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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

3 1/2 Months Gluten Free And Blood Test Still High, Is This Normal?
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Hi Everyone,

 

I was diagnosed with Celiac through blood test and biopsy and have been gluten free since early October. I have had a somewhat slow recovery, still experiencing some nausea, fatigue and brain fog, so my Gastro doctor just had me re-do the Sprue Serology blood work. All of the number have dropped significantly, but one remains above normal.

 

The phone nurse said that all of my numbers should be below 20 at this point and that I am probably eating some hidden gluten (I am really strict about what I eat so this idea is upsetting to me), but I thought I had read that it takes some time for the blood test numbers to drop in to "normal" range. I was undiagnosed and sick for at least 20 years before finally getting diagnosed with Celiac Disease (my doctor diagnosed everything as stress/anxiety related!). After being sick for so long, should my numbers be below 20 and in the normal range after just 3 1/2 months of being gluten free?

 

Just for reference, here are the original numbers from my diagnosis:

TTG IGA: 157

TTG IGG: 8

Gliadin AB IGA: 170

Gliadin AB IGG: 65

The "normal" range for all of these test would be below 20.

 

Here are the numbers from my blood drawn this past Monday:

TTG IGA: 34

TTG IGG: 4

Gliadin AB IGA: 18

Gliadin AB IGG: 19

The "normal" range for all of these test should also be below 20.

 

 

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Hi Everyone,

 

I was diagnosed with Celiac through blood test and biopsy and have been gluten free since early October. I have had a somewhat slow recovery, still experiencing some nausea, fatigue and brain fog, so my Gastro doctor just had me re-do the Sprue Serology blood work. All of the number have dropped significantly, but one remains above normal.

 

The phone nurse said that all of my numbers should be below 20 at this point and that I am probably eating some hidden gluten (I am really strict about what I eat so this idea is upsetting to me), but I thought I had read that it takes some time for the blood test numbers to drop in to "normal" range. I was undiagnosed and sick for at least 20 years before finally getting diagnosed with Celiac Disease (my doctor diagnosed everything as stress/anxiety related!). After being sick for so long, should my numbers be below 20 and in the normal range after just 3 1/2 months of being gluten free?

 

Just for reference, here are the original numbers from my diagnosis:

TTG IGA: 157

TTG IGG: 8

Gliadin AB IGA: 170

Gliadin AB IGG: 65

The "normal" range for all of these test would be below 20.

 

Here are the numbers from my blood drawn this past Monday:

TTG IGA: 34

TTG IGG: 4

Gliadin AB IGA: 18

Gliadin AB IGG: 19

The "normal" range for all of these test should also be below 20.

 

 

Those are great results.  It can take a while to stop making the antibodies after you go gluten-free.   They went way down and, if they test in 3 months, they will likely be "normal"

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Thanks kareng!

When the phone nurse was telling me my new numbers, I was really excited and proud that my hard work had paid off.

Then she said I am probably still eating gluten since one of the numbers was still elevated and said they wanted me to see a dietician and have the test run again in about 6 weeks and also have a follow-up appointment with the doctor.

That brought me down really quick. I am glad they are being so thorough though.

I think I will put off the follow-up appointment and blood work so that they fall a few months from now, and hopefully everything will be "normal" like you said. My first couple of months gluten free were really rocky, but I have been seeing steady improvement over the last 6 weeks (yes!!!), so I'm sure those numbers will only get better.

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Thanks kareng!

When the phone nurse was telling me my new numbers, I was really excited and proud that my hard work had paid off.

Then she said I am probably still eating gluten since one of the numbers was still elevated and said they wanted me to see a dietician and have the test run again in about 6 weeks and also have a follow-up appointment with the doctor.

That brought me down really quick. I am glad they are being so thorough though.

I think I will put off the follow-up appointment and blood work so that they fall a few months from now, and hopefully everything will be "normal" like you said. My first couple of months gluten free were really rocky, but I have been seeing steady improvement over the last 6 weeks (yes!!!), so I'm sure those numbers will only get better.

 

 

 it probably takes a few weeks to figure out how to eat gluten-free.  

 

There was a study done in Finland to determine if 20 ppm is a safe amount for a Celiac to eat in food.  They gave different groups different amounts of food for a couple of weeks & then let them be gluten-free again.  The antibodies of the group they gave a lot of gluten to went up 2 weeks after they had returned to gluten-free.  They didn't test them after that.  Would have been interesting.

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Wow, those numbers look really good to me. I am getting my three month blood test results tomorrow and also started at over 128u/ml for ttg IgA - from what I've read on here about how long it takes for antibodies to reduce I'll be extremely happy to get results like those :) 

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Thanks Katie!

 

I am feeling much better about those numbers now. I hope your numbers come back good tomorrow. Maybe you can share your results? I see you have anemia too. I found out that my ferritin is up from a 2 at my diagnosis to a 8 today too, so hopefully yours is improving too.

 

I was thinking about the situations a little bit more. My Gastro doctor is on vacation leave and his Physicians Assistant is covering for him. She is super nice and thorough, but I am wondering if maybe she doesn't realize that it might take a little bit longer for the numbers to drop to normal. You guys have made me feel better about it though.

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Those numbers look good. My TTG IgA was still above normal after 4 months. It was finally normal after a year, although my DGP IgA was still high after a year.

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I will do. My levels were 3g/l and 3% at diagnosis and I've been taking iron for two months so fingers crossed! Interesting point about the assistant - I didn't want to say anything because the system is different here in the UK but I never pay too much attention to the nurses/receptionists who are allowed to give out test results. 

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Those numbers are very pretty ;)

 

The difference since removing gluten is important ... you could probably teach the dietician about living gluten-free!

 

I'd wait until your six month mark for the next panel.

 

Great work :)

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Looks good to me too. My tTG IgA was still a 34 when I was one year gluten-free. You're doing great.:)

 

If numbers are still high after 6 months or a year, there is a small chance that other health issues could raise it. Hashimotos, diabetes, crohn's, colitis, liver disease, and infections can all raise a tTG IgA test to a weak positive.

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So I got my test results back - my ttg IgA has dropped to 22 u/ml! (Normal is below 7) I am so chuffed with this. They didn't, for some reason, test my iron in the same way :s but apparently the size of the red blood cells indicates that the anaemia is coming under control.

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It also occurred to me that if the practice nurse had handed me back those results she would have been interpreted it as a serious problem, because she didn't know the history/progression of celiac disease, whereas they are actually pretty good. 

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Wow Katie! I'm so glad to hear your numbers are looking so good! Thanks for sharing them.

 

Everyone's advice and input has been soooo helpful.

 

I am going to cancel my appointment with the dietician and save the money I would have spent on that for some gluten free goodies.

 

Nicole/nvsmom, Thanks for mentioning that a weak positive after 6 months to a year might indicate another issue. I will make sure to keep following up on my blood work just in case something else is going on with my body. I am still really tired, gaining too much weight, look puffy a lot and my stomach is not 100% yet, but some of those things could be caused by my lack of exercise too. I stopped exercising a while back when the anemia set in, because I was feeling really light headed and thought I might faint. I am going to start back up slowly and get on the treadmill today. Hopefully by my 6 month check up my number will look even better and I will be feeling great.

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My iron numbers initially went down after going gluten free  I am glad to hear the ferritin levels are up!  I had the immature red blood cells that are too large.  It is a good thing to be rid of it. 

 

D

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Thanks kareng!

When the phone nurse was telling me my new numbers, I was really excited and proud that my hard work had paid off.

Then she said I am probably still eating gluten since one of the numbers was still elevated and said they wanted me to see a dietician and have the test run again in about 6 weeks and also have a follow-up appointment with the doctor.

That brought me down really quick. I am glad they are being so thorough though.

I think I will put off the follow-up appointment and blood work so that they fall a few months from now, and hopefully everything will be "normal" like you said. My first couple of months gluten free were really rocky, but I have been seeing steady improvement over the last 6 weeks (yes!!!), so I'm sure those numbers will only get better.

Apparently, the "phone nurse" is pretty clueless about Celiac Disease, like so many out there. You are doing a great job so don't listen to them.  :D

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Nicole/nvsmom, Thanks for mentioning that a weak positive after 6 months to a year might indicate another issue. I will make sure to keep following up on my blood work just in case something else is going on with my body. I am still really tired, gaining too much weight, look puffy a lot and my stomach is not 100% yet, but some of those things could be caused by my lack of exercise too. I stopped exercising a while back when the anemia set in, because I was feeling really light headed and thought I might faint. I am going to start back up slowly and get on the treadmill today. Hopefully by my 6 month check up my number will look even better and I will be feeling great.

 

I have thyroid problems (probably Hashi's) so I think that's why my numbers like to stay a bit higher than most celiacs do. Hashi's, diabetes, and other autoimmune diseases are linked to celiac disease, so it's a good idea to keep an educated eye open for them just in case they crop up... Hopefully they never do!  :)

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