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Flower Fairy

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Flower Fairy Rookie

I recently had a endoscope and colonoscopy and Dr. said before biopsy lab was done he suspected Celiac so said I should immediately go gluten-free. So I did and my biopsy did show abnormal and he said it was celiac but my blood tests were negative. I said I was already gluten-free when i did blood test and Dr states no concern for negative blood and states biopsy is the gold standard for testing. I wonder if I could have something else going on as well. My symptoms definitely are less but I'm still having bloating. I think im lactose intolerance too but heard this may go away. I'm confused that my biopsy is positive but blood is negative.  


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GFinDC Veteran

Welcome to the forum Flowerfairy! :)

You said you recently went gluten-free?  Did you know that it can take a year or more to recover from celiac damage?  Lots of people think celiac is like eating a bad meal or a temporary stomach bug, but it's not.   Celiac is an auto-immune disease and it doesn't go away.  The immune reaction should taper off in time after you stop eating gluten, but that can take weeks or months.

You are right to wonder about dairy.   Celiac disease damages the villi that make an enzyme our guts use to digest dairy sugar.  So people are often lactose intolerant for a few months until they begin to heal.

It's helpful to eat a very simple diet while healing.  Meats, veggies, eggs, and nuts are good.  Simple whole foods that are easier to digest than all the processed foods which have lots of sugars, carbs and chemicals.  Plus you don't have to read a lot of ingredients on whole foods.

Remember your gut is trying to heal so don't throw a lot of extra work at it now.  Simple, easy, whole foods are best.

 

ravenwoodglass Mentor

If you were already gluten free when the blood work was done then the results would be a false negative.

It does take time to heal so hard as it is you have to be patient. Do try dropping the dairy for a while and read the Newbie 101 thread at the top of the Coping section. It will have a lot of good info for you. I hope you are feeling better soon.

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    • asaT
      Scott, I am mostly asymptomatic. I was diagnosed based on high antibodies, low ferritin (3) and low vitamin D (10). I wasn't able to get in for the biopsy until 3 months after the blood test came back. I was supposed to keep eating gluten during this time. Well why would I continue doing something that I know to be harmful for 3 more months to just get this test? So I did quit gluten and had the biopsy. It was negative for celiacs. I continued gluten free with iron supps and my ferritin came back up to a reasonable, but not great level of around 30-35.  Could there be something else going on? Is there any reason why my antibodies would be high (>80) with a negative biopsy? could me intestines have healed that quickly (3 months)?  I'm having a hard time staying gluten free because I am asymptomatic and i'm wondering about that biopsy. I do have the celiacs gene, and all of the antibody tests have always come back high. I recently had them tested again. Still very high. I am gluten free mostly, but not totally. I will occasionally eat something with gluten, but try to keep to a minimum. It's really hard when the immediate consequences are nil.  with high antibodies, the gene, but a negative biopsy (after 3 months strict gluten-free), do i really have celiacs? please say no. lol. i think i know the answer.  Asa
    • nanny marley
      I have had a long year of testing unfortunately still not diagnosed , although one thing they definitely agree I'm gluten intolerant, the thing for me I have severe back troubles they wouldnt perform the tests and I couldn't have a full MRI because I'm allergic to the solution , we tryed believe me  I tryed lol , another was to have another blood test after consuming gluten but it makes me so bad I tryed it for only a week, and because I have a trapped sciatic nerve when I get bad bowels it sets that off terribly so I just take it on myself now , I eat a gluten free diet , I'm the best I've ever been , and if I slip I know it so for me i have my own diagnosis  and I act accordingly, sometimes it's not so straight forward for some of us , for the first time in years I can plan to go out , and I have been absorbing my food better , running to the toilet has become occasionally now instead of all the time , i hope you find a solution 🤗
    • asaT
      I was undiagnosed for decades. My ferritin when checked in 2003 was 3. It never went above 10 in the next 20 years. I was just told to "take iron". I finally requested the TTgIgA test in 2023 when I was well and truly done with the chronic fatigue and feeling awful. My numbers were off the charts on the whole panel.  they offered me an endoscopic biopsy 3 months later, but that i would need to continue eating gluten for it to be accurate. so i quit eating gluten and my intestine had healed by the time i had the biopsy (i'm guessing??). Why else would my TTgIgA be so high if not celiacs? Anyway, your ferritin will rise as your intestine heals and take HEME iron (brand 4 arrows). I took 20mg of this with vitamin c and lactoferrin and my ferritin went up, now sits around 35.  you will feel dramatically better getting your ferritin up, and you can do it orally with the right supplements. I wouldn't get an infusion, you will get as good or better results taking heme iron/vc/lf.  
    • par18
      Scott, I agree with everything you said except the term "false negative". It should be a "true negative" just plain negative. I actually looked up true/false negative/positive as it pertains to testing. The term "false negative" would be correct if you are positive (have anti-bodies) and the test did not pick them up. That would be a problem with the "test" itself. If you were gluten-free and got tested, you more than likely would test "true" negative or just negative. This means that the gluten-free diet is working and no anti-bodies should be present. I know it sounds confusing and if you don't agree feel free to respond. 
    • SilkieFairy
      I realized it is actually important to get an official diagnosis because then insurance can cover bone density testing and other lab work to see if any further damage has been done because of it. Also, if hospitalized for whatever reason, I have the right to gluten-free food if I am officially celiac. I guess it gives me some legal protections. Plus, I have 4 kids, and I really want to know. If I really do have it then they may have increased risk. 
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