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Lab Results - Need Interpretation


tulsagal

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tulsagal Newbie

I finally received copies of my labs and even after talking with my doctor, I'm confused on these results:

Results from Regional Medical Laboratory:

Tissuetrans IgA: 4 ( 0-19)

Gliadin IGG AB: 3 (0-19)

Gliadin IGA AB: 7 (0-19)

Total IGA: 370 (71-263)

Can someone help me interpret these?

Teresa


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VydorScope Proficient
I finally received copies of my labs and even after talking with my doctor, I'm confused on these results:

Results from Regional Medical Laboratory:

Tissuetrans IgA: 4 ( 0-19)

Gliadin IGG AB: 3 (0-19)

Gliadin IGA AB: 7 (0-19)

Total IGA: 370 (71-263)

Can someone help me interpret these?

Teresa

What did your doc say?

Your Total IGA is above range, but the rest are normal. Are you on a gluten-free diet? if so how long?

chrissy Collaborator

your tests are negative for celiac. your total IgA is higher than normal---which doesn't necessarily mean anything.

tulsagal Newbie

I am not on a gluten-free diet, although I do try and eat low carb most of the time and I do eat the occasional whole wheat bread and Kashi cereal and bars, etc.

My doctor, who happens to be Celiac herself, took more blood and sent it off to Stanford (I think) for more testing. I told her I wanted to know more before having a biopsy done - if at all. She also is doing food allergy testing.

I realize that a negative tTG means Celiac is not likely and a negative Anti-gliadin IGA means that I'm not having an immune response to gluten, but I was puzzled by the above-range Total IGA. Would a wheat or other food allergy cause that to be elevated?

Teresa

Nancym Enthusiast

A high IGA is associated with gluten sensitivity according to Dr. Lewey thefooddoc.com. You might still have celiac disease though, it would take a biopsy to know for sure. There's also a lot of people with brain related gluten sensitivity that have IGA and nothing else.

Either way, you should still try the diet, you might be surprised.

nora-n Rookie

My daughter got an official diagnosis in spite of both negative blood tests and biopsies.

She got so much better off gluten, and even her graves antibodies disappeared.

Before, she had this pain everyday and had to run to the bathroom all day , and many of the other possible symptoms.

nora

chrissy Collaborator

A high IGA is associated with gluten sensitivity according to Dr. Lewey thefooddoc.com. You might still have celiac disease though, it would take a biopsy to know for sure. There's also a lot of people with brain related gluten sensitivity that have IGA and nothing else.

????? everyone has IgA---unless they are IgA deficient.


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kerrih Rookie

The TTG or tissuetransglutaminase result is most sensitive for diagnosing celiac disease. I had all normal results except for the TTG level. Yours shows 4 which is quite normal. Mine showed a number of 52. I had a negative biopsy, but most Dr.s will still consider me celiac. I have been on the gluten free diet for over a year and feeling much better. I am 34 yrs old and have had problems since Jr. High school. Hope this helps.

Kerri

aikiducky Apprentice

It's quite common for blood tests to be negative if the disease hasn't progressed very far yet. It's even possible to have negative blood tests and a positive biopsy. It's good that your doc wants to investigate this further.

Pauliina

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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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