
Corn
Beef
Pork
Almond
Walnut
Cashew
White potato

Food to which there was some immunological reactivity (1+):
Oat
Rice
Tuna
Chicken

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

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

Based on EnterLab's recommendation because of the fecal fat score, I also ordered the Pancreatic Elastase Stool Test:

Pancreatic Elastase Stool Test (Fecal Elastase) 224 µg/g feces (Normal Range is greater than 400 µg/g feces)

Thanks for any help!
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tex
Site Admin
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Posts: 35070
Joined: Tue May 24, 2005 9:00 am
Location: Central Texas

Post by tex »

Hi Rick,

Welcome to the group. Compared with most of us, your results are not bad at all. Your fecal fat score is way high, and that's probably due in part to low pancreatic output. But it may also be due in part to your years of small intestinal inflammation. Compromised pancreatic function is somewhat common with MC because even though most doctors seem to be unaware or it, it's very common for many other organs in the digestive system to become inflamed when MC is active. Fortunately, pancreatic output is usually restored when the symptoms of MC are controlled.

As far as what to do is concerned, totally avoid any foods with a score of 10 or above. Your score on the 11 other antigenic foods was below ten, so those foods should be OK — except for oats. Virtually all of us react to oats.

Taking a pancreatic enzyme supplement is optional.

Your scores are all relatively low (other than the fecal fat score, and that's a different type of test). After years of reacting, they should be higher. These test results (other than the fecal fat test) are based on standard ELISA lab testing methods, and as such, they require that the patient's immune system must be capable of producing normal amounts of Immunoglobulin A (IgA). 1 in 500 people have selective immune deficiency (1 in 300, for celiacs), and they are incapable of producing normal amounts of IgA. Surprisingly, quite a few of our members have selective immune deficiency, and I wonder if you might be in this group, or at least borderline to the condition.

The point is, if you have selective immune deficiency, some of these results may be false negatives — you might actually react to some or all of those foods. If you want to find out for sure, You can ask your to test you for selective immune deficiency. It's a simple blood test.

Again, welcome to the group, and please feel free to ask anything.

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.
rcchild@gpcom.net
Little Blue Penguin
Little Blue Penguin
Posts: 44
Joined: Sun May 26, 2019 2:09 pm
Location: Nebraska

Post by rcchild@gpcom.net »

Rick,
Glad you found us. This disease is a very lonely disease, but being here has made life easier, for me anyway. There is so much useful information on this site and the members are so supportive. Feel free to ask questions and make comments. A good place to start would be the Guidelines for Recovery and the Stage 1 Eating Plan. Also I would read Wayne's book, if you haven't already. Read Microscopic Colitis first and then Understanding Microscopic Colitis, if you want to go deeper.
I joined last May, 2019 after being diagnosed with LC. I'm on a very strict diet for the time being and I'm doing better - not nearly as well as I want to be, but healing takes a long time in some cases. I keep searching for answers and I find one on occasion, but then it's time to search for the next piece of the puzzle. There are many success stories so, when I start worrying that I'll never find remission, I read about the successes that others have found and that keeps me going.
Good luck with your journey. Hope you'll check in and let us know how you are doing.
Carol C
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