Tests — at-home + lab order

Drive to 1200m Schwarzwald. At headache onset: 3g L-citrulline + 250ml beetroot. Log resolution time vs. historical "days" baseline. Resolution ≤2h = endothelial-NO bottleneck confirmed → triggers Galaxy Bart ePCR lab.

100mg plain niacin (not niacinamide) AM empty stomach. Watch 30 min. ABSENT/MINIMAL flush = schizophrenia-spectrum / EFA deficiency marker (brother-relevant). INTENSE rapid = mast-cell + methylation issue. Densest €5 diagnostic in the battery.

Day A: 1.5g L-tyrosine on rising. Count loops + Bart-laugh frequency 10-min windows for 3h. Day B (7 days later): 1.5g L-leucine control, identical day. Higher counts on tyrosine = Toxo basal-ganglia plausible.

Day A: NASA Lean (back against wall, feet 6in out). HR + symptoms at 1/5/10 min. Day B: same test next AM but pre-loaded with 1L water + 2g salt 90 min before. Improvement Day B = hyperadrenergic POTS (salt-responsive). Minimal change = neuropathic (different drug choice).

Sit/stand against running washer high spin 10 min. Schellong before + 0/30/60 min after. Log flush, airway tightness, sticky-thought count.

Sunday AM empty stomach. Schellong before + after. Triangulation with Test 2 via different stimulus.

What: Bart uniquely colonizes endothelial cells. Nailfold capillaries are the easiest to inspect visually. Microhemorrhages / tortuous loops / avascular zones = active Bart vasculopathy. Normal parallel hairpin loops = downgrade Bart.
Protocol: (1) Smartphone macro lens 10-20× OR microscope. (2) Drop of mineral oil on cuticle. (3) Bright LED from the side. (4) Image distal nailfold of 5 fingers each hand = 10 images. (5) Repeat next day.
Read: All 10 normal × 2 days = downgrade Bart-primary. Abnormal = strengthen. Bonus: Save images for pre/post-treatment comparison (kill-protocol progress marker).

What: Bart's pathognomonic mechanism is forcing endothelial cells to secrete VEGF → drives angiogenesis. Active Bart = elevated VEGF.
Where: Via GP June 10 panel, or direct-pay lab (Imugen, ArminLabs, local). Single blood draw, fasted or non-fasted both OK.
Read: Low/rock-bottom = downgrade Bart-primary substantially (pivot to autoimmune amplifier or CSTC primary). Elevated/high-normal = strengthen Bart.

What: ALT/AST/GGT/ALP/bilirubin + CMP + CBC w/platelets + creatinine/eGFR. Safety anchor BEFORE MB launches.
Why now: Polyphenol + herb load is real. Need "known good" baseline to compare any 4-week recheck against.
When: Add to June 10 GP panel, OR walk-in lab 5/24-5/25.
Read: Within range = GO MB. >2× ULN ALT/AST = HOLD MB.

Gemini's contrarian. Acquire hard collar (~€30) or partner manual traction 5 min lying supine. Full protocol on /cervical-test.

Lying down, first 90s after waking, before standing. 7-day baseline (HRV4Training / Welltory / Elite HRV). RMSSD <30ms for age 35 = sympathetic dominance. Rises ≥20% with cetirizine washout = histamine-driven sympathetic load. One number means nothing — need 7d baseline.

Sit 5min calm. Normal exhale → pinch nose → count seconds to FIRST urge to breathe (not max hold). 3 trials, median. <20s = poor; 20-40s = ok; >40s = good. Re-measure post L-citrulline 6g AM — improvement = endothelial-NO-limited.

200mg empty stomach AM isolated. Rate corrugator + sticky-thoughts + standing HR at 0, 45min, 2h, 4h. Clear corrugator relax + sticky-thought drop at 45-90min = high glutamate tone / PANS-relevant axis.

Morning standing HR baseline. Then 2g NaCl (½ tsp) in 500ml water. Re-measure standing HR at 30, 60, 90 min. Rate sticky-thoughts. Drops ≥10bpm + clarity rises = salt/volume responder POTS phenotype. Skip if BP elevated.

Skip cetirizine 24h on non-kill non-test day. Log which axes return + ETA after last dose. Sticky-thoughts return at h12-18 = H1-buffered PANS axis. HR/POTS returns = H1-buffered endothelial. Skin only = pure cutaneous MCAS. Don't washout during flare or kill day; have loratadine backup.

Print Amsler grid, 30cm from face, ONE eye at a time, fixate center dot. Note wavy lines, missing squares, gray patches. R-eye especially (VCS asymmetry). Re-test monthly. Persistent defect = book Augenarzt. LOXL1 10× makes baseline mandatory.

Wear €15-20 Wellue O2Ring or similar finger-clip overnight × 3 nights. Read curve in app. Mean SpO2 <94%, dips <88%, or ODI >5/hr = abnormal → ENT/sleep referral. Single bad night not diagnostic; need pattern. Relevant given scalloped tongue + photic somnolence + HNO sleep test pending.

50g pure dextrose in water on empty AM stomach. Log standing HR + sticky-thoughts + corrugator + skin warmth at 0, 30, 60, 90, 120, 180 min. AIP+: clear relief at 30-60 if mid-flare. Reactive hypo: crash + sticky thoughts + irritability at 90-120 min. (AIP already 2× clean on home porphyrin — this is supplementary.)

500mg empty stomach AM isolated. Rate brain fog + calf heaviness + post-meal sleepiness for next 6h. Clearer head + lighter calves + less post-meal slump 1-3h = microclot/fibrin-burden relief. Not with anticoagulants beyond aspirin microdose (monitor bruising).

Single histamine bolus + tryptase release test. Sticky-thoughts spike, flush, throat, GI symptoms within hours = HαT-spectrum. Already informative if cascade pattern echoes the yoghurt 4-phase. Stop with DAOSiN if symptoms strong.

NSAID-induced mast-cell flare in HαT subset. Sticky-thought + flush worsening within 2-4h = HαT-suspicious. Don't combine with aspirin holding period; OTC route.

Forward-head 10 min (chin jutted, phone-look). Log symptoms. Then chin-tuck retraction 10 min (chin back, occiput tall). Log delta. Forward-head provokes brain fog/nausea/HR + retraction relieves = CCI flavor. (Also see full /cervical-test protocol.)

Supine, head 45° contralateral. Palpate SCM + supraclavicular fossae + posterior triangle. Map rubbery 3-8mm nodes. Stemmer: pinch-and-lift skinfold on toe webs + 2nd/3rd finger webs — doesn't tent normally = early lymphedema. Counterpart: sternal pinch over manubrium vs lateral clavicle — asymmetric thickening = ipsilateral lymph congestion. Shoulder/scapula spider cluster sits over the supraclav drainage field — this is the R9 lateral test.

Coffee-filter strip cut to 5×35mm, 5min in lower lid bilaterally. <5mm wetting both eyes + photophobia + dry mouth = Sjögren-spectrum. Your chronic red eyes might be sicca, not pure Bart-conjunctival-injection. R10 steelman discriminator.

HÖCHSTE Vortest-Wahrscheinlichkeit. Großmutter jahrzehntelang viele Katzen + Flohbefall. Kindheits-Ausschläge retroskopisch als Flohbisse erkennbar. Photophobie + Cherry-Angiome + Striae + mood lability = Bart-typisch.

Schwarzwald = Endemiegebiet. Knieschmerz Onset mit 19 + lebenslange Laufbeschränkung. SI-Loosening unter Crypto/Andro. Bruder hatte 2 unbehandelte Zeckenstiche. Bei positivem ELISA → unbedingt Western Blot anfordern.

Erklärt historische Nachtschweiß-Phase (frühe 20er) + chronischen Atemhunger + Höhen-Kopfschmerzen. Klassischer Co-Infektionspartner. Erfordert anti-malarische Therapie, die das Buhner-Stack NICHT abdeckt.

Crypto/Andro/Psilo konvergieren auf Atemwege ("endlich frei atmen"). Chronische Rhinitis ≥15 Jahre.

Gürtelrose mit ~6 = Frühzeichen viraler Reaktivierungs-Tendenz. EBV-Reaktivierung häufiger Treiber von ME/CFS/MCAS.

Bart-angiogenesis biochemistry. Elevated = strengthens Bart-primary. Low/rock-bottom = pivot to autoimmune amplifier or CSTC primary.

Objektiver MCAS-Biomarker. >11.4 ng/mL = MCAS-leaning. Anchors mast-cell hypothesis objectively.

Chronische niedriggradige Entzündung. Baseline für Stealth-Protokoll.

Eosinophile + Basophile + Lymphozyten-Atypien. Häufig Kassen-gedeckt.

MANDATORY pre-MB baseline (R7). Polyphenol + herb load + future MB = real hepatic load. Compare any 4-week recheck against this.

Eisenreserve. Niedrig → Müdigkeit + MCAS-verstärkend. Gemeinsam mit hs-CRP interpretieren.

Vollständiges Eisenbild. Ferritin allein verfehlt Utilisationsstörungen.

VDR all-variant + CYP2R1 reduced + sun avoidance → wahrscheinlich niedrig trotz 5000 IU/d. Target: 60-80 ng/mL.

3-Monats-BZ. Wegen "Zucker-Binge → krank" Pattern.

Subklinische Hypothyreose überlappt mit photic-Hypersomnolenz. TSH meist Kasse, fT3/fT4 oft IGeL.

Großvater hatte Schilddrüsenkrebs = direkter ICD-10 Familien-Anchor. RET-Risiko + 2 cancer-Risiko-Varianten. Wenn GP Calcitonin verweigert → GP wechseln.

Cetirizin flachte Libido-Hyperarousal dramatisch ab. Baseline klärt ob hoch (echter Testo-Treiber) oder mastzellgetrieben.

Relevanter als Gesamt-B12 für zelluläre Verfügbarkeit. Brain fog / Fatigue / Faszikulationen.

Chronische Seborrhö seit 19 + Hautbarriere-Dysfunktion. Zinkmangel imitiert MCAS + treibt Seborrhö.

Promethease zeigt Tag-Variante; HLA-B27-positiv ist starkes Argument für SpA/Bechterew + erhöhtes Bart-reactive-arthritis Risiko.

5,2× RA-Risiko Promethease. Frühe RA-Marker bei Verdacht auf entzündlich-rheumatische Erkrankung.

Breiter Autoimmun-Screen. Bei negativem Ergebnis hilfreich zum Ausschluss klassischer AI-Diagnosen.

Schwester-Pathogen zu Mycoplasma, ähnliches Profil. Nur falls Hausarzt mitspielt.

Komplement-Verbrauch bei Autoimmun + bei chronischen intrazellulären Infektionen.

Cardiovascular risk + NOS3-Kontext. Lp(a) ist Lifetime-Marker (einmal messen).