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What Does My Lab Test Report Indicate?

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Posted on Fri, 19 Feb 2016
Question: I'll try to make this as short and to the point as possible and in a way you can understand.

This year I will be 41 years old. From as far back as I can remember I have always struggled with some sort of "not feeling well" whether it be sleep, mood swings, anxiety, depression, body and joint aches and pains, unexplained headaches, heightened allergies out of nowhere, heart palpitations (PCA), inflammation, back an neck pain and stiffness, weight gain, near fainting spells, dizziness, involuntary eye movement, hearing issues with ringing in the ears, memory problems, lack of focus and losing ability to multitask, struggling to find right words, misspelling words, extreme bouts of fatigue, then bouts of feeling great with unbelievable energy I forgot I once had. This is all off the top of my head but the list is honestly... quite endless, really. My brother lived in XXXXXXX TN on a farm when we were younger and I recall many times pulling swollen ticks off of each other, more specifically, I remember them being pulled off of our heads.

After the last 3 years of increased and new symptoms an seeing about 5-6 different doctors/specialists, even for second opinions, all I can get is "everything came back great" or "I have no logical explanation for your symptoms," I was finally messaged by someone and recommended that I see a LLMD bc it sounded much like symptoms of Lyme.

The LLMD is over an hour away in another state from me but I'm finally feeling like someone is getting somewhere! I had an appt on March 20th, 2016, first available and my appt was made in December. They did send me a lab requisition so that I can get my labs done closer to home before my appt with LLMD. Low and behold, they called to let me know the results were in and they wanted to move my appt from 3/20/16 to 2/02/16- over a month ahead of the first available appt I had. I asked if all was ok and was told yes, no need to worry. I pulled my labs bc I thought it was odd to move an appt so far ahead when you're booking out that far- I worked as a medical secretary so I know how difficult it can be to book appointments for a busy office. Sometimes almost impossible.

Anyway, my lab results came back as follows, and I'm only listing what came back "High" or "Positive/Abnormal"

On the Lyme, Western Blot, Serum Test
Lyme Ab IgG by WB:
IgG P46 Ab. Result is "Present Abnormal"
IgG P45 Ab. Result is "Present Abnormal"

Lyme Ab IgM by WB:
IgM P23 Ab. Result is "Present Abnormal"

CMV Abs IgG/IgM
Cytomegalovirus (CMV) Ab, IgG Result is ">10.00 High"
*Positive if result is >0.69

EBV Ab VCA, IgG Result is "181.0 High"
*Positive if result is >21.9

ALT (SGOT) Result is "44 High"
*Normal range is 0-32

Does anyone have any interpretation to these labs?
doctor
Answered by Dr. Alexander H. Sheppe (1 hour later)
Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

Your labs indicate evidence of past (IgG) and present (IgM) Lyme infection. This could account for the neuropsychiatric symptoms you describe. In short, consulting with a Lyme specialist is indicated in your case. Often, this is treated with IV or oral antibiotics. I should also point out that oftentimes the neuropsychiatric symptoms of Lyme need to be treated by a psychiatrist, with medications such as antidepressants. If you would like more advice in this area, contact me via my private link below.

In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers


Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Alexander H. Sheppe

Psychiatrist

Practicing since :2014

Answered : 2236 Questions

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What Does My Lab Test Report Indicate?

Brief Answer: Consultation Detailed Answer: Hello, and thanks for your question. Your labs indicate evidence of past (IgG) and present (IgM) Lyme infection. This could account for the neuropsychiatric symptoms you describe. In short, consulting with a Lyme specialist is indicated in your case. Often, this is treated with IV or oral antibiotics. I should also point out that oftentimes the neuropsychiatric symptoms of Lyme need to be treated by a psychiatrist, with medications such as antidepressants. If you would like more advice in this area, contact me via my private link below. In the future, for continuity of care, I encourage you to contact me at my private link below. After you ask a direct question it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private link: tinyurl.com/DrSheppeAnswers