Hip
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As the first port of call on the roadmap it is a bit of a roadblock, since the options for this test for Europeans are almost non-existent - unless everyone is just using the exorbitantly priced america tests (is that what everyone is doing?)
It is very difficult to get enterovirus testing done. There was an excellent lab in the Netherlands which did a coxsackievirus B neutralisation test for just over €100, and accepted blood samples from abroad, but they discontinued their neutralisation test some years back, replacing with a complement fixation test, which is insensitive for chronic infections.
Neutralisation tests involve a lot of work for the lab, which is why most labs prefer to offer CFT or ELISA, which are easier to perform.
I believe for those in the US, if you get your ARUP tests through Any Lab Test Now, it's cheaper, something like $200, if I remember correctly (@sometexan84 will know). But I don't think there is any way to go via ALTN from the UK.
Other options to explore are Fleury Lab in Sau Paulo, Brazil, who offer a coxsackievirus B antibody neutralisation test for around $100. It would be straightforward to get a 3 day international courier to send blood serum samples to Brazil. But you would have to contact them and see if they accept samples from abroad.
And the Torlak Institute of Virology, Vaccines and Sera in Serbia have a neutralisation test for coxsackievirus B1 to B5 costing €200. Again you would have to contact them to check if they accept samples from abroad.
I once contacted the lab director of RedLabs in Belgium, who specialise in ME/CFS tests, to see if they were interested in offering an enterovirus neutralisation test, explaining that this is important for ME/CFS patients. But they showed little interest. If enough patients contacted them, perhaps they could be persuaded to offer an enterovirus test.
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