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Ethical (And Legal) Question On Enterolab
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I want to order the mouth swab test (Gluten Sensitivity Gene Test (Molecular HLA-DQB1 analysis)) from Enterolab to see if I have one of the celiac genes. However, my state is one of the two in the country that does not allow the paitent to directly purchase this test, it must be ordered through the doctor. Would it be ethically wrong for me to order this test and have it sent to a friend in a neighboring state and is it even legal for me to do it this backhanded way? Does anyone know if I have to click some kind of disclaimer stating where I live? Or will they know by my credit card info and then not send it to me or worse send it to me and then slap me with a heavy federal fine a month later? I'm the kind of person who goes by the book so the idea of doing something illegal kind of freaks me out a bit. Yet I want to know if I have the gene and don't want to go through the doctor at this time.

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How did you find out that you live in a state that requires the order be submitted through the doctor? A lot would depend on why it is illegal to do so in your state. Which would depend on your state's particular law. It may only be illegal to order it directly if you intend to use those results for submitting to insurance or something like that. But using the results for your own personal information may not be illegal to order.

I can't say for certain but I do not remember having to sign a disclaimer as to the state I live in when I ordered from Enterolab. I only remember having to sign a disclaimer as to who I am, my date of birth, weight and height (information I guess they use in interpreting test results).

I doubt seriously they pay attention to the amount of orders they receive that the shipping address and credit card billing address do not match. Also that is probably fairly common with their orders anyway as a family member may be paying for another family member's test so they would not match.

I doubt you would be slapped with a federal fine as although federal law would apply because of more than one state being involved and the mail, the feds have much bigger problems, if you were to get in trouble it would more likely be with your individual state but that is unlikely to as your state is probably not concerned with minor violations either.

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Sharilee - it says so on their web site

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Sharilee - THANK YOU SO MUCH for doing all that reasearch. I really appreciate that you took the time for this. Based on what you found I will not be ordering the test and having it sent elsewhere. I don't want to be a partner in crime, the law is the law and I will go along with that. I'll go through my doctor and hopefully he will agree to it.

Thanks, Jane

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Sharilee - THANK YOU SO MUCH for doing all that reasearch. I really appreciate that you took the time for this. Based on what you found I will not be ordering the test and having it sent elsewhere. I don't want to be a partner in crime, the law is the law and I will go along with that. I'll go through my doctor and hopefully he will agree to it.

Thanks, Jane

Your welcome, glad I could help

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Would it be wrong for someone to order it for you and you pay them back? It doesn't allow THEIR residents to order it.

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    • Thanks Stephanie & Gemini for the info. that the 4 of 5 doesn't apply to children. I wasn't aware of that until now. 
    • I think the posters above have given you very good information and I will throw in my 2 cents worth.  I am surprised that they did not test her DGP IgA also.  I am sure that would have been positive.  They switched off with antibody classes and usually they do both tests for both antibodies.  IgA is more specific to Celiac but the IgG is also useful.  The testing shows your daughter is producing antibodies to the gluten in her diet. (DGP IGG). THe tTg shows positive for some damage or inflammation. You know........your daughter is only 4.  She hasn't been on the planet or eating gluten that long. It can take years for enough damage to occur for it to be able to be found on biopsy.  I would say it is highly likely that this is Celiac, especially with her symptoms. But because the damage hasn't graduated to bad enough yet, they won't diagnose her. I think you need to do what others have said and get all copies of testing and find someone else who will take a look and give a diagnosis, especially if they have you do a dietary trial and her symptoms go away.  That might be the only recourse if you want faster proof. I know I would want faster.  I would not really be happy if I thought I had to keep feeding her something that was making her sick.  If you keep her on gluten long enough, the diarrhea will probably show up. BTW.........the criteria mentioned regarding diagnosis does not apply to kids.  I know it's silly and stupid but most leading Celiac specialists do not go by this criteria for kids.......adults only.  Keep that in mind because it might come up.  You could recognize it but they might not. Have you considered gene testing, to help bolster a diagnosis? As far as false positives go, it's the other way around. False negatives happen more frequently than many people think.  It's a recurring theme here.  With her symptoms, which is what I had, a bloated belly and tummy aches are telling.  Have they tested her for lactose intolerance?  That can cause similar symptoms, although it sure won't raise those 2 blood tests.  Keep looking for Celiac because there are many red flags here.
    • This 4 out of 5 criteria does not apply to children. I was never given a reason why, but it isn't.     That said, you may try to get a second opinion from another GI who may be willing to give her a firm dx.  We were in your boat 6 years ago and while I'm sure I'll get slammed for it, I wish we had kept gluten in our kiddos diet till he scoped positive for a variety of reasons.  Again, even family is different and you have to find what is best for you!
    • Mnoosh, I had swollen lymph nodes prior to celiac dx and for a while after going gluten free. My neck as well as groin. The groin ones were the worst. Guess what? All gone! It's hard to recall a time line & consider that everyone is different but I think mine completely resolved within a year.  You've been given great information. Just breathe and then again, breathe. You're going to be fine. 
    • It is the only thing you have eaten, so it can't be anything else?  I eat it with no issues so I am not sure how you can be certain that is the problem.  All I am saying is that its sort of "your word against mine and the company's word".  
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