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Can Your Iron Be Normal And Still Be Celiac?


girlfromclare

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girlfromclare Apprentice

Hi guys I am waiting for my husbands celiac test results to come back as we are trying to establish a family history. My son has symptoms but his bloods were negative. However we still put him on the diet. its only been two days so nothing major to report just yet. But back to my husband, who has a lot of symptoms, if his bloods dont come back positive, it will be very hard to convince family members that we are doing the right thing with our son. they will comply but most likely it will be grudgingly. Anyway my question today is, if it is possible to have celiac disease if your iron levels are normal? His iron levels apparently came back fine.... and this has set me up for disappointment re: his celiac results.

thanks in advance!!!

regards,

liz


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lovegrov Collaborator

It seems that with celiac anything is possible. My ftaher was not anemic and yet his blood tests were positive.

richard

ravenwoodglass Mentor
Hi guys I am waiting for my husbands celiac test results to come back as we are trying to establish a family history. My son has symptoms but his bloods were negative. However we still put him on the diet. its only been two days so nothing major to report just yet. But back to my husband, who has a lot of symptoms, if his bloods dont come back positive, it will be very hard to convince family members that we are doing the right thing with our son. they will comply but most likely it will be grudgingly. Anyway my question today is, if it is possible to have celiac disease if your iron levels are normal? His iron levels apparently came back fine.... and this has set me up for disappointment re: his celiac results.

thanks in advance!!!

regards,

liz

It is possible, my DH was positive in blood work for celiac but had no malnutritive deficits. His iron, B12 and the rest were in normal ranges.

nikki-uk Enthusiast

Although my husband was anaemic at the time of diagnosis my son wasn't.

Both his haemoglobin and ferratin stores were at normal levels - so it is possible!!

girlfromclare Apprentice

Thanks guys. Appreciate that. I thought that was it, that there was no way he could be celiac if his iron levels and platlet count etc were all normal. I guess he could still be negative but I have already started him on the diet too in the hope that it would help alleviate some of his symptoms... although he doesnt see any changes just yet cause its early days. Ill keep you all posted though and thanks so much.

Jestgar Rising Star

Women become anemic much more quickly because we lose blood every month...

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      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.
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