Got some blood test results back from a #SIRENstudy sub-study @vibrant_uk

They're trying to understand if there's immunological factors that prevent some people getting infected (among other things). 🧵
As a "never infected" participant, I got to partake. though my infection status is due to FFP3 & living a fairly isolated disabled life rather than my immune system being super awesome

tho clearly my immune system is a bit wonky

#postvac #vaccineinjuries
anyway, all normal:
IgG 8.2 g/L (ref: 6-16)
IgA 2.5 g/L (0.8-4)
IgM 1.2 g/L (0.5-2)

suggests no signs of autoimmunity, in line with all the negative autoimmune tests i've had, except the questionable CellTrend ones
Serum free light chains:
Kappa 14.6 mg/L (ref: 3.30-19.40)
Lambda 10.2 mg/L (5.71-26.30)
Kappa:Lambda 1.431 (0.26-1.65)

nothing interesting here. free light chain abnormalities can indicate amyloidosis. symptoms that can include weakness, fatigue, numbness/tingling in arms/legs
i fit the symptoms but no sign this is part of my pathology

Protein electrophoresis: normal

This can indicate inflammatory diseases.

A limitation of these results is that im on immunosuppressive drugs: fludrocortisone, aspirin, ketotifen
still positive for spike antibodies. based on the Abbott kit we were using locally, im nearing the minimum the test can detect, so i doubt this is a high positive

still negative for nucleocapsid antibodies. shocked face.
Hep B antibodies 988 miu (> 100 = immune)

This is a relief. I was advised wrong in my PhD and only got 2 of the 3 shots and no Ab test at the time. I was then advised to get my 3rd whilst working in the NHS. i refused because of my COVID vax reaction, so glad im well protected
Varicella Zoster antibodies: positive

Measles antibodies: positive

Relieved to see measles is +ve as my med records indicate i only had 2 MMR jabs as a kid, dunno why. again i refused the 3rd when offered working in NHS due to my covid vax reaction

Lymphocyte subsets: normal
im not sure these data are useful to the study. as above im very COVID cautious, wearing face fitted FFP3s at work, out and about, and if anyone comes in the flat (they also wear FFP3 and the windows get opened). plus the meds im on might skew things. but i found it interesting!

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More from @angryhacademic

May 18
Latest paper from Dr Robin Kerr & me:
#LongCovid is primarily a Spike protein Induced Thrombotic Vasculitis
researchsquare.com/article/rs-293…
Here we proposed that long covid is primarily a spike protein-induced thrombotic vasculitis, & we use Robin as a supporting case study 🧵
#TeamClots a U-shaped blood vessel. at...
We start by discussing the highly thrombotic nature of acute COVID & how this pathology doesnt cease in those with long COVID. in other words, long COVID is a continuation of the pathology accompanying acute COVID. Importantly, we cant rehabilitate until the pathology is treated
we highlight the role of microclots in capillary occlusion, that coagulopathic outcomes occur after acute covid (e.g. ↑ stroke risk), that there is platelet hyperactivation and endotheliitis, and all this leads to impaired oxygen extraction (and more)
Read 17 tweets
May 18
Latest venture: Choline

THREAD: Mishmash of ideas and some inferences 🧵

#postvac #longcovid
1. Last year we found:
👉🏻severe B12 deficiency
✅low MMA after B12 replacement...
❌...but still elevated homocysteine
❔low-normal folate
❌no MTHFR gene variant
✅...but correction of homocysteine after folic acid supplementation

this caused confusion because there is no obvious reason why i need so much folic acid to keep my homocysteine down

turns out, choline deficiency can elevate homocysteine
ncbi.nlm.nih.gov/pmc/articles/P…

and B12 deficiency might increase choline needs leading to depletion Folate, Vitamin B12, and Me...
Read 21 tweets
Apr 19
Guideline based medicine doesnt always equal evidence based medicine

#MedTwitter
Example: my haematological treatment is based on standard pulmonary emboli guidelines. These do not take into account the complexity of my case, so how can my treatment be evidence based?
The doctor is essentially winging it as much as doctors treating #postvac #LongCovid outwith guidelines...because there are no evidence based guidelines right now
Read 4 tweets
Apr 19
If other diseases were treated like #LongCovid:

"You expect me to believe blood sugar is the reason we needed to amputate your leg?"

"Riiiiggghhht, so the lump in your lung has just *moved* to your liver..."

"And how exactly do you think shellfish made your throat swell up?!"
"Youre saying the virus has been hiding in your body and has now come back to life and given you shingles?"

"Really, you think your own immune system is 'attacking' you"

"There's no evidence a head injury can make you thirsty"
Physiology is complex.

It utterly baffles me that so many doctors seem to think we know and understand it all, that what they learnt at med school is fact and final, that things they cant imagine happening *might actually be happening*.

#MedTwitter
Read 5 tweets
Feb 6
Disinformation is the source problem but why do people believe it is a more valiant route to tackle imo.

The instant dismissal, even in the face of no evidence, by scientists and others is one reason people believe disinfo and distrust other sources ime
Ofc if we got rid of the source there'd be no problem, right?
Well yeah but i dont think thats realistic since any1 can say anything & even make a false but evidence based conclusion (see pinned tweet). We dont all believe everything we hear, theres reasons we believe what we do
Finland puts a lot of effort into this and it seems more successful than binary "blame the disinfo spreaders" narratives many of us have
Read 4 tweets
Feb 6
Well after a run of ~4 pretty good weeks, the last 5 days have been 💩
Not quite full on relapse, but not well enough to really be functional

Mainly fatigue, dizziness, nausea, blocked nose, dry throat, a weird feeling in my head, tingling everywhere

#postvac #LongCovid #MECFS
My head has tingled (on the skin) which i dont think ive had before

The tingling in my legs has been weird, like all over tingling in my calfs that feel momentarily like my calf is being hugged tightly by tingles
Feeling in head, not quite a headache (except when it has been), not quite head pressure. But kind of is head pressure 🤔

Vascular symptoms are returning like losing blood to my arms when holding my phone lying down
Read 4 tweets

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