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Test Results Are In.....

Tasha2004

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Tasha2004 Contributor
Tasha2004
Posted

I guess the only positive test I still have is the Gliadin IgA. My doctor says it's not a big deal until the Ttg turns positive, but that it could be latent Celiac.

I'm still wondering if anyone has any advice on high IgA and what to do with the info. Mine was 74 normal is 25 or less.........

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lisa922 Apprentice
lisa922
Posted

Hi! I am in the process of trying to figure out my results also. My ttg was negative and my Iga was only 24, but I had some other numbers that were higher. My small intestine biopsy does show damaged villi. Today I spoke with a very knowledgable nurse at a gi office - she told me that if the ttg is positive, even with a normal Iga, Celiac should be investigated as a possibility. She did seem puzzled that my ttg was normal (or actually negative) and said that there is a genetic test that can be done I'm not sure how this is supposed to be written, but she said to ask for HLAeq2 and HLAdq8 tests. If they are both negative, then it is not Celiac. If one is positive and one is negative, you still have a 30% chance of not getting Celiac. I am going to post this info and see if anyone else is familiar with it and I'm going to request the test because I want to make sure I am following the right treatment. She said there are many other conditions that can damage your villi. Good luck with your results!

LISA

Tasha2004 Contributor
Tasha2004
Posted
  • Author

Thanks Lisa. I'm still doing research on this. I wish I could afford my own tests but I just cant right now.

You were brave enough for the biopsy, I havent chosen to do one yet.

Do you have symptoms?

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      By knitty kitty · Posted

      Hello, @Aretaeus Cappadocia, My favorite source of B12 is liver.  😺 I react to nutritional yeast the same way as if I were glutened.  Casein, a protein in dairy, and nutritional yeast have protein segments that match certain antigenic protein segments in gluten.  The proteins in rice, corn (maize), and chicken meat have them as well.   Some people with Celiac might tolerate them without a problem, but I need to avoid them.  For those still having symptoms, cutting these out of our diet may improve symptoms. 
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      Welcome to the celiac.com community, @ainsleydale1700! First, it is very unlikely, given your genetic results, that you have celiac disease. But it is not a slam dunk. Second, there are some other reasons besides having celiac disease that your blood antibody testing was positive. There are some diseases, some medications and even (for some people) some foods (dairy, the protein "casein") that can cause elevated celiac blood antibody test scores. Usually, the other causes don't produce marginally high test scores and not super high ones. Having said that, by far, the most common reason for elevated tTG-IGA celiac antibody test scores (this is the most common test ordered by doctors when checking for celiac disease) is celiac disease itself. Please post back and list all celiac blood antibody tests that were done with their scores and with their reference ranges. Without the reference ranges for negative vs. positive we can't tell much because they vary from lab to lab. Third, and this is an terrible bum steer by your doc, for the biopsy results to be valid, you need to have been eating generous amounts of gluten up to the day of the procedure for several weeks.  Having said all that, it sounds most likely that you have NCGS (Non Celiac Gluten Sensitivity) as opposed to celiac disease. The two share many common symptoms but NCGS is not autoimmune in nature and doesn't damage the lining of the small bowel. What symptoms do you have? Do you have any blood work that is out of norm like iron deficiency that would suggest celiac disease?
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      Confused about HLA-DQ Celiac gene test result

      By ainsleydale1700 · Posted

      Thank you, that is helpful! 
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      HLA testing can definitely be confusing. Classic celiac disease risk is most strongly associated with having the full HLA-DQ2 or HLA-DQ8 heterodimer, which requires specific DQA1 and DQB1 genes working together. Your report shows you are negative for the common DQ2 and DQ8 combinations, but positive for DQB102, which is one component of the DQ2 pair. On its own, DQB102 does not usually form the full DQ2 molecule most strongly linked to celiac disease, which is likely why your doctor said you do not carry the typical “celiac genes.” However, genetics are only part of the picture. A negative gene test makes celiac disease much less likely, but not absolutely impossible in rare cases. More importantly, both antibody testing and biopsy are only reliable when someone is actively eating gluten; being gluten-free for four years before testing can cause both bloodwork and intestinal biopsy to appear falsely negative. Given your positive antibodies and ongoing symptoms, it may be reasonable to seek clarification from a gastroenterologist experienced in celiac disease about whether proper gluten exposure was done before testing and whether additional evaluation is needed.
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      I agree with your post and have had similar experiences. I'm commenting to add the suggestion of also using nutritional yeast as a supplement. It's a rich source of B vitamins and other nutrients, and some brands are further supplemented with additional B12. I sprinkle a modest amount in a variety of savory recipes.
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