Archive for the ‘Autoimmune’ Category

Getting the Right Blood Tests for Inflammation and Cardiovascular Risk

Posted on: April 6th, 2009 by doctor No Comments

I have seen several patients recently that simply had the wrong tests ordered by their MDs when assessing inflammation or cardiovascular risk. To prevent these testing errors, I encourage patients to better understand these tests and make sure their doctors are ordering the right ones.

A common test for inflammation is the Eosinophil Sedimentation Rate (ESR).  It measures the tendency of red blood cells to clump together – rouleaux or stacking formation.  This test is still offered by laboratories only because doctors not familiar with newer and superior tests still request it.  ESR tests can provide inaccurate results (false positives or false negatives) for many different reasons.

C-Reactive Protein (C-RP) directly measures a liver enzyme that is an acute phase reactant.  This enzymes rises quickly when inflammation is present and falls quickly when inflammation resolves.  Therefore, it is an excellent marker of inflammation; better than the ESR which is more likely to be falsely positive or stay elevated after inflammation has resolved.  It is the best blood test to help determine if a patient’s symptoms are due to trauma, injury, infection, auto-immune reactions, or cancer.

High Sensitivity C-Reactive Protein has many acronyms (HS-CRP, CRPHS, or Cardio C-RP).  It is a test that provides an assessment of an individual’s cardiovascular risk that is independent of other measures like total cholesterol, HDL cholesterol, or homocysteine.  HS-CRP measures a person’s baseline levels of inflammation and has been found to be an independent risk factor for cardiovascular disease because the formation of arterial plaques and clots that cause myocardial infarction and ischemic strokes are encouraged by chronic states of low-grade inflammation.  While high sensitivity C-RP is a good measure of risk of heart attack or stroke, it is not a test to assess inflammation from trauma, injury, infection, or auto-immune disease.  Frequently, this test is selected for patients when the normal C-RP is the right test.  I think this happens because clinicians are assuming that the “high sensitivity” test must be better than the normal test.

Be well,

Richard

RSS makes it easy to subscribe to the Simply Well blog – just add the feed address (feed://maliknd.com/simply_well/?feed=rss2) to your RSS reader (your email program) and get updates automatically.

How to order medicines online at cheapest prices? Revia blocks an enzyme that is involved in metabolizing alcohol intake. Used as part of a treatment plan for problem drinking. Thousands of customers order online such remedies like Kamagra. Many US citizens know about levitra generic name. How you can find detailed information about buy generic levitra? The very much great aspect you need look for is cheapest generic levitra. Certainly, for a lot of men, bringing up the matter in the first place is the toughest step. Some medications may add to sex drive difficulties, so its essential to work closely with your heartiness care professional so that the formula can be tailored to your needs. Sometimes the treatment options may turn on sexual dysfunction remedies or hormone treatments. Not to mention that purchasing any medicaments outside a prestigious online drugstore can be unsafe.

More Vitamin D News

Posted on: March 3rd, 2009 by doctor No Comments

Published on February 23rd, 2009 in the Archives of Internal Medicine, a very large study with 18,000 participants found that the people with lowest serum vitamin D levels (based on 25-OH Vitamin D testing as mentioned in the last post) were 36% more likely to get an upper respiratory tract infection than people with the highest (but safe) levels of serum vitamin D.

Another similar study from August of 2008 published in the same journal showed a 26% reduced risk of death (all-cause mortality) in people with the highest (but safe) vitamin D levels when compared to people with the lowest vitamin D levels.

Vitamin D deficiency is epidemic in northern latitudes, with 50% of some populations being clinically deficient.

Vitamin D acts like a hormone in the body – it regulates calcium metabolism (addressing osteoporosis), affects blood pressure (lowering effect), improves mood (likely by increasing levels of important neurotransmitters), and affects immune function (useful for colds, prevention of allergies in newborns, and possibly auto-immune disease).

Click HERE to get the best available vitamin D or go to my Holistic Pharmacy to find the best nutrients, herbs and supplements available.

Be Well,

Richard

How to order medicines online at cheapest prices? Revia blocks an enzyme that is involved in metabolizing alcohol intake. Used as part of a treatment plan for problem drinking. Thousands of customers order online such remedies like Kamagra. Many US citizens know about levitra generic name. How you can find detailed info about buy generic levitra? The highly important aspect you need look for is cheapest generic levitra. Certainly, for a lot of folk, bringing up the question in the first place is the toughest step. Some medications may add to sex drive difficulties, so its essential to work closely with your soundness care vocational so that the recipe can be tailored to your needs. Sometimes the treatment options may include sexual disfunction remedies or hormone treatments. Not to mention that purchasing any medicaments outside a prestigious online pharmacy can be unsafe.

Go to top