I went on a 30 mile bike ride yesterday with a battery assisted bike and got lab work back

submitted by Musky from self.whatever

Those things are a lot of fun, and even with the assistance, that wore me out. I slept great. At least until the radio alarm started blaring out LET THE BODIES HIT THE FLOOR, LET THE BODIES HIT THE FLOOR. That's was a shitty way to wake up.

Saw the doctor, turns out my blood pressure machine doesn't work right. It was recording some truly horrific blood pressures, but the machine was just wrong.

Blood work showed I'm low on vitamin D. Guess I'll be taking some of that now too. Got a prescription sized dose. Here's the whole thing if anyone is interested:

LABS FROM FEB 22, 2023

ANA SCR, IFA, W/REFL TITER/PATTERN/RHEUMATOID ARTHRITIS PANEL 1
ANA SCREEN, IFAPOSITIVE
RHEUMATOID FACTOR<14 NEGATIVE

CYCLIC CITRULLINATED PEPTIDE (CCP) AB (IGG)<16 UNITS
Reference Range
Negative: <20
Weak Positive: 20-39

A positive ANA, IFA indicates that one or more antibodies associated with connective tissue disease could be positive. The RF and CCP assays are each 65-70% sensitive for established rheumatoid arthritis. While it is still possible that this patient has rheumatoid arthritis, other connective tissue diseases should be considered.

ANTINUCLEAR ANTIBODIES TITER AND PATTERN
ANA TITER1:40 H

A low level ANA titer may be present in pre-clinical autoimmune diseases and normal individuals.
Reference Range
<1:40 Negative

ANA PATTERN: Mitotic, Spindle Fibers

The spindle fibers between the poles are stained in mitotic cells, associated with cone-shaped decoration of the mitotic poles. The pattern is rare in Sjogren's syndrome, systemic lupus erythematosus (SLE), and other connective tissue diseases.

DNA (DS) ANTIBODY
DNA (DS) ANTIBODY<1IU/mL
Interpretation < or = 4 Negative

CHROMATIN (NUCLEOSOMAL) ANTIBODY<1.0 NEG
Reference Range: <1.0 NEG AI
SM ANTIBODY
SM ANTIBODY<1.0 NEG
Reference Range: <1.0 NEG AI

This pattern may represent a connective tissue disease other than systemic lupus erythematosus or be found in healthy individuals. Consider evaluation for other analytes including SS-A, SS-B (for Sjogren's syndrome), RNP (for mixed connective tissue disease), and centromere and Scl-70 (for scleroderma and scleroderma variants), and Jo-1 for myositis. These assays can be ordered by contacting your local laboratory.

VITAMIN D,25-OH,TOTAL,IA 18 L
Deficiency: <20 ng/mL

ANA SCR, IFA, W/REFL TITER/PATTERN/SJOGREN'S PANEL 1
SJOGREN'S ANTIBODY (SS-A)<1.0 NEG
Reference Range: <1.0 NEG AI
SJOGREN'S ANTIBODY (SS-B)<1.0 NEG
Reference Range: <1.0 NEG AI

A negative rheumatoid factor result does not support the diagnosis of rheumatoid arthritis. An assessment of clinical signs and symptoms is required for a ...

Note 1

ANA IFA is a first line screen for detecting the presence of up to approximately 150 autoantibodies in various autoimmune diseases. A positive ANA IFA result is suggestive of autoimmune disease and reflexes to titer and pattern. Further laboratory testing may be considered if clinically indicated.

all 21 comments
sorted by:
top
newinsightfulfun

[–]Alphix 5 insightful - 3 fun5 insightful - 2 fun6 insightful - 3 fun -  (2 children)

I would suggest you take a bit of K2 along with your D3. Also, for some people, raising the levels of D is REALLY HARD. I'm not always 100% on this dude, but he still gets most things right: https://www.youtube.com/watch?v=NFxQJmvgXOQ

[–]Airbus320 1 insightful - 2 fun1 insightful - 1 fun2 insightful - 2 fun -  (0 children)

Mm

[–]Musky[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

Thanks, I'll check it out.

[–]Tums_is_Smut_bkwrds 5 insightful - 2 fun5 insightful - 1 fun6 insightful - 2 fun -  (3 children)

A note on vit D. It takes the body a week to convert it to Calciferol the form that the body uses. Point being this is why it's important to take it everyday. Once OP gets his levels up then he should be able to buy inexpensive vit D tablets from Costco or wherever and carry on with the daily recommended dose.

[–]Musky[S] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (2 children)

The doctor said to take this prescription vitamin D once a week for three months, although my multivitamin has 25mcg of D3

[–]elchupacabra 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (1 child)

I wonder if you could get a cheap testing kit to test your multivitamin at home, just to make sure they're not sugar pills. The supplement industry is rife with fraud.

[–]Musky[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

It's Kirkland, they usually are really good about quality control.

[–]1Icemonkey 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (1 child)

Seriously?

[–]Musky[S] 5 insightful - 4 fun5 insightful - 3 fun6 insightful - 4 fun -  (0 children)

Yes, Saidit is my Facebook.

[–]Zapped 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (2 children)

What is your blood type?

[–]Musky[S] 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (1 child)

A+. Interestingly, I had been told my whole life I was O- and didn't realize until a phlebotomist typed my blood.

[–]Zapped 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

Certain autoimmune diseases seem to follow certain blood types.

[–][deleted] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (4 children)

The bike ride sounds nice.

[–]Musky[S] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (3 children)

It was, I highly recommend them if you have money burning a hole in your pocket. Although on the way home the restraining arm of the bike rack failed and one of the bikes hit the ground and got dragged a bit. It's going to need a new handlebar and brake arm, but all in all wasn't too bad.

How's life?

[–][deleted] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (2 children)

Everything is good man. Just got fed in custody court. Moving to a new place. Banging bitches. Lol. Just life.

How about you?

[–]Musky[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

Things have been better, things have been worse, the dude abides.

[–][deleted] 2 insightful - 2 fun2 insightful - 1 fun3 insightful - 2 fun -  (0 children)

Exactly.

[–]elchupacabra 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

What is the name of the test they gave you?

[–]Musky[S] 2 insightful - 1 fun2 insightful - 0 fun3 insightful - 1 fun -  (0 children)

There were a few.

ANA SCR, IFA, W/REFL

TITER/PATTERN/RHEUMATOID ARTHRITIS PANEL 1, SJOGREN'S ANTIBODY (SS-A), SJOGREN'S ANTIBODY (SS-B), ANA SCR,IFA W/REFL TITER/PATTERN/LUPUS PNL 1, ANTINUCLEAR ANTIBODIES TITER AND PATTERN, DNA (DS) ANTIBODY, CHROMATIN (NUCLEOSOMAL) ANTIBODY, SM ANTIBODY, VITAMIN D,25-OH,TOTAL,IA

[–]tiny-brown-mug 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (1 child)

I'm glad you got some answers. What's next?

[–]Musky[S] 1 insightful - 1 fun1 insightful - 0 fun2 insightful - 1 fun -  (0 children)

A different doctor, I think,.wants to go over the test results again tomorrow. I'll see what they say. The mitotic spindle apparatus antinuclear antibodies that were detected are incredibly rare but associated with rheumatism, lupus, and Sjogren's.

What I'd do is probably prescribed a DMARD like methotrexate or hydrochloroquine and see if it helps. The DMARDs lower the immune response to stop the body from attack itself. Interestingly that's why ivermectin and hydrochloroquine were looked at for treating covid, because they're both interleukin-1 inhibitors and could possibly stop the cytokine storm that was killing people.

What the doctor will do, idk, today the doc seemed content to pass the buck to a rheumatologist. I might not see one until next year when I can beef up my insurance because the specialist I want to see is incredibly pricey.