Lorraine,
-Arabinose – mildly elevated
-4-cresol positive. DHPPA is a normal marker
-Oxalate – high normal, but its interesting that the Fumaric is high which isn’t seen that often. Arabinose can inhibit Fumarase leading to high Fumaric.
-HVA definitely high with an elevated HVA/VMA ratio. This indicates some blockage of Dopamine Beta-Hydroxylase enzyme likely from clostridia (4-cresol).
-High 5-HIAA could come from 5-HTP or Tryptophan supplementation, medications like Prozac or the high consumption of foods such as eggplant, avocados or bananas.
-Elevated Uracil suggest poor L-methyl-folate status
-High markers for Fatty Acids likely from high yeast and/or clostridia
-High pantothenic acid – I personally think this may be from adrenal stress as the adrenal may be pulling on B5 reserves to support adrenal function.
-Low N-Acetyl-Cysteine (NAC)
-Elevated hydroxyhippuric – this is back-up by the low NAC. Also, suggests pulling on glutathione reserves.
The OAT doesn’t strongly support SIBO, but it isn’t necessarily a SIBO test. The clostridia could be causing some of her ongoing digestive problems.
The MNT didn’t upload. Anything significant on it worth noting?
Dr. Woeller
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