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Question About Ema Test

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How important is it to have the EMA done? I have a lab order for my child for a tTG, gliadin antibody, IgA & IgG, endomysial antibody (EMA) screen and reticulin IgA autoantibodies. Would the others be sufficient without it? The lab will only reflex to the EMA if the tTG is positive. I know this is similar to another of my posts but no one answered this particular question.

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