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Blood Test Results Back


tallfran

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tallfran Apprentice

I got my results back this afternoon from my doc. They are:

IGA: 242 (range 68-378)

ttG IGA: 0.5 (negative <7)

Iron: 100 (range 40-165)

Ferritin: 43.2 (range 11-306.8)

Vit B12: 712 (range 180-914)

Folate: 5.7 (normal >5.2)

Everything there is normal. I think the ferritin is a little low since I am close to the bottom of a very wide range, but otherwise... I will still be seeing the GI doc, but I don't know if he will want to do the endoscopy with normal blood results.

Right now I don't really know what to do. Although I really don't necessarily want to be Celiac, it would be a lot better than not knowing what is wrong and feeling awful all the time.

My symptoms tend to be more neurological than digestive: extreme exhaustion, peripheral neuropathy, dizziness, ataxia, bad brain fog.

It is important to me to be officially diagnosed because otherwise my sister (my only surviving close relative) will just roll her eyes and poo-poo me like she had done the last 60 years, more or less <_<

Anybody with any ideas?

Thanks

Fran


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ravenwoodglass Mentor

You could do enterolab testing to check and see if you are forming antibodies. And/or after your biopsy is done you can do a trial of the gluten free diet and see if it helps. You should do this regardless of the results of the biopsy and you don't need to wait for the results to be in to start. The truest test is how you respond to the diet.

happygirl Collaborator

Just throwing this out there:

Your doc didn't run the full Celiac panel, which consists of five tests. They are recommended to be run together. It looks like you had the total IgA and the tTG.

(from columbia university)

Of the commercially available serologic tests that aid in the diagnosis of celiac disease, no one test is ideal. Using multiple serologies increases the diagnostic yield. Therefore, in the United States, screening in patients with possible celiac disease should consist of a panel of the following serologic tests:

Anti-gliadin antibodies (AGA) both IgA and IgG

Anti-endomysial antibodies (EMA) - IgA

Anti-tissue transglutaminase antibodies (tTG) - IgA

Total IgA level.

You may have something other going on other than Celiac/gluten problem. You may want to try a gluten free diet, and then explore other options (or, vice versa).

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    • par18
      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.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
    • Seaperky
      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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