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Question About Testing And Symptoms


tiredandsick

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tiredandsick Newbie

I have a family member diagnosed with celiac via biopsy.

I am young and have been diagnosed with anemia and low bone density.

I have been having classic celiac symptoms and really bad canker sores.

I had a negative blood test and negative biopsy, but then a positive enterolab test. Also positive for a celiac gene.

Could I still have celiac? or maybe just gluten intolerance?

I know that celiac can, but can gluten intolerance(not actual celiac) cause anemia in an otherwise healthy person?

Can it also cause other problems like osteoporosis?


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ShayFL Enthusiast

Either Celiac or Gluten Intolerance can cause deficiencies.

Blood tests are notoriously inaccurate. And biopsy is too because damage can be "patchy" and if they do not take a sample from a damaged spot, it will look negative.

Having a family history and a celiac gene doesnt mean you have celiac. But if you have symptoms and a pos. with Enterolab, then I suggest trying the gluten-free diet.

The best way to know is by trying the diet. If you eliminate gluten and your symptoms improve or go away, then you have your Dx.

tiredandsick Newbie
Either Celiac or Gluten Intolerance can cause deficiencies.

Blood tests are notoriously inaccurate. And biopsy is too because damage can be "patchy" and if they do not take a sample from a damaged spot, it will look negative.

Having a family history and a celiac gene doesnt mean you have celiac. But if you have symptoms and a pos. with Enterolab, then I suggest trying the gluten-free diet.

The best way to know is by trying the diet. If you eliminate gluten and your symptoms improve or go away, then you have your Dx.

Thanks for your response, it really helps to be able to hear from other people about this. But the if the diet works, its still not an actual Dx. It might be enough to make somebody feel better, which is the most important thing I believe. But, this is something that I have noticed is not talked much about on these forums from what I have read. There are things like that pill for example. I have read that they are trying to develop a pill for people with celiac. I would assume that it would only be available to people with an actual Dx. And things like being able to write a portion of your food off on your taxes. There are other things I am sure that would be a benefit of having an Dx. These are just some things that I have wondered about. I am sure there are advantages to having no Dx as well, like maybe easier to get insurance, but I am not sure. I am just a little hesitant about going gluten free, because then I can't really get any more tests done from what I understand.

Lisa Mentor

You obviously have been going some reading. That's a good thing.

There are three ways to diagnose Celiac Disease; 1) blood test which I will list below, 2) endoscopy/biopsy and 3) dietary response. The first two can can inaccurate.

Many people here are self diagnosed and have chosen the diet. They are quite comfortable with their decision. The relief of pain and illness is reason enough to continue.

Try the diet for a couple of weeks and perhaps you may have your answer. You can always return to gluten for further testing.

HERE is the full blood work for testing:

Open Original Shared Link

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    • 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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      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.
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      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.
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      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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      plant sources of calcium, such as spinach, have calcium bound to oxalates, which is not good. best source of calcium is unfortunately dairy, do you tolerate dairy? fermented dairy like kefir is good and or a little hard cheese. i do eat dairy, i can only take so much dietary restriction and gluten is hard enough! but i guess some people do have bad reactions to it, so different for everyone.  
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