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My Results?


NewlyCeliac

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NewlyCeliac Newbie

So I'm having trouble figuring out my lab results I got today. I've been having stomach problems for a while now, and just decided to see a doctor about it.


My IGG was 1.21 < .90
And my IGA was 0.19 < .90


Any help would be appreciated  ^_^


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LauraTX Rising Star

Welcome to the board! :)

 

If you could give us some more information and fully type out what is on the lab report, including any letters or words that are before the IgG and IgA, and the reference ranges, that will help us help you a little better, since those letters make all the difference in interpreting the lab tests.

NewlyCeliac Newbie

Welcome to the board! :)

 

If you could give us some more information and fully type out what is on the lab report, including any letters or words that are before the IgG and IgA, and the reference ranges, that will help us help you a little better, since those letters make all the difference in interpreting the lab tests.

The full test is 

Tissue transglutaminase IgA .19 < .90

Tissue transglutaminase IgG 1.21 < .90

Alkaline Phosphate 32, standard being 37-117 U/L

 

My liver function is good, iron is good, and thyroid is good. So are all my blood counts, just with my lymphocytes being a little on the higher side

cyclinglady Grand Master

I interpret it as one of them being positive! But I am just a Mom who has celiac disease, majored in business and am NOT a doctor. Keep eating gluten until all testing is complete. The next step is usually an endoscopy to obtain intestinal tissue biopsies. Read up on celiac disease on the University of Chicago's celiac website:

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Keep us posted!

NewlyCeliac Newbie

I interpret it as one of them being positive! But I am just a Mom who has celiac disease, majored in business and am NOT a doctor. Keep eating gluten until all testing is complete. The next step is usually an endoscopy to obtain intestinal tissue biopsies. Read up on celiac disease on the University of Chicago's celiac website:

Open Original Shared Link

Keep us posted!

I have a phone appointment on thursday with my doctor to talk about the results  :)  I wish the nurse practitioner who ordered the blood tests would have called me with the results, and given me more information on what they mean. Oh well! Only two days until thursday. I'll keep checking in daily on this post for more replies, and let you all know what news I hear! 

NewlyCeliac Newbie

Today I was officially told my diagnosis of Celiac Disease. It went in my charts on 4/29/15. This will be a long journey for someone like me who has spent her life so far dedicating herself to her recipes, and her love of food. I've decided to try to convert all the recipes I have now into gluten free recipes, along with making more :) I've already made a chicken taco recipe that is to die for and is gluten free.



Heres to Celiac Disease!

cyclinglady Grand Master

Welcome to the club!

I just pulled a chocolate mayonnaise cake out of the oven. Luckily, it fell out of the pan easily. It works best to use parchment paper to line pans when using gluten-free flour. Next step, homemade frosting. Yum! This cake is requested by my non-celiac kid over a store-bought bakery cake full of gluten! It is that good!

I always keep goodies in my freezer in case of an emergency -- like attending a party. Tonight we have friends from Japan coming over for dinner. Steak is in the menu and everything will be gluten free as always.

Back to some serious stuff.....

Read the Newbie 101 section under "Coping". Cross contamination is one of our biggest issues. Eliminate milk products for a while if needed. Eat whole foods that are easy to digest and expedite healing.


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    • deanna1ynne
      And thank you for your encouragement. I am glad that her body is doing a good job fighting it. I also just want clarity for her moving forwards. She was only 6 for the last round of testing and she's 10 now, so I'm also hoping that makes a difference. It was weird during her last round of testing though, because right before her biopsy, we'd upped her gluten intake by giving her biscuits made from straight up vital wheat gluten, and her labs actually normalized slightly (lower ttg and her ema went negative). Bodies just do weird things sometimes! lol
    • deanna1ynne
      The first negative biopsy in 2021 just said "no pathological change" for all the samples, and the second one in 2022 said "Duodenal mucosa with mild reactive change (focal foveolar metaplasia) and preserved villous architecture." So I think Marsh score 0 in both cases, though it's not actually written in the pathology reports. I'm really hoping to get a clear positive result this time, just for her sake.  
    • Wends
      Hopefully the biopsy gives a conclusive and correct diagnosis for your daughter. Im in the UK and have been in the situation a few years ago of trying to rule celiac in or out after inconclusive results. Many symptoms pointing to it including the classic symptoms and weight loss and folate and iron deficiency. You have to play a waiting game. I also had the label of IBS and likely food allergy. Genetic test showed low risk for celiac but not no risk. It sounds like the Gastroenterologist is on it and hopefully will diagnose what it is correctly. Food hypersensitivity (allergy) can also cause similar symptoms and inflammation as well as mimicking IBS. Milk / dairy and wheat (cereal grains) being the biggest culprits. The “oesophagitis” and “gastritis” you mentioned can be caused by another gastrointestinal disorder called “eosinophilic gastrointestinal disorders”. These are named depending on which part of the gastrointestinal tract is affected. For example eosinophilic oesophagitis, eosinophilic gastritis, eosinophilic gastroenteritis, and more rare eosinophilic colitis. They are antigen (allergen) driven. When the blood test measuring anti-ttg antibodies is positive in absence of a positive ema test - which is more specific to celiac, this can also suggest food hypersensitivity (allergy). Usually delayed type allergy similar to celiac but not autoimmune if that makes sense. In this case the ttg antibodies are transient. Which happens. I’ve first hand experience. For info, evidence of villous atrophy too can be caused by food hypersensitivity. Not just by celiac disease. In Egid disorders the six food elimination diet, under a dietitian and gastroenterologist care, is the dietary protocol to figure out the culprit or culprits. Sometimes only two food elimination diet is used at first. The number one culprit is milk protein / dairy. Followed by wheat, eggs, soy, fish and seafood, and nuts. Most are only reactive to one food group or two. Most are only reactive to milk. Hope this is a helpful reply.
    • Bennyboy1998
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    • Wends
      Wow, the system is crazy isn’t it? Maybe switch Doctors if you can. It’s surprising from what you’ve written it seems obvious it’s celiac disease. The “potential” diagnosis means celiac is developing and it basically just hasn’t done enough gut damage to be captured on the biopsy yet, and meet that “criteria” to satisfy the current system! Given the overwhelming evidence already - family history, positive ttg and ema. And your own experience and intuition which counts far more. And the labs being reproduced after gluten elimination and reintroduction- elimination and reintroduction diet is the gold standard too. Shame on the Doc and the system. What was the Marsh score? I’m guessing not 0 if it’s potential celiac. Meaning the autoimmune process has been triggered and started. Your daughter is obviously very healthy and her immune system is putting up a good fight. It can take years for the gut damage to build to a point where there’s overt symptoms and then a conclusive diagnosis, hence why many celiacs receive diagnosis later in life. You can prevent it. See the positive and the gift in that. Hopefully the gluten challenge confirms it, but if it doesn’t maybe get a second opinion?
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