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CraigN

Test Results - Confused

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Hi,

I recently obtained my results from Enterolab and here are my results:

A) Gluten Sensitivity Stool and Gene Panel Complete *Best test/best value

Fecal Antigliadin IgA 11 (Normal Range <10 Units)

Fecal Antitissue Transglutaminase IgA 7 Units (Normal Range <10 Units)

Quantitative Microscopic Fecal Fat Score <300 Units (Normal Range <300 Units)

Fecal anti-casein (cow

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Craig, sorry hard question I can't answer but others can...

just bumped this for you so hopefully they'll see it when different timezones wake up ... :D


Fere libenter homines id quod volunt credunt. (JC, De Bello Gallico Liber III/XVIII)

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Hi,

I recently obtained my results from Enterolab and here are my results:

Do the casein results indicate that I can eat small amounts of casein and it won't cause any problems - or is it like gluten where a small amount can give your body fits?

Also, the genetic testing info provided in the FAQ for the test results is difficult for my feeble brain to understand. I must've zoned out during the genetics part of biology class! I don't understand what "0303" and "0501" represent. Any help would be great. Thanks!

The results show you are gluten intolerant and carry the genes for that. My educated guess would be that the numbers define some kind of genetic subtype. I took part in National Geographic Genome Project and there were lots of numbers like this in the gene test results.

As to casein, I would do a complete exclusion of this for quite a while, the lab says 12 months, and then do a dietary challenge. They are saying to do this because of the possibility that the results were a false negative. It can take a long time for antibodies and their effects to leave the system thus the resaon IMHO for the long exclusion.

Hopefully others will also add some insight. Have you telephoned the lab to see if they can make things clearer? They might be able to give some answers as well.


Courage does not always roar, sometimes courage is the quiet voice at the end of the day saying

"I will try again tommorrow" (Mary Anne Radmacher)

Diagnosed by Allergist with elimination diet and diagnosis confirmed by GI in 2002

Misdiagnoses for 15 years were IBS-D, ataxia, migraines, anxiety, depression, fibromyalgia, parathesias, arthritis, livedo reticularis, hairloss, premature menopause, osteoporosis, kidney damage, diverticulosis, prediabetes and ulcers, dermatitis herpeformis

All bold resoved or went into remission in time with proper diagnosis of Celiac November 2002

 Gene Test Aug 2007

HLA-DQB1 Molecular analysis, Allele 1 0303

HLA-DQB1 Molecular analysis, Allele 2 0303

Serologic equivalent: HLA-DQ 3,3 (Subtype 9,9)

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The results show you are gluten intolerant and carry the genes for that. My educated guess would be that the numbers define some kind of genetic subtype. I took part in National Geographic Genome Project and there were lots of numbers like this in the gene test results.

As to casein, I would do a complete exclusion of this for quite a while, the lab says 12 months, and then do a dietary challenge. They are saying to do this because of the possibility that the results were a false negative. It can take a long time for antibodies and their effects to leave the system thus the resaon IMHO for the long exclusion.

Hopefully others will also add some insight. Have you telephoned the lab to see if they can make things clearer? They might be able to give some answers as well.

Thanks. I did send them an email yesterday. It's nice to know there's a wealth of information out there - if you know where to look!

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Thanks. I did send them an email yesterday. It's nice to know there's a wealth of information out there - if you know where to look!

Dear CraigN,

From what I can tell, the only thing you need to be extremely concerned about is gluten. Your levels were out of the normal range for the IgA. You also have two gluten intolerance genes. That puts you at severe sensitivity risk. Not a speck of the stuff needs to get in your system! The casein really appears borderline. I would either go very light on it, or exclude it altogether. You may want to avoid it completely for a couple of weeks, and then add it back in to see if you tolerate it. I hope that helped make things less confusing. Welcome to the board Craig!

Sincerely,

NoGluGirl


Jin

Strawberry Allergy, mold allergy, dustmites allergy, ragweed allergy, dust allergy, food dye allergy - 1985

Asthma - 1994

Ovarian Cyst - May 1999

Anemia - 2000

4 More Ovarian Cysts - March 2000

Bloodwork for Celiac - November 2000 negative

Colonoscopy, Endoscopy, Intercolisis, Gastric Emptying Study - May and June 2001 negative biopsy

Fibromyalgia - June 2001

IBS - June 2001

Gallbladder Removal - July 28, 2003 after doctor said the tests showed nothing, so it was not gallbladder disease. It was very inflamed and irritated and nearly ruptured the surgeon told me at my 10 day post-op check-up.

Thyroid Disease - August 2004

Celiac Disease - March 2007 Current Dr. refers to me as Celiac, as she says blood tests are often inaccurate.

Official Purple Glittery Bat Keeper, District Attorney, and Chinese Restaurant Owner of The Silver Dragon of Rachelville

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Dear CraigN,

From what I can tell, the only thing you need to be extremely concerned about is gluten. Your levels were out of the normal range for the IgA. You also have two gluten intolerance genes. That puts you at severe sensitivity risk. Not a speck of the stuff needs to get in your system! The casein really appears borderline. I would either go very light on it, or exclude it altogether. You may want to avoid it completely for a couple of weeks, and then add it back in to see if you tolerate it. I hope that helped make things less confusing. Welcome to the board Craig!

Sincerely,

NoGluGirl

Thanks! I got a response from Enterolab regarding the casein:

Dear Craig, Even though you are right on the cusp, we still recommend that you omit casein from your diet. This number confirms that you are intolerant to the protein. If you were to continue to consume casein, this number would eventually climb. Unfortunately, casein can cause the same problems that gluten does. Your body will produce the antibody against the casien protein, as it does with the gluten protein and the presence of the antibody in your system is what can trigger the other medical problems to occur. I wish I had better news for you.

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You seem on the cusp for both gluten and casein. Plus you don't have positive results for anti tissue transgl. or malabsorption. Have you gone gluten-free and had positive results? If not, I would first wonder if you have a problem with either substance. When scores can be substantially higher, is a 10 or 11 rather than a 9 definitive enough to change your life?

Nearly everyone in the US has celiac genes or gluten intolerance genes (as the latter is defined by Enterolab). Only some of Asian heritage don't. So I wouldn't be that influenced by the genetic information.

I had a marginal test result for yeast myself. (Egg, too, but I was actively avoiding it for some time because it always seems to make me sick.) I asked what the margin of error was for the test, and Enterolab didn't answer. Dr. Fine hasn't published and is the only one doing this testing. So I don't know that a marginal test result should be taken as gospel if you have nothing else.

For my cusp scored substance, I decided to go without for six months to a year (haven't decided yet). Then I'll add it and see if I have a response. I have noticed problems with everything else I was positive to.

Have you yet gone gluten-free? If so, for how long & did you have a positive response? I would go by the answers to these questions rather than the test results.


McDougall diet (low fat vegan) since 6/00

Gluten free since 1/6/07

Soy free and completely casein and egg free since 2/15/07

Yeast free, on and off, since 3/1/07 -- I can't notice any difference one way or the other

Enterolab results -- 2/15/07

Fecal Antigliladin IgA 140 (Normal Range <10 units)

Fecal Antitissue Transglutaminase IgA 50 (Normal Range <10 units)

Quantitative Microscopic Fecal Fat Score 517 (Normal Range <300 units)

Fecal anti-casein (cow's milk) IgA antibody 127 (Normal Range <10 units)

HLA-DQB1 Molecular analysis, Allele 1 0501

HLA-DQB1 Molecular analysis, Allele 2 06xx

Serologic equivalent: HLA-DQ 1,1 (subtype 5,6)

Fecal anti-ovalbumin (chicken egg) IgA antibody 11 (Normal range <10 units)

Fecal Anti-Saccharomyces cerevisiae (dietary yeast) IgA 11 (Normal range <10 units)

Fecal Anti-Soy IgA 119 (Normal Range < 10 units)

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craig---keep in mind that dr. fine feels that NO ONE should ingest dairy. personally, i wouldn't base any life changing decisions based on those test results----the only (barely) positive result you have is anti-gliadin, which can be raised by conditions other than celiac.


Christine

15 year old twins with celiac, diagnosed dec. 2005

11 year old daughter with celiac diagnosed dec 2005

17 year old son with celiac gene

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Have you yet gone gluten-free? If so, for how long & did you have a positive response? I would go by the answers to these questions rather than the test results.

I originally had a CAT scan (negative) and a colonoscopy in March - the colonoscopy turned up a few benign polyps. However, the pain was still evident.

I've been gluten free since March 12 and have lost 16 pounds. The pain in my lower left abdomen went alway almost immediately. One day a few weeks ago after having 3 cups of coffee I had really bad pain. At that point I stopped drinking coffee and any residual pain subsided the next day. My BM's have normalized as well. I started going casein free about a week and a half ago.

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It sounds like you will do well off gluten and casein then. You know the punch line to the old joke about, "Doctor, it hurts when I do this!" It sounds like your gut (small not large) is damaged and is reacting to foods that are hard to digest or irritating.

You might stop soy as well. Even if you don't do the tofu thing, it gets added to lots of things. I've read that gluten, casein & soy are similar in their gluing up of the small intestine.

I hope someone here has gone through something similar and can advise. It is unfortunate that they didn't do an endoscopy of the small intestine. Did your doctor recommend trying to go gluten-free or was this your idea? Does your doctor have any theory beyond I B(e) S(tumped)?

I guess as long as what you do eliminates your symptoms, that's the important thing.


McDougall diet (low fat vegan) since 6/00

Gluten free since 1/6/07

Soy free and completely casein and egg free since 2/15/07

Yeast free, on and off, since 3/1/07 -- I can't notice any difference one way or the other

Enterolab results -- 2/15/07

Fecal Antigliladin IgA 140 (Normal Range <10 units)

Fecal Antitissue Transglutaminase IgA 50 (Normal Range <10 units)

Quantitative Microscopic Fecal Fat Score 517 (Normal Range <300 units)

Fecal anti-casein (cow's milk) IgA antibody 127 (Normal Range <10 units)

HLA-DQB1 Molecular analysis, Allele 1 0501

HLA-DQB1 Molecular analysis, Allele 2 06xx

Serologic equivalent: HLA-DQ 1,1 (subtype 5,6)

Fecal anti-ovalbumin (chicken egg) IgA antibody 11 (Normal range <10 units)

Fecal Anti-Saccharomyces cerevisiae (dietary yeast) IgA 11 (Normal range <10 units)

Fecal Anti-Soy IgA 119 (Normal Range < 10 units)

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I Did your doctor recommend trying to go gluten-free or was this your idea? Does your doctor have any theory beyond I B(e) S(tumped)?

No, once the doctor got the blood test results back for celiac (which I forgot to mention) and saw that they were negative, I think he put that out of his mind. It was after reading a lot that I decided to go gluten free on my own. He did prescribe Bentyl to help the pain - which did absolutely nothing.

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I don't believe there is any one test which can definitively say one is sensitive to any particular substance. And the test numbers don't always correlate as you would expect. Dr. Fine said quite clearly that the NUMBER doesn't indicate severity. For example, a person with an IGA barely above the "normal" <10 could be far sicker than someone with a score of, say, 80.

A lot of serious symdromes suffered by people WITHOUT celiac disease are vastly improved by eliminating both gluten and dairy from the diet. Both dairy and grain producers advertise heavily in all sorts of ways to convince us all that these food items are vital to the diet. They are NOT, and in fact, if truth be known, I suspect that we ALL would bev better off not eating grains or dairy at all, or at least, having them in only very tiny amounts. I once read that humans are the ONLY mammal that once weaned, continues to eat milk. Milk is for babies, cow's milk is probably best only for baby cows, and we don't need it after the age of 2 or so.

The biggest allergens are dairy, corn, soy, wheat, eggs. This should tell you something. The human body does its best to adapt to antigens, which is what the body considers a substance when it mounts an allergic reaction. Some people have more successful adaptive capabilities, but really....when you look at the huge number of complaints in our society....indigestion, heartburn, IBS type sumptoms, high blood pressure, diabetes at younger and younger ages, and all those expensive and profitable drugs to treat these things.....I'd say it's pretty logical to lay the cause at the door of nutrition...what we are eating. Just because you can eat it doesn't mean you SHOULD eat it!!!


CAROLE

-------------

Enterolab 1/2006

IgA & tTg Positive

DQ2-0201 (celiac) and DQ1-0604 (gluten)

Casein IgA positive

Mom has 2 celiac genes

Both kids have a celiac gene.

Lots of celiac disease in my family, both sides.

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I don't believe there is any one test which can definitively say one is sensitive to any particular substance. And the test numbers don't always correlate as you would expect. Dr. Fine said quite clearly that the NUMBER doesn't indicate severity. For example, a person with an IGA barely above the "normal" <10 could be far sicker than someone with a score of, say, 80.

A lot of serious symdromes suffered by people WITHOUT celiac disease are vastly improved by eliminating both gluten and dairy from the diet. Both dairy and grain producers advertise heavily in all sorts of ways to convince us all that these food items are vital to the diet. They are NOT, and in fact, if truth be known, I suspect that we ALL would bev better off not eating grains or dairy at all, or at least, having them in only very tiny amounts. I once read that humans are the ONLY mammal that once weaned, continues to eat milk. Milk is for babies, cow's milk is probably best only for baby cows, and we don't need it after the age of 2 or so.

The biggest allergens are dairy, corn, soy, wheat, eggs. This should tell you something. The human body does its best to adapt to antigens, which is what the body considers a substance when it mounts an allergic reaction. Some people have more successful adaptive capabilities, but really....when you look at the huge number of complaints in our society....indigestion, heartburn, IBS type sumptoms, high blood pressure, diabetes at younger and younger ages, and all those expensive and profitable drugs to treat these things.....I'd say it's pretty logical to lay the cause at the door of nutrition...what we are eating. Just because you can eat it doesn't mean you SHOULD eat it!!!

Very well said...thanks for the information. Now that I'm gluten and casein free, I wonder if I'm harming the rest of my family's health by allowing them to eat the stuff. :(

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