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How important is it for a confirmed celiac to have repeat biopsies or serology when on a gluten free diet?**

Vijay Kumar, M.D., Research Associate Professor at the University of Buffalo and President and Director of IMMCO Diagnostics: It is important for the serum tests to be negative in patients with CD. These tests provide strong indicators that the gluten free diet followed is effective and is free of gluten. Sometimes drugs or other intakes may be contaminated with gluten that may continue sensitization and the disease process which may be subclinically. We and others believe once the diagnosis of celiac disease is confirmed and the patient is on a gluten free diet, repeat tests once in 3-6 months may be sufficient.

Karoly Horvath, M.D., Ph.D., Associate Professor of Pediatrics; Director, Peds GI & Nutrition Laboratory; University of Maryland at Baltimore: If a patient has histologically (endoscopy) and serologically

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(antibody tests) proved celiac disease, and his/her symptoms disappeared on a gluten-free diet, a repeat biopsy is not necessary. The serological tests are useful tools for estimating the effectiveness of the diet after 3-6 months on a gluten-free diet. The disappearance of antibodies from the blood takes months, if there was not any accidental gluten challenge (dietary mistake).

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i am thinking you may be LADA, latent autoimmune diabetes of adult, type one, of course. Not to hit you when you are down, but now is the time to realize that you eat to live, not live to eat. find a different source of sensual enjoyment, ie photo, painting, singing, etc. and "hold your nose"...

You might consider the endoscopy. Like I said, some celiacs (about 10%) have negative blood tests. The endoscopy can rule out other issues too (like Crohn?s). Not all celiacs are wasting away either. I hope they figure it out and you feel better fast!

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