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Blood Test Results


cdevane

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cdevane Rookie

I received my blood test results last week. My doctor's assistant just wrote that I was "not allergic to wheat". On the lab sheet, the test requested was for Celiac's Disease, so I called to find out specifically what blood tests were done.

I tried to research withing exisitng posts to help understand my results, but the names of my tests don't match up with any others that I have seen. So now I am beginning to wonder if I was given the correct tests. Here is what they gave me:

IGA plusT=266

Ttg=4

Is anyone familiar with how to read this? The doctor has yet to return my call.


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nicolesmom Newbie

Hi! The IGA 266 is your total IGA, which is in the normal range. The TTg is the tissue transglutaminase which is the newest test for celiac disease and is directly proportional to the amount of damage in your intestines. Your TTg was normal. (less than 20). From my experiences and research I believe a person can have an intolerance to gluten either before damage occurs or stay gluten intolerant with no adverse affects. I've done some reading on the gliadin IgG which you might want to consider being tested for.

The usual celiac panel consists of the gliadin abs-IgG and IgA, the TTg IGA and the reticulin abs, these last are really not very useful and most docs these days are just going with the TTg and a total IGA to make sure you don't have an IGA deficiency which is fairly common in celiacs.

I would suggest that you ask your doc for the gliadin abs and ask him if the IgG comes back positive, should you try gluten free. Many people on this site have positive IgG only yet respond well to a gluten-free diet. The good news is, if you mess up and ingest gluten, you will feel sick with the usual symptoms but there are no circulating IgA abs causing damage to the intestines.

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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
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    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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