Women And Lyme Essential Checklist

Women and Lyme Essential Checklist

BY DR. JAQUEL PATTERSON

ESSENTIAL CHECKLIST

Dr Jaquel Patterson provided this much needed checklist to ensure the underlying cause of illness and all symptoms you are experiencing are addressed

GENERAL LABWORK

Complete Blood Count with differential (CBC w/diff)

Complete metabolic panel (includes liver enzymes, kidney function tests)

Iron plus Ferritin (particularly with fatigue)

RBC Magnesium, RBC Zinc, RBC Copper, RBC Selenium

Vitamin D-25- OH

MTHFR mutation test and homocysteine

B6, B12 and Folic acid

LYME DISEASE AND OTHER TICK-BORNE DISEASES

(Western Blot, Immunoblot or PCR tests may be considered):

Lyme Western Blot and Immunoblot IgM, IgG

Bartonella IgM, IgG

Babesia IgM, IgG

Anaplasma/Ehrlichia IgM, IgG

Rickettsia (RMSF) IgM, IgG

Additional Infections:

Epstein Barr Virus (EBV) Early Antigen IgG

Epstein Barr Virus (EBV) IgM, IgG

Cytomegalovirus (CMV) IgM, IgG

Mycoplasma IgM, IgG

Anti-Streptolysin O Antibodies (ASO) and Anti-DnaseB (if suspect PANS/PANDAS; under 21 yo age)

THYROID PANEL

Thyroid Stimulating Hormone (TSH)

Free T4 and Free T3

Reverse T3

Total T3 and Total T4

Thyroglobulin antibodies and Thyroid Peroxidase Antibodies (TPO)

SEX HORMONES

Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH)

Progesterone

Estradiol

Total and Free Testosterone

Sex Hormone Binding Globulin (SHBG)

DHEA-S

*Prolactin (possibly)

* Hormone metabolites, particularly to look at estrogen metabolites (2-OH, 4-OH, 16-OH)

ADRENAL GLANDS

AM Cortisol or PM Cortisol (Blood serological testing)

*24 hour cortisol testing (as necessary based on other laboratory data) DHEA-S

4-point urinary cortisol testing (tests cortisol throughout the day)

ADVANCED INFLAMMATORY MARKERS

hs-CRP and CRP

ESR

Lymphocyte panel (CD4 and CD8)

MMP-9

TGF-Beta 1

IL-6 (acute inflammation)

For muscle/tissue damage, Lactate Dehydrogenase (LDH), Creatine kinase, Creatine kinase-MB, VEGF D-dimer

AUTOIMMUNE MARKERS AND IMMUNE FUNCTION

ANA

Rheumatoid Factor, Anti-CCP, 14-3-3 eta (synovial inflammation)

Cardiolipin antibodies

Celiac antibodies

Immunoglobulin A,E,D, M, G Subclass 1,2,3,4

*Based on symptoms, additional autoimmune markers may be considered

ENVIRONMENTAL MARKERS

Aspergillus fumigatus, niger and Stachybotrys IgG and IgE (blood serological testing)

Heavy metal testing: Lead, mercury, arsenic (blood serological testing)

Urinary mycotoxin test

Urinary or hair metal testing

Respiratory allergy testing (e g pollens, dust, animals)

Food allergy testing; consider IgE, IgG, and IgE

NOTES