I've started at NOVA neuro immune institute a couple of months ago. For as far back as I can remember, I've struggled with my health. I've been diagnosed with POTS, I had chronic lyme that I recovered from after 16 months of bicillin injections. I had mono twice, once at 16 and again at age 20. I'm also homozygous for MTHFR mutation. Anyway, I struggle with memory loss, brain fog, low stamina, feeling generally unwell all the time, chronic migraines and fatigue. First, I want to say that I love the doctor I'm seeing at NOVA. I've never felt like I'm in such good hands. My doctor for lyme saved my life back then but was always upselling his line of supplements, didn't take insurance and practically bankrupt me and it really gave me a bad feeling that he'd do that to his patients. This doctor takes insurance, listens thoroughly, backs up all her protocols with extensive research and makes me confident that I can get my life back. Anyway, these are the results of my blood work: Parvovirus antibody result was 3.7 which shows previous exposure to the virus. Human Herpes Virus 6 (roseola) was positive at 2.671 showing past exposure. CXP Panel Report: Total CD3+ 83.151% HIGH (normal range is 66-80%) HEM 1356 (normal range 989-1899) CD3+CD4+T-Helper/Inducer 56.6668% HIGH (normal range 38-53) HEM 924 (normal range 595-1199) CD3-CD56+NK Cells 3.739% LOW (normal range 5-6) HEM 61 (normal range 98-294) Epstein Barr Virus Serology Panel: EBV Nuclear Antigen IgG >>600 (Above LoM) Positive interpretation (above 75%). I'm greater than the 90th %ile for positive serology with 600 being the 90th. EBV Viral Capsid Antigen 368 Positive interpretation (186-517) EBV Viral Capsid Antigen IgM <<10 Negative interpretation (below 10%) EBV Early Antigen IgG <<5 Negative interpretation (10-25%) conclusion: I had a past infection but it is not reactivated. NK Cell Function: NK cell enumeration: 3.74% LOW (normal mean 8%) 61/cumm (normal mean 177/cumm). This means I don't have many natural killer cells. NK cell activity: 4.82% LOW (normal mean 28.1%) And this means that those NK cells that I do have have very poor functionality. I fall in the less than 10th percentile with 12/74% being the 10th percentile. Cytokine Multiplex-18 report: Proinflammatory LTa (TNFB) 4.423 HIGH (greater than 75th percentile) IL6 0.000 LOW below 10% TH1/IL-8: IL12 4.352 LOW (below 10%) IL2 4.972 HIGH (75-90%) IL15 9.771 HIGH (above 90%) IL8 0.000 LOW (10%) TNF RII 730.1 LOW (10-25%) Anti-Inflammatory: IL5 0.995 LOW (below 10%) IL17 5.455 HIGH (above 90%) IL13 2.19 LOW (10-25%) Here is my current protocol: Naltrexone (not working yet she said because of my poor immune function) CoQ10 K-Pax Immune Fludrocortisone Salt tabs Vit D3 Methyl B-12 and Methyl Folate So here are my questions I'm saving for my next doctor's visit but if anyone has any input in the meantime, I would be so grateful. 1) how do I know this isn't cancer? 2) will the K-PAX immune help? I read on this forum someone with equally low NK count that they had to go on AIDS meds, what are those? 3) I don't know how to interpret the Cytokine Multiplex 18 report. I know doc walked me through it but i have zero functioning memory so don't blame me! 4) is there hope for a full recovery? a good quality of life (something I've never had) Thank you for taking the time to read this. I know it's a lot and really appreciate it.