Re: LEAP MRT food sensitivity testing?

[Guest guest]

We all have the responsibility to use " whatever works " for our patients.

However, we also have the obligation to use valid scientifically studied tests

and treatments. We can all put it up to placebo or whatever, but these are

expensive, and they may delay treatment for something that is significant. This

is similar, it sounds, like the old Great Smokies Labs that used " nonstandard "

test to sell the answers to the lab tests.

________________________________________

From:

[ ] On Behalf Of Seto [glseto@...]

Sent: Wednesday, October 19, 2011 10:43 AM

To:

Subject: Re: LEAP MRT food sensitivity testing?

I looked up " mediator release tests " and " MRT " in PubMed, and was only able to

find 1 article that appeared relevant, and it was a review article from 2003

that did not state in the abstract whether there was evidence to support or

refute the use of these tests. I'm not even sure if this article is referring to

the same tests as LEAP.

http://www.ncbi.nlm.nih.gov/pubmed/12823110

This tech sheet describing the LEAP MRT test lists 23 scientific references but

I do not have the time or expertise to examine them:

http://restoreyourhealth.org/uploads/MRT-TechSheet.pdf

I did find links from Aetna and BCBS of North Carolina with policy statements

saying that they consider " mediator release tests " to be " experimental and

investigational as they have not been proven to be effective " . Therefore,

patients should ask their insurance plan if the cost of these tests would be

covered before getting the tests:

http://www.aetna.com/cpb/medical/data/1_99/0038.html

https://www.bcbsnc.com/content/services/medical-policy/updates/medical-policy-up\

dates-2008-02-25.htm

My take is that I don't know everything, and that if someone's life is made

better by the consequences of this test, then it is up to that person to decide

if it was worth it or not. I suspect that the stronger you believe in the value

of the test, the more likely it is that you will notice a positive effect from

avoiding the foods that it identifies as suspect. Some people might call this a

placebo effect, but as has been shown many times over, the placebo effect is

real.

http://www.scientificamerican.com/article.cfm?id=placebo-effect-a-cure-in-the-mi\

nd

Seto

South Pasadena, CA

On Oct 19, 2011, at 8:45 AM,

magnetdoctor@... wrote:

It isn't testing for allergy, it is testing for food reaction of inflammatory

response, looks at mast cell mediators, etc. And it works, by the way, did any

of you learn about atypical anti-depressants for depression, etc. Things do

change as science moves along. The proof is in patient results.

CCoteMD

________________________________

From: " T. , MD "

>

To:

<mailto: \

>

Sent: Wednesday, October 19, 2011 9:49:24 AM

Subject: RE: LEAP MRT food sensitivity testing?

It is bogus. Tests for allergy markers that simply show that the immune system

recognizes food proteins. Has not been shown to predict allergic reactions,

and has poor correlation with clinical outcomes.

Costs $500.00.

If you are worried they might have a sensitivity to a food, putting them on an

elimination diet is a much more direct way to tell if they do.

Highly promoted by alternate care providers, who will show immune recognition of

foods in most all human beings, and then charge the patient for dietary

counseling on how to avoid the foods.

dts

From:

<mailto: \

> [mailto: ] On Behalf Of Lynn Ho

Sent: Wednesday, October 19, 2011 6:32 AM

To:

practiceimprovement1 <mailto:practiceimprovement1 \

>

Subject: LEAP MRT food sensitivity testing?

Does any one do this and is it worthwhile?

I looked it up but there certainly is lot of marketing to sift through

up to date does not recommend these

A patient is asking me to order this.

thanks!

Lynn

[Guest guest]

ive also used the ALCAT on a patient with negative blood and skin test allergy

panels, worked up twice by allergist and told she was ok.

she wanted to go vegetarian and the test showed she negatively responds to

romaine (which she ate every day) and also had trouble with wheat.

costs about $1000 and is highlighted on quakwatch.. frowned upon by allergist.

she is doing so much better and her alcat report is in her pocket all the time.

i dont suggest this too much because i dont want to be called the city's quack.

and btw is so expensive. but pt has never been the same.

grace

btw.. i dont know what leap is

>

> > What is a " food reaction of inflammatory response? " I don't know what that

> > means. What is the disease or symptoms that go with this?

> > ________________________________________

> > From: [

> > ] On Behalf Of

> > magnetdoctor@... [magnetdoctor@...]

> > Sent: Wednesday, October 19, 2011 9:45 AM

> > To:

> > Subject: Re: LEAP MRT food sensitivity testing?

> >

> > It isn't testing for allergy, it is testing for food reaction of

> > inflammatory response, looks at mast cell mediators, etc. And it works, by

> > the way, did any of you learn about atypical anti-depressants for

> > depression, etc. Things do change as science moves along. The proof is in

> > patient results.

> >

> > CCoteMD

> >

> >

> > ________________________________

> >

> >

> > To:

> > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > Subject: RE: LEAP MRT food sensitivity testing?

> >

> >

> > It is bogus. Tests for allergy markers that simply show that the immune

> > system recognizes food proteins. Has not been shown to predict allergic

> > reactions, and has poor correlation with clinical outcomes.

> >

> > Costs $500.00.

> >

> > If you are worried they might have a sensitivity to a food, putting them on

> > an elimination diet is a much more direct way to tell if they do.

> >

> > Highly promoted by alternate care providers, who will show immune

> > recognition of foods in most all human beings, and then charge the patient

> > for dietary counseling on how to avoid the foods.

> >

> > dts

> >

> > From: [mailto:

> > ] On Behalf Of Lynn Ho

> > Sent: Wednesday, October 19, 2011 6:32 AM

> > To: practiceimprovement1

> > Subject: LEAP MRT food sensitivity testing?

> >

> >

> > Does any one do this and is it worthwhile?

> > I looked it up but there certainly is lot of marketing to sift through

> > up to date does not recommend these

> > A patient is asking me to order this.

> > thanks!

> > Lynn

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

Alcat and LEAP testing are almost identical.  The LEAP folks were originally part of Alcat and broke off and started their own company.  Both labs argue their test is superior though I didnt see much difference when I reviewed their methodology a couple years back.  I went with Alcat because they had much more flexible price points for patients and were willing to work with insurances in some situations.

Since the goal here is not to convert folks, I'll defer a lengthy discussion of why I think they can be valuable.  My arguments are very similar to cindy's.I use the test relatively infrequently for 3 main reasons.  First, I think most people can achieve their disease prevention and treatment goals without it.  Second, unless someone self-prepares 90% of their diet and is willing to make aggressive changes which usually the test entails, I don't bother.  No point in doing an intolerance test if someone isn't going to follow the results 100% IMO.  Thirdly, it's expensive.  I have an account with Alcat and pass my client price of $325 (for 200 foods) onto the patient without markup.  Some people will get some insurance coverage.  Regardless, it's not cheap.

That all being said, in the well-selected patients I've used it on that have been compliant (including myself), I've see good success.If anyone wants more info, please feel free to email me off list as I don't think it's necessary to use the list serve to argue the benefits of utilizing integrative and functional medicine tools in practice.

dave gordon

 

ive also used the ALCAT on a patient with negative blood and skin test allergy panels, worked up twice by allergist and told she was ok.

she wanted to go vegetarian and the test showed she negatively responds to romaine (which she ate every day) and also had trouble with wheat.

costs about $1000 and is highlighted on quakwatch.. frowned upon by allergist.

she is doing so much better and her alcat report is in her pocket all the time. i dont suggest this too much because i dont want to be called the city's quack. and btw is so expensive. but pt has never been the same.

grace

btw.. i dont know what leap is

>

> > What is a " food reaction of inflammatory response? " I don't know what that

> > means. What is the disease or symptoms that go with this?

> > ________________________________________

> > From: [

> > ] On Behalf Of

> > magnetdoctor@... [magnetdoctor@...]

> > Sent: Wednesday, October 19, 2011 9:45 AM

> > To:

> > Subject: Re: LEAP MRT food sensitivity testing?

> >

> > It isn't testing for allergy, it is testing for food reaction of

> > inflammatory response, looks at mast cell mediators, etc. And it works, by

> > the way, did any of you learn about atypical anti-depressants for

> > depression, etc. Things do change as science moves along. The proof is in

> > patient results.

> >

> > CCoteMD

> >

> >

> > ________________________________

> >

> >

> > To:

> > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > Subject: RE: LEAP MRT food sensitivity testing?

> >

> >

> > It is bogus. Tests for allergy markers that simply show that the immune

> > system recognizes food proteins. Has not been shown to predict allergic

> > reactions, and has poor correlation with clinical outcomes.

> >

> > Costs $500.00.

> >

> > If you are worried they might have a sensitivity to a food, putting them on

> > an elimination diet is a much more direct way to tell if they do.

> >

> > Highly promoted by alternate care providers, who will show immune

> > recognition of foods in most all human beings, and then charge the patient

> > for dietary counseling on how to avoid the foods.

> >

> > dts

> >

> > From: [mailto:

> > ] On Behalf Of Lynn Ho

> > Sent: Wednesday, October 19, 2011 6:32 AM

> > To: practiceimprovement1

> > Subject: LEAP MRT food sensitivity testing?

> >

> >

> > Does any one do this and is it worthwhile?

> > I looked it up but there certainly is lot of marketing to sift through

> > up to date does not recommend these

> > A patient is asking me to order this.

> > thanks!

> > Lynn

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

I love stories, but I think I need studies that show there is 1) a condition

associated with this, and 2) evidence that this is better in head to head, or

randomized controlled studies for treating what ever we are treating. Not sure

from this what are treating. " The patient was better. " Better than what, what

was wrong and what is now better.

Now I went to medical school in the 70's and perhaps I have missed some stuff

along the way, please help me learn what we are doing. On the other hand, when I

was a prof at the med school, I helped establish the

Division of CAM at the U of Colorado, so not totally out of touch. I talked to

, who is an MD and runs the CAM, she felt serious doubts about this.

So if you got science, please share. I am in the mood to learn.

________________________________________

From:

[ ] On Behalf Of Gordon

[cygnusdave@...]

Sent: Wednesday, October 19, 2011 7:12 PM

To:

Subject: Re: Re: LEAP MRT food sensitivity testing?

Alcat and LEAP testing are almost identical. The LEAP folks were originally

part of Alcat and broke off and started their own company. Both labs argue

their test is superior though I didnt see much difference when I reviewed their

methodology a couple years back. I went with Alcat because they had much more

flexible price points for patients and were willing to work with insurances in

some situations.

Since the goal here is not to convert folks, I'll defer a lengthy discussion of

why I think they can be valuable. My arguments are very similar to cindy's.

I use the test relatively infrequently for 3 main reasons. First, I think most

people can achieve their disease prevention and treatment goals without it.

Second, unless someone self-prepares 90% of their diet and is willing to make

aggressive changes which usually the test entails, I don't bother. No point in

doing an intolerance test if someone isn't going to follow the results 100% IMO.

Thirdly, it's expensive. I have an account with Alcat and pass my client price

of $325 (for 200 foods) onto the patient without markup. Some people will get

some insurance coverage. Regardless, it's not cheap.

That all being said, in the well-selected patients I've used it on that have

been compliant (including myself), I've see good success.

If anyone wants more info, please feel free to email me off list as I don't

think it's necessary to use the list serve to argue the benefits of utilizing

integrative and functional medicine tools in practice.

dave gordon

On Wed, Oct 19, 2011 at 5:37 PM, pricklyfinger2007

> wrote:

ive also used the ALCAT on a patient with negative blood and skin test allergy

panels, worked up twice by allergist and told she was ok.

she wanted to go vegetarian and the test showed she negatively responds to

romaine (which she ate every day) and also had trouble with wheat.

costs about $1000 and is highlighted on quakwatch.. frowned upon by allergist.

she is doing so much better and her alcat report is in her pocket all the time.

i dont suggest this too much because i dont want to be called the city's quack.

and btw is so expensive. but pt has never been the same.

grace

btw.. i dont know what leap is

>

> > What is a " food reaction of inflammatory response? " I don't know what that

> > means. What is the disease or symptoms that go with this?

> > ________________________________________

> > From:

<mailto:%40yahoogroups.c\

om> [

> >

<mailto:%40yahoogroups.c\

om>] On Behalf Of

> > magnetdoctor@... [magnetdoctor@...]

> > Sent: Wednesday, October 19, 2011 9:45 AM

> > To:

<mailto:%40yahoogroups.c\

om>

> > Subject: Re: LEAP MRT food sensitivity testing?

> >

> > It isn't testing for allergy, it is testing for food reaction of

> > inflammatory response, looks at mast cell mediators, etc. And it works, by

> > the way, did any of you learn about atypical anti-depressants for

> > depression, etc. Things do change as science moves along. The proof is in

> > patient results.

> >

> > CCoteMD

> >

> >

> > ________________________________

> >

> >

> > To:

<mailto:%40yahoogroups.c\

om>

> > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > Subject: RE: LEAP MRT food sensitivity testing?

> >

> >

> > It is bogus. Tests for allergy markers that simply show that the immune

> > system recognizes food proteins. Has not been shown to predict allergic

> > reactions, and has poor correlation with clinical outcomes.

> >

> > Costs $500.00.

> >

> > If you are worried they might have a sensitivity to a food, putting them on

> > an elimination diet is a much more direct way to tell if they do.

> >

> > Highly promoted by alternate care providers, who will show immune

> > recognition of foods in most all human beings, and then charge the patient

> > for dietary counseling on how to avoid the foods.

> >

> > dts

> >

> > From:

<mailto:%40yahoogroups.c\

om> [mailto:

> >

<mailto:%40yahoogroups.c\

om>] On Behalf Of Lynn Ho

> > Sent: Wednesday, October 19, 2011 6:32 AM

> > To:

practiceimprovement1 <mailto:practiceimprovement1%40yahoogroups.c\

om>

> > Subject: LEAP MRT food sensitivity testing?

> >

> >

> > Does any one do this and is it worthwhile?

> > I looked it up but there certainly is lot of marketing to sift through

> > up to date does not recommend these

> > A patient is asking me to order this.

> > thanks!

> > Lynn

> >

> >

> >

> >

> > ------------------------------------

> >

> >

[Guest guest]

im really interested in what the functional medicine folks have to say about

this...

> >

> > >

> > > > What is a " food reaction of inflammatory response? " I don't know what

> > that

> > > > means. What is the disease or symptoms that go with this?

> > > > ________________________________________

> > > > From: [

> > > > ] On Behalf Of

> > > > magnetdoctor@ [magnetdoctor@]

> >

> > > > Sent: Wednesday, October 19, 2011 9:45 AM

> > > > To:

> > > > Subject: Re: LEAP MRT food sensitivity testing?

> > > >

> > > > It isn't testing for allergy, it is testing for food reaction of

> > > > inflammatory response, looks at mast cell mediators, etc. And it works,

> > by

> > > > the way, did any of you learn about atypical anti-depressants for

> > > > depression, etc. Things do change as science moves along. The proof is

> > in

> > > > patient results.

> > > >

> > > > CCoteMD

> > > >

> > > >

> > > > ________________________________

> > > >

> > > > From: " T. , MD " <DonS@>

> >

> > > > To:

> > > > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > > > Subject: RE: LEAP MRT food sensitivity testing?

> > > >

> > > >

> > > > It is bogus. Tests for allergy markers that simply show that the immune

> > > > system recognizes food proteins. Has not been shown to predict allergic

> > > > reactions, and has poor correlation with clinical outcomes.

> > > >

> > > > Costs $500.00.

> > > >

> > > > If you are worried they might have a sensitivity to a food, putting

> > them on

> > > > an elimination diet is a much more direct way to tell if they do.

> > > >

> > > > Highly promoted by alternate care providers, who will show immune

> > > > recognition of foods in most all human beings, and then charge the

> > patient

> > > > for dietary counseling on how to avoid the foods.

> > > >

> > > > dts

> > > >

> > > > From: [mailto:

> > > > ] On Behalf Of Lynn Ho

> > > > Sent: Wednesday, October 19, 2011 6:32 AM

> > > > To: practiceimprovement1

> > > > Subject: LEAP MRT food sensitivity testing?

> > > >

> > > >

> > > > Does any one do this and is it worthwhile?

> > > > I looked it up but there certainly is lot of marketing to sift through

> > > > up to date does not recommend these

> > > > A patient is asking me to order this.

> > > > thanks!

> > > > Lynn

> > > >

> > > >

> > > >

> > > >

> > > > ------------------------------------

> > > >

> > > >

[Guest guest]

We use a lab called Genova Diagnostics. They charge about $150 and send a colorful report on 88 food IgG levels as I recall.It has actually helped several of my younger kids and young adults (migraines, IBS, fibromyalgia). I have not found it helpful in older (>65) pts - seems like # positives increases with age?Palm DesertSent from my Verizon Wireless BlackBerrySender: Date: Thu, 20 Oct 2011 04:23:05 -0000To: < >ReplyTo: Subject: Re: LEAP MRT food sensitivity testing? im really interested in what the functional medicine folks have to say about this...> >> > >> > > > What is a " food reaction of inflammatory response? " I don't know what> > that> > > > means. What is the disease or symptoms that go with this?> > > > ________________________________________> > > > From: [> > > > ] On Behalf Of> > > > magnetdoctor@ [magnetdoctor@]> >> > > > Sent: Wednesday, October 19, 2011 9:45 AM> > > > To: > > > > Subject: Re: LEAP MRT food sensitivity testing?> > > >> > > > It isn't testing for allergy, it is testing for food reaction of> > > > inflammatory response, looks at mast cell mediators, etc. And it works,> > by> > > > the way, did any of you learn about atypical anti-depressants for> > > > depression, etc. Things do change as science moves along. The proof is> > in> > > > patient results.> > > >> > > > CCoteMD> > > >> > > >> > > > ________________________________> > > >> > > > From: " T. , MD " <DonS@>> >> > > > To: > > > > Sent: Wednesday, October 19, 2011 9:49:24 AM> > > > Subject: RE: LEAP MRT food sensitivity testing?> > > >> > > >> > > > It is bogus. Tests for allergy markers that simply show that the immune> > > > system recognizes food proteins. Has not been shown to predict allergic> > > > reactions, and has poor correlation with clinical outcomes.> > > >> > > > Costs $500.00.> > > >> > > > If you are worried they might have a sensitivity to a food, putting> > them on> > > > an elimination diet is a much more direct way to tell if they do.> > > >> > > > Highly promoted by alternate care providers, who will show immune> > > > recognition of foods in most all human beings, and then charge the> > patient> > > > for dietary counseling on how to avoid the foods.> > > >> > > > dts> > > >> > > > From: [mailto:> > > > ] On Behalf Of Lynn Ho> > > > Sent: Wednesday, October 19, 2011 6:32 AM> > > > To: practiceimprovement1 > > > > Subject: LEAP MRT food sensitivity testing?> > > >> > > >> > > > Does any one do this and is it worthwhile?> > > > I looked it up but there certainly is lot of marketing to sift through> > > > up to date does not recommend these> > > > A patient is asking me to order this.> > > > thanks!> > > > Lynn> > > >> > > >> > > >> > > >> > > > ------------------------------------> > > >> > > >

[Guest guest]

I am not familiar with this testing; however, I have had a family approach me

about a wider panel testing for wheat-related proteins as they were concerned

about a gluten sensitivity. Their dietician recommended a panel by Cyrex

Laboratories ($325) that tests for IgA and IgG antibodies against a wide variety

of wheat proteins.

I reviewed the brochures from the lab regarding the testing and even looked up

some of the references they site. It all seemed legitimate enough to give it a

try. Results came back with varying degrees of positivity (tested four

different family member). This gave the family the enough reinforcement to

start a strict gluten-free diet. The report significant improvement in a

variety of symptoms...

Dad had seen some typical GI symptoms of bloating, constipation, " brain fog " as

well as a peculiar ankle swelling and intermittent prostatitis. All of these

symptoms improved dramatically on the diet. When he had accidental exposure, he

would get symptoms back.

Mom had some joint pains that have resolved.

Daughter with GI bloating, and atopic dermatitis saw improvement in those

conditions.

Second daughter with GI pain is doing better.

Now I was as skeptical as the next person, regarding these tests, but I know I

don't know everything. I explained my concerns with the family, but we decided

to pursue it. As the literature sited by the lab seemed legitimate, I was

persuaded. The family's good response has caused me to wonder how many patients

with vague symptoms that lack a ready explanation may have something like this.

Jack

> thanks!

> Lynn

>

[Guest guest]

From a Functional Medicine perspective the ALCAT is not really a primary tool . It doesn't have sufficient science behind it.  That being said, food elimination diets are mighty impressive for a wide array of medical complaints and are fundamental in Functional Medicine.  But of course you have to eliminate the right foods.  If the patient does a routine food elimination diet (dairy, wheat, sugar...) and does not respond then I think that the ALCAT (or immunolglobulin studies or whatever) may point to items that were not in the elimination trial.   

In my experience with a half dozen ALCAT tests I have not gotten BINGO, yet.Dan Zacharias, M.D.

New Jersey

 

I am not familiar with this testing; however, I have had a family approach me about a wider panel testing for wheat-related proteins as they were concerned about a gluten sensitivity. Their dietician recommended a panel by Cyrex Laboratories ($325) that tests for IgA and IgG antibodies against a wide variety of wheat proteins.

I reviewed the brochures from the lab regarding the testing and even looked up some of the references they site. It all seemed legitimate enough to give it a try. Results came back with varying degrees of positivity (tested four different family member). This gave the family the enough reinforcement to start a strict gluten-free diet. The report significant improvement in a variety of symptoms...

Dad had seen some typical GI symptoms of bloating, constipation, " brain fog " as well as a peculiar ankle swelling and intermittent prostatitis. All of these symptoms improved dramatically on the diet. When he had accidental exposure, he would get symptoms back.

Mom had some joint pains that have resolved.

Daughter with GI bloating, and atopic dermatitis saw improvement in those conditions.

Second daughter with GI pain is doing better.

Now I was as skeptical as the next person, regarding these tests, but I know I don't know everything. I explained my concerns with the family, but we decided to pursue it. As the literature sited by the lab seemed legitimate, I was persuaded. The family's good response has caused me to wonder how many patients with vague symptoms that lack a ready explanation may have something like this.

Jack

> thanks!

> Lynn

>

[Guest guest]

dr kennedy,

there might not be any out there..

there may be science and evidence will come in scores of years but if you were

desperate would you yourself wait?

if you had the money and had aches and pains, id suggest doing one yourself. and

see if the process of elimination would do anything for you. then reintroduce

the 'culprit' food then maybe nothing or something will happen so you just ran

an anecdotal trial that may benefit yourself.

of course, we all need to exercise discretion with our place of power.. what's

great about this group is the great expanse of combined open minds....

cheers

grace

[Guest guest]

Re- they are " bogus " , I would submit no more so than MRI's done for chronic

lumbar pain. They are much more costly and when they lead to failed back

surgery, much riskier. So may I presume you never advise them unless you suspect

cauda equina syndrome or other " red flag " Dx (abscess, tumor, etc)? I almost

never do.

>

>

>

>

> It isn't testing for allergy, it is testing for food reaction of inflammatory

response, looks at mast cell mediators, etc. And it works, by the way, did any

of you learn about atypical anti-depressants for depression, etc. Things do

change as science moves along. The proof is in patient results.

>

> CCoteMD

>

>

> ________________________________

>

>

> >

> To:

<mailto: \

>

> Sent: Wednesday, October 19, 2011 9:49:24 AM

> Subject: RE: LEAP MRT food sensitivity testing?

>

>

>

> It is bogus. Tests for allergy markers that simply show that the immune

system recognizes food proteins. Has not been shown to predict allergic

reactions, and has poor correlation with clinical outcomes.

>

> Costs $500.00.

>

> If you are worried they might have a sensitivity to a food, putting them on an

elimination diet is a much more direct way to tell if they do.

>

> Highly promoted by alternate care providers, who will show immune recognition

of foods in most all human beings, and then charge the patient for dietary

counseling on how to avoid the foods.

>

> dts

>

> From:

<mailto: \

> [mailto: ] On Behalf Of Lynn Ho

> Sent: Wednesday, October 19, 2011 6:32 AM

> To:

practiceimprovement1 <mailto:practiceimprovement1 \

>

> Subject: LEAP MRT food sensitivity testing?

>

>

> Does any one do this and is it worthwhile?

> I looked it up but there certainly is lot of marketing to sift through

> up to date does not recommend these

> A patient is asking me to order this.

> thanks!

> Lynn

>

[Guest guest]

Agree completely. This test is covered by my local insurances, and at the recent Bariatric society meeting this weekend, was very highly regarded. By the way, 40 y ago, we used to keep MI's in the hospital at bed rest, on no ASA, because it was "better for them." Now we get them up within 24 hr to rehab, and on high dose ASA before they even rule in.

Likewise back surgery, 5 y after surgery, just as many have pain, not warranted unless loosing function. Things change. A doctor I thought was crazy 12 yr ago, recommened fasting insulin level and metformin for all her obese patients, if the level was up they got put on Metformin. What the hell, now that is the treatment for metabolic syndrome, if you can't get them to do the "intensive lifestyle change". Things change, we all have our comfort zone about how much evidence we need. Obviously Jim isn't ready, and no one can change his mind. Give up. Use your time on something you can do something about.

And Jim, I don't think you are as open minded to CAM as you say, you certainly don't demonstrate that, and that is fine with me.

Cote' MD

To: Sent: Monday, October 31, 2011 11:20:21 AMSubject: Re: LEAP MRT food sensitivity testing?

Re- they are "bogus", I would submit no more so than MRI's done for chronic lumbar pain. They are much more costly and when they lead to failed back surgery, much riskier. So may I presume you never advise them unless you suspect cauda equina syndrome or other "red flag" Dx (abscess, tumor, etc)? I almost never do.> > > > > It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves along. The proof is in patient results.> > CCoteMD> > > ________________________________> > > >> To: <mailto: >> Sent: Wednesday, October 19, 2011 9:49:24 AM> Subject: RE: LEAP MRT food sensitivity testing?> > > > It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.> > Costs $500.00.> > If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.> > Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.> > dts> > From: <mailto: > [mailto: ] On Behalf Of Lynn Ho> Sent: Wednesday, October 19, 2011 6:32 AM> To: practiceimprovement1 <mailto:practiceimprovement1 >> Subject: LEAP MRT food sensitivity testing?> > > Does any one do this and is it worthwhile?> I looked it up but there certainly is lot of marketing to sift through> up to date does not recommend these> A patient is asking me to order this.> thanks!> Lynn>

[Guest guest]

That would fit into my way of doing things. Had a LBP this morning who wanted to get an MRI, but we agreed that it was not necessary. The proof is not " in patient results, " since we know that there is placebo effect, watchful waiting , and lots of bogus

claims out there that someone " can believe in. "

Science does change and because we do not know someting does not make it unknowable. I agree to this point, however, spendig someone elses money for things that are not even sound is not a good use of medical money. Besides sometimes it delays getting

to the real issues.

From: [ ] On Behalf Of jpeterzell [jpeterzell@...]

Sent: Monday, October 31, 2011 12:20 PM

To:

Subject: Re: LEAP MRT food sensitivity testing?

Re- they are " bogus " , I would submit no more so than MRI's done for chronic lumbar pain. They are much more costly and when they lead to failed back surgery, much riskier. So may I presume you never advise them unless you suspect cauda equina syndrome or

other " red flag " Dx (abscess, tumor, etc)? I almost never do.

>

>

>

>

> It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves

along. The proof is in patient results.

>

> CCoteMD

>

>

> ________________________________

>

>

> >

> To: <mailto: >

> Sent: Wednesday, October 19, 2011 9:49:24 AM

> Subject: RE: LEAP MRT food sensitivity testing?

>

>

>

> It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.

>

> Costs $500.00.

>

> If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.

>

> Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.

>

> dts

>

> From: <mailto: > [mailto: ]

On Behalf Of Lynn Ho

> Sent: Wednesday, October 19, 2011 6:32 AM

> To: practiceimprovement1 <mailto:practiceimprovement1 >

> Subject: LEAP MRT food sensitivity testing?

>

>

> Does any one do this and is it worthwhile?

> I looked it up but there certainly is lot of marketing to sift through

> up to date does not recommend these

> A patient is asking me to order this.

> thanks!

> Lynn

>

[Guest guest]

Nice, and agree.

> >

> >

> >

> >

> > It isn't testing for allergy, it is testing for food reaction of

inflammatory response, looks at mast cell mediators, etc. And it works, by the

way, did any of you learn about atypical anti-depressants for depression, etc.

Things do change as science moves along. The proof is in patient results.

> >

> > CCoteMD

> >

> >

> > ________________________________

> >

> >

> > From: " T. , MD " <DonS@<mailto:DonS@>>

> > To: <mailto:

>

> > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > Subject: RE: LEAP MRT food sensitivity testing?

> >

> >

> >

> > It is bogus. Tests for allergy markers that simply show that the immune

system recognizes food proteins. Has not been shown to predict allergic

reactions, and has poor correlation with clinical outcomes.

> >

> > Costs $500.00.

> >

> > If you are worried they might have a sensitivity to a food, putting them on

an elimination diet is a much more direct way to tell if they do.

> >

> > Highly promoted by alternate care providers, who will show immune

recognition of foods in most all human beings, and then charge the patient for

dietary counseling on how to avoid the foods.

> >

> > dts

> >

> > From: <mailto:

> [mailto:

] On Behalf Of Lynn Ho

> > Sent: Wednesday, October 19, 2011 6:32 AM

> > To: practiceimprovement1 <mailto:

practiceimprovement1 >

> > Subject: LEAP MRT food sensitivity testing?

> >

> >

> > Does any one do this and is it worthwhile?

> > I looked it up but there certainly is lot of marketing to sift through

> > up to date does not recommend these

> > A patient is asking me to order this.

> > thanks!

> > Lynn

> >

>

[Guest guest]

I disagree that CAM or alternative therapies should be separated out.

If others do not like an alternative approach, say so collegially. But

alternative approaches of today may be tomorrow's standard approach. One of the

good things about this list serve is we get to learn from others which may occur

less if it is segmented out.

Horvitz, D.O.

> > >

> > >

> > >

> > >

> > > It isn't testing for allergy, it is testing for food reaction of

inflammatory response, looks at mast cell mediators, etc. And it works, by the

way, did any of you learn about atypical anti-depressants for depression, etc.

Things do change as science moves along. The proof is in patient results.

> > >

> > > CCoteMD

> > >

> > >

> > > ________________________________

> > >

> > >

> > > From: " T. , MD " <DonS@<mailto:DonS@>>

> > > To:

<mailto: \

>

> > > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > > Subject: RE: LEAP MRT food sensitivity testing?

> > >

> > >

> > >

> > > It is bogus. Tests for allergy markers that simply show that the immune

system recognizes food proteins. Has not been shown to predict allergic

reactions, and has poor correlation with clinical outcomes.

> > >

> > > Costs $500.00.

> > >

> > > If you are worried they might have a sensitivity to a food, putting them

on an elimination diet is a much more direct way to tell if they do.

> > >

> > > Highly promoted by alternate care providers, who will show immune

recognition of foods in most all human beings, and then charge the patient for

dietary counseling on how to avoid the foods.

> > >

> > > dts

> > >

> > > From:

<mailto: \

> [mailto: ] On Behalf Of Lynn Ho

> > > Sent: Wednesday, October 19, 2011 6:32 AM

> > > To:

practiceimprovement1 <mailto:practiceimprovement1 \

>

> > > Subject: LEAP MRT food sensitivity testing?

> > >

> > >

> > > Does any one do this and is it worthwhile?

> > > I looked it up but there certainly is lot of marketing to sift through

> > > up to date does not recommend these

> > > A patient is asking me to order this.

> > > thanks!

> > > Lynn

> > >

> >

> >

> >

> >

> >

> >

> >

> >

>

[Guest guest]

though i dont do acupuncture on animals, people have taken their pets and horses

to those who do.

how do you explain placebo in these animals?

just as we are told to look at evidence, it comes unfortunately way much later

because of time needed for data collection. there is science probably behind

this, not evidence. all of us are guilty of off-label use. i dont call any of

those bogus. if i had the money, if i had the symptoms, i probably would do it

now rather than wait when i get desperate. i think we should all look into these

things and appropriately advise patients whether testing/treatments are

anecdotal or proven or beneficial or harmful, to the best of our abilities and

tell them how much we do or dont know.

disclaimers/disqualifiers, call them what you will.. still do no harm. dont do

something you dont believe in but dont brush off what patients ask you just keep

an open mind.

cindy, dont think you should take offense. dont you deal with this all the time?

jim, appreciate you asking questions. this is all where discovery starts.

cheers everyone.

im now sober from all the halloween candy.

grace

[Guest guest]

- was merely providing a place  for like  minded individuals to discuss this topic of interest That is why we set up the forums on the new w bsite- it makes for focused emails This is a goodidea  Same as those  AmazingCharts  folks not cluttering up my non Amazing Charts life

 Jean

 

I disagree that CAM or alternative therapies should be separated out.

If others do not like an alternative approach, say so collegially. But alternative approaches of today may be tomorrow's standard approach. One of the good things about this list serve is we get to learn from others which may occur less if it is segmented out.

Horvitz, D.O.

> > >

> > >

> > >

> > >

> > > It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves along. The proof is in patient results.

> > >

> > > CCoteMD

> > >

> > >

> > > ________________________________

> > >

> > >

> > > From: " T. , MD " <DonS@<mailto:DonS@>>

> > > To: <mailto: >

> > > Sent: Wednesday, October 19, 2011 9:49:24 AM

> > > Subject: RE: LEAP MRT food sensitivity testing?

> > >

> > >

> > >

> > > It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.

> > >

> > > Costs $500.00.

> > >

> > > If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.

> > >

> > > Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.

> > >

> > > dts

> > >

> > > From: <mailto: > [mailto: ] On Behalf Of Lynn Ho

> > > Sent: Wednesday, October 19, 2011 6:32 AM

> > > To: practiceimprovement1 <mailto:practiceimprovement1 >

> > > Subject: LEAP MRT food sensitivity testing?

> > >

> > >

> > > Does any one do this and is it worthwhile?

> > > I looked it up but there certainly is lot of marketing to sift through

> > > up to date does not recommend these

> > > A patient is asking me to order this.

> > > thanks!

> > > Lynn

> > >

> >

> >

> >

> >

> >

> >

> >

> >

>

--      MD          ph    fax

[Guest guest]

and , I don't feel this is CAM, and don't feel I need to be separated out. I won't go there, I don't have time for one more list, especially when I don't feel this is CAM.

To: Sent: Tuesday, November 1, 2011 9:13:10 AMSubject: Re: Re: LEAP MRT food sensitivity testing?

- was merely providing a place for like minded individuals to discuss this topic of interest That is why we set up the forums on the new w bsite- it makes for focused emails This is a goodidea Same as those AmazingCharts folks not cluttering up my non Amazing Charts life Jean

I disagree that CAM or alternative therapies should be separated out.If others do not like an alternative approach, say so collegially. But alternative approaches of today may be tomorrow's standard approach. One of the good things about this list serve is we get to learn from others which may occur less if it is segmented out. Horvitz, D.O.

> > > > > > > > > > > > > > > It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves along. The proof is in patient results.> > > > > > CCoteMD> > > > > > > > > ________________________________> > > > > > > > > From: " T. , MD" <DonS@<mailto:DonS@>>> > > To: <mailto: >> > > Sent: Wednesday, October 19, 2011 9:49:24 AM> > > Subject: RE: LEAP MRT food sensitivity testing?> > > > > > > > > > > > It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.> > > > > > Costs $500.00.> > > > > > If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.> > > > > > Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.> > > > > > dts> > > > > > From: <mailto: > [mailto: ] On Behalf Of Lynn Ho> > > Sent: Wednesday, October 19, 2011 6:32 AM> > > To: practiceimprovement1 <mailto:practiceimprovement1 >> > > Subject: LEAP MRT food sensitivity testing?> > > > > > > > > Does any one do this and is it worthwhile?> > > I looked it up but there certainly is lot of marketing to sift through> > > up to date does not recommend these> > > A patient is asking me to order this.> > > thanks!> > > Lynn> > >> > > > > > > > > > > > > > > >>

-- MD ph fax

[Guest guest]

OK(I didn't say anything about CAM) I was just fostering a place I could focus my interestNo offense intended( the forums can  come to you you do not go anywher e else...) Have a nice day Jean

 

and , I don't feel this is CAM, and don't feel I need to be separated out.  I won't go there, I don't have time for one more list, especially when I don't feel this is CAM.

To:

Sent: Tuesday, November 1, 2011 9:13:10 AMSubject: Re: Re: LEAP MRT food sensitivity testing?

 

- was merely providing a place  for like  minded individuals to discuss this topic of interest That is why we set up the forums on the new w bsite- it makes for focused emails This is a goodidea  Same as those  AmazingCharts  folks not cluttering up my non Amazing Charts life

 Jean

 

I disagree that CAM or alternative therapies should be separated out.If others do not like an alternative approach, say so collegially. But alternative approaches of today may be tomorrow's standard approach. One of the good things about this list serve is we get to learn from others which may occur less if it is segmented out.

Horvitz, D.O.

> > > > > > > > > > > > > > > It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves along. The proof is in patient results.

> > > > > > CCoteMD> > > > > > > > > ________________________________> > > > > > > > > From: " T. , MD " <DonS@<mailto:DonS@>>

> > > To: <mailto: >

> > > Sent: Wednesday, October 19, 2011 9:49:24 AM> > > Subject: RE: LEAP MRT food sensitivity testing?> > > > > > > > > > > > It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.

> > > > > > Costs $500.00.> > > > > > If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.

> > > > > > Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.

> > > > > > dts> > > > > > From: <mailto: > [mailto: ] On Behalf Of Lynn Ho

> > > Sent: Wednesday, October 19, 2011 6:32 AM> > > To: practiceimprovement1 <mailto:practiceimprovement1 >

> > > Subject: LEAP MRT food sensitivity testing?> > > > > > > > > Does any one do this and is it worthwhile?> > > I looked it up but there certainly is lot of marketing to sift through

> > > up to date does not recommend these> > > A patient is asking me to order this.> > > thanks!> > > Lynn> > >> > > > > > > >

> > > > > > > >>

--      MD         

ph    fax

--      MD          ph    fax

[Guest guest]

cindy,my recommendation to open of the separate forum was not an attempt to hide or isolate the conversations but rather be able to have them more frequently.  Nearly every integrative or cam topic that comes up on the list serve degenerates into arguments over the concepts rather than a true discussion by those of us utilizing such modalities.  This thread is a great example.  Rather than a great discussion on mediator release testing that might help me utilize the test in better ways that I already do it quickly become more of a back and forth argument with had little clinical utility to me.

I was hoping the separate area would spare us from feeling forced to defend ourselves on every topic.  Those of us in this area already know that most such modalities are treated " guilty until proven innocent, " when pharmaceuticals and other convention dogma is clearly " innocent until proven guilty. "  I think the term CAM is still valid because it's not conventional (meaning not tough in med school and residency).  The fact that is should be part of convention medical training is a different argument.

 

OK(I didn't say anything about CAM) I was just fostering a place I could focus my interestNo offense intended( the forums can  come to you you do not go anywher e else...) Have a nice day

Jean

 

and , I don't feel this is CAM, and don't feel I need to be separated out.  I won't go there, I don't have time for one more list, especially when I don't feel this is CAM.

To:

Sent: Tuesday, November 1, 2011 9:13:10 AMSubject: Re: Re: LEAP MRT food sensitivity testing?

 

- was merely providing a place  for like  minded individuals to discuss this topic of interest That is why we set up the forums on the new w bsite- it makes for focused emails This is a goodidea  Same as those  AmazingCharts  folks not cluttering up my non Amazing Charts life

 Jean

 

I disagree that CAM or alternative therapies should be separated out.If others do not like an alternative approach, say so collegially. But alternative approaches of today may be tomorrow's standard approach. One of the good things about this list serve is we get to learn from others which may occur less if it is segmented out.

Horvitz, D.O.

> > > > > > > > > > > > > > > It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves along. The proof is in patient results.

> > > > > > CCoteMD> > > > > > > > > ________________________________> > > > > > > > > From: " T. , MD " <DonS@<mailto:DonS@>>

> > > To: <mailto: >

> > > Sent: Wednesday, October 19, 2011 9:49:24 AM> > > Subject: RE: LEAP MRT food sensitivity testing?> > > > > > > > > > > > It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.

> > > > > > Costs $500.00.> > > > > > If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.

> > > > > > Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.

> > > > > > dts> > > > > > From: <mailto: > [mailto: ] On Behalf Of Lynn Ho

> > > Sent: Wednesday, October 19, 2011 6:32 AM> > > To: practiceimprovement1 <mailto:practiceimprovement1 >

> > > Subject: LEAP MRT food sensitivity testing?> > > > > > > > > Does any one do this and is it worthwhile?> > > I looked it up but there certainly is lot of marketing to sift through

> > > up to date does not recommend these> > > A patient is asking me to order this.> > > thanks!> > > Lynn> > >> > > > > > > >

> > > > > > > >>

--      MD         

ph    fax

--      MD          ph    fax

[Guest guest]

@gary seto:

i joined impforum.org and couldnt find cam?

is there a separate tab?

grace

> >>> > > >

> >>> > > >

> >>> > > >

> >>> > > >

> >>> > > > It isn't testing for allergy, it is testing for food reaction of

> >>> inflammatory response, looks at mast cell mediators, etc. And it works, by

> >>> the way, did any of you learn about atypical anti-depressants for

> >>> depression, etc. Things do change as science moves along. The proof is in

> >>> patient results.

> >>> > > >

> >>> > > > CCoteMD

> >>> > > >

> >>> > > >

> >>> > > > ________________________________

> >>> > > >

> >>> > > >

> >>> > > > From: " T. , MD " <DonS@<mailto:DonS@>>

> >>> > > > To: <mailto:

> >>> >

> >>> > > > Sent: Wednesday, October 19, 2011 9:49:24 AM

> >>> > > > Subject: RE: LEAP MRT food sensitivity

> >>> testing?

> >>> > > >

> >>> > > >

> >>> > > >

> >>> > > > It is bogus. Tests for allergy markers that simply show that the

> >>> immune system recognizes food proteins. Has not been shown to predict

> >>> allergic reactions, and has poor correlation with clinical outcomes.

> >>> > > >

> >>> > > > Costs $500.00.

> >>> > > >

> >>> > > > If you are worried they might have a sensitivity to a food,

> >>> putting them on an elimination diet is a much more direct way to tell if

> >>> they do.

> >>> > > >

> >>> > > > Highly promoted by alternate care providers, who will show immune

> >>> recognition of foods in most all human beings, and then charge the patient

> >>> for dietary counseling on how to avoid the foods.

> >>> > > >

> >>> > > > dts

> >>> > > >

> >>> > > > From: <mailto:

> >>> > [mailto:

> >>> ] On Behalf Of Lynn Ho

> >>> > > > Sent: Wednesday, October 19, 2011 6:32 AM

> >>> > > > To: practiceimprovement1 <mailto:

> >>> practiceimprovement1 >

> >>> > > > Subject: LEAP MRT food sensitivity testing?

> >>> > > >

> >>> > > >

> >>> > > > Does any one do this and is it worthwhile?

> >>> > > > I looked it up but there certainly is lot of marketing to sift

> >>> through

> >>> > > > up to date does not recommend these

> >>> > > > A patient is asking me to order this.

> >>> > > > thanks!

> >>> > > > Lynn

> >>> > > >

> >>> > >

> >>> > >

> >>> > >

> >>> > >

> >>> > >

> >>> > >

> >>> > >

> >>> > >

> >>> >

> >>>

> >>>

> >>

> >>

> >> --

> >>

> >>

> >>

> >> MD

> >>

> >>

> >> ph fax

> >>

> >>

> >>

> >

> >

> > --

> >

> >

> >

> > MD

> >

> >

> > ph fax

> >

> >

> >

> >

>

[Guest guest]

Thanks for the explanation, I agree with everything you have said.

To: Sent: Tuesday, November 1, 2011 10:42:17 AMSubject: Re: Re: LEAP MRT food sensitivity testing?

cindy,

my recommendation to open of the separate forum was not an attempt to hide or isolate the conversations but rather be able to have them more frequently. Nearly every integrative or cam topic that comes up on the list serve degenerates into arguments over the concepts rather than a true discussion by those of us utilizing such modalities. This thread is a great example. Rather than a great discussion on mediator release testing that might help me utilize the test in better ways that I already do it quickly become more of a back and forth argument with had little clinical utility to me.

I was hoping the separate area would spare us from feeling forced to defend ourselves on every topic. Those of us in this area already know that most such modalities are treated "guilty until proven innocent," when pharmaceuticals and other convention dogma is clearly "innocent until proven guilty." I think the term CAM is still valid because it's not conventional (meaning not tough in med school and residency). The fact that is should be part of convention medical training is a different argument.

OK(I didn't say anything about CAM) I was just fostering a place I could focus my interestNo offense intended( the forums can come to you you do not go anywher e else...) Have a nice day Jean

and , I don't feel this is CAM, and don't feel I need to be separated out. I won't go there, I don't have time for one more list, especially when I don't feel this is CAM.

To: Sent: Tuesday, November 1, 2011 9:13:10 AM

Subject: Re: Re: LEAP MRT food sensitivity testing?

- was merely providing a place for like minded individuals to discuss this topic of interest That is why we set up the forums on the new w bsite- it makes for focused emails This is a goodidea Same as those AmazingCharts folks not cluttering up my non Amazing Charts life Jean

I disagree that CAM or alternative therapies should be separated out.If others do not like an alternative approach, say so collegially. But alternative approaches of today may be tomorrow's standard approach. One of the good things about this list serve is we get to learn from others which may occur less if it is segmented out. Horvitz, D.O.

> > > > > > > > > > > > > > > It isn't testing for allergy, it is testing for food reaction of inflammatory response, looks at mast cell mediators, etc. And it works, by the way, did any of you learn about atypical anti-depressants for depression, etc. Things do change as science moves along. The proof is in patient results.> > > > > > CCoteMD> > > > > > > > > ________________________________> > > > > > > > > From: " T. , MD" <DonS@<mailto:DonS@>>> > > To: <mailto: >> > > Sent: Wednesday, October 19, 2011 9:49:24 AM> > > Subject: RE: LEAP MRT food sensitivity testing?> > > > > > > > > > > > It is bogus. Tests for allergy markers that simply show that the immune system recognizes food proteins. Has not been shown to predict allergic reactions, and has poor correlation with clinical outcomes.> > > > > > Costs $500.00.> > > > > > If you are worried they might have a sensitivity to a food, putting them on an elimination diet is a much more direct way to tell if they do.> > > > > > Highly promoted by alternate care providers, who will show immune recognition of foods in most all human beings, and then charge the patient for dietary counseling on how to avoid the foods.> > > > > > dts> > > > > > From: <mailto: > [mailto: ] On Behalf Of Lynn Ho> > > Sent: Wednesday, October 19, 2011 6:32 AM> > > To: practiceimprovement1 <mailto:practiceimprovement1 >> > > Subject: LEAP MRT food sensitivity testing?> > > > > > > > > Does any one do this and is it worthwhile?> > > I looked it up but there certainly is lot of marketing to sift through> > > up to date does not recommend these> > > A patient is asking me to order this.> > > thanks!> > > Lynn> > >> > > > > > > > > > > > > > > >>

-- MD ph fax

-- MD ph fax