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Testing Results


Cate K

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Cate K Rookie

Well now I am stumped. I have been going along thinking that there will be no way that my blood work will come back normal. I guess on that I was partially correct.

My blood results showed low iron levels, and the presence of AC anti-actin. (My results are in French so I don't have a literal translation). and the fecal test showed high levels of fat. I had thought for sure that the Ac anti-endomysium and the IgA & G would show positive but they came back within normal levels.

From what I read about the tests on the internet the presence of AC anti-actin would be more likely to indicate autoimmune hepatitis.

My doctor has suggested that I have the biopsy done but for me that means a trip to either Singapore or Thailand. He has no experience whatsoever with Celiac Disease. I guess given the other possible outcomes it is probably worth the trip to obtain a firm diagnosis - one way or the other - but it sure will be one expensive biopsy (I live in Saigon).

Any thoughts or experience with this? :(


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Kamma Explorer

Hi Cate,

Would it be more cost effective if you just took yourself off gluten for awhile and see how that made you feel? Some people require the medical diagnosis and some people are okay with seeing how they react off the gluten to confirm a diagnosis.

If you choose to just remove gluten, I would suggest being super strict to avoid cross contamination. That way you would absolutely be sure that it was gluten that was making you feel the way you do (or not).

Hope this helps.

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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
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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