total IgG vs IgG4

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  • #278

    Monday’s lecture was the 1st time I had heard a differentiation between total IgG vs IgG4 testing. Are there some resources that go more in depth into why not to do IgG4 testing and to do total IgG testing. Do you recommend abandoning completely IgG4 testing (sounds like it)?
    Thanks
    Aaron Hartman MD

    #281
    DrWoeller
    Keymaster

      Dr. Hartman,
      I go with the Food IgG test from Great Plains which is a total IgG test. It has worked out well clinically in my practice.

      There are a number of resources, and Dr. Bill Shaw has written a number of articles on this topic, with references. Their resource section under articles is a good place to look.

      Here is a link to an article on the topic of Food IgG, including Total IgG versus IgG4, which part of the lecture slides where built from – http://www.greatplainslaboratory.com/home/eng/ClinicalUsefulnessOfTheIgGFoodAllergyTest.asp.

      I hope this helps,
      Dr. Woeller

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