SMPDL3B axis – exploratory patient-led model (not a diagnostic test)

SMPDL3B-Focused Questionnaire

This 10-question tool explores whether your symptom pattern leans toward a SMPDL3B-shedding phenotype, a SMPDL3B-deficient phenotype, or a pattern where SMPDL3B biology is not the main driver.

Based on the BA-GLA / SMPDL3B disease concept v2.1. This is research-oriented and not a medical diagnosis or treatment guide.

How to interpret certain terms

Section A – Global Pattern & Immune Triggers
A1. Immediate symptom pattern with small triggers
For example: light standing, brief conversation, small positional changes, mild stressor.
A2. Reaction to immune-type triggers (infection, vaccine)
A3. What does a “crash” feel like at its peak?
Section B – Temperature & Microcirculation
B1. Heat + upright (shower, kitchen, sauna)
Think about being warm and standing – e.g., hot shower, cooking in a warm kitchen, being in a sauna.
B2. Cold reactivity
Consider both cold environments and cold hands/feet (winter, cold rooms, cold exposure).
Section C – Volume / Kidney / Autonomic Axis
C1. Response to salt + water loading
Think of a proper salt load: around 1–2 g sodium taken with 500–1000 ml of water over 20–40 minutes (if safe for you). A small tablet with a few sips of water is not a full test.
C2. Standing from lying/sitting (especially in warmth)
Think about the first 1–3 minutes after standing up, especially in a slightly warm environment.
Section D – Food & Hepatic / Metabolic Response
D1. Rich / fatty / fried meals
Section F – Alcohol & Exertion
F2. During mild–moderate exertion
Think about activities like short walks, light chores, gentle stretching – not maximal exercise.
F3. Timing and flavor of PEM/exertional crash