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What Do You Think Of These Results?


GEF

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GEF Explorer

I was hoping for some advice on these results. I just got the exact #'s today:

IGA: 23

IGG: 40

IGA Ttg: Negative (no value was given)

Anti-reticulan IGG antibody: 1/20 (titre) which is borderline.

Biopsy is normal, colonoscopy normal.

And this elevated indirect bilirubin keeps showing up. About 4 years ago showed up at 1.2, then 1.5, now the total bilirubin (I don't know what the direct/indirect is this time) is up to @ 2.0.

Does a IGG-predominant positive point to intolerance? Anyone know or have any ideas?

Thank you!

Gretchen


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Nin Newbie

My tests fell in the normal range, but I had considerably reduced my wheat due to a doctor telling me it would help me detox. Luckily my doctor warned me the blood test might show negative but I might still have the gluten/celiac problem.

I also have always had a high bilirubin. It would be interesting to know if other celiacs have this problem. It is also called Gilbert's syndrome, and your liver has a harder time with cleaning out certain food/medications. You can find a lot on the internet on this subject about what to do and what not to do.

GEF Explorer

Thank you, Nin

I have heard of Gilbert's and from what I've read it's not harmful.. which is good. The doctor is going to check my small intestines through an x-ray, and hopefully find an answer to why I'm symptomatic. I've read that if you have increased intestinal permeability, that indirect bilirubin can be elevated and IGG's and other things can circulate in yor blood. It's like a big puzzle... lots of pieces and no recognizable picture yet. I'm not on a gluten-free diet, so my test results were actual. I believe the doctor will try to rule out Crohn's next... but, I don't run a fever.. do all who have Crohn's run a fever?

Gretchen

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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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