help with entero lab results

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anneelisemd
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Joined: Wed Sep 06, 2023 11:08 am

help with entero lab results

Post by anneelisemd »

Could anyone help me with my results please. I have been GF for 5 years, (pretty strict except for ocasional soy sauce and beer.) I also don't eat chicken ever, but have chicken broth sometimes.

I have had CC for 30 years, had the diagnosis for 10 years. On and off budesonide for 10 years. My GI wanted to start me on Entyvio this month, but I started LDN and it actually ended the flare I was in. I had never heard of it!! I am leaving for a 10 day trip to Seoul Korea tomororw and am VERY worried about food choices, even GF is a challene I fear.

Fecal Anti-gliadin IgA 21 Units (Normal Range is less than 10 Units)

Fecal Anti-casein (cow’s milk) IgA 47 Units (Normal Range is less than 10 Units)

Fecal Anti-ovalbumin (chicken egg) IgA 56 Units (Normal Range is less than 10 Units)

Fecal Anti-soy IgA 43 Units (Normal Range is less than 10 Units)

Mean Value 11 Antigenic Foods 45 Units (Normal Range is less than 10 Units)

Grain toward which you displayed the most immunologic reactivity: Corn
Grain toward which you displayed intermediate immunologic reactivity: Rice
Grain toward which you displayed the least immunologic reactivity: Oat

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

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

THANK YOU!!
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tex
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Re: help with entero lab results

Post by tex »

Hi,

Welcome to the group. I'm not sure what kind of help you're looking for. It usually takes months to put MC into remission with diet changes, and we can't perform overnight miracles. If you're in remission now, you might be able to find safe food in Korea, but if you're not in remission now, there's no way we can resolve that in one day. If you respond to budesonide, taking it during the trip could serve as an insurance policy against a reaction. But if you don't have a supply now, it's not likely you'll be able to get a supply overnight. And on a trip of that length and duration, it's probably unlikely that you would be able to take enough safe foods with you. If you had posted sooner, someone who does a lot of air travel might have been able to offer some good suggestions, but with such little time, I would be surprised if anyone can offer any helpful advice.

Eating chicken broth is probably not much different than eating chicken, when we are sensitive to chicken, because it only takes a few molecules of a protein to which we're sensitive, in order to trigger a reaction. And almost (but not quite) avoiding any food to which we are sensitive, is worse than eating large amounts of it, because as we tease our immune system with occasional small amounts, it tends to become hypersensitive as it continually looks for another exposure. After decades of doing that, your immune system should either be numb by now, or hyperactive, if it's still functioning normally. It appears to still be working normally, and that's the main reason why your test results are relatively high.

I'm sorry, that I couldn't be more helpful.

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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tex
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Re: help with entero lab results

Post by tex »

You might find some of the information in a newsletter published by the Microscopic Colitis Foundation a couple of years ago to be helpful when choosing foods. For your convenience, here's a direct link where you can download or read a copy of that newsletter:

https://www.microscopiccolitisfoundatio ... 479987.pdf

I hope this is helpful.

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.
anneelisemd
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Joined: Wed Sep 06, 2023 11:08 am

Re: help with entero lab results

Post by anneelisemd »

Rex,

So you would recommend that I completely and strictly avoid the 5 antigenic foods I tested high for? Egg, dairy, soy, corn in addition to wheat? And can I eat pork, or just beef?

Thank you so much for your help-

Anne
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tex
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Re: help with entero lab results

Post by tex »

Yes, I would recommend avoiding them. On the 1st 4 (the big 4) anything 10 or above is a major problem, and probably a permanent problem. On the 11 other antigenic foods, they're usually not as critical (when the overall result is low), but an overall result of 45 is a rather high score, suggesting that those foods may be a significant problem, at least until after you've been in remission and healed for a while (months, maybe years), especially the foods listed as the most reactive.

Someone who has an overall score on these foods (the 11 other antigenic foods) in the low teens, for example can often eat most of those foods without a problem, especially if they rotate the foods so that they don't eat any particular one more often than once in 3 days. But with higher overall results, that becomes less likely to be an option, especially as the overall scores climb over roughly 20.

The fewer foods we have in our recovery diet (in other words, the simpler our recovery diet), the faster we are usually able to recover (assuming that the foods we select are safe for us, according to our Enterolab results. I hope this helps.

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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