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- Scott Adams replied to deanna1ynne's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms1Inconclusive results
This is a challenging and confusing situation. The combination of a positive EMA—which is a highly specific marker rarely yielding false positives—alongside strongly elevated TTG on two separate occasions, years apart, is profoundly suggestive of celiac disease, even in the absence of biopsy damage. This pattern strongly aligns with what is known as "pot... -
- Scott Adams commented on Scott Adams's article in Autumn 2025 Issue13
Gluten-Free Food Ingredients That Can Trigger Celiac Disease and IBS-like Symptoms
Correct, the things listed in the article may mimic celiac-like or IBS-like symptoms, but would not cause the damage that gluten/gliadin does.- additives
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- Scott Adams replied to Julie 911's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms7
Medication
Welcome to the community! Generally, for a gluten challenge before celiac disease blood tests, Tylenol (acetaminophen) is considered safe and should not interfere with your antibody results. The medications you typically need to avoid are those like ibuprofen (Advil, Motrin) or naproxen (Aleve) that can cause intestinal irritation, which could potentially... -
- Xravith replied to Xravith's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms7Taking Probiotics but Still Getting Sick After Gluten – Advice?
Thank you for the advice. I’ve actually never checked for nutritional deficiencies, but for as long as I can remember, I’ve always taken vitamin and mineral supplements — otherwise my symptoms get worse. This week I stopped eating gluten to confirm whether my symptoms are really caused by it. Starting next week, I’ll reintroduce gluten — it’s sad to ...- 1
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- Adeling commented on Scott Adams's article in Autumn 2025 Issue13Gluten-Free Food Ingredients That Can Trigger Celiac Disease and IBS-like Symptoms
I, too, was diagnosed in 1980. I was lucky that my mother cooked everything for me from scratch. I also feel lucky that I can have potatoes. I'm sorry for this extra limitation!- additives
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By Scott Adams · Posted
Welcome to the community! Generally, for a gluten challenge before celiac disease blood tests, Tylenol (acetaminophen) is considered safe and should not interfere with your antibody results. The medications you typically need to avoid are those like ibuprofen (Advil, Motrin) or naproxen (Aleve) that can cause intestinal irritation, which could potentially complicate the interpretation of an endoscopy if you were to have one. However, it is absolutely crucial that you confirm this with either your gastroenterologist or your surgeon before your procedure. They know the specifics of your case and can give you the definitive green light, ensuring your surgery is comfortable and your celiac testing remains accurate. Best of luck with your surgery tomorrow -
Thank you for the advice. I’ve actually never checked for nutritional deficiencies, but for as long as I can remember, I’ve always taken vitamin and mineral supplements — otherwise my symptoms get worse. This week I stopped eating gluten to confirm whether my symptoms are really caused by it. Starting next week, I’ll reintroduce gluten — it’s sad to go back to how I was before — but at least I’ll be able to take the necessary tests properly. I think the diagnostic process will be long, but at least I’m happy that I finally decided to address this doubt I’ve had for years.
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If you're still eating gluten, I'd ask your doctor for a proper blood panel, specifically tissue transglutaminase IgA, total IgA, and maybe deamidated gliadin peptide tests. Home tests aren't always reliable. Since you mentioned fatigue and weight loss, it's worth checking for nutrient deficiencies too (iron, B12, vitamin D). Even if it's not Celiac, those labs can point to malabsorption issues.
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Hey Julie! I was in a similar situation before my biopsy and my gastro said Tylenol was fine. Just avoid ibuprofen or anything anti-inflammatory until you're cleared. Hope your surgery goes smoothly!
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