Aquaporin-4 antibodies and disease certainty

Hi everybody. I’m sorry for everybody’s challenges and suffering with NMO. I recently had a neurology screening test performed by a third party functional med lab (Vibrant). It detected moderate levels of Anti-Aquaporin-4 antigens. I don’t have any clinical issues with my nervous system. But I do experience (for about 6 months now) mild aching in my right eye and occasionally the left. It comes and goes but is never very intense pain. No visual impairments. I see great opto-neurologists in Missouri but thus far they have not considered it necessary to have me tested for antibodies thru Mayo Clinic )more accurate test). What I can’t get a fix on is whether just having the antibodies necessarily means you will get NMO. I see one article published in 2021 that found the AQP-4 antibodies do not necessarily drive disease pathogenesis. Does anybody have any thoughts they can share with me? Thanks so much!