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Follow Up Testing?


GFinBC

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GFinBC Rookie

I'm sure that someone on this board recommended that a short while after diagnosis that I should have my GP re-test my TTG. Did I make this up or is that a test that should be re-run to make sure that my numbers are in fact on the decline?

My doctor says that "they" (whomever they may be) only run the test as a diagnostic and that after that they will use my feritin levels as a marker for how I am doing (my only symptom was a very low iron level). My concern is that, as he has told me himself, there are some patients whose iron levels haven't elevated for years post diagnosis.

I would love any links to medical recommendations for any tests that are recommended that I can bring to him as he clearly has no idea about the disease and I am going to have to educate him <_< .


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LDJofDenver Apprentice

Hello,

I was just diagnosed with Celiac Disease this past August.

My G.I. doc that I recently made an appointment with just ordered the blood work a couple weeks ago, stating that it's been six months so my levels should be re-checked. Now, my primary care doc would not have known this and probably never would have ordered a re-check. I would say persist and/or go to a knowledgeable G.I. doc if need be.

My G.I. doc also ordered an endoscopy, which my primary care doc never ordered when I was diagnosed. He (primary care doc) said the endoscopy was just to confirm diagnosis and it was unnecessary since my blood work was positive and I had a first-degree relative (an adult son) who had also been diagnosed with it. My G.I. doc says, not so. The endoscopy is important so they can view the level of damage and have a baseline for that as well.

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
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    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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