Following my recent post about carbohydrates, I've put together what I consider to be the most important facts about ketosis and measuring ketone bodies.
Ketosis is a state at which your body produces ketones in the liver, shifting the body's metabolism away from glucose and towards fat utilisation. While nutritional ketosis is perfectly safe, ketoacidosis is an indicator of serious health problems. There are three types of ketone bodies: Acetone, Acetoacetate and Beta-Hydroxybutryate (BHB).
It's the most accurate way to measure ketone bodies, beta-bydroxybutryate (BHB, although not technically a ketone body).
According to Volek and Phinney in The Art and Science of Low-Carbohydrate Living (chapter 13, Ketones - To Measure or Not), a non-invasive and cheap alternative is to measure breath acetone concentration. The Ketonix Acetone Breathalyzer is available and offers an easy and inexpensive way to test your breath ketones (acetone). Ketostix, Uriscan and other urine detection strips are not as accurate and may not work for some people. Some people use them to test if they are sensitive to certain foods that may be keto-friendly but still have a negative effect on their weight loss.
As mentioned above, although your body may produce ketone bodies which you can measure in your blood stream, Ketostix only show excess ketone bodies excreted via urine.
Most people believe that in order to lose as much fat as possible, they need to restrict their carbs intake as much as they can. Also, when becoming keto-adapted, some individuals tolerate relatively greater carbohydrate intakes without disrupting ketosis. If you want to know more about ketone levels and their effect on fat loss, have a look at this post: Do Ketones Matter? I've been in nutritional ketosis on and off for almost two years and can't really complain about urine strips. To easily increase your fat intake on a ketogenic diet, try fat bombs - snacks with at least 80% fat content. Ketone levels tend to be higher after extensive aerobic exercise as your body depletes glycogen stores. Finally, if you find it hard to lose weight on a ketogenic diet, there may be plenty other reasons than the level of ketone bodies: Not Losing Weight on Low-Carb Ketogenic Diet? Please note that due to the high volume it can take us several days before we can approve and reply to your comment. Those are amazing results Angela, well done!I I wouldn't trust the numbers on Ketostix - I would only use them to see how my body reacts to foods and whether I am in Ketosis, and only for the first few weeks. Can you tell me what range in the Ketonix is equivalent to (0.5 to 3.0 mM) as measured in the blood test? Hi I have been on the low carb diet for about two months now, I am 214lbs and have only lost 11lbs since being on the diet. I want to let you in on a little secret: the medical jargon that patients find so intimidating is just that – jargon.
Before we discuss the results on your CBC, it is important to know a little bit more about blood – you know, that gory red stuff that oozes out when you cut yourself. The lab tech draws your blood, puts it a little tube that then goes into a machine about the size of an office Xerox machine, and in a few minutes the machine spits out a sheet of paper with the numbers of these three types of cells (white blood cells, red blood cells and platelets) and a few more details. Just a decade ago it used to take a lot more time and effort, lab techs squinting into microscopes to actually count the cells manually. One of the guidelines physicians use in monitoring progression of CLL is to look how fast the lymphocyte counts are increasing. There is another good reason why it does not make sense to get fixated on your ALC counts and that has to do with the nature of CLL. Did you know as much as 90% of the CLL cells are not to be seen in your blood because they hang out in the lymph nodes, swollen spleen or liver, or bone marrow?
Patient B has no swollen lymph nodes in his swan-like neck, and even with digging deep his doctor cannot feel the tip of his spleen. What makes it a more dangerous situation for Patient A  is also that CLL cells floating around in the blood are a lot easier to kill by just about any therapy.
This comparison between Patient A and Patient B is one of the reasons why knowledgeable physicians do not make decision on when to initiate treatment based solely on ALC. This is the part that concerns me most about local oncologists with busy practices, who are short on time and not quite caught up on their latest CME (continuing medical education) programs. Another good reason for poor T-cell function is dropping T-cell counts, there are just too few of them around to do the job right. Wow, that is one harsh message for patients looking at these particular drugs as therapy options. I have abbreviated the CBC report to include just the stuff we discussed in this post.  I will expand it to its full glory as we discuss additional items in the later articles of this series. Going down the chart you will see the report gives the percent Lymphs and Neutrophils (at 29% and 62% respectively).
Next the report gives the ALC and ANC (absolute values for lymphocytes and neutrophils respectively).  Even if these two numbers are not given, I hope you know by now how to calculate them from the WBC and the percent Lymphs and Neutrophils, using the equations we discussed earlier in this article.
Next stop, we will look at neutrophils:  why they are important, what happens when there are too few of them (neutropenia), precautions to be taken if you are neutropenic, what can be done to shorten duration of neutropenia. Postherpetic neuralgia is a complication of shingles, a second outbreak of the varicella-zoster virus, which initially causes chickenpox. It sounds like your husband has significantly lowered neutrophil counts, and most likely poor T-cell function as well if he has recently been through therapy. Bacterial infections are easier to treat since we have a nice selection of broad spectrum antibiotics. Viral infections are another matter, since we do not have broad spectrum anti-viral medications. Let us hope your husband has a bacterial infection, since they are the most common; or an easily recognizable viral infection that has appropriate anti-viral medications available to treat it.
Wish me luck when I finally elect for transplant, probably after I finish my current clinical trial.
My two cents for what they are worth, vaccines with live viruses are contra-indicated for CLL patients. For what it’s worth, as an addition, blood serum is blood plasma with the clotting factors removed.
And I’ve read and been told several times that doctors no longer recognize T cell disorders as CLL. As my Dad always told me, 50% of the doctors graduated in the bottom of their class, and we still call them doctor.
This is fantastic- I have two new friends who were recently diagnosed with CLL- this is an excellent, very understandable explanation of the CBC. I have had fludara and campath in the past 18 months- I continue (7 months after campath-) to have a lymph count of .02 and low neuts- to say nothing of very few T cells and a low NK count. A while back, when I was wondering about CLL and my high ALC, I googled and found a docs comment that some measurements of high WBC have more error because they are so out of range of the usual equipment that an additional extrapolation process takes place to do the measurement. Yes, instruments are calibrated to be at their most accurate in the range that they are supposed to work at. Very high WBC and ALC counts (or very low ones, for that matter) are likely to be more error prone. For the last five and a half years I have had mostly asymptomatic smoldering disease.During that time I have done a lot of reading to try and understand my situation better.
I am going to the LRF Conference in Brooklyn this weekend and would love to save hello to any CLL friends there. Again, you have shared your gift for making what would be complex and tedious for people like me – interesting.
In this test (which the doctor’s office must specifically order when a CBC is ordered) a human being actually counts the cells and totals the %age of each type. As you expand in your next articles, could you please address antibodies that we might have had (from previous vaccination or exposure ..
Wonderful article, Chaya, both as a review for those who have been through CLL already and as a great intro for those new to the disease.
Every time I read another of your excellent articles, Chaya,I can always relate to what you espouse. I printed this info out and will keep it along with my CBC reports in a folder I have specifically for this.
I just had my ONC appointment today and my doctor also said not to be too overboard with all of this. To clarify: high WBC counts out of range on instruments are flagged, repeated and then diluted and rerun with the dilution factor as the multiplier.
The latest think on ITP is that is mediated by splenic macrophages and there is hope of controlling their activity with Syk Inhibitors.
Based on numbers thus far the over 64 crowd seem to have lower risk than the younger people. As I said, there is controversy regarding the live virus shingles vaccine for CLL patients. While platelet count of 100 is the general cutoff and people get concerned when their numbers fall below this, there is really no reason to worry. The exception to the rule about huge increases in T-cells and healthy B-cells is if there is an infection going on at the time of the blood draw. For my money, if you are following a disease such as CLL with periodic CBCs (not too often, I hope!) I would request that a manual differential be done. Hi I am a newbie to this marvelous CLL, and of course I have a lot to learn (continuously forever).
As great as this article is, it still points out just how different we all are in the way we react to CLL. Could it be that some people not only have CLL but ramped up healthy B & T cells as well?? The human brain is supposed to excel at detecting patterns and it is clear we need to find the relevant patterns of CLL subsets to treat this disease for good outcomes. The increase in your basophil counts is proabably quite temporary, due to the causes you read about and mention, and nothing to do with the CLL. CLL Topics Updates does not provide medical advice and its contents are for information only. C-Reactive Protein provides a measure of inflammation in the body and can be done by a simple finger-stick.

As the show depicts, a normal artery is clear and blood flows through it smoothly.  An artery with plaque may block blood a little bit but the blood still can still often flow.
Life Line Screening was very pleased to provide this screening for the studio audience and urges all of our customers to watch this number one rated daytime show for important health information. Blood sugar – wikipedia, the free encyclopedia, The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or animal.
Blood sugar levels: how high glucose levels affect your body, Why are high blood sugar levels bad? Blood glucose monitoring – wikipedia, the free encyclopedia, Blood glucose monitoring is a way of testing the concentration of glucose in the blood .
Kidneys regulate waterFor your body to work properly, it must contain just the right amount of water. Kidneys remove waste products and help to balance the body's mineralsMany of the substances in the blood and other body fluids must be kept at the correct level for the body to function properly.
Kidneys produce hormonesNormal kidneys also make important chemicals in your body called hormones.
The numbers in the table show the range of the normal levels of various substances in the blood of a healthy person. The presence of ketones in your body, which is indicative of lipolysis, is a definite proof of ketosis. Ketosis is not only a great weight loss tool, but it has been used for treating diseases such as epilepsy, Alzheimer's or cancer. Ketoacidosis occurs in serious health conditions such as type 1 and type 2 diabetics and alcoholics and has nothing to do with nutritional ketosis. Blood ketone meters can precisely determine the level of ketones in your blood but they are also pricey.
Keep in mind that breath ketones do not always exactly correlate with blood ketones and are affected by several factors (alcohol consumption and water intake).
They only show excess ketone bodies excreted via urine (acetoacetate) but tell you nothing about the level of ketones in your bloodstream (BHB) which is most probably higher.
Although there are 3 types of ketones (acetone, acetoacetate and beta-hydroxybutyrate), they only measure acetoacetate. Some diet authors, including Atkins himself, supported the idea that more ketones equals more weight loss. While urinary ketone excretion means that body fat is being excreted causing fat loss, the effect is minimal: Based on recent studies, the number of calories lost in the urine as ketones is not significant (100 kcal at most).
Individuals who maintain lower ketone levels (trace ketones) appear to lose fat more efficiently.
Although urine detection strips may not be accurate for keto-adapted people, they work for most of those that have just started the ketogenic diet. If you need to keep track of your ketone levels, use a blood ketone meter or the breathalyser. To avoid this, drink a lot of water, mint tea and make sure you eat foods rich in electrolytes. To find out more about the ketogenic diet and keto-friendly recipes, check out my apps KetoDiet, KetoDiet Basic and my new cookbook!
I slipped into ketosis by lowering my carbs to my comfort zone and increasing animal fats, also to my comfort zone, so at first I did not know I was in ketosis until the signs appeared: headache and cramps, which I took care of right away (salt and water) and have been in ketosis now for 3 weeks very comfortably. Two years ago, right before taking a new job in Arizona, several suspicious spots were detected in my liver and kidneys, and one in my lower left lung. It depends when you measure your ketone levels - they are usually lower in the morning and after a meal. I've changed my diet and am eating no more that 30 net grams of carbs 90 grams of protein the rest of my 1400 come from fat. I was wondering if there is a way to really know if I am in ketosis without any strips, etc. My question is as a diabetic high blood sugars cause DKA but would having high ketosis make my blood sugars higher or are they unrelated? However, since you are a diabetic, you will need to get your medication adjusted - talk to your doctor before following the diet. I am getting very discouraged because my ketosticks were showing me levels between the moderate to large ketos levels. Plumbers have their jargon, accountants and engineers have their versions, doctors’ jargon is no different.
Since CLL is a blood cancer, it sort of makes sense we understand a bit more about blood, you think? In general terms there are three types of cells: red blood cells, platelets and white blood cells. Without these fearless warriors patrolling every nook and cranny of our bodies looking for foreign invaders, we would soon succumb to every viral, bacterial and fungal infection out there. Red blood cells settle to the bottom and this layer is slightly less than half of the total blood volume. Nowadays this test is completely automated and dirt cheap; which is why insurance companies don’t complain about paying for it and so many more CBC tests are ordered by doctors. It is nothing more than the name implies, the total number of lymphocytes (B-cells plus T-cells) in the sample of your blood.
Sometimes the report just gives the WBC and the percentage of lymphocytes; you need middle school math to sort it out, to calculate the ALC.
Same way, if your report gives the WBC and the ALC,  you can calculate the percent of lymphocytes by plugging into the same equation.
Since we are talking of B-cell CLL on this website, as your disease grows it makes sense that the cancerous CLL cells will increase in number and therefore your B-cell counts will increase, which in turn will increase the ALC.
If your ALC was 4.1K (4,100)  in July and it went up to 8.3K  (8,300) in August, should you freak out? Second, even the best maintained CBC machines run by the most talented and conscientious lab techs have a built in error.
If the ALC went from 50K in July and 100K in August, now that is worth talking to your doctor about; that is a significant jump, not explained by a simple built in fudge factor in the machine doing counting. One patient held the unshakable opinion that his latest herbal treatment is curing him of his CLL, since his ALC count dropped from 27.3 to 25.1 in just one month! As we mentioned above, the word “lymphocytes” is used for B-cells and T-cells because they hang out in lymph nodes which includes “glands” under your chin and around your neck, armpits, groin, and many more lymph nodes you cannot feel deep in your abdomen; even your spleen and bone marrow are considered a part of your lymphatic system. Measuring the ALC is like looking at the very tip of the iceberg and trying to estimate how big the sucker really is, how much of it is hidden from view under water. Patient A has an enlarged spleen and swollen lymph nodes under his chin, enough to make him look like a pregnant chipmunk.
But CLL cells tucked away in lymph nodes are in a protected environment surrounded by “nurse-like cells” that make it easier for them to survive and avoid getting killed by chemotherapy. True, his CLL is progressing (as seen by ALC increasing each month), but given his total lack of lymphadenopathy (no swollen nodes, normal sized spleen etc.), he probably has far smaller overall tumor load than Patient A. Doubling time is important, but not if there is bulky adenopathy involved, not if there are extenuating circumstances. As we said, the routine CBC does not break them out;  B-cells (healthy ones as well as cancerous CLL B-cells) and T-cells get lumped together as “lymphocytes” and therefore T-cell numbers get buried under the heading of ALC. If these important cells are destroyed or not working the way they should, patients are much more vulnerable to viral infections.
Shingles is caused by reactivation of long ago chicken pox infection you may have gotten in grade school.
CLL is a B-cell cancer, but since B-cells and T-cells work hand in hand in many ways, a cancerous B-cell system can bugger up the T-cells too, make them lazy, crazy and downright nasty. This could again be due to the CLL itself, because it hogs all the prime real estate in the bone marrow and lymph nodes and does not give the T-cells a chance to live long and prosper (multiply). But once again, I caution you to remember this mantra: DO NOT throw out the baby with the bathwater. I will address these cell types in more detail if any of our members raise the issue in the comments section. It is not easy to go back to the place where this was all new information for you and explain from that naive point forward.
Some studies suggest it is the healthy B cells, not the T cells, perhaps misdirected by the CLL B cell clone that are leading the attack on the platelets or RBC. As always you do a thorough job on research and give the best knowledge on the subjects you report on. I have been keeping records since 2003 when I was diagnosed and it just gives me what I need to keep tabs on the trend as you say in the numbers. As we discussed in the article, “Leukocytes” or WBC = lymphocytes + neutrophils plus a few others cell types such as eosinophils, basophils and monocytes.
It is a blessing to have your explanations so clearly put for those of us who are not in the medical field. Not all labs likely follow this and certainly wouldn’t pick up those patients with only modest increases in their WBCs.
I am forever searching for answers to why my CLL and immune system react to the aggressive nature and tumor burden I have born in all three areas of the bone marrow, nodes and peripheral blood. My doctor siad today that I have to do chemo with FR not FCR.The concern I have is infection due to low WBC. There have been no one-on-one clinical trials to confirm superiority of one therapy over the other, conclusively. You need to read and learn and come up the learning curve a bit before second-guessing your doctor’s advice.
However, when the artery has plaque and also becomes inflamed, the blood can get blocked and this can lead to heart attack. One of the important jobs of the kidneys is to remove excess water from the body or to retain water when the body needs more. You can check out my post here to see more about health effects of ketogenic diets with links to relevant research. The level of ketones in ketoacidosis are 3-5 times higher than in ketosis resulting from a ketogenic diet.
Depending on how long you have been in ketosis, your body produces different types and amounts of ketones and you may not be able to detect acetoacetate when keto-adapted. The reasoning they gave was that ketones are, in fact, calories which are made from the breakdown of fat in the liver. As I've explained above, more ketones won't help you burn significantly more calories - no studies show such effects.

By the time they become keto-adapted, which takes 3-4 weeks, most of them understand what to eat and what to avoid without any real need to measure the precise level of ketone bodies. When I started, I used Ketostix to find out when I was in ketosis and what my net carbs limit should be. In the end, what really matters is not ketones but the effects of low-carb diets: weight loss and improved health. Avoid too many chewing gums and mints, as it may put you out of ketosis; there may be hidden carbs affecting your blood sugar.
I am loosing inches since not much weight to go--more just burning the fat and being full of energy--both mental and physical. Some people have naturally high ketone levels and they also vary depending on how long you've been following the diet. It is a short hand way that the members of the club talk to each other, because they all know what the jargon means, it saves time and it makes for efficient communication. Without them our bodies would be so much dead meat, spoiling in the heat unless refrigerated.
Since CLL is a cancer of B-cells  and the cancerous B-cells grow out of control as the disease progresses, it is understandable that patients get a little fixated on the WBC and ALC in their lab reports. It is unlikely a big change in your ALC is due to huge increase in your T-cells or healthy B-cells (see exception below), therefore it is reasonable to attribute almost all of the increase in ALC to increase in cancerous CLL cells.  One of the functions of the periodic CBC is to monitor the rate at which ALC is increasing, since this is an indication of the rate at which the CLLL cells in your blood are increasing.
What makes it harder still is that different patients have different distribution patterns of the CLL cells in their bodies. His ALC is a around 30K, does not seem to increase all that much from month to month but his spleen is getting bigger and his doctor is suggesting a CT scan to look for even more enlarged lymph nodes hidden in his abdomen. It is a mere tip of the iceberg, as much as 90% or more of his disease burden (total number of CLL cells in the body) are in those swollen lymph nodes, spleen, may be liver and bone marrow, beyond the reach of a mere blood test.
His lymphocyte doubling time is about a year, indicating a pretty laid back and indolent variety of CLL.
It is important to consider all the other criteria (B-symptoms, anemia, thrombocytopenia, frequent infections, autoimmune disease etc) before deciding to start treatment.
Shoot first and ask questions later is not a good protocol for CLL patients (or anyone else, for that matter). The infections can be due to new invaders coming into the body and proliferating unchecked, or they could be dormant traces in the body left over from a prior infection using the window of opportunity to stage a comeback – this later case is called “viral reactivation”. Most of us have been exposed to this particular Herpes virus; once exposed, traces of it stay in our bodies for the rest of our lives. Lazy as in not doing a good job of taking care of viral invaders, crazy in not being able to tell good guys from bad, and downright nasty as in attacking perfectly good red blood cells and platelets and killing them. But an increasingly important reason for dramatically decreased T-cell function is the effect of many of the modern drugs used to treat CLL.
While healthy individuals rarely get shingles, immune compromised people (CLL patietns, AIDS patients, people undergoing immune suppreesive therapy or old people with poor immune function) can get shingles – not just once but several times.
For somebody who has CBC tatooed on their forhead, and carries around a mirror all day so I can look at it every 15 minutes I feel a lot better about my numbers.
I had shingles but caught it quickly with acyclovir and now I always travel with this drug, just in case. Fortunately, I’ve always asked for copies of the tests, but, never was able to understand. Even though my oncologist says all is ok for the moment, I still like to do my own research. I will also show this to my husband who is learning with me about what all these numbers and counts mean.
My best guess is that you have low grade ITP, removing the spleen helps but does not fix the problem entirely. By that I mean, a WBC of 20k might not be treated quite the same as one of 60k, but the ALC derived from an erroneous differential on the lower WBC might be dramatic.
Really helpful and clear explanation of the usefulness of steroids in getting the CLL cells into the blood for chemo to work. If the shear bulk of cancer cells determined the dysfunction of the immune system, why, with counts of 319k, bulky nodes through out my entire body to include the spleen and bone marrow with 91% infiltration am I not only healthy but freer from infection than before my CLL became aggressive??! And I know FCR is better than FR but she said the is more risk of infection if she treat with FCR. One of the main elements of the show was a screening provided by Life Line Screening (and partners Northshore: Long Island Jewish Labs and Alere) for the entire studio audience. If you want to test yourself daily, it will cost you $150 per month plus the cost of the meter. One explanation may be that high levels of ketones in the bloodstream may slightly raise insulin and block the release of free fatty acids from fat cells. These days, my daily net carbs intake varies from 30 to 60 grams depending on how active I am. Ketone levels tend to be lower while your glucose levels higher so you won't get representative numbers. Since both parents had died with cancer, I was told there was a good chance the spots might be cancerous. I am using the Myfitnesspal to track my daily MACROS but I am to the point that I really want to give up!
Usually, when you start, your levels will be higher simply because your body doesn't utilise ketone bodies as well as someone who is keto-adapted.
It also has the added benefit of shutting out riff-raff like you and me, cloaking often very simple concepts in awe inspiring mystery.
Patients with indolent CLL are usually asked to get their CBC done once every 3 or 6 months.  Patients with a shorter fuse and more rapidly progressing disease may need to get it done each month or even more frequently.
If the ALC doubles in a matter of a few months, we are looking at a more aggressive disease. If the numbers in July and August were actually 6.1K and 6.3K instead, well within the known built in error of the test, there is not so much to get excited about, right?
It could be that you had a mild infection of some sort, and your body correctly increased the number of white blood cells in your body to fight the infection, hence the sudden rise in ALC from 50K to 100K.
That is more than 10%!  At this rate, in a few more months, it will be down to normal levels and he will have been cured. Besides, if the CLL cells are lurking around in the bone marrow they can do much more damage – as in prevent proper function of the bone marrow and prevent creation of needed red blood cells, platelets and neutrophils.
This last bit of nastiness can cause two autoimmune diseases common in CLL: namely, AIHA(autoimmune hemolytic anemia ) and ITP(Idiopathic thrombocytopenic purpura). I’ll throw away the mirror now, and pull my hat down over the tatoo until I figure out how to get rid of that damn thing. While the automated and manual differentials are most often quite similar, I have seen some glaring examples in which they have not even been close. The test was for high-sensitivity C-Reactive Protein (hs-CRP), a new test that can help predict heart disease. When the kidneys are working properly, extra minerals, such as sodium and potassium, leave your body in the urine. In reality, it is often nothing more than the ’secret handshake’ you must know before you are a full fledged member of these exclusive clubs. If this is the case you will be relieved to see the ALC trend back down to its baseline once the infection has resolved. Not so quick my friends.  This kind of a drop (or increase) is well within the normal variations in ALC counts and it is foolish to consider it a cause for celebration (or despair).
ALC of 70K and rising, that is much worse than Patient A with his stable 30K, right?  Wrong! Just based on the pattern of his disease, I would bet Patient B has good prognostic indicators as well.
What most of you may not know is that a bad case of postherpatic neuralgia (medical jargon for shingles pain) is totally mind numbing pain that can be very hard to bear, hard to control with even potent narcotic medications, anti-depressants and anti-convulsants. The kidneys also help to adjust the levels of other minerals, such as calcium and phosphate (which are important for bone strength, growth and other functions).Your kidneys help remove waste products, such as urea and creatinine, from your body.
On the other hand, if you are on the Restricted Ketogenic Diet and numbers matter to you, a blood ketone meter may be the best and only option you have. The medical place also took that specifically for ketones--they are guiding me in my ketogenic diet. After reading these series of articles I promise you will be able to understand every single last number on your latest CBC report.
If on the other hand the march upwards in ALC is relentless, month after month, then it is safe to assume it is really due to increasing CLL cells in the blood.
Spleen that is heavily infiltrated with CLL cells can cause trapping of good red blood cells and platelets (pretty much the same effect as a clogged filter), causing anemia and bleeding problems. Terry Hamblin is on record saying CLL patients treated with chemo cocktails containing these drugs have T-cell counts as low as AIDS patients. I was told that immediately after the surgery my counts would rise significantly, even as I was still in recovery.
Does this mean the diet is not working for me? FYI, I have been on low calorie diet for the past 10 months before starting keto and I have been engaging in intense cardio and weight training for the past 11 months. This first article of the series will focus on lymphocytes, one variety of white blood cells. Both of these are generally lumped together as lymphocytes since they like to hang out in lymph nodes.
One (but not the only) option for dealing with a grossly swollen spleen is surgical removal – splenectomy. A well known CLL expert echoed this sentiment, he recently described Campath as “AIDS in an infusion bag”.
I am not saying infinitvely that the diet cured my possible cancer spots, but it sure went a long way to getting me back to good health, and to shrinking my enlarged liver back to health, and who knows if that isn't a cure in cancer in itself, right? So just wanted to thank you for caring enough to post about this diet. While I do have the blood testing kit, I have not used it yet since the strips are so pricey but my doctor ordered beta hydroxybutyrate test--I don't yet have that result. Since you seem more well versed than some of the experts, I thought maybe you might have a thought, even though I understand T cell is not your forte.
The overwhelming view seems to be that those cells don’t get messed up until or unless we are undergoing chemo.

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