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What To Ask For?

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Can someone tell me what blood tests I need to ask for. My dd has Celiac, and I highly suspect my youngest does also. I have never been tested. But am due for a regular appt. so I thought I would ask my doc. to run a panel, just to see. I want to make sure she runs the correct ones. Especially since I don't have any classic symptoms of Celiac, I may have a hard time getting her to run even the basics. I know it can often times be genetic and since my husband is Native American, its much more likely to have come thru my bloodlines.



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Deamidated Gliadin Peptide (DGP) This is the newest test and is supposed to be more sensitive.


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The standard celiac panel is total IgA, anti-gliadin IgA, anti-TTG IgA, and sometimes anti-endomysial (EMA) IgA. The anti-EMA is expensive and is not always run. If you come up IgA deficient, you can justify the IgG versions to insurance. The new deamidated gliadin peptide IgG is very sensitive and specific if the lab your doctor uses has it (that one is IgG whether or not you're IgA deficient).


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    • Yes, GFinDC you've got the gyst of what I am after. If I am reading your response correctly then, you think that inflammation in the gut caused by gluten ingestion is enough to trigger diarrhea, quite apart from the state of one's mucosa? That would be good news for me. More information on this inflammation reaction in the gut with gluten ingestion is precisely what I am after, but cannot seem to find. Because, as stated, as far as I know, D is mostly if not only, caused by flattened villi. OTOH, how interesting to hear from you, cycling lady, that you had flattened villi and no D! RMI, the link is quite depressing. Many appear not to have healed mucosas after a gluten-free diet. A repeat endoscopy is what is so clearly needed by many of us, but honestly I am a little wary of the risks.
    • No, they didn't test my ttg igg, which I was surprised about considering the low IgA and positive DGP Igg. (The tests they did were IgA serum, Ttg IgA, DGP Igg and IgA and gene testing) If he ever returns my call, I was going to ask him about that.  He initially wanted to set up a endoscopy, but I told him I had one last year (with my prior GI) and he said he'd take a look at it and we'd go from there, except that was two weeks ago and I haven't heard from him.  My prior GI did take biopsies, I believe to rule out H.Pylori and I was told biopsy results were normal, however, I didn't receive a pathology report or anything like that.
    • What GEE EFF said!  Look for incubators, some business schools and even community colleges will have classes  about starting your own business & info about financing one.   There is a lot more to a business then just making and selling and getting someone else to buy the food  Taxes - paying and collecting in different cities or tax zones, health department codes, liability insurance (vehicular and general business ), renting a health dept approved kitchen,  a small business lawyer to help you "become a real company", permits, "booth fees", etc.  You can probably avoid some of it right now, just selling at a local farmer's market.   add- You might check with your state.  Some states have funds or low interest loans.  It helps if you are a "minority".  
    • i've researched a little about the genes i have you can find out if they are assosciated with other illnesses/autoimmune diseases. but i don't think knowing the details of every gene is going to help diagnose you any futher than just knowing you have the gene becuse either way it just means you have an increased chance.  if you're iga deficient did you have ttg igg as well?
    • I don't know if there are any grants specifically for gluten-free products Ennis.  But the SBA in USA deals with small business startups and may have information to help you.   There may be small business incubators in your area also.  Sometimes they are associated with university business schools and the SBA.  Marketing a product commercially and labeling it gluten-free is a possible issue though.  There are now FDA rules on labeling products gluten-free.  So you need to study those before getting to far into it.
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