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Which Tests To Request?


pseudoyams

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pseudoyams Newbie

Ive been diagnosed w/ Hashimoto's Thyroiditis a while back and Ive just come upon more than a couple reports that there is a strong link between Hashi's and Celiac's when researching some meds. Ive thought for over more than a year that I have Celiacs (mild symptoms), so I think its a good time to get tested now.

So, which specific tests should I request from my Doc. I go in this afternoon....

Thanks!

-Rob


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happygirl Collaborator

Print out information from the link (the part "Serological Testing) and bring with you. Its from a leading Celiac researcher at Columbia University.

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Serologic panel

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.

The reason for the use of the panel to detect celiac disease is several fold. They include selective IgA deficiency (SIgA deficiency), lack of concordance of endomysial antibody and tTG, and the occurrence of seronegative celiac disease.

Lisa Mentor
Ive been diagnosed w/ Hashimoto's Thyroiditis a while back and Ive just come upon more than a couple reports that there is a strong link between Hashi's and Celiac's when researching some meds. Ive thought for over more than a year that I have Celiacs (mild symptoms), so I think its a good time to get tested now.

So, which specific tests should I request from my Doc. I go in this afternoon....

Thanks!

-Rob

Here are the blood tests to order, all of them to be complete. Good luck and let us know.

Anti-gliadin antibodies (AGA) both IgA and IgG

Anti-endomysial antibodies (EMA) - IgA

Anti-tissue transglutaminase antibodies (tTG) - IgA

Total IgA level.

Lisa Mentor
;) great minds with perfect timing.
pseudoyams Newbie

Thanks! Ill let ya know what comes of it....

-Rob

pseudoyams Newbie

Well, the doc ordered up the tests. Good thing I checked in here first and brought that printout as the Celiac Panel at the lab didnt include the Anti-tissue transglutaminase antibodies (tTG) - IgA test. So he ordered that one as well. Hopefully the test results will be back sometime today.

Again, thanks for the help!

-Rob

Lisa Mentor

Rob,

I hope your answer is as easy as Celiac. Let us know.


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pseudoyams Newbie

Well, I got my results back. Looks like Im celiac free, which is good. Though, I still feel better not eating that stuff so Im going to avoid it anyways. Atleast I know now that its not critical for me to avoid ;)

ANTIGLIADIN AB - IgA: <3 - U/mL

Reference Range:

NEGATIVE: <11

EQUIVOCAL: 11-17

POSITIVE: >17

IMMUNOGLOBULIN A: 277

Reference Range:

Normal: 81-463 mg/dL

TISSUE TRANSGLUTAMINASE IgA AB <3 - U/mL

Reference Range:

NEGATIVE: <5

EQUIVOCAL: 5-8

POSITIVE: >8

Im still waiting for the ENDOMYSIAL ANTIBODY IGA results, but from the looks of those three it looks pretty normal, right? Thoughts???

-Rob

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