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Can Casein Cause High Iga Or Transglutaminase Levels?


bmorecricket

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bmorecricket Newbie

Hi,

I'm new to the forum. I just had a check of my IgA and IgA-Ak done, and my levels are horrible (igA at 94 and IgA-Ak at 187.6). This is after following an extremely strict gluten free diet. I know that sometimes people with celiac disease also react to casein - but would that show up in the blood test, or does that really just test for the presence of gluten?

I'm especially curious if that's what's causing this because I was diagnosed with celiacs almost 2 years ago, and I seemed to be improving well. But then about a year ago I reintroduced dairy into my diet, and around that time my antibody levels spiked and I started feeling worse.
I'm in Germany, and I'm trying to find a specialist who can help me here, but in the meantime any advice would be welcome. My general practitioner told me she had no idea whether dairy could cause the spike in antibody levels, and that "she thought I'd be happy" because my levels went down from over 200 to 187 over the last six months. She then told me that it was probably impossible to follow a totally gluten free diet, so I should expect high antibodies. Thankfully I know enough not to accept that. 

Thanks for your insight!

Cricket

 

 


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notme Experienced

i don't know how casein would make your antibody levels go up - i know that people with celiac usually have trouble digesting dairy/casein because the (damaged) villi in your small intestines are what produces the stuff that allows your body to digest dairy.  so, it would make you uncomfortable and maybe irritate your guts.....  ?  

  • 2 weeks later...
RollingAlong Explorer

What is  IgA-Ak?

 

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    • trents
      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
    • Paulaannefthimiou
      Are Bobresmill gluten free oats ok for sensitive celiacs?
    • jenniber
      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
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      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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