March 2011 Hepatitis C Treated with Low Dose Naltrexone (LDN) - Dr. Zagon comments

Hepatitis C Viral load -  16,500 slightly up from the 14,679 that it was in October 2010.

ALT - 30 up from 24 in October  (6-40)

AST - 33 up from 31 in October  (10-35)


Basically the same as it has been for the last few lab tests!  Normal liver function tests and lower viral load using 3 mg. of Low Dose Naltrexone.

My platelets also went up as did my red blood cell count.  However, my IgA was back on the low side again - last labs, it was normal for the first time.

Ferritin was 43, which is down a bit from last.  Iron was also down as was total saturation.

I also saw my gastro recently and was pleasantly surprised with his attitude and manner. I had not seen him since 2009 shortly after starting LDN and he had yelled at me for taking it.

I had a new abdominal ultrasound done last week and got back the results.  The U/S report used the word unremarkable to describe most things - however, it showed "diffuse fatty infiltration of the liver" DRAT! My last u/s was done about 3-4 months following my appointment with Dr. Berkson in 2009 and my five IV ALA (alpha-lipoic-acid) treatments and it had "normal liver function" with no mention of fattly liver! Every other u/s that I have had since 2001 has had fatty something, but not the one after Dr. Berkson.  I do know that Dr. Berkson recommended a course of initial IV ALA treatments, then oral supplementation and then another round of IV ALA.  I have never had any more treatments since 2009.

So, maybe that is proof of the power of IV ALA - or as the gastro and I discussed, maybe interpreting ultrasounds is up to whoever reads it. But I would tend to think that the IV ALA did it - back in 2009 during the same time, my AFP (alpha feta protein) test went up to 6.1 (which was slightly above normal) - it had always been normal before. I remember reading at the time that liver regeneration can sometimes cause elevations in AFP. My doctor today told me that I was correct - "You have been reading". My AFP was normal for every test since then.

Fortunately for me, my own CAM doc here does ALA, so I will want to have a few. It'll probably be awhile though as I don't have the money for it now.

Anyway, it was a pleasant gastro visit - probably the only one that I've had since I was diagnosed in 2002.


NOTE!  2013 UPDATE ON DOSING - PLEASE READ POST:

Why 3mg. LDN might be best?

Back to original post:

Dr. Zagon's comments on LDN dosing

For my current labs,  I was taking the 3 mg. LDN every other night.  In the past, I had tried increasing the dosage and taking it almost every night.  Some folks in our Hepatitis Cam group had initial drops in their viral load and liver enzymes on 3 mg. but their levels seemed to go back up down the line.  When they increased their LDN dosage, their levels went back down.  I wrote to Dr. Zagon about this and this is what he said:

"You are a product of not understanding how LDN works - a classic example I might add. And most of your colleagues on the web share your misinformation.

LDN works through what is called the opioid growth factor - a native peptide (and its receptor) in your body. LDN is a decoy that fills in at the site of the receptor - the body not having the peptide makes more of it in compensation. Now the trick we discovered 30 years ago. A short time of naltrexone - low dose naltrexone is the term lay people use (but really intermittent opioid receptor blockade) increases the peptide. After the naltrexone is metabolized - optimal time is 4-6 hours for around 3 mg, the high levels of peptide and actually an increase in receptors as well can interact. This depresses cell/viral proliferation - and makes you better.

By increasing your dose of LDN you are cutting into the time you need for an optimal reaction. Hence - you feel problems.

My advice - take 3 mg/day. If you have a problem, start taking LDN once every 2 days (many folks are taking it that way - and
some every 3 days).

Dr. Zagon

A story. A lady calls me and says she has breast cancer. She is taking LDN and the cancer is growing more rapidly. I ask her how LDN is being given - she says that since LDN is so good, she is taking it several times a day. Now you know why she had a faster growing cancer - she was not allowing the opioid-receptor interaction to occur because of so much naltrexone.

And, if you block the receptors all day with naltrexone (high dose of naltrexone), we now see that wound healing is accelerated. Why, because the cells are speeding up in replication and healing the wound faster.

Below is what I wrote to Dr. Zagon:

I have been on 3 mg. LDN for over a year for my HCV with terrific results - viral load dropped from 1,400,000 to 11,200 on my April 2010 labs and lft's are normal. I was on 3 mg. every other night,then every night. I recently increased my dosage in an attempt to lower my viral load even more - went up to 3.5 and then to 4 mg. taking it every night. However, I have had small outbreaks of shingles and HHV2 on the 4 mg. dosage. I did not take the LDN for a couple of nights and started again last night at 3.5. I am going togo back to every other night dosing for now.

So after Dr. Zagon's first response, I wrote back to him and explained about our Hepatitis Cam group's database and how most folks lft's and viral load went down when they increased their LDN dosage.  This was his reply:

First, science is science. If these individuals are having to go up on dosage to evoke a positive response, that is potentially meaningful. My interpretation is that these patients are exhibiting a tolerance that builds to LDN. Very interesting. Our initial recommendation was 3-10 mg of LDN daily.

Second, your story does not conform to what others may be
seeing - tolerance. If anything, you are encountering a sensitivity. I would certainly try 3 mg every other day and see what happens.

Third, this entire LDN business is empirical right now -
you have to be in the frontier of just plain trying things out. In
your case, lower is the best. It may be that in some individuals
their pharmacology is far different than yours - they might be
building a tolerance and need more. Alternatively, the LDN is either breaking down over time and loses potentcy, or is not or high quality or is being mixed in with "fillers" that are negating the action of the LDN.


That correspondence took place over last summer (2010) - now, I ponder why my viral load seems to be staying the same (though slowly creeping higher) and not getting any lower, or thankfully, not skyrocketing back up to where it was pre-LDN - which was over 1 million.  What can I do to get it even lower?  So, despite what Dr. Zagon says, I am going to start taking the LDN every night and perhaps slightly increasing the dosage in an attempt to lower my viral load even more.  He has added a bit of confusion into the mix, I must say.   Or look into TLR's (Toll Like Receptors) - there has been a lot of research of late about them, particularly in HCV.  Dosing of LDN 2 x a day is also another possibility - I will update after more research.

Low Dose Naltrexone for Hepatitis C September 2010 Lab Work

I got back my full September lab results the other day.  I have been on 3 mg. LDN since March of 2009 for my Hepatitis C - I also test positive for Sjogren's and RA, though with few symptoms.  I have/had an IGA partial deficiency and in these labs, it is normal for the first time.  My doctor ( Dr. Kashi Rai) believes that my limited but strict gluten/dairy free diet has been the reason for the result.

I am thrilled that my HCV viral load is still quite low as are my liver enzymes - and that most of my other tests are pretty darn good!  After the hellish time I've had of it these past few months, along with Panda's illness and death on October 4th (St. Francis Blessing of the Animals day), and enormous, unrelenting financial and emotional stress, I was prepared for the tests to be terrible.   Oh, the power of LDN and DIET!

My liver enzymes are still all within normal levels with ALT (6-40)  at 24 from a pre-LDN level of 174  - AST (10-35)  at 31 from pre-LDN of 99


HCV viral load went up a tad from the 11,600 it was on my last labs to it's current 14,679.  Still a far cry from the pre-LDN 1,280,000 level!

I was also pleased with the overall Lymphocytes - which have all increased.

 
 
 

October 2010 LAB RESULTS

 Tests                          09/10            01/09

C-Reactive Protein                   0.10              0.10

Platelet (140-400)                     171               163

Glucose (65-99)                         84                84

BUN (7-25)                               10                 5

Creatinine (.060-1.10)              0.73              0.70

Sodium (135-146)                    138                135

Potassium (3.5-5.3)                   4.3                4.6

Protein total (6.2-8.3)               7.9                 8.9

Albumin (3.6-5.1)                     4.9                 5.2

Globulin (2.2-3.9)                     3.0                 3.7

 Bilirubin Total                          1.1                 1.1

Alk. Phos (33-130)                   59                 72

AST (10-35)                             31                 99

ALT (6-40)                               24                174

Cytomegalovirus IGG              2.60                2.36

CMV - IGM                          0.79                0.67

DHEA Sulfate (15-170)          106                  92


Epstein-Barr IGG                  1:320                1.320


Estradiol                                  19                   31


Ferritin (10-232)                      53                  115


HCV RNA -                       14,679                 1,280,000

Herpesvirus 6 IGG                1:10                   1.80

HHV6 IGM                          1.20                    1:20

IGF I - ECL                          185

IGF -I                                                            139

Immunoglobulin A (81-463)    95                    72


Immunoglobulin G (694-1618) 1377              1932


Immunoglobulin M (48-271)     93                 135


Lymphocytes

CD3 (Mature T cells) ( 57-85)   78                   77


Absolute CD3+ Cells (840-3060)  1441        1008


%CD4 (Helper Cells) (30-61)       57                 52


Absolute CD4+ cells (490-1740) 1067             720


%CD8 (Suppressor T Cells) (12-42)  22            22


Absolute CD8+ cells (180-1170)    405             333


Helper/Suppressor ratio (0.86-5.00)  2.59           2.17

%CD16+CD56 (4-25)                        6               10
(Natural Killer Cells)


Absolute NK Cells (70-760)              102            128
(CD16+CD56 Cells)


%CD19 (B cells) (6-29)                      15             12


Absolute CD19+ Cells) (110-660)     277             189

Absolute Lymphocytes (850-3900)    1857          1577


Progesterone                                         0.5             0.5


Rheumatoid Factor (<14)                      18           31


Sjogren's Antibody(SS-A) (<1.0)          2.8         4.5



T3, FREE (230-420)                              330             337


T4, FREE (0.8-1.8)                                1.0             1.3


TSH, 3RD GENERATION (0.40-4.50)  2.67        1.97


Testosterone Total                                    60            63

Vitamin D, 25-OH Total                            83           62



Also, I wanted to mention that the new 2010 edition of the free LDN book 'Those Who Suffer Much, Know Much' is now available via PDF. My Hepatitis C story is included in this year's edition as well as Joyce's HBV positive daughter's. Also has much more info about using LDN in other disorders as well as more about LDN in general:

LDN Research Trust

Treating Hepatitis C with Low Dose Naltrexone (LDN)

3 mg. LDN next to Advil

UPDATE 2013 LDN DOSING - WHY 3 MG LDN MIGHT BE BEST -

Treating Hepatitis C with Low Dose Naltrexone (LDN)

UPDATE - JUNE 2014 -

The original post below was written back in 2010 but I have since edited it to reflect the newer research regarding using the lowest dose possible of LDN.

Please also see:   Why 3 mg Low Dose Naltrexone Might Be Best


After being on 3mg Low Dose Naltrexone for 5 years now, my HCV viral load still remains low and my liver enzymes are still normal.  And even though I imagine that in the next year or so, I will do the newest non-interferon treatment - minus the ribavirin, I still plan on taking Low Dose Naltrexone for the rest of my life - virus or no virus.  Meanwhile, now that a possible real cure for HCV has come along, most folks cannot afford it at this time.  So the best bet is to take Low Dose Naltrexone, use good quality supplements that help support one's liver and immune system and to eat as healthily as possible.  A paleo type diet and one that does not involve grains or any kind, particularly wheat.



I am successfully managing my Hepatitis C virus by using LDN - Low Dose Naltrexone, supplements, diet and exercise and have attempted to share my experiences on my blog, Nola Hepper. Now, I have tried to include all of this information in one place.

I was diagnosed in 2002 with Hepatitis C, genotype 1b. A biopsy revealed minor inflammation with Grade 0-1, Stage 0-1 and my lab work showed slightly elevated liver enzymes. Despite being urged to due interferon/ribavirin treatment back then, I chose to make healthy life style changes instead while waiting for "something else" to come along and learned as much as I could about the HCV virus. My health remained about the same for several years until 2005, when my Hurricane Katrina experience caused me to start having severe side effects. I developed fibromyalgia, shingles, severe chemical sensitivities and terrible IBD. My doctors told me that all of these problems were being caused by the Hep C and again urged me to do treatment.

I was able to get Social Security disability and Medicare and this allowed me to see a very good integrative doctor. She tested me for everything and suggested a course of action for me, which included several new supplements and diet changes. She also gave me a paper written by Dr. Burt Berkson, another integrative doctor who had done extensive work using ALA - Alpha-Lipoic-Acid. His work seemed very promising, so I began to do his protocol of ALA, Milk Thistle (although I had already been taking milk thistle for years), Selenium, and B Complex along with the other supplements that my doctor had recommended for me.

One of the diet changes that my doctor mentioned was to cut down or eliminate wheat - she said that most people cannot really digest it or are sensitive to it. I was a bit skeptical but after researching it, I decided to try it out. And the results were amazing! Within days it seemed that my IBD and bloating had greatly improved. Soon, I noticed that my fibromyalgia had gotten much better as had my chemical sensitivities - I didn't' seem to be quite so sensitive to smells anymore - and you must understand. It had been to the point where going to the grocery was an ordeal - I had to hold my breath going down the detergent or bug spray aisles. This also was much improved! Gluten (one of the proteins found in wheat) is a big problem to most folks with liver disease, particularly those who undergo interferon treatment, as it is a known trigger for celiac disease and can cause elevated liver enzymes.

After researching more about diet and nutrition, which included an appointment with a Certified Clinical Nutritionist, I took things a step further and ordered a food sensitivity/intolerance panel through a company called Alletess as they took my Medicare insurance. This test revealed that I had sensitivities to cow's milk, yeast and some shellfish. Upon eliminating these foods, my IBD really seemed to completely go away and my other health issues got much better as well.

However, my latest liver lab work (January 2009) was frustrating - my HCV viral load test was 1,400,000 - ALT was 174 and AST at 105 - other labs were pretty much in the normal range with a few blips here and there. I had exchange emails with a couple of folks who had seen Dr. Berkson and they said that they liked him and were seeing great improvements in their health - they also mentioned that he had put them both on Low Dose Naltrexone or LDN. So I decided to go out to New Mexico to see him myself.

I started on 3 mg. of LDN in mid-February 2009 while at Dr. Berkson's clinic but after I got back, I started having an upset stomach due to the lactose filler that the pharmacy in New Mexico used in their compounding mixture. I went off of the LDN for about 2 weeks until I got a new prescription mixed with acidophilus - probably March 1st, 2009. I had new labs done in late April 2009 and the results were remarkable. Viral load dropped from the 1,400,000 to 48,000! ALT from 174 to 22 and AST from 105 to 30!. My integrative doctor was amazed as I was but my traditional gastro actually yelled at me, saying that LDN was not "supposed" to treat Hepatitis C and that the labs had to be a mistake. I've never gone back to him.

This is about the time that I became an advocate for LDN and started posting more on my blog and on several LDN yahoo groups and various Hepatitis C, health sites, etc. How could I not with the results that I have had? Since that time, I have played around with the LDN dosage and have used my lab results as a kind of rough guide in doing so. Currently I am back on 3 mg. that I take most every night. My May 2010 lab work showed a viral load of 11,400 - ALT at 25; AST at 30.  (note - 2014 LDN dosage is 3mg taken every other night or every third night)

Ideally, it is best to work with a doctor who is familiar with the workings of LDN and who can prescribe it. And to get the LDN from a reputable compounding pharmacy such as Skip's Pharmacy. However, one can also order the 50 mg. tablets and make the solution themselves without a prescription.

If you already have a prescription for LDN, it is probably in a capsule form. If you want to start off at a different dose than whatever your prescription is for, it is better to mix the LDN with water than to simply take a third or half of the capsule alone. The reason being is that one can never be sure where the LDN is in the capsule and if you mix it with water, it is a more accurate dose. For example, I take my 3 mg. capsule and dump it into a dark colored vial (I got a 12 ml (cc) vial at Whole Foods for a couple of bucks). Use a 1 cc (ml) or 3 cc (mg.) syringe and measure in 3 ml. of distilled or bottled water - not tap water. Measure out the needed dose and store the rest in the fridge. For 4.5, simply increase to 4.5 cc's (ml's) of water.


There are slightly different instructions for the 50 mg. tablet but it is the same principal - 50 cc's (ml's) of water mixed with the tablet - obviously you would need a vial large enough for that amount - more detailed instructions are included in one of the links above or here: "How to Obtain Low Dose Naltrexone"

"Once you have a supply of 50 mg Naltrexone tablets, you can convert them as needed to LDN. To do so, fill a graduated cylinder with 50 ml of distilled water (unlike tap or spring water, distilled water contains no impurities that could potentially react with and thus reduce Naltrexone's effectiveness). Pour the water from the graduate into a 4 oz amber glass jar with a tight-fitting lid. Then add a 50 mg Naltrexone tablet. The tablet will mostly dissolve in about five to ten minutes. Since not all of the tablet is soluble in water, instead of yielding a clear solution, the result will be a cloudy suspension. It must be shaken each time before use to evenly disperse all the undissolved particles. One ml of the (shaken) suspension will contain one mg of Naltrexone. Use a graduated baby medicine dropper to measure out the dose you need."


Dosing is very individualized. I am finding that the biggest mistake that doctors are making with LDN is to prescribe the 4.5 dosage in the beginning, particularly to their patients with liver disease - some folks can tolerate this dosage, but in most it is a guarantee of initial side effects - sleep disorders being the most frequent. There are different theories on dosing, depending on what doctor or researcher you listen to. Dr. Berkson starts everyone off at 3 mg. but he prescribes sleep medications in the first month to counteract these sleep problems. Most savvy doctors and LDN veterans know to recommend that people start off at a very low dose such as 1 mg. Start at 1 mg. and stay on it for a week or so then move up to 1.5 or 2 for another week or so until you get to 3 mg. At this point, you can either work your way up to 4.5 or stay at the 3 mg. dosage until you get your first post LDN labs done. Again, dosing is very individual - up to that person's make up, medical problems, etc.  - some folks do well on 3 mg and have great results while others need more or less of the Low Dose Naltrexone - some folks take it every other night or less.  It really depends greatly on what disorder or multiple disorders the person has along with other factors.


Why LDN might not work -  According to several sites and personal accounts, yeast infections seem to be triggered or made worse when first starting LDN.  It is very important to have any candida, or other mold/yeast problems cleared up as having them can interfere with how well the LDN works.

The link below covers this as well as other side effects - note - the site was written by someone with MS, but it is still good info:


Side Effects & Dosing of Low Dose Naltrexone (LDN)


Dr. McCandless ( Children with Starving Brains )  has written about the dietary aspect when using LDN:


Dr McCandless, seldom is LDN stand-alone treatment



There is much more LDN info on other sites:

LDNers.org site - Resouces page


I have covered supplements in another area of the blog -  Supplements 

a quick recap.  The most important supplements for the liver are those that help generate more glutathione,  - usually ALA - alpha-lipoic-acid, with  NAC - N-acetyl cysteine, SAMe, whey protein (gluten-free) and others.

Silymarin (Milk Thistle) is extremely important as is Vitamin D3.  Most folks are very deficient in Vitamin D3, particularly in those with HCV.   A multi vitamin without iron! (capsule form is best and more easily absorbed than tablet), vitamins C & E.

One of the most critical things is to keep one's ferritin levels below 100.  Ferritin is basically the iron storage in the liver - and it is the iron that does all of the damage!!!  Not the HCV virus as most docs and literature would have one believe.  See Iron Ferritin and the Liver for more.

May 2010 Hepatitis C Labwork with Low Dose Naltrexone (LDN)

In March, 2009, I started taking Low Dose Naltrexone, or LDN to treat my Hepatitis C. It was initially prescribed to me by Dr. Burt Berkson at his clinic in Las Cruces, New Mexico, in 3 mg. capsules. Since that time, my own doctor writes my LDN refill prescriptions.


Within months, it brought down my viral load and normalized my liver enzymes. And on my most recent lab work (5/2010), my viral load is even lower.


Viral load at 11,300! In December, it was 34,524. September: 18,729. Pre-LDN Jan. 09 - 1,280,000


ALT: 25  December: 34  Sept. 36   Pre-LDN Jan. 09 - 174 (range: 6-40)

AST: 30 December: 31 Sept. 37 Pre-LDN Jan. 09 - 99 (range: 10-35)


My doctor uses Quest lab:

HCV RNA, PCR test result of 11,300 with a log of 4.05. It was the COBAS (R) Ampliprep/COBAS, TagMan (R) RNA Test Kit (Roche)



Will update complete labs soon!  Vitamin D at 95 from 53 after taking 5,000-10,000 of NOW Vitamin D3.

Low Dose Naltrexone January 2010 Lab Results for Hepatitis C

I started Low Dose Naltrexone (LDN) last March for Hepatitis C. I also test positive for Sjogren's Syndrome and Rheumatoid Arthritis (RA). These are my latest lab results.

I was a bit apprehensive as I didn't feel too well on the morning of my labwork - I had that "virusey" feeling and was also a bit stressed as they couldn't find the tests that they needed to run in the Quest Lab computer - so I sat for 45 minutes fuming. I had been feeling great except for that day (of course).

My HCV viral load crept up a bit from 18,729 in September to 34,524 - not too bad considering how I felt that day. Last January, pre-LDN, it was 1,280,000 and had dropped to 49,400 in June after being on LDN for 3 months. So I'm staying pretty stable - better than skyrocketing back up but not going down as I had hoped. For awhile, I was taking the 3 mg. LDN every other night, but for the last month or so, I went back to every night dosing. I will discuss with my doctor about possibly increasing the LDN dosage.

My ALT/AST were back to normal range though they weren't that high last time. In January last year, my ALT was 174, in May it dropped to 23, in Sept. it was 36 (range 6-40) and now is 34. My AST was 99 in January, 30 in May, 37 in Sept.(range 10-35) and 31 now.

Albumin (range 3.6 - 5.1) 4.8 - was 4.9 - it was 5.2 last January

Globulin (range 2.2 - 3.9) 2.9 from 3.0 - it was 3.7 last January

Bilirubin total (range 0.2 - 1.2) 0.7 from 1.1

Alkaline Phosphatase (range 33-130) 66 from 57

Total Protein - (range 6.2 - 8.3) 7.7 from 7.9 - it was 8.9 last January

Alpha Fetoprotein - 5.0 same as last time - was 6.1 which was high earlier last year.

My ferritin dropped from 80 to 38 which might be pushing it a bit - I'd been religiously taking the IP-6 along with a product called Chelaco (which my doc sells). My total iron is 136 (range 40-160) down from 165 and iron binding capacity is 373 from 352 (range 250-450)

Sjogren's level - 3.3 from 3.5 - it was 4.5 in January, pre-LDN

RA - 21 from 24 - it was 31 in January - pre-LDN

Vitamin D (range 20-100) - 59 from 49 but had been 62

Most of my other blood counts are the same - I need to talk to my doc before I try and interpret them - nothing really out of range but some of the ones that we were trying to change, via the methyl B vitamins are the same as they were in 2007. (MCV, MCH) red blood cell count, etc. I might talk to her about being tested for IF - Intrinsic Factor which can inhibit your body from absorbing B-12.

My red blood cell counts have always been on the low end - which was another argument on my part whenever a doc would try and push HCV treatment on me - ("how long before I'd be on Procrit? I'd ask them)

Slight decrease in platelets (range 140-400) 163 from 172 (186 last January)

Slight drop in red blood cell count (range 3.80-5.10) 3.84 from 3.95 (4.21 last January but 3.78 prior to that)

White blood cell count (range 3.8-10.8) 6.1 from 4.6 (6.0 from last Jan.)

Neutrophils - (range 1500-7800) 4111 from 2585 (3750 last jan.)

Eosinophils (range 15-500) 140 from 120 (102 last jan.)

Basophils (range 0-200) 24 from 14 (12 last Jan)

The LDN isn't really affecting my lymphocytes overall - some are better, some are worse.

CD3 (Mature T cells) (range - 57-85) 80 from 77

Absolute CD3+ Cells (range 840-3060) 1122 from 1008

%CD4 (Helper Cells) (range 30-61) 58 from 52

Absolute CD4+ cells (range 490-1740) 817 from 720

%CD8 (Suppressor T Cells) (range 12-42) 19 from 24

Absolute CD8+ cells (range 180-1170) 269 from 333

Helper/Suppressor ratio (range 0.86-5.00) 3.05 from 2.17

%CD16+CD56 (Natural Killer Cells) (range 4-25) 7 from 10

Absolute NK Cells (CD16+CD56 Cells) (range 70-760) 99 from 128

%CD19 (B cells) (range 6-29) 10 from 11

Absolute CD19+ Cells) (range 110-660) 139 from 134

Absolute Lymphocytes (range 850-3900) 1404 from 1308

Absolute CD3+ cells (range 840-3060) 1122 from 1008

Absolute CD4+ cells (range 490-1740) 817 from 720

Absolute CD8+ cells (range 180-1170) 269 from 333

Absolute NK Cells (CD16+CD56+ cells) (range 70-760) - 99 from 128

Absolute CD19+ cells - (range 110-660) 139 from 134

My doc also tests all of my adrenals (4 thyroid tests, progesterone, testosterone, etc.) Immunoglobulins, HHV 1-6 viruses, along with the standard CBC's, etc. All are pretty much the same as they were 2 years ago.

Overall, I'm pretty happy with the results especially as my viral load did not really increase as I had feared it might - and my LFT's have stabilized.