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Glutening Before Testing


jmryan83

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jmryan83 Rookie

I've been trying Gluten Free for a week now, with much success and feeling really good. 

 

To my question. I should probably keep glutening myself till I get tested to not affect the tests.

How much gluten do I really need to intake? (specifics please)

Also, if I take an enzyme support supplement, will that affect anything?

 

Thanks.


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nvsmom Community Regular

Yes. Keep glutening yourself until your testing is done. I recommend eating those foods that you'll have to say goodbye too - have a beer and an oreo for me.  ;)

 

I have heard ranges of 4-8 weeks of 1-4 slices of bread a day (or the equivalent). If you have been eating gluten (except for that last week) I would suggest 2 slices of bread a day; for those who have been off gluten, it's probably helpful, if not more painful, to eat more.

 

I would not start taking enzymes or supplements that will help your gut heal (like glutamine) until after your testing. Many of the blood tests are for detecting autoantibodies that appear in response to intestinal damage, so you want that damage there until testing is complete.

 

Good luck with your tests.

EmiPark210 Contributor

Stay on gluten. But yeah about a slice of bread a day (or equivalent) will be adequate. Some people choose to go full overboard with gluten in every meal, but if it makes you feel super crappy then keep it to a minimum. For blood testing you should be on it for 12 weeks, for a biopsy 3-4 weeks, according to the University of Chicago Celiac's Center (cureceliacdisease.org)

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
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