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Help interpreting biopsy results after gluten-free for 7 months


angeles99

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angeles99 Rookie

Hi there,

Just got my follow up biopsy results after being dx with celiac 7 months ago (dx with blood test + biopsy). Could anyone help interpret these new results as the doc wasn't much help... Basically he said good news is it looks like gut has healed up due to gluten-free diet. Bad news is that he has no explanation as to why I still have all of my symptoms. 

Any help interpreting the attached results would be greatly appreciated.

Thank you

Scan-160530-0001.webp

  • 1 month later...

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GFinDC Veteran

I'm not a doctor but it looks like everything is ok.  No inflammation, no h-pylori, no this and no that.  Nothing sounds bad.  You must be doing something right! :)

  • 4 months later...
jerrycho Apprentice

So how are you feeling right now? What symptoms were you having before all this?

 

Hope u are getting better

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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