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<channel><title><![CDATA[Celiac Disease & Gluten-free Diet Information at Celiac.com - Comments for article: Low Rates of Biopsy May Drive Under-diagnosis of Celiac Disease]]></title><link>http://www.celiac.com</link><description /><language>en-us</language><copyright><![CDATA[http://www.celiac.com]]></copyright><generator>N/A</generator><webMaster>scott@celiac.com</webMaster><lastBuildDate>Tue, 18 Jun 2013 17:08:34 PDT</lastBuildDate><ttl>20</ttl><item><title><![CDATA[Comment #1]]></title><link>http://www.celiac.com/articles/22995/1/Low-Rates-of-Biopsy-May-Drive-Under-diagnosis-of-Celiac-Disease/Page1.html#Comment12333</link><description><![CDATA[The problem here is not that there is failure to perform biopsies, but that the biopsy is required at all for diagnosis of celiac disease, but this goes back to how celiac was defined as a disease 50-60 years ago--before the sophisticated blood tests of today were available.

A biopsy should not be necessary if:
1) blood work is positive and
2) dietary response is adequate.

It's great to report on the findings of recent studies, but it's also important to analyze--and in some cases, criticize--those findings.

In most cases, it's OUR tax dollars, and the dollars WE have paid the pharmaceutical industry, that are funding these studies.  We have every right to question, analyze, and criticize them.<br/><br/>
(Comment posted by Fiddle-Faddle at 8:01 am, Mon 6th Aug 2012)]]></description><author>no@spam.com (Fiddle-Faddle)</author><pubDate><![CDATA[Mon, 06 Aug 2012 08:01:44 PDT]]></pubDate><guid isPermaLink="true">http://www.celiac.com/articles/22995/1/Low-Rates-of-Biopsy-May-Drive-Under-diagnosis-of-Celiac-Disease/Page1.html#Comment12333</guid></item><item><title><![CDATA[Comment #2]]></title><link>http://www.celiac.com/articles/22995/1/Low-Rates-of-Biopsy-May-Drive-Under-diagnosis-of-Celiac-Disease/Page1.html#Comment12348</link><description><![CDATA[My husband was just diagnosed with blood work for celiac disease in June and the doctor immediately scheduled him for a biopsy. We opted out for a couple of reasons. We have a very high deductible so the burden of cost of the biopsy would fall to us, and if the treatment plan is "change your diet" why would we have the biopsy? It has been 2 months and he is doing great. He has only had 3 times that he has been sick (and we know what he ate). He is putting on some weight. Leg cramps don't exist anymore.  Bowels seem to be normal. I am anxious for a year to pass and have a CMP done to see if all his blood work is in the normal range. It took about 12-15 years of misdiagnoses to finally figure this out, so he has been extremely malnourished. Dietary response has been excellent and cheap.<br/><br/>
(Comment posted by Pam Larsen at 11:10 am, Tue 7th Aug 2012)]]></description><author>no@spam.com (Pam Larsen)</author><pubDate><![CDATA[Tue, 07 Aug 2012 11:10:40 PDT]]></pubDate><guid isPermaLink="true">http://www.celiac.com/articles/22995/1/Low-Rates-of-Biopsy-May-Drive-Under-diagnosis-of-Celiac-Disease/Page1.html#Comment12348</guid></item></channel></rss>