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I have some questions about bloodworm results that no one…

Customer Question
I have some questions...

I have some questions about bloodworm results that no one can seem to explain because they are low vs. high. It seems little is known about low values.

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

The results are in routine panels that are run. Drs. don't seem to know why these results are low.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

The lab work shows low uric acid for 11 years and low alkaline phosphatase. Also low maganese. Age: 29 years old currently suffering with multiple tendonopathies.

Submitted: 2 months ago.Category: Medical
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Answered in 17 minutes by:
5/31/2018
Doctor: Dr. Jon, Board Certified MD replied 2 months ago
Dr. Jon
Dr. Jon, Board Certified MD
Category: Medical
Satisfied Customers: 595
Experience: Physician
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Hi there. I'm Dr. Jon. I'll be happy to help answer your question.

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Doctor: Dr. Jon, Board Certified MD replied 2 months ago

Part of the reason many people do not know much about low uric acid levels and low alkaline phosphatase is that low levels very rarely indicate a medical problem. Low magnesium levels if too low can potentially be problematic. I'm happy to explain the most common causes for low levels of these. My response will follow and will take a few minutes to type so please bear with me. Also, please ignore any requests for a phone call...these are from the website and not from me.

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Customer reply replied 2 months ago
It's not low magnesium. It's low maganese
Doctor: Dr. Jon, Board Certified MD replied 2 months ago

My apologies. Thanks for clarifying.

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Doctor: Dr. Jon, Board Certified MD replied 2 months ago

Low levels of all of these things are most commonly caused by low levels being taken in through the diet. Some foods are higher in purines, a compound broken down to uric acid in the body, zinc, a compound related to alkaline phosphatase production, and manganese, a compound found in certain foods like fruits, vegetables, nuts, and seeds. Eating less of these foods will lead to low blood values when compared the normal laboratory standard, but they do not necessarily indicate a problem and rarely will cause a health issue.

Low uric acid levels can also be seen with certain liver diseases and a disease related to having high copper levels in the blood, but these are somewhat rare and would be accompanied by other symptoms of disease. Low manganese levels can also be seen in people who use a lot of antacids or who have issues absorbing food during digestion. It also can be seen with liver disease as well, but liver disease would usually have high liver enzyme levels (and often alkaline phosphatase would also be high).

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Customer reply replied 2 months ago
My son was screened for Wilson's disease 4 years ago. It was negative. His 2 other liver enzymes elevated and he has a tendency to have low serum copper and low ceruloplasm. I was wondering if just having low cooper and low ceruloplasm goes together with low uric acid? Sometimes his copper is normal. But low normal.
Doctor: Dr. Jon, Board Certified MD replied 2 months ago
Actual it is often the other way around that high copper levels would be seen with high Uric acid levels.
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Doctor: Dr. Jon, Board Certified MD replied 2 months ago
Sorry I miswrote that. High copper levels would be seen with LOW uric acid levels. Apologies for the confusion
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Customer reply replied 2 months ago
With wilsons, it's high copper in urine. Regardless, his enzymes normalized quickly after stopping taking some essential fatty acids vitamins. (Except alk phos) Current symptoms include multiple tenfonopathies. There is a connection of low maganese to tendon issues. But everything is so rare it's hard to get help.
Customer reply replied 2 months ago
About lymes disease - what do you think about blood work done a year apart. The first year just 1 band showed up, the second year 2 additional bands showed up. So now there are 3 bands, but still considered negative. in 2017 - IgG P41 Ab and IgM P41Ab present. In 2018 IgG P41, IgG P66 Ab and IgG P58 all present. The IgM P41 Ab is now absent.
Doctor: Dr. Jon, Board Certified MD replied 2 months ago

I'm sorry but your question is getting a bit out of my area of expertise, so I am going to opt out and allow another expert to try to help you.

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Customer reply replied 2 months ago
Ok thanks
Customer reply replied 2 months ago
I have not heard back from anyone yet.
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