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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46933
Experience:  Board Certified Physician
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I have low IgM (23) how can I get treatment and what

Customer Question

I have low IgM (23) how can I get treatment for it and what treatment?
thanks.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

if the rest of your immune system is normal, then you most likely don't need treatment.

Dr. David :

IgM are antibodies you make during an acute infection.

Dr. David :

so if your IgM levels are low, it means you don't have a current infection that you are fighting off.

Dr. David :

IgG antibodies are the long term antibodies your body makes to remember prior infections to keep you protected. like from prior infections and from prior vaccines.

Dr. David :

you don't need treatment for low IgM levels. it just means you don't have a current infection you are fighting off.

Dr. David :

hello?

JACUSTOMER-j6v5m6a4- : Dr. David you have dealt a lot with me I have a lot of health problems.
JACUSTOMER-j6v5m6a4- : sorry that shot off too qiockly. as I say I suffer terrible health problems.
Dr. David :

yes, I remember.

Dr. David :

the low IgM is not the cause of your problems.

JACUSTOMER-j6v5m6a4- : Dr. David I was told I am immunosuppressed and was advised to have ACTH? Treatment and I would have a very slow recovery. I WAS NEVER TOLD THIS! The consultant said I must have had a coxsackie virus.
JACUSTOMER-j6v5m6a4- : did you get reply having problems with sending questions.
Dr. David :

I am here.

Dr. David :

sorry for the delay.

Dr. David :

no you didn't tell me that before.

Dr. David :

ACTH will help your adrenal glands hopefully produce more steroids for you.

Dr. David :

and hopefully that will help.

Dr. David :

but there is more to your immune system than just ACTH and cortisol, which can be fixed.

Dr. David :

when do you start the ACTH?

JACUSTOMER-j6v5m6a4- : hello
Dr. David :

yes.

JACUSTOMER-j6v5m6a4- : Dr. David I should have been told 25 years ago!! you are aware I have had to research myself as doctors have given up on me but I remain very unwell. I came accross this diagnosis only 4 weeks ago nevertheless I took it to g.p. and seemingly ACTH is not used now thus I am asking what treatment do I get now..thanks.
Dr. David :

well, if your AM cortisol levels are low, then you might have addisons disease and low cortisol levels

Dr. David :

this is treated with supplemental daily steroids by mouth like hydrocortisone pills daily .

Dr. David :

did you have your AM cortisol levels checked?

JACUSTOMER-j6v5m6a4- : sorry I am so complicated!
JACUSTOMER-j6v5m6a4- : in 2011 my cortisol was low but surprise surprise I wasn't told!
Dr. David :

ask your doctors to see if you have addisons disease where your AM cortisol levels are low.

Dr. David :

if your adrenal glands are not working well, then your ACTH levels would be high.

Dr. David :

do you have any other questions?

JACUSTOMER-j6v5m6a4- : but iabout 6 months ago cortisol was high (wasn't told) I have made my mind up to try to treat myself with your help you have helped me greatly in the past. I took very ill in my early twenties and remain ill. (by the way I went to G.P. and asked for the ulcer medication you advised me to get my new g.p. is excellent she gave me it I am on a four week course and have to return to g.p. to see if I need further treatment. It is helping!. It turns out I was diagnosed with Autonnomic nervous system dysfunction in 2006 I wasn't told! disgraceful! I can't help being ill.
Dr. David :

I see.

Dr. David :

I'm glad you got a new GP.

Dr. David :

I'm glad your stomach is feeling better.

Dr. David :

your GP may have to refer you to a neurologist to get treatment for autonomic nervous system dysfunction which can be a difficult diagnosis and treatment

JACUSTOMER-j6v5m6a4- : I will pay you for now but will check my levels and get back to you if that's o.k. thanks.
Dr. David :

of course.

Dr. David :

thanks for the positive feedback.

Dr. David :

you can always reach me here for advice.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

hello?

Dr. David :

let me know if you have other questions.

if done for now, please leave positive rating below the chat box so I can get credit for helping you today

you can always reach me with "a question for Dr. David" if you have any other questions

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Dr. David and 2 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
hello Dr. David sorry for delay but I had a terrible fall and cracked my ribs. If u want more payment let me know.
Can you explain that low igm can be more reason (caused by something else rather than immune system and can be fixed?
I am attending an endocronologist and hae appointment for 25/3/15. any information will help.
thank you
Iris.
Expert:  Dr. David replied 2 years ago.
after 40 days you should start a new question for me here

http://www.justanswer.com/medical/expert-dr-david/
Customer: replied 2 years ago.
Hello Dr. David I have unsuccessfully acquired the ACTH can you suggest what other treatment you recommended to fix low IGM my Igg is now also low.
thanks
will pay you for
r new answer of course.
Iris.
Expert:  Dr. David replied 2 years ago.
my last questions with you were back in 2012.

I am sorry you are having health issues.

but often times a lot IgG or IgM doesn't mean you are stick with something
Customer: replied 2 years ago.
Hello Dr. David I have unsuccessfully acquired the ACTH can you suggest what other treatment you recommended to fix low IGM my Igg is now also low.
thanks
will pay you for
r new answer of course.
Iris.
Expert:  Dr. David replied 2 years ago.
you don't need to fix your low IgM levels.