Dr. Amy Nett: So, remember, in functional medicine, we consider equivocal results as positive. Given that you have the two different equivocal results here, I would say that that’s probably enough to exclude gluten, and this is something that can be, you know, considered again in the future, but two equivocal results I would consider those positive and take gluten out of the diet pretty strictly. You mentioned that you’re already going to do gut testing, so if there is a gut issue, once you treat that, you can certainly retest for gluten. Tissue transglutaminase 6 and gluteomorphin antibodies, the patient might not have a clear response to wheat and gluten that they notice. This person might have some trouble with like almost withdrawal-type symptoms because of the gluteomorphin and prodynorphin antibodies, but they may not notice symptoms when they’re eating wheat and gluten, so it can be tricky to do a reintroduction. I would probably test again before kind of reintroducing and saying, okay, green light to include those in your diet.
You’re saying the epigastric pain, nausea—I would include an H. pylori test in there, so I would do both the Doctor’s Data stool test and BioHealth. If money is an issue, you could just do the BioHealth 418, but you want to make sure you test for Helicobacter pylori there. The diagnosis of cysts on the liver, spleen, and kidney is super-common to see simple cysts. Depending on the size and the number, though, you definitely do start to wonder why, what’s going on. Yeah, it depends a lot on how many cysts are present in terms of where I would go in terms of diagnostic consideration. Frequent migraine headaches, depression, and anxiety, it sounds like inflammation is an issue, so definitely start with gut. Think about the DUTCH panel to look at cortisol issues.