DAMNIT-V COMBINED EVIDENCE SNAPSHOT v1
==================================================

PATIENT
-------
Name: Hustle
Owner: Hillian
Species: Dog
Breed: 
Sex: 
Desexed Status: Entire
Life Stage: Adult
Activity Level: Moderate
Current Weight kg: 14.00
Ideal Weight kg: 15.00
BCS: 4.00

CASE
----
Case Title: RAC test 6 
Primary Complaint: Reflux, Skin itching , Wt loss
Status: Open
Date Opened: 07/06/2026

CLINICAL NARRATIVE
------------------
Last 3 months of 2025, Hustle was on 100% Barf as she had reflux previously when fed any kibble.
Xmas 2025 I introduced PetnPro kibble as I could not get her to maintain a good weight.... she was at least 1- 1.5 kgs too light.
She was looking the best she has in years by End of January, she was on 50% PetnPro with barf.
March she was in season 8th to 30th.
Around the 23rd March I realised she has some rash on her belly, groin area. It was red, crusty circular lesions, and was itchy.
Vet 15th April (Animal Wellness)
Many different causes possible, including hormonal.
The kibble was stopped at 1st April.
Barf continued 100% of diet.
Xiao Feng San started after vet visit, along with herbal cream and weekly washes in oatmeal shampoo and conditioner. Seemed to improve for a week, but by day 6 after wash she was very uncomfortable again.
The rash cleared from belly and groin and was then along the spine and tail from the mid lumbar area. Once that began to clear, it started on her sides and flank....now it is neck underarms and forward half nipples. It is very red and some scabs and crustiness to start, then the red goes and there are dry flakey roundish scabs all over the area.
Currently she seems the worst, there is lots of redness of the skin, chest and neck area.... some of her nipples have lesions around them, and there is some swelling, almost as if she's having a phantom pregnancy. The lesions are appearing as red round areas with the hair thinning and and coming away.
I didn't continue with the herbs once they were finished, as she had reflux with it and she has dropped down to 14kgs.
I am losing the battle for her atm, she is wearing shirts during the day to stop her scratching and I am using tissue salts to contract the itch..... it all helps but her skin is still deteriorating.
I have stopped all chicken as well, doesn't seem to have helped, and she is still too underweight.
Pet Mince Direct 

Essential Barf V2
Since at least September last year, until beginning of May.

Ingredients:
Pork Meat, Chicken Meat, Chicken Bone & Cartilage, Beef Liver, Pork Liver, Beef Kidney, Pork Kidney, Mullet, Salmon, Beef Spleen, Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Sunflower Seeds, Chia Seeds, Spirulina, Chlorella, Barley Grass, Alfalfa, Brewers Yeast, and Kelp.

I have since had her on their 
SUPER COOL BARF

Ingredients:
Emu, Quail, Mackerel, Goat Meat, Turkey Meat, Lamb Tripe, Lamb Hearts, Lamb Liver, Lamb Kidney, Lamb Bone and Cartilage, Turkey Bone and Cartilage, Blackberries, Blueberries, Strawberries, Raspberries, and Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Wheatgrass, Chlorella, Barley Grass, Alfalfa, Chia Seeds, Sunflower Seeds, Brewers Yeast, Kelp.

and also 

BIG DOG SENSITIVE SKIN

Ingredients
Tasmanian salmon, Turkey (meat, crushed bone & cartilage), Pork (meat, crushed bone & cartilage), Lamb (heart, lung, liver, kidney, trachea), Goat (heart, liver, lung, kidney, trachea), apple, green bananas, carrots, lettuce, green beans, sprouted wheatgrass, orange, strawberries, blueberries, nettle and dandelion tea, psyllium, goats whey, kelp, turmeric, organic fulvic acid.

She is on at least 500g per day.

Treats, are either Roo based with no Chicken,
Venison air dried
Or salmon based, again no Chicken

INITIAL DIFFERENTIAL NOTES
--------------------------


LOCAL / REGIONAL CLINICAL CONTEXT
---------------------------------
No matching active local/regional clinical context entries found for the recorded species and presenting signs.

CLINICAL INTAKE DOCUMENTS
-------------------------

DOCUMENT: Clinical Intake - 13/06/2026 18:51
Type: Clinical History
Source: Clinical intake / AI consult
Uploaded: 13/06/2026 18:51

Last 3 months of 2025, Hustle was on 100% Barf as she had reflux previously when fed any kibble.
Xmas 2025 I introduced PetnPro kibble as I could not get her to maintain a good weight.... she was at least 1- 1.5 kgs too light.
She was looking the best she has in years by End of January, she was on 50% PetnPro with barf.
March she was in season 8th to 30th.
Around the 23rd March I realised she has some rash on her belly, groin area. It was red, crusty circular lesions, and was itchy.
Vet 15th April (Animal Wellness)
Many different causes possible, including hormonal.
The kibble was stopped at 1st April.
Barf continued 100% of diet.
Xiao Feng San started after vet visit, along with herbal cream and weekly washes in oatmeal shampoo and conditioner. Seemed to improve for a week, but by day 6 after wash she was very uncomfortable again.
The rash cleared from belly and groin and was then along the spine and tail from the mid lumbar area. Once that began to clear, it started on her sides and flank....now it is neck underarms and forward half nipples. It is very red and some scabs and crustiness to start, then the red goes and there are dry flakey roundish scabs all over the area.
Currently she seems the worst, there is lots of redness of the skin, chest and neck area.... some of her nipples have lesions around them, and there is some swelling, almost as if she's having a phantom pregnancy. The lesions are appearing as red round areas with the hair thinning and and coming away.
I didn't continue with the herbs once they were finished, as she had reflux with it and she has dropped down to 14kgs.
I am losing the battle for her atm, she is wearing shirts during the day to stop her scratching and I am using tissue salts to contract the itch..... it all helps but her skin is still deteriorating.
I have stopped all chicken as well, doesn't seem to have helped, and she is still too underweight.
Pet Mince Direct 

Essential Barf V2
Since at least September last year, until beginning of May.

Ingredients:
Pork Meat, Chicken Meat, Chicken Bone & Cartilage, Beef Liver, Pork Liver, Beef Kidney, Pork Kidney, Mullet, Salmon, Beef Spleen, Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Sunflower Seeds, Chia Seeds, Spirulina, Chlorella, Barley Grass, Alfalfa, Brewers Yeast, and Kelp.

I have since had her on their 
SUPER COOL BARF

Ingredients:
Emu, Quail, Mackerel, Goat Meat, Turkey Meat, Lamb Tripe, Lamb Hearts, Lamb Liver, Lamb Kidney, Lamb Bone and Cartilage, Turkey Bone and Cartilage, Blackberries, Blueberries, Strawberries, Raspberries, and Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Wheatgrass, Chlorella, Barley Grass, Alfalfa, Chia Seeds, Sunflower Seeds, Brewers Yeast, Kelp.

and also 

BIG DOG SENSITIVE SKIN

Ingredients
Tasmanian salmon, Turkey (meat, crushed bone & cartilage), Pork (meat, crushed bone & cartilage), Lamb (heart, lung, liver, kidney, trachea), Goat (heart, liver, lung, kidney, trachea), apple, green bananas, carrots, lettuce, green beans, sprouted wheatgrass, orange, strawberries, blueberries, nettle and dandelion tea, psyllium, goats whey, kelp, turmeric, organic fulvic acid.

She is on at least 500g per day.

Treats, are either Roo based with no Chicken,
Venison air dried
Or salmon based, again no Chicken

NUTRITION ASSESSMENTS
---------------------
Total nutrition assessments for this case: 1

LATEST NUTRITION ASSESSMENT
---------------------------
Assessment ID: 92
Title: Nutrition Review
Date: 13/06/2026
Feeding Goal: Maintenance
Current Diet Type: Mixed / to be verified
Body Weight kg: 14.00
Ideal Weight kg: 15.00
BCS: 4.00
Muscle Condition: Not recorded
Appetite: Not recorded
Owner Goals: 
Diet Concerns: 
Skin / Coat Notes: 
Digestive Notes: 
Stool Quality: 
Owner-Reactive Foods: 
Owner-Tolerated Foods: 

NUTRITION EVIDENCE SNAPSHOT
---------------------------
Latest Assessment ID: 92
Assessment Date: 13/06/2026
Energy Intake: 788.7 kcal/day
Estimated Requirement: 724.09 kcal/day
Energy Percent: 108.9%
Energy Status: Broadly adequate
Protein: 120.34 g/day
Fat: 93.23 g/day
Carbohydrate: 5 g/day
Matched Diet Items: 2 / 2
Unmatched Diet Items: 0
Micronutrient Confidence: Partial / incomplete
Nutrition Confidence: Moderate / partial evidence

Owner-Reactive / Avoid Foods:
None recorded.

Owner-Tolerated Foods:
None recorded.

Ingredient-Derived Reactive Groups:
barley_gluten_grain, egg, fish, kelp_iodine, lamb, oats, vague_meat_source, wheat_gluten

RAC-Reactive Foods:
Not yet connected. Future build will compare RAC-reactive foods against current diet, owner-reactive foods and tolerated foods.

EVIDENCE INCLUDED
-----------------
Clinical intake documents: 1
Nutrition assessments: 1
Accepted food / commercial diet entries: 2
Accepted treat entries: 0
Accepted supplement entries: 0
Nutrition calculation: 788.7 kcal/day, 108.9% of estimated requirement
Nutrition matched items: 2 / 2
Nutrition micronutrient confidence: Partial / incomplete
RAC / Audiomixer documents: 5
Pathology / laboratory reports: 0
Imaging reports: 0
HTMA reports: 0
Microbiome reports: 0
Supplement reviews: 0

EVIDENCE PENDING / NOT YET ADDED
--------------------------------
- Accepted nutrition entries are present and used for nutrition calculations.
- RAC / Audiomixer DOCX reports
- Pathology / laboratory reports
- Imaging reports
- HTMA report if requested
- Microbiome report if requested
- Supplement review

EVIDENCE STATUS
---------------

Evidence Used In This Snapshot:
- Clinical Intake: Used
- Nutrition: Used

Additional Evidence Available If Clinically Indicated:
- RAC / Audiomixer screening: may help prioritise which physical tests or evidence domains should be pursued next.
- Pathology / laboratory testing: available if clinical signs, risk assessment, or response to treatment justify testing.
- Imaging: available if obstruction, foreign body, mass, trauma or structural disease remains a concern.
- HTMA: available if mineral/toxic element patterning is clinically relevant.
- Microbiome: available if chronic gastrointestinal, immune, dermatological or inflammatory patterns require deeper investigation.

Clinical Context:
A veterinary assessment is commonly made using the evidence that is clinically justified and practically available. This section records what was used and what could be added later, without implying that every possible test is required for every patient.

EVIDENCE WEIGHTING ENGINE v1
----------------------------
Domain weights used in this snapshot:
- Imaging: 5
- Pathology / Laboratory: 5
- Clinical Examination: 4
- Clinical History / Intake: 4
- Nutrition: 3
- HTMA: 2
- Microbiome: 2
- RAC / Audiomixer: 1
- Supplement Review: 1

Current snapshot contains Clinical Intake and Nutrition evidence only. Imaging, pathology, HTMA, microbiome and RAC are pending.

DIFFERENTIAL PRIORITIES v2 - WEIGHTED
-------------------------------------

1. Otitis externa / media / interna or ear-associated pain
Weighted Evidence Score: 6
Weighted Confidence: Low-Moderate
Evidence:
- [I - Clinical History +4] Ear-related clinical language supports otic inflammation / infection.
- [D - Clinical History +2] Head shaking, ear scratching pain or crying when touched may also require structural ear examination.

2. Concurrent metabolic / nutritional patient-state issue
Weighted Evidence Score: 2
Weighted Confidence: Low
Evidence:
- [M - Nutrition / Patient-State +2] Accepted diet calculation has partial / incomplete micronutrient confidence.

DAMNIT-V EVIDENCE-CONDITIONED POSSIBILITY MAP v2
------------------------------------------------
All DAMNIT-V domains remain visible, but each domain is interpreted according to the evidence actually collected in this snapshot. Low-evidence domains are retained for completeness without being over-prioritised.


UNIFIED DAMNIT-V DOMAIN SCORES v1
---------------------------------
These scores integrate clinical intake, accepted nutrition calculations and RAC ontology classification where available.

I - Infectious / Inflammatory / Immune
Clinical Score: 6
Nutrition / Patient-State Score: 0
RAC Score: 3
Total Unified Score: 9
Evidence:
- Clinical intake contains ear pain, head shaking or scratching-ear signs supporting otic inflammation/infection.
- RAC: Autoimmune_NK | RAC 15 | Mild concern | BODY / Immune System
- RAC: T4-TH2+Cytokines-level1 | RAC 15 | Mild concern | BODY / Immune System
- RAC: T4-TH17+Cytokines-level1 | RAC 15 | Mild concern | BODY / Immune System
- RAC: Pain combined4 | RAC 10 | Normal / no concern | BODY / Primary Body State
- RAC: Stress Inflammation | RAC 10 | Normal / no concern | BODY / Primary Body State

A - Allergic / Reactive
Clinical Score: 3
Nutrition / Patient-State Score: 0
RAC Score: 4
Total Unified Score: 7
Evidence:
- RAC: Tradescantia - Wandering Jew | RAC 26 | Significant concern | BODY / Contact Allergens
- RAC: Canine Allergy Sig. | RAC 25 | Significant concern | BODY / Immune Assessment
- RAC: Clioquinol | RAC 20 | Mild concern | BODY / Contact Allergens
- RAC: Benzocaine | RAC 15 | Mild concern | BODY / Contact Allergens
- RAC: Imidazolidinyl urea | RAC 15 | Mild concern | BODY / Contact Allergens

T - Toxic / Traumatic
Clinical Score: 3
Nutrition / Patient-State Score: 0
RAC Score: 4
Total Unified Score: 7
Evidence:
- RAC: Vegetable Rancid - 08-01-2024 23_111 | RAC 25 | Significant concern | BODY / Environmental Toxicity
- RAC: Acetylaldehyde1 | RAC 15 | Mild concern | BODY / Environmental Toxicity

D - Degenerative / Structural
Clinical Score: 5
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 5
Evidence:
- Ear-related signs may require structural examination of external canal, middle ear or local tissues.

M - Metabolic / Nutritional
Clinical Score: 0
Nutrition / Patient-State Score: 2
RAC Score: 3
Total Unified Score: 5
Evidence:
- Accepted nutrition calculation has partial / incomplete micronutrient confidence.
- RAC: HPA axis | RAC 20 | Mild concern | BODY / Endocrine / Hormonal Axis
- RAC: HPG-axis | RAC 20 | Mild concern | BODY / Endocrine / Hormonal Axis
- RAC: C_GIT_ID1 | RAC 20 | Mild concern | BODY / RAC System Evaluation
- RAC: Adipose PCT marker_Canine | RAC 15 | Mild concern | BODY / Metabolic / Adipose Inflammation
- RAC: C_HEPATIC_ID1 | RAC 10 | Normal / no concern | BODY / RAC System Evaluation

N - Neoplastic
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 5
Total Unified Score: 5
Evidence:
- RAC: Cobalt | RAC 31 | Strong concern | BODY / HTMA Minerals
- RAC: Fere1 | RAC 30 | Significant concern | BODY / Food Reactivity
- RAC: Fodmap group marker | RAC 25 | Significant concern | BODY / Food Burden Analysis
- RAC: C_TUMOUR_SIGNAL | RAC 20 | Mild concern | BODY / Cancer Signals
- RAC: Wheat - Lectins | RAC 20 | Mild concern | BODY / Food Burden Analysis

V - Vascular / Neurological
Clinical Score: 0
Nutrition / Patient-State Score: 0
RAC Score: 0
Total Unified Score: 0
Evidence:
- No direct case-specific evidence currently recognised.

DOMAIN-SCORED CLINICAL PRIORITIES v1
------------------------------------
- I - Infectious / Inflammatory / Immune: unified score 9
- A - Allergic / Reactive: unified score 7
- T - Toxic / Traumatic: unified score 7
- D - Degenerative / Structural: unified score 5
- M - Metabolic / Nutritional: unified score 5
- N - Neoplastic: unified score 5

1. I - Infectious / Inflammatory / Immune
Evidence Score: 7
Evidence Strength: Moderate
Evidence found in this snapshot:
- Skin lesions, licking, redness or rash can involve secondary inflammatory or infectious processes.
- Ear pain, head shaking or scratching-ear history can support otic inflammatory or infectious processes.
Possibilities supported by current evidence:
- Secondary bacterial dermatitis, Malassezia dermatitis, inflammatory dermatitis or immune-mediated skin pattern.
- Otitis externa, otitis media/interna, inflammatory ear canal disease or secondary microbial involvement.
Possibilities not currently supported / missing evidence:
- No cytology, culture, CBC, biopsy, pathology or RAC infection/inflammation screen is yet attached.
Suggested RAC screen if this domain remains clinically relevant:
- Bacterial burden
- Yeast / Malassezia burden
- Immune dysregulation
- Inflammatory cytokine / tissue inflammation pattern
- Barrier breakdown pattern
Suggested physical confirmation if justified:
- Skin cytology
- Tape prep / impression smear where lesions are active
- CBC / biochemistry if systemic signs are present
- Culture or biopsy if recurrent, severe or non-responsive

2. D - Degenerative / Structural
Evidence Score: 5
Evidence Strength: Moderate
Evidence found in this snapshot:
- Trauma / foreign body / injury language is present in the case history.
- Ear-related signs may require structural examination of the external canal, middle ear or local tissues.
Possibilities supported by current evidence:
- Mechanical injury, wound, bite trauma or foreign body irritation.
- Ear canal foreign body, otic structural disease or local painful lesion depending on examination findings.
Possibilities not currently supported / missing evidence:
- No direct imaging or structural confirmation has been added to this snapshot.
Suggested RAC screen if this domain remains clinically relevant:
- Structural obstruction / restriction signal
- Regional tissue integrity
- Pain or mechanical stress localisation
Suggested physical confirmation if justified:
- Physical examination and palpation
- Imaging if structural disease is clinically suspected
- Serial monitoring if signs are mild or improving

3. A - Allergic / Reactive
Evidence Score: 4
Evidence Strength: Low-Moderate
Evidence found in this snapshot:
- Skin / paw / rash / itching / licking evidence is present in the clinical narrative.
Possibilities supported by current evidence:
- Atopic dermatitis, contact hypersensitivity, allergic dermatitis or irritant dermatitis.
Possibilities not currently supported / missing evidence:
- No allergy testing, skin cytology, biopsy, RAC reactivity screen or challenge result is yet attached.
Suggested RAC screen if this domain remains clinically relevant:
- Current foods against allergic / reactive burden
- Owner-reactive foods
- Histamine / mast-cell pattern
- Atopy / environmental allergen pattern
- Contact irritant pattern
Suggested physical confirmation if justified:
- Skin cytology if lesions are active
- Controlled elimination / challenge logic if clinically appropriate
- Environmental and contact exposure review
- Secondary infection assessment if pruritus or lesions persist

4. M - Metabolic / Nutritional
Evidence Score: 3
Evidence Strength: Low-Moderate
Evidence found in this snapshot:
- Nutrition assessment evidence is present as supporting context.
- Accepted Review Centre diet entries are available for nutrition calculation.
- Accepted diet calculation: 788.7 kcal/day, 108.9% of estimated requirement.
- Micronutrient evidence is partial or incomplete.
Possibilities supported by current evidence:
- Incomplete micronutrient certainty; deficiencies or excesses cannot be fully excluded.
- Skin barrier support issues such as essential fatty acids, zinc, vitamin A/E or protein-energy balance.
Possibilities not currently supported / missing evidence:
- No pathology, endocrine testing, HTMA or complete micronutrient confirmation is currently attached.
Suggested RAC screen if this domain remains clinically relevant:
- Zinc / copper / selenium / vitamin A / vitamin E pattern
- Essential fatty acid sufficiency
- Liver / endocrine metabolic stress
- Energy balance and protein utilisation
Suggested physical confirmation if justified:
- Review unmatched diet items and incomplete micronutrient fields
- Pathology if systemic or endocrine signs are present
- HTMA if mineral/toxic patterning is clinically relevant
- Diet correction and longitudinal response tracking

5. T - Toxic / Traumatic
Evidence Score: 3
Evidence Strength: Low-Moderate
Evidence found in this snapshot:
- Trauma / injury / wound / bite / foreign body language is present.
Possibilities supported by current evidence:
- Mechanical trauma, bite wound, puncture, foreign body or local tissue injury.
Possibilities not currently supported / missing evidence:
- No toxicology, exposure confirmation, trauma imaging or RAC toxic/trauma screen is currently attached.
Suggested RAC screen if this domain remains clinically relevant:
- Chemical / toxin burden
- Drug reaction burden
- Environmental irritant
- Trauma localisation
- Tick / envenomation pattern if regionally relevant
Suggested physical confirmation if justified:
- Exposure history
- Physical examination of affected region
- Pathology or toxicology only where clinically indicated
- Imaging if penetrating injury, foreign body or deeper trauma is suspected

6. N - Neoplastic / Nutrition
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- No direct supporting evidence currently collected.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No mass, imaging, pathology, cytology or RAC neoplasia evidence has been collected in this snapshot.
Suggested RAC screen if this domain remains clinically relevant:
- Mass / nodule signal if any lesion is palpable
- Mast cell / inflammatory nodule distinction
- N-Neoplasia versus N-Nutrition clarification where relevant
Suggested physical confirmation if justified:
- Clinical examination of any lump or lesion
- FNA / cytology if a discrete mass is present
- Biopsy or imaging only if clinically justified

7. V - Vascular / Neurological
Evidence Score: 0
Evidence Strength: Currently unsupported / retained for completeness
Evidence found in this snapshot:
- No direct supporting evidence currently collected.
Possibilities supported by current evidence:
- None currently supported beyond DAMNIT-V completeness.
Possibilities not currently supported / missing evidence:
- No neurological examination, imaging, blood pressure, coagulation or RAC vascular/neurological screen is currently attached.
Suggested RAC screen if this domain remains clinically relevant:
- Vestibular / neurological axis
- Autonomic dysregulation
- Vascular compromise
- Coagulation / perfusion pattern
Suggested physical confirmation if justified:
- Neurological examination if signs are present
- Blood pressure and perfusion assessment if clinically indicated
- Advanced imaging or referral only if justified by signs

SNAPSHOT INTERPRETATION NOTE
----------------------------
This section does not remove any DAMNIT-V domain. It prevents all domains being displayed as equally likely by separating evidence-supported possibilities from framework-completeness possibilities.

RAC-GUIDED NEXT EVIDENCE v1
---------------------------
RAC is treated here as a screening and prioritisation layer. A positive RAC signal does not replace physical diagnosis, but it can increase the justification for targeted physical testing when cost, risk, or uncertainty make broad testing difficult.

Suggested workflow:
1. Generate broad differential possibility map.
2. Run RAC screening against the most plausible branches.
3. Compare RAC positives with clinical history, nutrition, examination and owner observations.
4. Increase priority for physical confirmation where RAC and clinical evidence converge.
5. Record later confirmation and outcome so RAC predictions can be validated longitudinally.

INTERPRETIVE CAUTION
--------------------
This evidence snapshot is not a final diagnosis. It represents the evidence currently available at the time of generation. Later laboratory, imaging, HTMA, microbiome, RAC, nutrition, or supplement evidence may change the interpretation.

CASE EVIDENCE BUNDLE v1
=======================

PATIENT
-------
Name: Hustle
Owner: Hillian
Species: Dog
Breed: 
Sex: 
Desexed Status: Entire
Life Stage: Adult
Activity Level: Moderate
Current Weight kg: 14.00
Ideal Weight kg: 15.00
BCS: 4.00

CASE
----
Case ID: 8
Title: RAC test 6 
Primary Complaint: Reflux, Skin itching , Wt loss
Status: Open
Date Opened: 07/06/2026

CLINICAL NARRATIVE
------------------
Last 3 months of 2025, Hustle was on 100% Barf as she had reflux previously when fed any kibble.
Xmas 2025 I introduced PetnPro kibble as I could not get her to maintain a good weight.... she was at least 1- 1.5 kgs too light.
She was looking the best she has in years by End of January, she was on 50% PetnPro with barf.
March she was in season 8th to 30th.
Around the 23rd March I realised she has some rash on her belly, groin area. It was red, crusty circular lesions, and was itchy.
Vet 15th April (Animal Wellness)
Many different causes possible, including hormonal.
The kibble was stopped at 1st April.
Barf continued 100% of diet.
Xiao Feng San started after vet visit, along with herbal cream and weekly washes in oatmeal shampoo and conditioner. Seemed to improve for a week, but by day 6 after wash she was very uncomfortable again.
The rash cleared from belly and groin and was then along the spine and tail from the mid lumbar area. Once that began to clear, it started on her sides and flank....now it is neck underarms and forward half nipples. It is very red and some scabs and crustiness to start, then the red goes and there are dry flakey roundish scabs all over the area.
Currently she seems the worst, there is lots of redness of the skin, chest and neck area.... some of her nipples have lesions around them, and there is some swelling, almost as if she's having a phantom pregnancy. The lesions are appearing as red round areas with the hair thinning and and coming away.
I didn't continue with the herbs once they were finished, as she had reflux with it and she has dropped down to 14kgs.
I am losing the battle for her atm, she is wearing shirts during the day to stop her scratching and I am using tissue salts to contract the itch..... it all helps but her skin is still deteriorating.
I have stopped all chicken as well, doesn't seem to have helped, and she is still too underweight.
Pet Mince Direct 

Essential Barf V2
Since at least September last year, until beginning of May.

Ingredients:
Pork Meat, Chicken Meat, Chicken Bone & Cartilage, Beef Liver, Pork Liver, Beef Kidney, Pork Kidney, Mullet, Salmon, Beef Spleen, Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Sunflower Seeds, Chia Seeds, Spirulina, Chlorella, Barley Grass, Alfalfa, Brewers Yeast, and Kelp.

I have since had her on their 
SUPER COOL BARF

Ingredients:
Emu, Quail, Mackerel, Goat Meat, Turkey Meat, Lamb Tripe, Lamb Hearts, Lamb Liver, Lamb Kidney, Lamb Bone and Cartilage, Turkey Bone and Cartilage, Blackberries, Blueberries, Strawberries, Raspberries, and Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Wheatgrass, Chlorella, Barley Grass, Alfalfa, Chia Seeds, Sunflower Seeds, Brewers Yeast, Kelp.

and also 

BIG DOG SENSITIVE SKIN

Ingredients
Tasmanian salmon, Turkey (meat, crushed bone & cartilage), Pork (meat, crushed bone & cartilage), Lamb (heart, lung, liver, kidney, trachea), Goat (heart, liver, lung, kidney, trachea), apple, green bananas, carrots, lettuce, green beans, sprouted wheatgrass, orange, strawberries, blueberries, nettle and dandelion tea, psyllium, goats whey, kelp, turmeric, organic fulvic acid.

She is on at least 500g per day.

Treats, are either Roo based with no Chicken,
Venison air dried
Or salmon based, again no Chicken

INITIAL DIFFERENTIAL NOTES
--------------------------


CLINICAL INTAKE DOCUMENTS
-------------------------
Count: 1

Document: Clinical Intake - 13/06/2026 18:51
Type: Clinical History
Source: Clinical intake / AI consult
Uploaded: 13/06/2026 18:51
Last 3 months of 2025, Hustle was on 100% Barf as she had reflux previously when fed any kibble.
Xmas 2025 I introduced PetnPro kibble as I could not get her to maintain a good weight.... she was at least 1- 1.5 kgs too light.
She was looking the best she has in years by End of January, she was on 50% PetnPro with barf.
March she was in season 8th to 30th.
Around the 23rd March I realised she has some rash on her belly, groin area. It was red, crusty circular lesions, and was itchy.
Vet 15th April (Animal Wellness)
Many different causes possible, including hormonal.
The kibble was stopped at 1st April.
Barf continued 100% of diet.
Xiao Feng San started after vet visit, along with herbal cream and weekly washes in oatmeal shampoo and conditioner. Seemed to improve for a week, but by day 6 after wash she was very uncomfortable again.
The rash cleared from belly and groin and was then along the spine and tail from the mid lumbar area. Once that began to clear, it started on her sides and flank....now it is neck underarms and forward half nipples. It is very red and some scabs and crustiness to start, then the red goes and there are dry flakey roundish scabs all over the area.
Currently she seems the worst, there is lots of redness of the skin, chest and neck area.... some of her nipples have lesions around them, and there is some swelling, almost as if she's having a phantom pregnancy. The lesions are appearing as red round areas with the hair thinning and and coming away.
I didn't continue with the herbs once they were finished, as she had reflux with it and she has dropped down to 14kgs.
I am losing the battle for her atm, she is wearing shirts during the day to stop her scratching and I am using tissue salts to contract the itch..... it all helps but her skin is still deteriorating.
I have stopped all chicken as well, doesn't seem to have helped, and she is still too underweight.
Pet Mince Direct 

Essential Barf V2
Since at least September last year, until beginning of May.

Ingredients:
Pork Meat, Chicken Meat, Chicken Bone & Cartilage, Beef Liver, Pork Liver, Beef Kidney, Pork Kidney, Mullet, Salmon, Beef Spleen, Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Sunflower Seeds, Chia Seeds, Spirulina, Chlorella, Barley Grass, Alfalfa, Brewers Yeast, and Kelp.

I have since had her on their 
SUPER COOL BARF

Ingredients:
Emu, Quail, Mackerel, Goat Meat, Turkey Meat, Lamb Tripe, Lamb Hearts, Lamb Liver, Lamb Kidney, Lamb Bone and Cartilage, Turkey Bone and Cartilage, Blackberries, Blueberries, Strawberries, Raspberries, and Seasonal Vegetables (Broccoli, Cauliflower, Celery, Spinach, Kale, Sweet Potato, Pumpkin, Carrot, Zucchini, Green Beans, Beetroot, Cucumber), Wheatgrass, Chlorella, Barley Grass, Alfalfa, Chia Seeds, Sunflower Seeds, Brewers Yeast, Kelp.

and also 

BIG DOG SENSITIVE SKIN

Ingredients
Tasmanian salmon, Turkey (meat, crushed bone & cartilage), Pork (meat, crushed bone & cartilage), Lamb (heart, lung, liver, kidney, trachea), Goat (heart, liver, lung, kidney, trachea), apple, green bananas, carrots, lettuce, green beans, sprouted wheatgrass, orange, strawberries, blueberries, nettle and dandelion tea, psyllium, goats whey, kelp, turmeric, organic fulvic acid.

She is on at least 500g per day.

Treats, are either Roo based with no Chicken,
Venison air dried
Or salmon based, again no Chicken

NUTRITION EVIDENCE
------------------
Nutrition source rule: calculations must use accepted Review Centre food, treat and supplement entries, not raw clinical intake text.
Nutrition assessments: 1
Latest Assessment ID: 92
Date: 13/06/2026
Feeding Goal: Maintenance
Current Diet Type: Mixed / to be verified
Body Weight kg: 14.00
Ideal Weight kg: 15.00
BCS: 4.00
Appetite: Not recorded
Digestive Notes: 
Stool Quality: 
Skin / Coat Notes: 
Owner Reactive Foods: 
Owner Tolerated Foods: 

Nutrition Calculation Summary:
Energy: 788.7 kcal/day
Protein: 120.34 g/day
Fat: 93.23 g/day
Carbohydrate: 5 g/day

Accepted Review Centre Calculation Lines:
- Sensitive Skin Raw Diet | 500 g/day | 788.7 kcal | Match: Matched | DAMNIT-V reactive groups: 
- Pet Mince Direct  Super Cool Barf | 300 g/day | 0 kcal | Match: Matched | DAMNIT-V reactive groups: vague_meat_source;lamb;fish;egg;wheat_gluten;barley_gluten_grain;oats;kelp_iodine

RAC / AUDIOMIXER EVIDENCE
-------------------------
RAC reports: 5
Positive classified RAC markers: 80

Report: RAC / Audiomixer Report
Created: 07/06/2026 02:48
Evidence Layer: BODY
Evidence Subdomain: Unclassified / Needs Review
Classification Status: Auto-classified
RAC DAMNIT-V Summary: No positive RAC markers currently mapped to DAMNIT-V domains.
RAC Snapshot Evidence: RAC evidence summary generated from classified RAC marker results.

Positive RAC markers: 22 of 24.
BODY evidence: 22 positive markers.
MIND evidence: 0 positive markers.
SPIRIT evidence: 0 positive markers.
SOUL evidence: 0 positive markers.

DAMNIT-V RAC domain signals:
No positive RAC markers currently mapped to DAMNIT-V domains.

Ontology review required for 0 marker(s).

Report: RAC / Audiomixer Report
Created: 07/06/2026 02:48
Evidence Layer: SPIRIT
Evidence Subdomain: Consciousness States
Classification Status: Auto-classified
RAC DAMNIT-V Summary: No positive RAC markers currently mapped to DAMNIT-V domains.
RAC Snapshot Evidence: RAC evidence summary generated from classified RAC marker results.

Positive RAC markers: 14 of 15.
BODY evidence: 0 positive markers.
MIND evidence: 4 positive markers.
SPIRIT evidence: 10 positive markers.
SOUL evidence: 0 positive markers.

DAMNIT-V RAC domain signals:
No positive RAC markers currently mapped to DAMNIT-V domains.

Ontology review required for 0 marker(s).

Report: RAC / Audiomixer Report
Created: 07/06/2026 02:48
Evidence Layer: BODY
Evidence Subdomain: Unclassified / Needs Review
Classification Status: Auto-classified
RAC DAMNIT-V Summary: No positive RAC markers currently mapped to DAMNIT-V domains.
RAC Snapshot Evidence: RAC evidence summary generated from classified RAC marker results.

Positive RAC markers: 23 of 24.
BODY evidence: 23 positive markers.
MIND evidence: 0 positive markers.
SPIRIT evidence: 0 positive markers.
SOUL evidence: 0 positive markers.

DAMNIT-V RAC domain signals:
No positive RAC markers currently mapped to DAMNIT-V domains.

Ontology review required for 0 marker(s).

Report: RAC / Audiomixer Report
Created: 07/06/2026 02:48
Evidence Layer: BODY
Evidence Subdomain: Food Reactivity
Classification Status: Auto-classified
RAC DAMNIT-V Summary: A:
- Mycotoxins -all1 | Inhalant Allergens | RAC 10 | Normal / no concern

N:
- Fodmap group marker | Food Burden Analysis | RAC 25 | Significant concern
- Lectin -Legume | Food Reactivity | RAC 20 | Mild concern
- Lectins-Soy | Food Burden Analysis | RAC 20 | Mild concern
- Sulphur group marker | Food Burden Analysis | RAC 20 | Mild concern
- Histamine group mark | Food Burden Analysis | RAC 15 | Mild concern
- Lectin group marker | Food Burden Analysis | RAC 15 | Mild concern
- Oxalate Group marker | Food Burden Analysis | RAC 15 | Mild concern
- Gluten Marker | Food Burden Analysis | RAC 10 | Normal / no concern
- Lectin - Peanut | Food Reactivity | RAC 5 | Normal / no concern
- Lectins- Nightshades | Food Burden Analysis | RAC 5 | Normal / no concern
- Linolenic acid | Vitamins / Micronutrients | RAC 5 | Normal / no concern
- Purine group marker | Food Burden Analysis | RAC 5 | Normal / no concern
RAC Snapshot Evidence: RAC evidence summary generated from classified RAC marker results.

Positive RAC markers: 13 of 15.
BODY evidence: 13 positive markers.
MIND evidence: 0 positive markers.
SPIRIT evidence: 0 positive markers.
SOUL evidence: 0 positive markers.

DAMNIT-V RAC domain signals:
A:
- Mycotoxins -all1 | Inhalant Allergens | RAC 10 | Normal / no concern

N:
- Fodmap group marker | Food Burden Analysis | RAC 25 | Significant concern
- Lectin -Legume | Food Reactivity | RAC 20 | Mild concern
- Lectins-Soy | Food Burden Analysis | RAC 20 | Mild concern
- Sulphur group marker | Food Burden Analysis | RAC 20 | Mild concern
- Histamine group mark | Food Burden Analysis | RAC 15 | Mild concern
- Lectin group marker | Food Burden Analysis | RAC 15 | Mild concern
- Oxalate Group marker | Food Burden Analysis | RAC 15 | Mild concern
- Gluten Marker | Food Burden Analysis | RAC 10 | Normal / no concern
- Lectin - Peanut | Food Reactivity | RAC 5 | Normal / no concern
- Lectins- Nightshades | Food Burden Analysis | RAC 5 | Normal / no concern
- Linolenic acid | Vitamins / Micronutrients | RAC 5 | Normal / no concern
- Purine group marker | Food Burden Analysis | RAC 5 | Normal / no concern

Ontology review required for 0 marker(s).

Report: RAC / Audiomixer Report
Created: 07/06/2026 02:48
Evidence Layer: SOUL
Evidence Subdomain: Soul Dimensions
Classification Status: Auto-classified
RAC DAMNIT-V Summary: A:
- Tradescantia - Wandering Jew | Contact Allergens | RAC 26 | Significant concern
- Canine Allergy Sig. | Immune Assessment | RAC 25 | Significant concern
- Clioquinol | Contact Allergens | RAC 20 | Mild concern
- 16-Mould Qld | Inhalant Allergens | RAC 15 | Mild concern
- Benzocaine | Contact Allergens | RAC 15 | Mild concern
- Couch Grass1 | Inhalant Allergens | RAC 15 | Mild concern
- Cynodon_dactylon | Inhalant Allergens | RAC 15 | Mild concern
- Imidazolidinyl urea | Contact Allergens | RAC 15 | Mild concern
- Rubber accelerants combined | Contact Allergens | RAC 15 | Mild concern
- Tradescantia pallida Purple Heart | Contact Allergens | RAC 15 | Mild concern
- 13-Grasses Qld | Inhalant Allergens | RAC 10 | Normal / no concern
- 15-Shrubs | Inhalant Allergens | RAC 10 | Normal / no concern
- 17-Insects | Inhalant Allergens | RAC 10 | Normal / no concern
- Buffaloe Grass | Inhalant Allergens | RAC 10 | Normal / no concern
- Couch Grass | Inhalant Allergens | RAC 10 | Normal / no concern
- Neomycin | Contact Allergens | RAC 10 | Normal / no concern
- Nickel | Contact Allergens | RAC 10 | Normal / no concern
- Polyester | Contact Allergens | RAC 10 | Normal / no concern
- Buffaloe Grass 1 | Inhalant Allergens | RAC 5 | Normal / no concern
- Callestia - Inch Plant | Contact Allergens | RAC 5 | Normal / no concern
- Callestia - Purple Vine | Contact Allergens | RAC 5 | Normal / no concern
- Cis-trans-Quaternium-15 | Contact Allergens | RAC 5 | Normal / no concern
- Diphenylguanidine | Contact Allergens | RAC 5 | Normal / no concern
- Ethylenediamine | Contact Allergens | RAC 5 | Normal / no concern
- Kikuyu Grass | Inhalant Allergens | RAC 5 | Normal / no concern

M:
- C_GIT_ID1 | RAC System Evaluation | RAC 20 | Mild concern
- HPA axis | Endocrine / Hormonal Axis | RAC 20 | Mild concern
- HPG-axis | Endocrine / Hormonal Axis | RAC 20 | Mild concern
- Adipose PCT marker_Canine | Metabolic / Adipose Inflammation | RAC 15 | Mild concern
- C_HEPATIC_ID1 | RAC System Evaluation | RAC 10 | Normal / no concern
- C_RENAL_ID1 | RAC System Evaluation | RAC 5 | Normal / no concern
- HPT axis | Endocrine / Hormonal Axis | RAC 5 | Normal / no concern

N:
- Cobalt | HTMA Minerals | RAC 31 | Strong concern
- Fere1 | Food Reactivity | RAC 30 | Significant concern
- C_TUMOUR_SIGNAL | Cancer Signals | RAC 20 | Mild concern
- Lamb1 | Food Reactivity | RAC 20 | Mild concern
- Wheat - Lectins | Food Burden Analysis | RAC 20 | Mild concern
- Chicken1 | Food Reactivity | RAC 15 | Mild concern
- Oat - Lectins1 | Food Burden Analysis | RAC 15 | Mild concern
- Barley -Lectins1 | Food Burden Analysis | RAC 10 | Normal / no concern
- Beef1 | Food Reactivity | RAC 10 | Normal / no concern
- Calcium Shell1 | HTMA Minerals | RAC 10 | Normal / no concern
- Corn LTPDx1 | Food Reactivity | RAC 10 | Normal / no concern
- Pork - 19-02-2024 22:36 | Food Reactivity | RAC 10 | Normal / no concern
- Sardine1 | Food Reactivity | RAC 10 | Normal / no concern
- Barramundi1 | Food Reactivity | RAC 5 | Normal / no concern
- Chromium Colloidal | HTMA Minerals | RAC 5 | Normal / no concern
- Rice - Lectins1 | Food Burden Analysis | RAC 5 | Normal / no concern

I:
- Autoimmune_NK | Immune System | RAC 15 | Mild concern
- T4-TH17+Cytokines-level1 | Immune System | RAC 15 | Mild concern
- T4-TH2+Cytokines-level1 | Immune System | RAC 15 | Mild concern
- C_IMM_ID1 | Immune System | RAC 10 | Normal / no concern
- C_RESP_ID1 | RAC System Evaluation | RAC 10 | Normal / no concern
- Pain combined4 | Primary Body State | RAC 10 | Normal / no concern
- Stress Inflammation | Primary Body State | RAC 10 | Normal / no concern
- TReg + Cytokines-level1 | Immune System | RAC 10 | Normal / no concern
- AutoimmuneSig_Canine | Immune System | RAC 5 | Normal / no concern
- C_PAIN_ID | Primary Body State | RAC 5 | Normal / no concern
- T4-TH1+Cytokines-level1 | Immune System | RAC 5 | Normal / no concern
- Visceral Pain1 | Primary Body State | RAC 5 | Normal / no concern

T:
- Vegetable Rancid - 08-01-2024 23_111 | Environmental Toxicity | RAC 25 | Significant concern
- Acetylaldehyde1 | Environmental Toxicity | RAC 15 | Mild concern
RAC Snapshot Evidence: RAC evidence summary generated from classified RAC marker results.

Positive RAC markers: 79 of 96.
BODY evidence: 72 positive markers.
MIND evidence: 6 positive markers.
SPIRIT evidence: 0 positive markers.
SOUL evidence: 1 positive markers.

DAMNIT-V RAC domain signals:
A:
- Tradescantia - Wandering Jew | Contact Allergens | RAC 26 | Significant concern
- Canine Allergy Sig. | Immune Assessment | RAC 25 | Significant concern
- Clioquinol | Contact Allergens | RAC 20 | Mild concern
- 16-Mould Qld | Inhalant Allergens | RAC 15 | Mild concern
- Benzocaine | Contact Allergens | RAC 15 | Mild concern
- Couch Grass1 | Inhalant Allergens | RAC 15 | Mild concern
- Cynodon_dactylon | Inhalant Allergens | RAC 15 | Mild concern
- Imidazolidinyl urea | Contact Allergens | RAC 15 | Mild concern
- Rubber accelerants combined | Contact Allergens | RAC 15 | Mild concern
- Tradescantia pallida Purple Heart | Contact Allergens | RAC 15 | Mild concern
- 13-Grasses Qld | Inhalant Allergens | RAC 10 | Normal / no concern
- 15-Shrubs | Inhalant Allergens | RAC 10 | Normal / no concern
- 17-Insects | Inhalant Allergens | RAC 10 | Normal / no concern
- Buffaloe Grass | Inhalant Allergens | RAC 10 | Normal / no concern
- Couch Grass | Inhalant Allergens | RAC 10 | Normal / no concern
- Neomycin | Contact Allergens | RAC 10 | Normal / no concern
- Nickel | Contact Allergens | RAC 10 | Normal / no concern
- Polyester | Contact Allergens | RAC 10 | Normal / no concern
- Buffaloe Grass 1 | Inhalant Allergens | RAC 5 | Normal / no concern
- Callestia - Inch Plant | Contact Allergens | RAC 5 | Normal / no concern
- Callestia - Purple Vine | Contact Allergens | RAC 5 | Normal / no concern
- Cis-trans-Quaternium-15 | Contact Allergens | RAC 5 | Normal / no concern
- Diphenylguanidine | Contact Allergens | RAC 5 | Normal / no concern
- Ethylenediamine | Contact Allergens | RAC 5 | Normal / no concern
- Kikuyu Grass | Inhalant Allergens | RAC 5 | Normal / no concern

M:
- C_GIT_ID1 | RAC System Evaluation | RAC 20 | Mild concern
- HPA axis | Endocrine / Hormonal Axis | RAC 20 | Mild concern
- HPG-axis | Endocrine / Hormonal Axis | RAC 20 | Mild concern
- Adipose PCT marker_Canine | Metabolic / Adipose Inflammation | RAC 15 | Mild concern
- C_HEPATIC_ID1 | RAC System Evaluation | RAC 10 | Normal / no concern
- C_RENAL_ID1 | RAC System Evaluation | RAC 5 | Normal / no concern
- HPT axis | Endocrine / Hormonal Axis | RAC 5 | Normal / no concern

N:
- Cobalt | HTMA Minerals | RAC 31 | Strong concern
- Fere1 | Food Reactivity | RAC 30 | Significant concern
- C_TUMOUR_SIGNAL | Cancer Signals | RAC 20 | Mild concern
- Lamb1 | Food Reactivity | RAC 20 | Mild concern
- Wheat - Lectins | Food Burden Analysis | RAC 20 | Mild concern
- Chicken1 | Food Reactivity | RAC 15 | Mild concern
- Oat - Lectins1 | Food Burden Analysis | RAC 15 | Mild concern
- Barley -Lectins1 | Food Burden Analysis | RAC 10 | Normal / no concern
- Beef1 | Food Reactivity | RAC 10 | Normal / no concern
- Calcium Shell1 | HTMA Minerals | RAC 10 | Normal / no concern
- Corn LTPDx1 | Food Reactivity | RAC 10 | Normal / no concern
- Pork - 19-02-2024 22:36 | Food Reactivity | RAC 10 | Normal / no concern
- Sardine1 | Food Reactivity | RAC 10 | Normal / no concern
- Barramundi1 | Food Reactivity | RAC 5 | Normal / no concern
- Chromium Colloidal | HTMA Minerals | RAC 5 | Normal / no concern
- Rice - Lectins1 | Food Burden Analysis | RAC 5 | Normal / no concern

I:
- Autoimmune_NK | Immune System | RAC 15 | Mild concern
- T4-TH17+Cytokines-level1 | Immune System | RAC 15 | Mild concern
- T4-TH2+Cytokines-level1 | Immune System | RAC 15 | Mild concern
- C_IMM_ID1 | Immune System | RAC 10 | Normal / no concern
- C_RESP_ID1 | RAC System Evaluation | RAC 10 | Normal / no concern
- Pain combined4 | Primary Body State | RAC 10 | Normal / no concern
- Stress Inflammation | Primary Body State | RAC 10 | Normal / no concern
- TReg + Cytokines-level1 | Immune System | RAC 10 | Normal / no concern
- AutoimmuneSig_Canine | Immune System | RAC 5 | Normal / no concern
- C_PAIN_ID | Primary Body State | RAC 5 | Normal / no concern
- T4-TH1+Cytokines-level1 | Immune System | RAC 5 | Normal / no concern
- Visceral Pain1 | Primary Body State | RAC 5 | Normal / no concern

T:
- Vegetable Rancid - 08-01-2024 23_111 | Environmental Toxicity | RAC 25 | Significant concern
- Acetylaldehyde1 | Environmental Toxicity | RAC 15 | Mild concern

Ontology review required for 0 marker(s).

RAC MARKERS BY DAMNIT-V DOMAIN
------------------------------

DAMNIT-V A
- Tradescantia - Wandering Jew | RAC 26 | Significant concern | Layer: BODY | Subdomain: Contact Allergens | Class: Contact allergen RAC evidence
- Canine Allergy Sig. | RAC 25 | Significant concern | Layer: BODY | Subdomain: Immune Assessment | Class: RAC evidence
- Clioquinol | RAC 20 | Mild concern | Layer: BODY | Subdomain: Contact Allergens | Class: Contact allergen RAC evidence
- Benzocaine | RAC 15 | Mild concern | Layer: BODY | Subdomain: Contact Allergens | Class: Contact allergen RAC evidence
- Imidazolidinyl urea | RAC 15 | Mild concern | Layer: BODY | Subdomain: Contact Allergens | Class: Contact allergen RAC evidence
- Tradescantia pallida Purple Heart | RAC 15 | Mild concern | Layer: BODY | Subdomain: Contact Allergens | Class: Contact allergen RAC evidence
- Rubber accelerants combined | RAC 15 | Mild concern | Layer: BODY | Subdomain: Contact Allergens | Class: Contact allergen RAC evidence
- Couch Grass1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: Inhalant Allergens | Class: Inhalant allergen RAC evidence
- Cynodon_dactylon | RAC 15 | Mild concern | Layer: BODY | Subdomain: Inhalant Allergens | Class: Inhalant allergen RAC evidence
- 16-Mould Qld | RAC 15 | Mild concern | Layer: BODY | Subdomain: Inhalant Allergens | Class: Inhalant allergen RAC evidence

DAMNIT-V I
- Autoimmune_NK | RAC 15 | Mild concern | Layer: BODY | Subdomain: Immune System | Class: Immune RAC evidence
- T4-TH2+Cytokines-level1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: Immune System | Class: Immune RAC evidence
- T4-TH17+Cytokines-level1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: Immune System | Class: Immune RAC evidence

DAMNIT-V M
- HPA axis | RAC 20 | Mild concern | Layer: BODY | Subdomain: Endocrine / Hormonal Axis | Class: Endocrine axis RAC evidence
- HPG-axis | RAC 20 | Mild concern | Layer: BODY | Subdomain: Endocrine / Hormonal Axis | Class: Endocrine axis RAC evidence
- C_GIT_ID1 | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC System Evaluation | Class: Gastrointestinal RAC system screen
- Adipose PCT marker_Canine | RAC 15 | Mild concern | Layer: BODY | Subdomain: Metabolic / Adipose Inflammation | Class: Adipose / metabolic inflammatory RAC evidence

DAMNIT-V N
- Cobalt | RAC 31 | Strong concern | Layer: BODY | Subdomain: HTMA Minerals | Class: Nutritional RAC evidence
- Fere1 | RAC 30 | Significant concern | Layer: BODY | Subdomain: Food Reactivity | Class: Nutritional food reactivity RAC evidence
- Fodmap group marker | RAC 25 | Significant concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional FODMAP burden RAC evidence
- C_TUMOUR_SIGNAL | RAC 20 | Mild concern | Layer: BODY | Subdomain: Cancer Signals | Class: Direct cancer-signalling RAC evidence
- Wheat - Lectins | RAC 20 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional lectin burden RAC evidence
- Sulphur group marker | RAC 20 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional sulphur burden RAC evidence
- Lectins-Soy | RAC 20 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional lectin burden RAC evidence
- Lectin -Legume | RAC 20 | Mild concern | Layer: BODY | Subdomain: Food Reactivity | Class: Nutritional food reactivity RAC evidence
- Lamb1 | RAC 20 | Mild concern | Layer: BODY | Subdomain: Food Reactivity | Class: Nutritional food reactivity RAC evidence
- Oat - Lectins1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional lectin burden RAC evidence
- Histamine group mark | RAC 15 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional histamine burden RAC evidence
- Oxalate Group marker | RAC 15 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional oxalate burden RAC evidence
- Lectin group marker | RAC 15 | Mild concern | Layer: BODY | Subdomain: Food Burden Analysis | Class: Nutritional lectin burden RAC evidence
- Chicken1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: Food Reactivity | Class: Nutritional food reactivity RAC evidence

DAMNIT-V T
- Vegetable Rancid - 08-01-2024 23_111 | RAC 25 | Significant concern | Layer: BODY | Subdomain: Environmental Toxicity | Class: Environmental/toxic RAC evidence
- Acetylaldehyde1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: Environmental Toxicity | Class: RAC evidence

DAMNIT-V Unassigned
- Apathy Base | RAC 26 | Significant concern | Layer: SPIRIT | Subdomain: Consciousness States | Class: Consciousness-state RAC evidence
- Enlightenment 700 -1000 | RAC 25 | Significant concern | Layer: SPIRIT | Subdomain: Consciousness States | Class: Consciousness-state RAC evidence
- 2.Inh Negative-T8-L1 | RAC 25 | Significant concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-T12-L5 | RAC 21 | Significant concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- I am not loveable -ve2 | RAC 20 | Mild concern | Layer: MIND | Subdomain: Mind States | Class: Mind-state RAC evidence
- 2.Inh Negative-T10-L3 | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-LU | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-C4-T4 | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-BL | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-HT | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-LI | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-C4-T4 | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- 2.Inh Negative-T12-L5 | RAC 20 | Mild concern | Layer: BODY | Subdomain: RAC State Assessment | Class: Inhibitory/fight RAC body-state evidence
- Shame Base | RAC 15 | Mild concern | Layer: SPIRIT | Subdomain: Consciousness States | Class: Consciousness-state RAC evidence
- Fear Base1 | RAC 15 | Mild concern | Layer: SPIRIT | Subdomain: Consciousness States | Class: Consciousness-state RAC evidence
- Courage Base | RAC 15 | Mild concern | Layer: SPIRIT | Subdomain: Consciousness States | Class: Consciousness-state RAC evidence
- C_BLADDER_LUT_ID1 | RAC 15 | Mild concern | Layer: BODY | Subdomain: DAMNIT-V Organ/System | Class: RAC organ/system screening evidence
- I cannot do this -ve2 | RAC 15 | Mild concern | Layer: MIND | Subdomain: Mind States | Class: Mind-state RAC evidence
- I am worthy +ve2 | RAC 15 | Mild concern | Layer: MIND | Subdomain: Mind States | Class: Mind-state RAC evidence
- I am loveable +ve2 | RAC 15 | Mild concern | Layer: MIND | Subdomain: Mind States | Class: Mind-state RAC evidence

PATHOLOGY / LABORATORY EVIDENCE
--------------------------------
Pathology reports: 0

IMAGING EVIDENCE
----------------
Imaging reports: 0

EVIDENCE BUNDLE NOTE
--------------------
This bundle is the shared evidence source for Snapshot and Multi-Model review. Case-specific DAMNIT-V reasoning should be generated from this bundle, not from isolated keyword rules.