Last week, we got the report back from Collin's blood and urine workup from a couple of weeks ago. The results shocked me.
Not only is Collin severely deficient in numerous vitamins and minerals, but many of them we are already heavily supplementing. In addition, his markers for energy metabolism are extremely low and his markers for malabsorption and dysbiosis (unbalanced microorganisms) are very high. Even the doctor, who is very conservative, admitted that though he had expected things to be "off", he was surprised that they were this off.
The logical conclusion (at least in the short term) is that something is preventing Collin from absorbing the nutrients he is getting through food and supplementation. Two of the dysbiosis levels that were highest were both yeasts, which can wreak havoc in the gut. This imbalance has likely been present almost since birth, since the NICU protocol involves courses of very strong antibiotics. These antibiotics kill the good bacteria along with the bad, leaving the gut vulnerable to harmful yeasts.
So, our course of action is to perform another special test which will identify the specific strains of yeast present in Collin's body. This will allow us to most accurately treat him, getting rid of the yeasts and replacing them with good probiotics. Then we will retest his vitamin and mineral levels in 6 months to see if anything has changed.
I have also forwarded the report to Collin's endocrinologist and geneticist/neurodevelopmental physician. Though we have a logical next step to take, I can't help but look at this report through a bigger-picture lens. With my limited knowledge, I wonder whether the test is showing us a metabolic disorder. Though that path of inquiry was abandoned by most of Collin's doctors long ago because he doesn't present like a typical metabolic patient, it's hard to look at these levels and not wonder. We are still waiting for the completion of his exome sequence, which may also shed some light on the mystery that is Collin.