Bloodwork for Unknown Causes (Systemic Candida?)

A friend from the UK is having extreme health issues, most of which clearly are food reactions on foods that he previously ate with joy. His issues are very similar to what mine were - absolute confusion about what is going on and unable to get answers.

In trying to get answers he keeps trimming foods but the symptoms rage on. So he decided to undergo a serious bloodwork battery from a healthcare practitioner who recognizes systemic candida as a problem and looks for dietary alterations to control symptoms. The practitioner does not diagnose, but he/she is licensed to advise on diet and nutritional intake to control symptoms. With permission my friend has allowed me to publish his bloodwork. The bloodwork and dietary suggestions are specific to my friend's needs and are not to be used to treat others. However, others may benefit from ideas in how a healthcare practitioner advises his/her clients so as to mask symptoms and regain control of one's diet, health, and perhaps life.

Bloodwork [click to enlarge]

Revised Dietary Programme

Your programme is an individually tailored programme and should not be used by anyone else without supervision of a qualified nutritional therapist. Your prescription is not intended to be a lifelong guide to eating habits, unless otherwise indicated and will be subject to review and alteration as your treatment progresses.

Cooking Methods
Steaming, baking and stir frying are the most beneficial cooking methods. Heat destroys vitamins and other nutrients, so minimal cooking times and temperatures. Boiling leads to loss of vital minerals in the fluid. Please avoid fried food. Avoid microwaving.
To make the best success from your nutritional therapy programme it is important that you eat plenty of nutritious foods on a daily basis in their most natural form.

Preparation for Changing Your Diet
In many cases people find it easier to implement changes slowly over the next few weeks rather than trying to change everything at once. If for example your programme recommends excluding both wheat and dairy, you will probably find it easier to tackle one at a time, rather than both at once. If you are excluding foods, then do make sure you have plenty of the alternatives to hand first to optimise your likelihood of making successful long-term changes.

Planning is also an important part of success with this programme. It will probably take you a while to get used to the changes in your cookery regime. I find it helpful to plan before shopping which meals I will be eating. Then I make sure that I buy in all the foods I will need.

Do buy some recipe books that support your new dietary regime.
It is useful to have healthy “quick grab” snacks etc.. so that you have something healthy to eat if you are hungry.

Cooking everything from basics is more time consuming (but the rewards are great!). The way that I manage this is to plan ahead – if I know I am going to have a busy day, I will try and make the basics of meal the day before – so it just needs cooking or re-heating. I often eat the same meal two nights on the trot to reduce cooking times. You could also batch cook and freeze meals for easy use at a later date. I also have a repertoire of meals that are very easy / quick to prepare i.e. baked potato / salad and meat or fish. Pasta (Gluten free if needed) and Pesto with stir fried veggies etc...

Please include a power drink daily:

Power Drink -

Daily - great as a snack between meals or with breakfast to get you going Preparation: Blast seeds in the blender in the water they were soaking in Add the other ingredients and blend

Handful of mixed Berries (frozen is fine) or fresh fruit for your list Handful of watercress 1 tablespoon of mixed seeds (Pumpkin, Sunflower, Flax, chai etc...) soak overnight in water with nuts 1 tablespoon of nuts (Almond, Hazelnut) soak overnight in water with seeds If you don’t want to use nuts you could use ImmunoPro Pure Whey Protein (Allergy Research Product) 30g serving of Higher Nature Hemp Protein Powder 1 tsp coconut oil 1 tablespoon Lecithin granules Raw Egg 1⁄4-1⁄2 Avocado A cup of Kefir (see instructions below) or live soya / nut based yoghurt 1 tablespoon E-Lyte Electrolyte concentrate A green Superfood such as Dr Schulze www.superfoodplus.co.uk would also be a good addition NB you don’t need to use all the ingredients every day i.e. but I would definitely use frozen fruits, pre soaked nuts and seeds each day.

Food Group	Frequency	What to Use
Proteins
Meat	Up to x 1 daily	Use fresh or frozen poultry, game & lamb with lean beef used occasionally only. Avoid pig products and processed meat products such as sausages, burgers, luncheon meat and canned produce. Meat particularly should preferably be organic, as is preferable for as much of your food as you can manage. Try to ensure meat is a fresh as possible to reduce histamine content. i.e. freeze on day of purchase until you require it, avoid leftovers etc.. and avoid smoked meats
Fish	4 x 125g per week	Use fresh/tinned in spring water/frozen oily fish (salmon, sardines, mackerel, herring, tuna) and white fish. Avoid shellfish, salted, smoked, breaded, battered fish products.
Eggs	None	Food intolerance results
Pulses (Beans & Lentils)	60g per day	All types of canned and dried pulses are included (chickpeas, lentils, beans, peas etc) No red kidney or pea
Seeds	30g per day	Use pumpkin, linseed, sesame, sunflower.

Nuts	Ideally I would like you to have 1-2 portions per day, but it really depends upon whether they impact on your symptoms or not	Nuts can be sprinkled onto salads, used as the basis of main meals (e.g. nut roast, nut rissoles etc.) or turned into ‘milk’. Note the order of preference (in descending order): (1) Almonds, (2) Hazels. Only these two should ever be used as the main base of a meal, or for milks or spreads. Other nuts, e.g. Brazil’s / pistachio, pine, pecan, are acceptable in small amounts in cakes (if any of these are included in the Diet) or in small amounts to chew as kernels. Chestnuts are fully acceptable, but protein content is negligible. Limit walnuts and cashews re histamine content; caution nut content generally to assess if Tyramine an issue Caution nuts - cashew, pine and pistachio very close to tolerance level on test
Sprouted pulses & grains	Use x 2-3 weekly	See table below – use wide variety
Carbohydrates
Potatoes – white & sweet	4 per week	Cut off any sprouts or green areas. Preferably eat the potato skin.
Cereal Grains	2 portions per day	The cereal grains should be used with each meal, and can be used as snacks. Always use wholemeal / wholegrain cereals. Please use short grain brown rice or millet at least once daily, oats (one portion daily only), and quinoa, buckwheat, corn / maize (small amounts only), or barley.
Wheat & Rye	None	Wheat & Rye may be used as wholemeal bread, wholemeal or spelt pasta, wholemeal flour or as a wholegrain breakfast cereal. Replace with other grains.
Fats
Dairy Produce	Remove all animal sourced dairy	Milk: replace cow’s milk with Nut, Soya (unsweetened) Oat, or Rice milks. Replace sugary desserts and yogurts with plain live Soya or nut based yoghurt (I have recipes if you would like). Avoid cheese, cream, crème fraiche, milk based desserts, ice cream and chocolate. Cows milk showed strongly on your food intolerance test
Fats & Oils	Maximum 4 tsp (20g) per day	Use olive or coconut oil, butter or ghee only in heated dishes. Olive, linseed / flax oil can be used for salad dressings. Butter or non hydrogenated dairy free spread / olive oil based margarine for spreading & baking.
Vegetables
Vegetables	50% of 2 meals per day of wide variety	Use a wide range of all vegetables with at least 2 meals per day. Include each day – one portion salad / raw as well as cooked vegetables. Vegetable crudités make great snacks. Where blood sugar is an issue, root vegetables should be avoided or eaten in small quantities only.
Sea Vegetables	Include at least x 2-3 weekly	These are a rich source of minerals, vitamins, amino acids and chlorophyll and help to build up the blood. Available in health shops or www.seagreens.com

Veggie Juices	1-2 glasses daily	All vegetable juices are encouraged – preferably fresh / homemade so that all the enzymes and nutrients are still intact. A good juicer can be purchased for around £80 (www.ukjuicers.com) use non salted variety such as Eden carrot if you don’t have a juicer. One glass of diluted (50/50) fruit juice daily.
Fruit
Dried Fruit	None	High sugar content can exacerbate candida; caution required re Tyramine content too
Fruit	Max 3 pieces per day	Apple, berries, nectarines, lemon, orange, cherries, plums, apricots, grapefruit, pomegranates & pear only. Some people with candida cannot tolerate any fruit due to sugar content. These fruits are the low glycemic variety which are less likely to cause problems
Drinks
Alcohol	Limit / Avoid	One unit of alcohol is 125ml of wine, 1⁄2 pint of beer / lager or 25ml spirits. If alcohol is taken dry white wine or white spirits are preferable. Avoid sugary mixers. Additional hazard of Histamine / Tyramine content
Beverages	2 litres every day of filtered water	Using largely filtered or mineral water, also a variety of herbal & fruit teas, coffee substitutes (such as Barley cup), green tea, Rooibosch tea & vegetable juices. Black tea can be used twice per day. Coffee (whether regular or decaf) is limited to once per day/removed. No coca cola
Herbs	Use freely	Please use a wide variety of culinary herbs in your cooking. The herbs listed are those which may be particularly beneficial in your case. No gingko
Foods to limit or	exclude from	your diet
Processed Food	Limit / exclude	Includes all pre-made, packaged, boxed products such as microwave meals, sauces, crisps, pizza, made up meat products. No Agar Agar
Salt	Exclude	Remove salt added at table or in cooking. Remove highly salted products such as stock powders, Bisto, gravy, canned products, marmite, soy sauce, packaged products. Marigold Swiss low sodium/wheat/dairy/yeast free stock powder may be used.
Yeast	Remove	Foods high in yeast include bread, leavened dough (pizza, doughnut, breadsticks, and pastries), vinegar, alcoholic drinks, marmite, stock cubes, gravy powder, and soy sauce.
Sugar	Remove refined sugar	Sugar is hidden in many products, please read the labels. Added sugar can be called sucrose, dextrose, lactose, maltose, glucose, high fructose corn syrup, concentrated grape juice.
Sweeteners	Try to avoid	3 teaspoons of honey or molasses may be used per day. Avoid the sugar substitute’s aspartame and saccharin. If you need a sweetener, use Xylitol from health food shops.
Exclude		Remove confectionary, sweets, and additives.

Supplements in addition to controlled diet:

I learned a lot from this report. The US alternative lifestyle practitioners and those in the UK look at blood range normalities a bit differently (that is, norms for both countries are viewed differently; usually that of the UK are narrower, which I think is a better view of the norm). Both countries also utilize different herbs, e.g. I've heard of belladonna but never in my research come across its use for people with food reactions, and different brand names that could be beneficial to check out, e.g. High Nature Citricidal and Biocare liquid whatever.

My friend got ideas about dietary care from my research and I got more insights from his holistic practitioner's advice. He allows me to publish this here because his food reaction traumas, like mine, were horrendous. He hopes that even a tiny piece of information could benefit someone who is having sudden food reactions, because just maybe, the person can recognize the need to trim foods to see if an altered diet could be of benefit.

Underactive Thyroid?

Do You Have an Under-Active Thyroid?

By Donna Gates, Body Ecology

What Role Does The Thyroid Play?

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The thyroid gland is a small butterfly shaped gland that sits just below the thyroid cartilage. The hormones secreted by the thyroid help to regulate heart rate, maintain healthy skin, and play a crucial part in regulating your metabolism.

The thyroid also works to:

• Lift your energy
• Regulate your core temperature and warm your body
• Activate your immune system

It can also tell the body to slow down. Sometimes the thyroid slows down so much that it becomes underactive. This is what is known as hypothyroidism. When this happens, the thyroid gland does not do its job, and the whole body suffers as a result. As common as hypothyroidism is, the detection and treatment of it are getting a second look by doctors.

What Symptoms Does An Underactive Thyroid Produce?

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When the gland is sluggish (hypothyroidism), your body will give you some fairly obvious signs.

Some common signs include:

• Edema, or swelling in the legs, arms, or face
• Abdominal weight gain
• Cold hands and feet. Also, check if the nail beds are overgrown with fungus
• Increased susceptibility to the common cold and flu. Or, a respiratory infection that hangs around for months
• Dryness, which shows up in loss of hair, brittle nails, constipation, and achy joints

What Does It Mean When Your Symptoms Persist?

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• You still feel like there is something wrong with your energy levels and basal body temperature?
• You continue to lose hair and gain abdominal weight?
• You begin to feel better and then start to feel just as crummy as before the medication, even though you now take it religiously?
• Do you feel like you're always the first to catch a cold? An increased susceptibility to the common cold and flu is one possible sign of an underactive thyroid.

5 Clues That May Indicate Your Thyroid Is Underactive

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Doctors are now investigating why thyroid tests may appear normal, but the thyroid itself may still be dysfunctional. Seeing a pattern will help you determine if your thyroid medication is properly treating an underactive thyroid, or if more diagnosis is necessary.

1. Edema, which is the abnormal accumulation of fluid beneath the skin. The edema that occurs in hypothyroidism is the “non-pitting” form of edema.

• “Non-pitting” means: You press your finger into the flesh, and it bounces right back and leaves no mark.
• This is called myxedema, which is specifically associated with low levels of thyroid hormones.
• Myxedema is swelling of the arms, legs, and face.

2. There is persistent weight gain, especially around your torso, that you just can’t lose no matter how frugal you are with calories.

Dr. Roby Mitchell tells us that thyroid hormones help insulin move glucose from blood into the cells. “When thyroid levels are low, more insulin is needed to maintain normal glucose. More insulin means more fat cell hyperplasia, which shows up as increased fat deposition.” The adrenals lose strength when the thyroid is underactive, which also slows down metabolism.

3. Cold hands and cold feet may mean lack of blood flow.

Lack of blood flow to the extremities, like your hands and feet, can also show up as chronic fungal infections. This is because the essential nutrients carried in the blood do not reach the extremities as frequently. Low thyroid activity is associated with too much homocysteine - an amino acid associated with heart disease, poor blood flow, and stiff vasculature.

4. Nagging infections could point to an underactive thyroid.

Dr. Mitchell points out that because beta-carotene depends on thyroid hormones in order to convert into vitamin A, beta-carotene can build up in the body and cause yellow skin, especially in the hands. The official name for this is called carotoderma.

Vitamin A plays an important role in immune system health. What happens when the body cannot convert beta-carotene into vitamin A? The body may become more susceptible to infections, or it simply may not have the strength to kick a bug.

5. Excessive hair loss, painful joints, and other signs of dryness.

Iodine and Thyroid Function

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Because there are so many pathways to an underactive thyroid, including autoimmune hypothyroid, be careful when supplementing with iodine. Iodine, while central to the production of thyroid hormones T3 and T4, can actually make some hypothyroid conditions worse. This is because iodine speeds up the production of a thyroid enzyme. If the body has developed autoimmunity to this enzyme, which happens in the case of Hashimoto’s thyroiditis, then this will increase the inflammatory cascade.

• Iodine is not a cure-all.
• Diagnosis, knowing the mechanism responsible for an underactive thyroid, is paramount.

Using iodine to address a thyroid condition does not take into account autoimmune hypothyroid. It also does not address diet or lifestyle, which can make a tremendous impact on thyroid hormone levels.

Testing for Hypothyroidism Can Be Tricky

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A major issue has erupted in the medical community. Many doctors are now disagreeing over what tests should be done to check thyroid function. Traditionally, TSH, Thyroid-Stimulating Hormone that is released from the pituitary gland in the brain, would be checked along with the two thyroid hormones it produces, T3 and T4.

However, it has become commonplace to only test for TSH, and that is only one part of a very detailed picture. There are many other mechanisms at work in thyroid health.

For example, healthy thyroid activity relies on:

• Stable levels of other hormones, like estrogen and progesterone. Too much estrogen, such as from the birth control pill, will create too many thyroid-binding proteins.
• A healthy immune system. Autoimmune hypothyroid can be missed by TSH blood panels.
• Beneficial bacteria in the gut. Antibiotics wipe out these good microbes, which account for around 20% of the conversion of T4 to usable T3. (1)
• An uncongested and healthy liver. The liver converts over half of T4 from the thyroid into usable T3.
• Good adrenal function. Adrenal fatigue can slow down the function of the pituitary and hypothalamus in the brain. These three glands are a part of what is called the HPA axis (hypothalamus-pituitary-adrenal axis). An alert and healthy pituitary is essential for good thyroid function.

Clearly, with so many pathways available for the production and conversion of thyroid hormones, there are a lot of opportunities for something to go wrong.

Many people are diagnosed with this condition and given thyroid medication. Sometimes, this medication will show improvements in lab analysis as hormone levels fall into normal range. But many people still have symptoms.

Tips For Treating An Underactive Thyroid

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1. Work with a qualified health care practitioner
2. Populate your gut with good microbes. Remember, gut flora convert 20% of T4 into usable T3! Eat fermented foods and drink probiotic beverages with every meal!
3. Regulate your immune system
4. Address any blood sugar imbalances
5. Diet and lifestyle can drastically affect your adrenals, the HPA axis, and the health of your thyroid; does your current diet and lifestyle support a healthy thyroid?

This article was taken in its entirety from Food Matters.

Allopathic Cancer Blood Test

While at HHI, I met a lady who had breast cancer and in the long process of getting diagnosis and looking for a natural way to treat her cancer, she was introduced to a CNP / RNCP (community nurse practitioner / registered nutritional consulting practitioner). 

The practitioner did not and does not give diagnosis. What she gives is an understanding of an individual's blood pathology so that with diet and lifestyle change, alternative approaches to healing, the individual can follow and hopefully manage the pathology outcome with alternative lifestyle rather than invasive medical procedures and therapies. 

Candida will show up in the blood, so my friend shared her blood pathology write-up with me. She pointed out that different kinds of organisms have different shapes, and the pathology form has a simple drawing of each organism. Of the 25 possible organisms that her blood test was concerned with, 8 organisms showed up in larger quantities than desirable. The quantities are generally categorized on a scale of 1 to 5 with 5 recorded as having severely high numbers. Her outcome was one "5", two "4s", four "3s", and one "2". The "5" outcome read:

"RBC Bottle Caps - Membrane damage. Free radical damage from environmental toxicity. Poor fat digestion, low EFA's, minerals. Low energy, poor circulation."

Because my candida is now over a five-year-long issue and because I've read tons and tons on the Internet and tried tons and tons of natural therapies and made huge lifestyle changes but my candida yet remains, my friend recommended that I find a specialist who could give me this kind of pathology. With the pathology and specialist to see areas of focus I as yet don't know about, I could have a 6-month follow up for another analysis to monitor progress or lack of progress. Not a bad idea! Now I just have to find someone who can do such an intensive blood analysis. It's kind of hard in Korea finding a nutrition specialist, and absolutely no one I have asked knows of anyone who does blood testing even remotely related. 

click on the paper for a larger view

"The Hundred-Year Lie" - A Book of Truth

Randall Fitzgerald compiled a powerhouse of information of what governments/individuals are doing to alter our food supply in some monetarily beneficial way to them but at the loss and suffering of the majority. Fitzgerald labeled his book The Hundred-Year Lie because the lie began in earnest in 1906, the year the US Congress enacted the Pure Foods and Drugs Act, the first law of its kind giving the public a false sense of security about the safety of its foods and medicines. He goes on to expose what "natural flavors" really mean, the harm in vaccines, the ludicrousness of supplements as being beneficial rather than the chemical harming substances they really are. He discusses in detail about how fluoride got dumped into our water supply, which resulted in the company getting paid by the government for preventing tooth decay in people rather than paying $8,000 a truckload to haul off and dump their toxic waste somewhere (p. 130-1).

Fitzgerald gave data from a variety of valuable sources that I want to follow up on for my own and further knowledge. Some books he cited that are valuable about teaching about man's inharmonious relationship to the environment are Marla Cone's 2005 book, The Slow Poisoning of the Arctic, Schlink's 100 Million Guinea Pigs: Dangers in Everyday Foods, Drugs, and Cosmetics, and the ethnobotanist Plotkin's Medicine Quest. Other books he introduced relate to health, for example, Fitzgerald introduced the The Saccharine Disease by Cleave a British physician, Revolution at the Table by Levenstein who presented a history of food including the complex wizardry of food chemists, and Blaylock's Excitotoxins which exposes the dangers of MSG, aspartame and other chemical concoctions. 

However, the nine-hundred-page book, Diagnoses in Assyrian and Babylonian Medicine (2005), which demonstrated a wise and in-depth knowledge of anatomy and physiology and complementary, holistic medical treatment caught my attention. The author deduces that the following revelations of an advanced society existed 4,000 years ago.

• "Ancient physicians were trained as specialists in dentistry, neurology, gynecology, pediatrics, and other areas of medicine, and they utilized the medicinal properties of more than three hundred Mesopotamian plants in their treatments.
• Careful observation and experimentation produced treatments that evolved over hundreds of years. Some of these ancient treatments are still in common use today within Western medicine, one being the practice of surgically draining fluid from between the lungs and chest of pneumonia patients by making an opening in the fourth rib and inserting a drainage tube.
• These ancient doctors were able to measure pulse rates and used metal hammers to tap below the knee to test reflexes, just as we do today.
• They cleaned surgical wounds using bandages treated with ginger and cedar, both antiseptics; they treated blindness with raw liver, which we now know corrects the vitamin A deficiencies that cause night blindness; they used marijuana to treat pain and nausea, just as we do for cancer patients today; they treated women with irregular monthly cycles using a medicine made from date pits, which we now know contains estrogen."

The ancients had great understanding of healing, and Fitzgerald showed that the Bible's New Testament in "The Gift of the Magi", and that the gifts of gold, frankincense, and myrrh given to Joseph and Mary 2,000 years ago was in total the gift of life, and that these items were the most essential medicines of the ancient world! Myrrh is a tree resin and prized as an antibiotic, which was used by physician healers in Persia, Egypt, Greece, and Rome to clean and dress wounds. Frankincense, another resin, is both an anti-inflammatory and antifungal, and like myrrh, it is also a powerful pain-reliever.

At the end of his journey to discover and write about the chemicals used in our world so blindly today, Fitzgerald ended up at the Hippocrates Health Institute in Florida where he went through their full three-week detox program. Before going to HHI to detox, he had his blood drawn and sent off to Accu-Chem in Dallas for a reading of the chemicals in his body. The test cannot test the occurrence of all the drugs in the world as there are just too many, with thousands more added to the list every year, but the tests Fitzgerald underwent tested a few hundred, and many of them were present in his body, some at alarming levels.

For three weeks, Fitzgerald did multiple therapies - magnetic, hydro, colon cleansing, etc - used no deodorant, shampoos, make up (haha), cologne (perfume, body lotions, etc), and he drank highly purified and then remineralized water, toxin removing wheatgrass, raw fruits and vegies (heat kills enzymes and HHI is a totally raw food lifestyle center). At the end of three weeks, Fitzgerald retested with Accu-Chem and discovered a drastic drop in his toxicity levels in his body.  

He pretty much concludes his book promoting prevention of diseases through lifestyle change and living in harmony with the planet we humans seem so determined to destroy. If we truly want to prevent illness and speeded aging, we shouldn't wait to fix our rooves in the rain ... his astute conclusion.

My Cats' Hematology Reports

Before my female cats were spayed, one vet had a policy of doing bloodwork before operating to see if there would any kind of special problems he might have to address during the brief surgery. He also wanted to know the condition of the animal, and in some cases, would recommend drug therapy, or I'm guess, maybe a special diet.

They both loved sitting behind the books while I studied!

Anyway, both Aulait and Cafe had their operations and he didn't particularly like the outcome of either of their bloodwork. Aulait, at one year of age, had her operation first. The vet commented that it might be necessary to give her some kind of therapy, but I wasn't too keen on infusing a drug cocktail in my baby and that was as far as the conversation went. Aulait as an older cat having the operation really had a lot of pain, and I vowed that Cafe wouldn't have the operation so "late". But since she had panleukopenia as a two-month-old and then needed time to recover before she had her inoculations, which had to be spaced, the vet wanted her well enough to be able to recover from another shock to the system. So finally at eight months of age, Cafe was fully inoculated and thought to be healthy enough. The bloodwork certainly shows that she was f-a-r from healthy. The vet just shook his head, didn't recommend any kind of therapy, and said she was well enough for the operation.


I was so busy at the time writing my thesis and researching that I didn't pay as much attention to Cafe's bloodwork as I had when Aulait's came back. For Aulait I had to look up everything online to figure out why something was 'high' or 'low' or even normal. I just didn't understand much about the medical terms and what they might imply in regard to health. I know a lot more now, but I intend to study further and so I post these hematology reports for future referencing.

Got us a wee cat fight on our hands!

The bloodwork did help me over the past few years to understand a little why Aulait always wanted to eat plastic bags, plastic coated strings, Christmas (plastic) colored strings, and other soft plastics ... she was low in lipase, the enzyme for fats. Cafe was also very low in lipase but only on rare occasions did she go for plastic, so I'm still thinking on this weird plastic eating phenomenon. I've read online about other cats doing it or even eating computer cords. Thank goodness Aulait didn't do that, but I did have a trick to prevent her from eating the plastic bag edges that hung over on my trash can - I would lather my hands lightly with dish soap and smear it on the visible plastic. I would have done that to my computer cord too if necessary. And then looking at Cafe's blood report, it was obvious that she already had renal issues as an eight-month-old, although it wasn't obvious to me at the time. I really wonder what I would have done differently if I would have known how to read the blood report.



Cafe, after being diagnosed with serious renal problems knew and accepted that she couldn't have Aulait's food ... so she would get just as close to it as she could during Aulait's feeding times. She never tried to get IN the cupboard, but boy did she have to sit ON the cupboard while Aulait ate!