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Luhts

Going Off Gluten Before Biopsy

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Hi, newbie here!

I was just wondering why you go off gluten b/f the biopsy? To me, this would just be torture to have to start it up again and make yourself sick all over again. It this something that you are required to do?

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hi and welcome!

go OFF gluten before the biopsy? no, you need to continue consuming gluten until all your tests are complete. eliminating gluten from your diet will cause your body to begin the healing process and the damage may not be visible if you're off it for too long before the biopsy.


5/23/2008 - blood positive for antibodies

6/24/2008 - negative biopsy

8/11/2008 - DQ2 gene present

7/1/2008 - gluten-free

(and dairy-light until 12/1/2008)

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The damage is done to the intestines by eating gluten. When you stop eating gluten, your body begins to heal. The goal of someone with Celiac is to heal and have their intestines look 'normal' and not like Celiac.

If you are gluten free when you have the biopsy, it can provide misleading information - your report may look like a non-Celiac, when in fact, you are a healed Celiac.

You have to be eating gluten for the biopsies to be accurate.

"A gluten-free diet should not be started until all diagnostic tests are completed, as the withdrawal of gluten can change test results" from: http://www.celiacdiseasecenter.columbia.ed...nts/A02-FAQ.htm

"All diagnostic tests need to be performed while the patient is on a gluten-containing diet." from the NIH Consensus Statement on Celiac http://consensus.nih.gov/2004/2004CeliacDisease118html.htm

"Before being tested, one should continue to eat a regular diet that includes foods with gluten, such as breads and pastas. If a person stops eating foods with gluten before being tested, the results may be negative for celiac disease even if celiac disease is actually present." http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/

"A person seeking preliminary diagnosis of celiac disease must be consuming gluten. " http://www.celiac.org/celiac disease-diagnosis.php

"It is important to continue eating a normal, gluten-containing diet before being tested for celiac." http://www.celiaccentral.org/What_is_Celiac_/Diagnosis/435/

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Thanks, that's a relief! A lot of the posts I have been reading on here led me to think after the blood test, you were supposed to go off gluten for a period of time, then reintroduce it for a period before going for the biopsy. Many posters seem to be talking about not eating enough gluten, or the extreme symptoms they experienced when re-introducing gluten to their systems...I did not want to go through that!

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I was told to go off of it because the biopsy would take monhts. I ended up being gluten-free for 5 weeks before the biopsy which ended up negative. I suspect from a combo of bad biopsy and healing.

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Thanks, that's a relief! A lot of the posts I have been reading on here led me to think after the blood test, you were supposed to go off gluten for a period of time, then reintroduce it for a period before going for the biopsy. Many posters seem to be talking about not eating enough gluten, or the extreme symptoms they experienced when re-introducing gluten to their systems...I did not want to go through that!

There are some of us who don't show up in blood work. For us the big clue comes when an allergist,doctor or we ourselves eliminate it from our diets and then challenge. An allergist will tell you to stop a challenge as soon as you react. That was what mine did. His exact words when I called him to tell him the result of adding gluten back in and ask it I should keep eating was "Oh good heavens NO" Then I was sent to a GI doctor who of course wanted to prove what my body had already told me and he demanded another longer term challenge for the biopsy which had horrible results.

If you are going to do the biopsy for diagnosis you do not want to stop eating the stuff until after that is done. Do be sure though to give the diet a good strict try after the testing YOU choose to have is done. There are false negatives with biopsies for multiple reasons and the truest test is how you respond to the diet when done strictly.


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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