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Blood Chemistry

I would like to run the immunoglobulin panel on a very clean Cyrex test that didn’t correlate with the clinical picture, so can you confirm what test this is? I’ve never ordered it before. On Quest, there’s a serum immunoglobulin panel. I’m assuming that’s it.

Dr. Amy Nett: Yeah, I would just run a serum immunoglobulin panel. Whenever you look at a test on Quest...

If someone is taking 10 milligrams per day of hydrocortisone, specifically a bioidentical cortisol, would change or alter the various Cyrex Array testing results?

Dr. Amy Nett: Absolutely, it will. Hydrocortisone, or cortisol, it suppresses the immune system, and specifically cortisol is going to...

What type of panel measures immunoglobulin production?

Dr. Amy Nett: If you see notably low levels of secretory IgA, and in the particular case that Chris showed...

How do you test for zonulin production?

Dr. Amy Nett: Great question. This is something that we haven’t really been doing too much. As far as I...

Received some differing information about when to order Cyrex panel and told by a few physicians that it’s good idea to run a total antibody test before running Cyrex panels. If they’re not creating enough antibodies, then the Cyrex test will show false negatives and be a waste of money. Do you do this? If vitamin D levels are low same thing can happen, is that true? Can you clarify, and do you run these arrays after Paleo reset as this would be 30 days without the wheat, dairy, etc., so antibody shows up? Your web information says it may be within 25 to 30 days. Client who has presented with what may be herpes dermatitis. He’s gone on the 30-day reset. Without the gluten, his skin is clearing up. Should he do Arrays 3 and 4 but don’t want to initiate skin outbreak again if he eats some wheat or gluten for test purposes.

Chris Kresser:  Okay. All good questions. Let’s start with the first one. It is true that if the patient is...
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