Scot M. Lewey, DO, FACG, FASGE, AGAF
Clinical Professor of Medicine
Mediator Release Testing (MRT) testing is a form for food intolerance testing. The basis is measuring release of chemical mediators from cells in the blood. The more mediators released, the greater the measurable reaction and more likely of sensitivity. The results are reported as normal (green), mild-moderate (yellow) and severe (red). Elimination of foods to which reactions are noted is the treatment with gradual reintroduction of milder reacting foods over time. The examples below are from patients demonstrating the variety of reactions noted with testing. From the examples it can be seen that the reactions can be quite varied and not obvious. Trying do an elimnation diet without testing is very cumbersome, difficult and confusing for most people. With MRT the diet can be customized according to the sensitivities noted by the test.
The images above are actual patient results from several patients who have presented with symptoms, both GI and non-digestive, sugestive of food intolerane or sensitivity. The demonstrate the varied food and food additive sensitivities that people may manifest. The testing is done on blood sample. Two companies offer this type of testing. A doctors order is required. Some insurance companies will cover the testing but for most plans the test is considered out of network and not covered. Usually the patient must submit payment with the test request. The tests can be paid for by Health Savings Accounts or "Cafeteria" or "Flex Health Expense" accounts.
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