Spinach IgG

The tacrolimus blood test is a critical tool in managing organ transplant patients, ensuring the drug remains within its narrow therapeutic range to prevent rejection and avoid toxicity. Tacrolimus, derived from *Streptomyces tsulenbaensis*, is a potent immunosuppressant that inhibits T-lymphocyte activation by blocking calcineurin, thus reducing the immune response against transplanted organs. The test requires a whole blood specimen collected in a lavender-top (EDTA) tube, with a preferred volume of 1 mL. It is performed using liquid chromatography/tandem mass spectrometry (LC-MS/MS), a precise method for measuring tacrolimus levels. Maintaining trough levels between 3.0 ng/mL and 8.0 ng/mL is essential for therapeutic efficacy. Drug interactions can significantly alter tacrolimus levels, necessitating careful monitoring and dosage adjustments. By accurately measuring and managing tacrolimus levels, healthcare providers can enhance transplant success rates, minimizing the risks of organ rejection and drug toxicity.

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Price of test:£34

The lowest price from the last 30 days: £34

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Awaiting result:

One day

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Collect material:

Blood

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Prepare:

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Purpose of the test

Tacrolimus, or FK506, is a crucial immunosuppressive drug used to prevent organ rejection in transplant patients. Derived from *Streptomyces tsulenbaensis*, it effectively treats liver and kidney transplant rejection by inhibiting T-lymphocyte activation. Key points include:

- Mechanism: Inhibits calcineurin, reducing T-cell activation.
- Administration: Oral or intravenous, with high plasma protein binding.
- Monitoring: Essential to maintain therapeutic levels (3.0-8.0 ng/mL).
- Specimen: Whole blood in EDTA tube, stored at room temperature.
- Methodology: LC-MS/MS for precise measurement.
- Interactions: Affected by various drugs, requiring careful management.

Who Should Get Tested

The Spinach IgG test is designed to assess immune responses to spinach, aiding in the management of food sensitivities. It involves a blood draw analyzed via ELISA to detect IgG antibodies. However, its clinical utility is not fully established, and it should not be used alone to diagnose food allergies. Key considerations include:

- Clinical Symptoms: Evaluate patient-reported symptoms.
- Other Tests: Consider IgE-mediated allergy tests.
- Dietary Interventions: Implement elimination diets.
- Patient Education: Clarify that IgG presence indicates sensitivity, not allergy.

This test, combined with clinical insights, guides personalized dietary plans.

Blood Test Preparation Guidelines
Time of day
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It is recommended to schedule your appointment for blood tests in the morning hours between 7:00-10:00.
Fasting
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It is recommended to fast for approximately 12 hours before blood sampling. The last meal of the previous day should ideally be consumed around 6:00 p.m. On the day before the test, avoid heavy and fatty meals as well as alcohol.
Stay hydrated
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Drinking water prior to testing can help with sample collection.
Other factors
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Tests should not be performed after a sleepless night or intense physical activity. It is recommended to avoid exercise and stress immediately before blood collection and to not smoke. A short rest is recommended.
Medications and supplements:
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Blood samples should be collected before the morning dose. Some drugs can interfere with test results. Consult with your doctor whether you can delay your dose because of lab tests.
Biotin supplements:
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High doses of biotin supplements can affect test results, causing false elevation or reduction. It's recommended to avoid taking biotin for at least 72 hours before blood collection. If you are taking biotin, inform the personnel collecting the blood so that they can provide specific instructions.
Interpreting Test Results

Understanding test results for tacrolimus is crucial for effective transplant management. Key points include:

- Therapeutic Range: Maintain blood levels between 5 ng/mL and 20 ng/mL to prevent rejection and avoid toxicity.
- Specimen Collection: Use a lavender-top (EDTA) tube; 1 mL of whole blood is preferred.
- Testing Method: LC-MS/MS ensures precise measurement.
- Drug Interactions: Be aware of medications that can alter tacrolimus levels.
- Monitoring: Regularly check blood levels to adjust dosages and ensure therapeutic efficacy.

Price of test:£34

The lowest price from the last 30 days: £34

AI-Powered Insights and Expert Validation
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At the core of Diagu's AI system is an advanced language model, engineered to transform complex medical data into clear, comprehensible, and informative descriptions. This model is adept at articulating detailed test analyses in a way that is accessible to both healthcare professionals and patients. The model's development involved the meticulous processing of high-quality sources, including reputable medical websites, renowned medical textbooks, and peer-reviewed research papers. This ensures that the language used in test descriptions is not only accurate and informative but also up-to-date with the latest medical findings and trends. By leveraging this rich tapestry of trusted sources, our AI system provides a deeper understanding of each test, fostering informed decision-making and enhanced patient care.
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