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Re: Re:PSA / Ca19-9 /Mr. VGAMMILL

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In einer eMail vom 05.05.03 11:28:00 (MEZ) - Mitteleurop. Sommerzeit schreibt

vgammill@...:

>

>

> Katharina,

> There can be variation among PSA test kits that are supplied by

> different manufacturers, and there can be differences in technique and in

> equipment calibration in the labs that perform the tests. If your father

> has a low PSA count then these differences are more important and your

> father should try to use the same clinic or testing facility.

> http://www.hollywoodurology.com/PSA.html is a good source of information on

>

Dear Mr. Gammill,

I want to thank you for your response, and I apologize for being a bit tardy

in my answering, but it was only yesterday that I held in hand the letter

from the lab.

The cancer screening of my father's said:

PSA (total): test result 1.21,

reference <4.0 ug/l,

method: ECLIA Roche diagnostics,

analytic limit 0.002ug/l,

functional sensitivity 0.03 ug/l

CEA: test result 11.3

reference <7.5 ug/l (smoker)

method ECLIA

Ca 19-9 test result: 59.2

reference <37 kU/l

method ECLIA

interpretation of Ca19-9:

" grey zone " from 37 to 100 kU/l. Slightly raised lab results are also found

in benign disorder such as gall disorders, liver disorders, pancreatitis,

mucoviscidosis.

serum-serotonin 294 (my opinion: result by overdosing neuroMD)

reference 50 to 230 ug/l

method HPLC

formaldehyd in urine 14

reference <30

method HPLC

natrium 136

reference 135 to 150

method ISE

cortisol (11.00am) 12.0

reference 6.2 to 19.4 (I am still looking for a table that shows the

reference expected values by 4.00 am and 16.00 pm, as that would be more

adequate to human biocircle of cortisol. It would probably also reverse the

reference, as cortisol should be high at waking time and lower in the

evening. Am I assuming right?)

aluminium 33.0 ug/l

reference <20

method AAS

celiac diagnostics:

Endomysium-antibodies: negativ

Titer, method IFT

gliadin-antibodies:

IgG-AB 6.07

reference <18 mg/l

IgA-AB 3.16

reference <3.0 (My father is supposed to be on glutenfree diet, if followed

well, the IgA goes down to normal, whereas the IgG stays up. IgA is many a

time the indicator whether the patient is compliant with the diet.)

tissue-transglutaminase-AB 1.2 U/ml

reference negativ <5

borderline 5 to 8

positiv >8

method ELISA

reticulin antibofdies: negativ

Titer, method IFT

(To me it might be his diet is only sligthtly deviant, or does this look like

a celiac disease at all? What would be the constellation of lab results in

celiac disease? My father reported a doctor exclaiming on examining him:

" Never ever in my life have I seen such a long gut!!! " which is mostly how a

body compensates for malabsorption in celiac disease. Also when avoiding

gluten in his nutrition he went from cachectic to four pounds more in a week

and six kilogramms more in eight weeks!

If it is not reaction to gliadin, what would appear as probable differential

diagnoses with IgA too high?

I am at a loss what to think of all this.)

I would appreciate and be grateful for your answers,

Katharina

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In einer eMail vom 05.05.03 11:28:00 (MEZ) - Mitteleurop. Sommerzeit schreibt

vgammill@...:

>

>

> Katharina,

> There can be variation among PSA test kits that are supplied by

> different manufacturers, and there can be differences in technique and in

> equipment calibration in the labs that perform the tests. If your father

> has a low PSA count then these differences are more important and your

> father should try to use the same clinic or testing facility.

> http://www.hollywoodurology.com/PSA.html is a good source of information on

>

Dear Mr. Gammill,

I want to thank you for your response, and I apologize for being a bit tardy

in my answering, but it was only yesterday that I held in hand the letter

from the lab.

The cancer screening of my father's said:

PSA (total): test result 1.21,

reference <4.0 ug/l,

method: ECLIA Roche diagnostics,

analytic limit 0.002ug/l,

functional sensitivity 0.03 ug/l

CEA: test result 11.3

reference <7.5 ug/l (smoker)

method ECLIA

Ca 19-9 test result: 59.2

reference <37 kU/l

method ECLIA

interpretation of Ca19-9:

" grey zone " from 37 to 100 kU/l. Slightly raised lab results are also found

in benign disorder such as gall disorders, liver disorders, pancreatitis,

mucoviscidosis.

serum-serotonin 294 (my opinion: result by overdosing neuroMD)

reference 50 to 230 ug/l

method HPLC

formaldehyd in urine 14

reference <30

method HPLC

natrium 136

reference 135 to 150

method ISE

cortisol (11.00am) 12.0

reference 6.2 to 19.4 (I am still looking for a table that shows the

reference expected values by 4.00 am and 16.00 pm, as that would be more

adequate to human biocircle of cortisol. It would probably also reverse the

reference, as cortisol should be high at waking time and lower in the

evening. Am I assuming right?)

aluminium 33.0 ug/l

reference <20

method AAS

celiac diagnostics:

Endomysium-antibodies: negativ

Titer, method IFT

gliadin-antibodies:

IgG-AB 6.07

reference <18 mg/l

IgA-AB 3.16

reference <3.0 (My father is supposed to be on glutenfree diet, if followed

well, the IgA goes down to normal, whereas the IgG stays up. IgA is many a

time the indicator whether the patient is compliant with the diet.)

tissue-transglutaminase-AB 1.2 U/ml

reference negativ <5

borderline 5 to 8

positiv >8

method ELISA

reticulin antibofdies: negativ

Titer, method IFT

(To me it might be his diet is only sligthtly deviant, or does this look like

a celiac disease at all? What would be the constellation of lab results in

celiac disease? My father reported a doctor exclaiming on examining him:

" Never ever in my life have I seen such a long gut!!! " which is mostly how a

body compensates for malabsorption in celiac disease. Also when avoiding

gluten in his nutrition he went from cachectic to four pounds more in a week

and six kilogramms more in eight weeks!

If it is not reaction to gliadin, what would appear as probable differential

diagnoses with IgA too high?

I am at a loss what to think of all this.)

I would appreciate and be grateful for your answers,

Katharina

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