Jump to content

  • 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):
    Celiac.com Sponsor (A1-M):

Enterolab Severe Fecal Fat Malabsorption- pancreas issues or celiac?

Lisa M M

Recommended Posts

Lisa M M Newbie
Lisa M M
Posted

Hello All,

This is my first post and I am curious if anyone has pancreas issues and saw a very severe fat malabsorption. Specifically - im worried about the malabsorbtion being related to pancreatic cancer.  

i did 23 and me and I have celiac genes, and an IgG test came back positive for wheat and oats.  When i did this enterolab, i had reduced my gluten for awhile, but it was not at zero. 

Enterolab writes "Pancreatic insufficiency as the primary cause of fat malabsorption usually causes significant elevations of fecal fat values, usually into the moderate (600-1000 Units) or severe (>1000 Units) ranges."

 

1) Gluten Sensitivity Panel

Anti-gliadin IgA      93 Units   (Normal Range is less than 10 Units)

Anti-tissue Transglutaminase IgA      20 Units   (Normal Range is less than 10 Units)

Quantitative Microscopic Fecal Fat Score      2838 Units   (Normal Range is less than 300 Units)

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):

Celiac.com Sponsor (A8-M):


Ennis-TX Grand Master
Ennis-TX
Posted

I would follow up with a endoscope and biopsy to confirm celiac, please keep eating gluten in the mean time. As for you pancreas issues, I also have a bit of a enzyme issue, never checked for fecal fat....I just take 2x the amount of supplemental pancreatic enzymes to help me break down my food. I got a generic OTC one that uses porcine enzymes...I have some post and articles about enzymes issues I will see about digging up and linking for you.

https://www.celiac.com/forums/topic/119919-digestive-enzymes/

 

cyclinglady Grand Master
cyclinglady
Posted
3 hours ago, Lisa M M said:

Hello All,

This is my first post and I am curious if anyone has pancreas issues and saw a very severe fat malabsorption. Specifically - im worried about the malabsorbtion being related to pancreatic cancer.  

i did 23 and me and I have celiac genes, and an IgG test came back positive for wheat and oats.  When i did this enterolab, i had reduced my gluten for awhile, but it was not at zero. 

Enterolab writes "Pancreatic insufficiency as the primary cause of fat malabsorption usually causes significant elevations of fecal fat values, usually into the moderate (600-1000 Units) or severe (>1000 Units) ranges."

 

1) Gluten Sensitivity Panel

Anti-gliadin IgA      93 Units   (Normal Range is less than 10 Units)

Anti-tissue Transglutaminase IgA      20 Units   (Normal Range is less than 10 Units)

Quantitative Microscopic Fecal Fat Score      2838 Units   (Normal Range is less than 300 Units)

Celiac experts are not supportive of Enterolab for celiac testing.  Consider getting standard celiac testing.   Learn more at

Open Original Shared Link

Pancreatic is sufficiently is commonly linked to celiac disease.  If you are diagnosed with celiac disease, doctors are more likely to keep an eye out for cancer down the road.  It sounds like you had a family member who had pancreatic cancer.  Supplemental enzymes can help, but getting to the root cause is even better.  I will not repeat the rest of Ennis’ advice.  

kareng Grand Master
kareng
Posted
4 hours ago, Lisa M M said:

Hello All,

This is my first post and I am curious if anyone has pancreas issues and saw a very severe fat malabsorption. Specifically - im worried about the malabsorbtion being related to pancreatic cancer.  

i did 23 and me and I have celiac genes, and an IgG test came back positive for wheat and oats.  When i did this enterolab, i had reduced my gluten for awhile, but it was not at zero. 

Enterolab writes "Pancreatic insufficiency as the primary cause of fat malabsorption usually causes significant elevations of fecal fat values, usually into the moderate (600-1000 Units) or severe (>1000 Units) ranges."

 

1) Gluten Sensitivity Panel

Anti-gliadin IgA      93 Units   (Normal Range is less than 10 Units)

Anti-tissue Transglutaminase IgA      20 Units   (Normal Range is less than 10 Units)

Quantitative Microscopic Fecal Fat Score      2838 Units   (Normal Range is less than 300 Units)

You are worried that you might have cancer?  Get to a doctor!  Get legitimate medical testing and care!  I wouldn’t try to self treat cancer if I thought I might have that.

Archived

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

Go to topic listing
  • Celiac.com Sponsor (A19):

  • Member Statistics

    • Total Members
      134,077
    • Most Online (within 30 mins)
      10,442
    terrificterry
    Newest Member
    terrificterry
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):

  • Forum Statistics

    • Total Topics
      121.7k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):

  • Upcoming Events

  • Posts

    • Aretaeus Cappadocia
      Edy's and Dreyer's ice cream

      By Aretaeus Cappadocia · Posted

      Sigh. I posted this yesterday based on the Safeway website. I went back again today to their website to double check. On the page where they are selling Vanilla Bean flavor, it has a distinct Certified Gluten Free label. Other flavors on the Safeway website didn't have the gluten-free statement. Today I went into the store. None of the flavors I looked at, including Vanilla Bean, have a Gluten Free statement. Is it safe? Who knows. The ingredients are either safe or nearly safe (some have "natural flavor"). There are warnings about "contains milk and soy" but not about wheat - this implies they are safe, but again, who knows. On the other hand, every flavor I checked of their Slow Churn line of ice creams has wheat as an ingredient. 100% not safe.
    • knitty kitty
      Edy's and Dreyer's ice cream

      By knitty kitty · Posted

      Do keep in mind that many of the newly diagnosed have lactose intolerance.  This is because the villi lining the intestinal tract are damaged, and can no longer make the enzyme lactAse which breaks down the milk sugar lactOse.  When the villi grow back (six months to two years), they can again produce the enzyme lactAse, and lactose intolerance is resolved.  However, some people (both those with and without Celiac Disease) are genetically programmed to stop producing lactase as they age.   Do be aware that many processed foods, including ice cream, use Microbial Transglutaminase, a food additive commonly called "meat glue," used to enhance texture and flavor.  This microbial transglutaminase has the same immunogenicity as tissue transglutaminase which the body produces in response to gluten in people with Celiac Disease.  Tissue Transglutaminase (tTg IgA) is measured to diagnose Celiac Disease in blood tests.  Microbial Transglutaminase acts the same as Tissue Transglutaminase, causing increased intestinal permeability and inflammation.   New findings show that microbial transglutaminase may be able to trigger Celiac Disease and other autoimmune and neurodegenerative diseases.   Microbial Transglutaminase is not required to be listed on ingredients labels as it's considered a processing aid, not an ingredient in the U.S.  Microbial Transglutaminase has been GRAS for many years, but that GRAS standing is being questioned more and more as the immunogenicity of microbial transglutaminase is being discovered. Interesting Reading:  Microbial Transglutaminase Is a Very Frequently Used Food Additive and Is a Potential Inducer of Autoimmune/Neurodegenerative Diseases https://pmc.ncbi.nlm.nih.gov/articles/PMC8537092/
    • Aretaeus Cappadocia
      Edy's and Dreyer's ice cream

      By Aretaeus Cappadocia · Posted

      There is a 10 year old post in this forum on Edy's and Dreyer's ice cream. The information is somewhat outdated and the thread is closed to further comment, so here is a new one. Edy's And Dreyer's Grand Vanilla Bean Ice Cream - 1.5 Quart is labeled "Gluten Free". This is a different answer than years gone by. I don't know the answer for any other flavor at this moment. On 1 May, 2026, Edy's website says: "As a general rule, the gluten in Edy's and Dreyer's® frozen dessert products is present only in the added bakery products, such as cookies, cake or brownies. We always label the eight major food allergens on our package by their common name. We recommend to always check the label for the most current information before purchasing and/or consuming a product. The exception to this rule is our Slow Churned French Silk frozen dairy dessert, which contains gluten in the natural flavors." https://www.icecream.com/us/en/brands/edys-and-dreyers/faq It seems that Edy's and Dreyer's are more celiac-friendly than they were 10 years ago. Once I found enough information to make today's buying decision, I stopped researching.
    • Aretaeus Cappadocia
      EDG 3 years ago fine, now it shows focal villous blunting,

      By Aretaeus Cappadocia · Posted

      probably not your situation @Mimiof2, but allow me to add one more to @trents list of celiac-mimics: "olmesartan-induced sprue-like enteropathy"  
    • knitty kitty
      Terrible Neurological Symptoms

      By knitty kitty · Posted

      My dad had an Abdominal Aortic Aneurysm.  Fortunately, it was discovered during an exam.  The doctor could feel my dad's heart beating in his stomach/abdomen.  The aneurysm burst when the doctor first touched it in surgery.  Since he was already hooked up to the bypass machine, my dad survived ten more years.  Close call! Triple A's can press on the nerves in the spinal cord causing leg pain.  I'm wondering if bowing the head might have increased the pressure on an aneurysm and then the nerves.   https://gulfcoastsurgeons.com/understanding-abdominal-aortic-aneurysm-symptoms-and-causes/ Abdominal Aortic Aneurysm Presenting as a Claudication https://pmc.ncbi.nlm.nih.gov/articles/PMC4040638/
×
×
  • Create New...