Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):
    GliadinX



    Celiac.com Sponsor (A1-M):
    GliadinX


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

New- Trying To Decipher Test Results?


Unichic

Recommended Posts

Unichic Newbie

Hello everyone! I'm sure these kinds of results have been posted before (I apologize in advance). I have tried to find info on my own, but coming up with nothing! My husband recently had a physical. I sent him off with a battery of tests. In the list, I included a celiac panel. My husband (just turned 40) has had borderline low testosterone for at least 10 years that we know of. He also has thyroid levels that don't indicate hypothyroidism yet, but hover just under the aace tsh guideline (.3-3), my husband's tsh is always in the 2's. Not terribly indicative of anything YET! Anyway, he also shows possible gluten intolerance symptoms: chronic canker sores, recently a peeling tongue, low vitamin D (even with daily supplementation), bouts of explosive diarrhea, a skin rash that he calls heat rash, low energy, irritable and moody (maybe just due to lower testosterone). He is not overweight whatsoever. He does look rather pale and quite frankly, like he hasn't slept in ages lol. His celiac panel is as follows:

IgA Qn serum 598 range 91-414 HIGH

Delaminates glia fin Abs, IgA 7 range 0-19 is negative

T-transglutimaninase (ttG) <2 range 0-3 negative

With these results, our doctor (she is also a wellness and bio identical doctor) said definitive for gluten intolerance due to the elevated IgA and symptoms, plus low hormone levels. I'm not so sure?? His mother has hypothyroidism, osteoporosis and issues with diarrhea when she eats wheat. Maybe no correlation to gluten intolerance whatsoever, just mentionable. I myself had recent celiac testing since I have Hashimotos's, but my results showed nothing significant. Anyway, my husband is on board with going gluten free, starting yesterday. I'm just wondering if we should just go all in gluten free or have him scheduled for a biopsy (he's going to buck up on that one, I know it lol). Thank you kindly for your help and input!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):
Food for Life
NutHouse! Granola Co.



Celiac.com Sponsor (A8-M):
GliadinX


nvsmom Community Regular

The first test, IgA Qn serum, is the total serum Igag which is a control test. It is not a celiac test.  As I understand it, the IgA is run because 5% of celiacs are low in Iga (much more than the regular population) and a deficiency in IgA means that the celiac tests that do use IgA will have a negative result even when they should be positive.

 

I'm guessing that second test is the deaminated gliadin peptide antibodies (DGP IgA). It's a good celiac test, but yours is negative.

 

Your tTG is negative too... Was it a tTG iGA test?

 

To me, it looks like your control test was high. IgA has to do with mucosal linings and it's thought by some that it will test over active in food sensitivities but it is not a celiac test. The two celiac tests he had done are negative.  I think that means he may have a food sensitivity, and it could be non-celiac gluten intolerance (NCGI), but he does not have the antibodies that would result in intestinal villi damage that is a defining symptom of celiac disease. - Those with NCGI will have all the same symptoms as a celiac except the villi damage.

 

Based on those results, I would guess that his biopsy would be negative but there are a few people around here who had negative blood work but had a positive biopsy (and vice versa). If he thinks it would be helpful he should go for it. He'll need to be eating gluten 2-4 weeks before the procedure for accurate results - the longer the better.

 

I hope he feels better on the gluten-free diet. Best wishes in whatever he decides to do,

Unichic Newbie

Thank you for your response! Well, if it isn't gluten intolerance, let's say, should there be concern for that elevated iga? He has not been sick, so it's not that. There's inflammation somewhere in his body, but where?

nvsmom Community Regular

I honestly don't know a lot about elevated IgA. As far I I understand it, it could be an indicator that something is wrong, but it doesn't say what - just that it's in the mucosaal lining.... Frustrating.  :(

 

This discusses it a bit:

Open Original Shared Link

 

He might as well go gluten-free if he is done testing. NCGI is in 6-30% of the population (6-10% is the number I see quoted the most). It's a common and very real problem and could be contributing to his issues. Gluten enteropathy can cause elevated IgA (I believe) so you could be on the right track. Perhaps after a few months gluten-free, he'll have a better idea if he is NCGI, or one of the rare celiacs with negative blood work.

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):
    Little Northern Bakehouse



  • Member Statistics

    • Total Members
      129,963
    • Most Online (within 30 mins)
      7,748

    Pat Martin
    Newest Member
    Pat Martin
    Joined

  • Celiac.com Sponsor (A20):
    GliadinX


  • Forum Statistics

    • Total Topics
      121.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):
    GliadinX




  • Celiac.com Sponsor (A21):
    Lakefront Brewery



  • Upcoming Events

  • Posts

    • Wheatwacked
      Hello @CeliacNew, If you are Vegan to help you feel better, reconsider returning to omnivore.  Actually, since you are already on a very restrictive diet, transitioning to gluten free might be easier for you.  Read the ingredient labels, Particularly vitamin D and Choline require supplements for vegan diet because our primary source is sun, eggs and beef.  B12 also.
    • Wheatwacked
      Once you've completed testing and still don't have improvement, start a trial gluten free diet.  Looking for imprvement that may indicate Non Celiac Gluten Sensitivity, which is 10 times more prevalent than Celiac Disease. Deficiencies in vitamins B6, B12, D, and C can manifest as skin rashes.  Virtual guaranty you are deficient in vitamin D.
    • cameo674
      So those rs numbers tell researchers where the dbSNP is located in a Genome so that other reasearchers or an AI system can look in that specific spot for that Snip of information.  You can look those rs # s by pasting the numbers after rs into the lookup on this page https://www.ncbi.nlm.nih.gov/snp/ right under the Blue header bar at the top of the webpage.  Since you are not a researcher, I do not know how this will help you though.
    • cameo674
      So I posted here once before, and everyone advocated that I get into a GI doc.  I finally got into my functional health appointment on 6/16 to get my blood results evaluated and get the Gastro referral. I was told that I would be fortunate to see a gastro doctor by December, because of the number of people waiting to get in, but they did believe that I needed to see a GI doc among others.  Well, the stars aligned. I got home. I looked at MyChart and it showed an appointment available for later that same day. I never clicked so fast on an appointment time. The gastro doc ran some additional blood work based off the December values that had confirmed my daughter's suspicion that I have undiagnosed stomach issues.  Gastro has also scheduled me to get an upper endoscopy as well as a colonoscopy since it has been 8 years since my last one. She said it would rule out other concerns if I did not show Celiac per the biopsies.  Those biopsies will not occur until August 29th and like everyone here stated, Gastro wants me to keep gluten in my diet exactly as everyone suggested. To be honest, I was barely eating any gluten since I figured I would have plenty of time to do so before testing.  Doc is also looking for the cause of the low level heartburn that I have had for 30 years.  I have mentioned the heartburn to PCPs in the past and they always said take a tums or other OTC drug.  The upper endoscopy is for ruling out eosinphilic esophagitis, h. pylori, and to biopsy the duodenal bulb and second portion to confirm or exclude celiac. The colonoscopy will have random biopsies to rule out microscopic colitis. I didn't really catch her reasoning for the bloodwork.  Doc looked at the December numbers and said they were definitely concerning for Celiac.  She also said, “Hmm that’s odd; usually it’s the reverse”, but I did not catch which result made her say that. She seems very through.  She also asked why I had never bothered to see a GI before.  To be honest, I told her I just assumed that the heartburn and loose stool were a part of aging.  I have been gassy since I was born and thought constantly passing gas was normal?  Everyone I know with Celiac have horrible symptoms that cannot be attributed to other things.  They are in a lot of stomach pain.  I do not go through that.  I attribute my issues to the lactose intolerance that comes with aging, but have slowly been eliminating foods from my diet due to the heartburn or due my assumption that they did not agree with a medication that I was prescribed. I have already eliminated milk products especially high fat ones like ice cream; fats like peanut butter; acids like citrus and tomatoes; chocolate in all forms; and breads more because it is so hard to get in 100 grams of protein if I eat any foods that are not a protein.  I would not have even done the testing if my daughter had not brought up the fact that she thought I might have an undiagnosed condition since she has issues with bloating and another sibling has periodic undiagnosed stomach pain that GI docs throw pills at instead of helping.  Who knew that Bristol scale 5 and 6 were not considered normal especially multiple times a day? I watched my MIL go through basically the same bowel changes starting at 50 so to be honest, I really did think it was normal before this week's appointment.   December 2024's blood tests ran through Quest Labs were:  Deamidated Gliadin (IgA) 53.8 U/mL Above range >15.0 U/mL; Deamidated Gliadin (IgG) >250.0 U/mL Above Range >15.0 U/mL; Tissue Transglutaminase (IgA) 44.0 U/mL Above range >15.0 U/mL; Tissue Transglutaminase (IgG) <1.0 In range <15.0; Immunoglobulin A (IgA) 274 mg/dL In range 47-310 mg/dL 6/16/25 bloodwork:  Until today, I did not really know what all the four tubes of blood were for and since I did not understand the results, I got into the clinical notes to see what was ordered, but it did not exactly explain why for everything. Immunoglobulins IGG, IGA, IGM all came back in range:  IGG 1,010 mg/dL In range 600-1,714; IgA 261 mg/dL In range 66-433 mg/dL; IGM 189 mg/dL In range 45-281.  How do these numbers help with diagnosis? Google says she checked these to see if I have an ongoing infection? I do have Hashimoto's and she did say once you have one autoimmune disease others seem to follow. Celiac Associated HLD-DQ Typing: DQA1* Value: 05; DQA1*DQA11 Value: 05; DQB1* Value: 02; DQB1-DQB11 Value: 02; Celiac Gene Pairs Present Value: Yes; Celiac HLA Interpretation Value: These genes are permissive for celiac disease.  However, these genes can also be present in the normal population. Testing performed by SSOP.  So google failed me.  I think these results basically say I have genes, but everybody has these genes so this test was just to confirm that there is a vague possibility?  Maybe this test result explains why I do not have the horrible symptoms most individuals with celiac have?  I told the GI my assumption is that I am just gluten intolerant since I do not have the pain? So maybe this test explains why I have antibodies? Comprehensive Metabolic Panel: Everything was in the middle of the normal range.  Google says this just says I am metabolically healthy. Tissue Transglutaminase ABS test results – Done by the Mayo Clinic’s Labs –  T-Transglutaminase IGA AB --Value: 3.1 U/mL – Normal Value is <4.0 (negative) U/mL; Tissue Transglutaminase, IgG -- Value: 15.3 U/mL High -- Normal Value is <6.0 (Negative) U/mL – Interpretation Positive (>9.0) – These are the only labs the GI did that have been labeled Abnormal.  I am confused at how/why these came back different than the December labs? Because these numbers seem to be the opposite of what the were in December and I know I have eaten less gluten.  They were definitely measured differently and had different ranges. This must be why she said they are usually opposite? Molecular Stool Parasite Panel said I was Negative for Giardia Lamblia by PCR; Entamoeba Histolytica by PCR and Cryptosporidium Parvum/Hominis by PCR.  So at least I do not need to do a parasite cleanse like everyone on TikTok seems to be doing. So I guess, I am just really asking why the Tissue Transglutaminase numbers are different.  Was it because they were truly different tests? Is it because I have not consumed the crazy amount of gluten one is suppose to eat prior to testing? To be honest, I thought that was only for the biopsy testing. I generally only eat twice a day, and the thought of eating the equivalent of 6 slices of bread is daunting. Even in my youth, I probably only consumed the equivalent of maybe 3 slices a day. Like I said before, now I usually focus on trying to eat 60 gram of protein.  I am suppose to consume 100 grams, but have failed to succeed. I will focus on eating gluten starting in July now that I know my procedure date.
    • Scott Adams
      I agree with @trents and wiping down the spot you eat your lunch, and eating the food your brought from home should be safe for even sensitive celiacs. Gluten can jump on your food, so it would likely better better for you to continue eating where you prefer.
×
×
  • Create New...