Can elevated ANA titers be brought back to a normal range with treatment?
It is really irrelevant. The question has to be “how does the patient feel?” I’ve seen the same tube of blood result in both a negative and positive ANA result. An elevated ANA suggests that there is an autoimmune component of the illness. Adding DHEA or hydrocortisone and optimizing estriol can be important tactics. Willow bark, Boswellia, and fish oils are often helpful. My focus is on treating the immune imbalances, not the ANA titer. If you focus too much on the blood tests, you forget the art of medicine. If you just listen to the patient, in the first five minutes they will tell you what is wrong. In the next five minutes, they will tell you how to fix it. Ask the patient if they are feeling better. Don’t chase the tests. How do you determine when to treat a viral infection with elevated IgG but normal IgM results? With HHV-6, if the IgG is 1:320 or above, I generally consider treating. Similarly, if IgG results for Cytomegalovirus (CMV) are above 4, this is an indication that tr
