Which test should I order at my local lab?

[temp8665]

Which test should I order at my local lab?  Or, is there something better not listed here?

 

Celiac Disease Antibody Screen

Deamidated gliadin IgA; tissue transglutaminase IgA; serum IgA quantitation

Quest: $159

 

Celiac Disease Complete Panel

Deamidated gliadin IgA & IgG, tissue transglutaminase IgA & IgG, serum IgA quantitation

Quest: $279

 

Celiac Disease Complications Package

CBC, CMP, C-RP, ESR, Vit D, Vit B12 and Folates, Iron and TIBC, Ferritin

Quest: $205

 

Celiac Disease Panel

Endomysial Antibody, Tissue Transglutaminase (tTG) Antibody, Total IgA

Quest: $265

[trents]

Is cost a limitation here? If not, I would order #2 and #3. If you can only afford one test at this time I would go with #2. The tTG-IGA is the one best antibody parameter to detect celiac disease so if #2 is too expensive  go with #1.

[temp8665]

On 10/23/2021 at 9:28 AM, trents said:

Is cost a limitation here? If not, I would order #2 and #3. If you can only afford one test at this time I would go with #2. The tTG-IGA is the one best antibody parameter to detect celiac disease so if #2 is too expensive  go with #1.

Can you be less confusing?  lol.

Which test should I order?  The qualifiers are confusing to me.  Thank you.

[trents]

Let me start over as I see there are four options from your original post and not just three.

If cost is not a limiting factor, definitely go with the Celiac Disease Panel. The extra tests in this one can serve to catch somebody who actually has celiac disease but whose immune system is not producing typical antibody responses.

And, if you can afford it, also get the Celiac Disease Complications Panel. Celiac disease typically generates vitamin and mineral deficiencies which should be addressed with supplements.

[temp8665]

16 minutes ago, trents said:

Let me start over as I see there are four options from your original post and not just three.

If cost is not a limiting factor, definitely go with the Celiac Disease Panel. The extra tests in this one can serve to catch somebody who actually has celiac disease but whose immune system is not producing typical antibody responses.

And, if you can afford it, also get the Celiac Disease Complications Panel. Celiac disease typically generates vitamin and mineral deficiencies which should be addressed with supplements.

Thank you!!!!!

I will be eating less gluten until my test (but I will try to eat as much as I can).

Will the Celiac Disease Panel likely pick up on something even though I am eating less gluten?  (I will try to eat as much as I can).

[trents]

The official pretest guidelines are the daily consumption of an amount of gluten equivalent to at least two slices of wheat bread for 6-8 weeks leading up to the blood draw. Less than that will likely drive the antibody test numbers down towards the negative end.