Quote:
Originally Posted by Ladymom  It's outdated protocol. Dr. Center revised it a few years ago. This is from page 7 of Dr. Center's 2007 seminar handout:
7. Random "Fasting" Bile Acids ARE NOT reliable for RULING OUT liver dysfunction or abnormal portal circulation. Rather, you need PAIRED SAMPLES AROUND A MEAL. We no longer collect 12-hr fasting bile acids but instead collect a bile acid sample before a meal (pre-meal) and 2 hours after a meal (post-meal or postprandial)." (all emphasis was added by Dr. Center, not me) |
Boy there's so much information out there it's confusing, LOL!
The first Bile Acid test they did she had eaten that morning so hadn't fasted for 12 hours, it had probably been a couple of hours before the first sample was taken. I guess the first test results were confusing which is why they asked to do a 2nd test with her fasting. I'll ask for the first test results also as well as this 2nd one. I'm feeling that if they suspect LS I need to have them do a Protein C test so we can see if it could be MVD?
So when they call back what are the questions I should ask?
What the BAT results are? Was the testing done in house? Anything else?