A reader asked me to put together a list of test that could/should be done. I divide the tests into two categories:

• Actionable — the results lead immediately to an accepted treatment with high possibility of success
• Informational — this shows that there is a problem, there may be treatment of a sort – typically symptom mitigations (i.e. prescription painkillers — which hides the pain, not remove the source of it)

Actionable

These tests may result in actions. In some cases, we work the system to get a desired action.

• Lyme Disease — often a false positive will result, but this can be used to justify a minocycline prescription.
  • Testing for mycoplasma — again, to justify a minocycline prescription.
• HHV-6, EBV, CMV — suitable antivirals [2016] See this list of virus to test for
• Coagulation Panel — see A quick revisit to Coagulation Testing for ME/CFS
• Vitamin D — usually low to very low, you want to raise it to the top of the normal range
  • See Vitamin 25D and 1,25D measure – one reduces symptoms and one indicates CFS state
• All of the usual vitamin and mineral levels. You want to be at least at the middle of the normal range for all of them
• 16s Microbiome Test

Informational

These tests are ones that I would not pay for out of pocket. They do not help move you to remission

• Vitamin 1,25D – this will often be very high — characteristic, not directly treatable (see Vitamin D above)
• TH1 and TH2, see TH1 / TH2 ratio and Probiotics
• From my English book draft, I list the following items as Lab Manifestations (download the book for citations and more information):
  • Aldosterone
  • CD4/CD8 Ratio
  • Choline
  • Cortisol
  • Cyclo-oxygenase-2
  • Cytokines
  • C-Reactive Protein
  • Galantamine
  • Glutamine
  • Inducible NO synthase
  • Lysozyme
  • N-acetyl cysteine
  • Natural Killer (NK) Cell Subsets
  • NFkappabeta
  • Neopterin
  • Norepinephrine
  • Plasma Osmolality
  • Plasma Renin
  • RNase-L
  • Red Blood Count
  • Transforming Growth Factor – Beta
  • Brain Scans:
    • Magnetic Resonance Imaging
    • Positron emission tomography
    • Transcranial Doppler Sonography
    • SPECT
      

Bottom Line

Download the book above, every page is loaded with references like shown below