Your Clinical Questions

You had clinical questions and here are the answers! These are answers to clinical questions asked through the AMA feature in the ODX application.

• Are you concerned with Iodine levels?
• What are the potential clinical implications of markedly elevated myeloperoxidase (i.e., levels >2700 pmol/L)?
• Why is the "Probability of Thyroid Dysfunction" at "Highly Likely"?
• Is an increased anion gap seen with intermittent fasting and/or a low carb diet?
• What is the best way to test for rhabdomyolysis on labs?
• Is there a way to assess for mold toxicity/CIRS through functional lab values?
• Are there any precautions to use before supplementing with betaine HCL or Apple Cider Vinegar?
• What is the significance of high serum iron (186) and low ferritin (19)?
• What would be possible causes for high homocysteine but low CRP?
• is there a test (Cardiac calcium score?) that can help indicate whether there has been excessive deposition of calcium in veins, arteries?
• Do you have any info on using biomarkers for risk scoring?
• Why are my patients' Lp(a) levels elevated?
• Since TRH responds to a low freeT3, does TSH itself also respond to a low T3 (total and/or free)?
• What are the best ways to decrease fibrinogen?
• Aside from direct supplementation – how to increase levels of DHEA?
• What to look at if A1c is in the normal range but the person eats massive amounts of candy daily? Glucose is normal too.
• I have heard that increased bilirubin can be seen in gluten sensitivity. Can you comment?
• Does adrenal stress follow adrenal insufficiency or the other way around?
• Could you please address the issue of thalassemia and thalassemia trait affects the blood chemistry analysis?
• You mentioned an in-office test called the Oxidata test. Which is the company that we can purchase this test kit?
• Is there a good way to test for/assess mast cell activation disorders?
• How do we know we are getting a real picture of the individuals underlying dysfunction if that individual is on medication that would ultimately alter their readings?
• Do these results reflect a past, new and/or chronic EBV infection?
• Why would a Functional System Score be high but the corresponding dysfunctions be low?
• What are the sources for your standard ranges?
• Why Do Hormone Results Differ from Lab To Lab?
• Why are Quest's Absolute counts for the individual WBCs different than what's in the software?
• Does Dr. Weatherby have any resources available discussing the NORMAL changes in blood chemistry for pregnant women?
• How many times does Dr. Weatherby recommend that patients have an FBCA test ....is it every six months or can it be done very 3 months?
• I recently purchased Dr. Weatherby’s book on Functional Urinalysis and am having difficulty finding where to order the Urine Chloride tests to run on my patients.
• Is it better to take L-tyrosine at night before bed or can it be taken in the morning if one is trying to optimize Growth Hormone?
• What would be the cause for exceedingly high LDL, low Triglycerides, and optimal HDL?
• What are the best tests to use for Fabry Disease?
• For someone with iron deficiency anemia AND an underlying asymptomatic bacterial infection (perhaps H.Pylori) will supplementing with iron feed the bacteria?
• Can you get a picture of what type of adrenal fatigue a person has from blood markers, or is it better to use salivary hormone testing? If someone has low cortisol, what other markers will confirm?
• What's the best way to address a high anion gap with low bicarbonate and hypochlorhydria?
• How do we differentiate between the pattern of Early-Stage Hashimoto's vs. the pattern of Classic Graves' Disease?
• If someone has Chronic lymphocytic Leukemia and the WBC are at 35.2, (Lymphocytes are 67%/Neutrophils 17%), would I still assume there is an active infection?
• When looking at a post-menopausal woman related to hormones, what is ideal both in terms of choice of markers to run, as well as reference ranges pls?
• What could it mean if someone fails the zinc taste test, i.e., could not taste anything at all for 30 seconds (not even minerally/dry) but has optimal serum zinc level (80-100 ug/dL)?
• What could be the rationale behind someone with a normal fasting insulin level (between 2-5) but a relatively high fasting glucose level, A1C, eAG, and ALT:AST?
• Are there any blood test clues pointing to a potential Candida issue? High neutrophils and maybe an elevated eosinophil count?
• Do reference ranges differ for pediatric cases? I see a lot of pediatric cases, specifically TD1 kids.
• Does drinking distilled water have adverse effects on kidney functioning? Is drinking distilled water safe for someone with stage 3 kidney disease? Also, does it leach minerals from the body?
• Why would someone have a low HgbA1C (4.3%) yet have an elevated fasting glucose (105 mg/dl?
• What are some ways to support anterior pituitary dysfunction?
• I have a client that had her gangrenous gallbladder removed in emergency surgery. Are there any biomarkers I should be monitoring post-surgery? Is there anything that I should be concerned about?
• Are there any blood biomarkers that could be reviewed to check on progress in treating fungal infections or growth?
• Why would a patient have increasingly higher TSH with more T4 thyroid hormone?
• What would be your recommended time frame for repeating blood panels? e.g., a patient with anemia.
• Can you provide a brief summary of Hyaline Casts in Urine and info on when they're elevated?
• Endogenous Testosterone and B12 Therapy have increased levels to the Alarm High in the FHR. What is the effect of this on other biomarkers?
• Cholesterol and Sex Hormones
• If a male has Ferritin of 350+ but Serum Iron of 81, would donating blood be a good course of action?
• What tests do you suggest for the evaluation of Dementia and Alzheimer's Disease?
• If the liver stores B12 why does deficiency require daily doses instead of just one large dose?
• Question about AST, ALT, and their relationship to the AST:ALT ratio
• Could a low BUN (7-8 mg/dl) with a high total protein (9 gm/dl) be due to hypochlorhydria?
• What could be going on if a patient is unable to sweat?
• Implications of low cholesterol