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Please Help With Lab Results


Specky

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Specky Newbie

My doctor says yes to celiac...but here are my results...i'm confused.

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Summary interpertation:

Resulsts do not exclude a diagnosis of celiac disease.

Serological markers for celiac disease not detected.

Celiac disease unlikely if patient is on a gluten-containing diet and is IgA sufficient; does not preclude development of the disease in the future

AGA IgG....3.3 U/ml

AGA IgA....0.6 U/ml

TTG IgA....1.0 U/ml

EMA IgA....Negative

Total IgA....207 mg/dl

Alleles Detected: DQ2 heterodimer (HLA DQA1*0201/DQB1*02)

Catagory # DQ Genotype Increased Risk Over General Population: Relative risk:

2 DQ2/other low risk gene <1X Low

Any thoughts? It seems like this test says no to celiac...

But I have had

complete hair loss

osteoporosis

joint disease (I've lost all the bone in my knees and some in my spine, shoulders and wrists

stomach pains

random skin rashes

odd iron levels

High inflammation labs

high wbc (for years)

I've seen multiple doctors and noone sees any of these things other than oddities. But this one Dr. says celiac, but it looks like the labs say no celiac.

Sorry this is so long, but I'd just like to 'know'!

THanks!!

rebecca


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  • Posts

    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
    • ThomasA55
      Does my iron loss sound like celiac to you?
    • trents
      Being as how you are largely asymptomatic, I would certainly advise undertaking a gluten challenge in order to get formal testing for celiac disease. We have many forum participants who become violently ill when they undertake a gluten challenge and they therefore can't carry through with it. That doesn't seem to be the case with you. The reason I think it is important for you to get tested is that many or most people who don't have a formal diagnosis find it difficult to be consistent with the gluten-free diet. They find ways to rationalize that their symptoms are due to something other than celiac disease . . . especially when it becomes socially limiting.  The other factor here is by being inconsistent with the gluten free diet, assuming you do have celiac disease, you are likely causing slow, incremental damage to your gut, even though you are largely asymptomatic. It can take years for that damage to get to the point where it results in spinoff health problems. Concerning genetic testing, it can't be used for diagnosis, at least not definitively. Somewhere between 30 and 40% of the general population will have one or both of the two genes known to be associated with the development of active celiac disease. Yet, only about 1% of the general population will develop active celiac disease. But the genetic testing can be used as a rule out for celiac disease if you don't have either gene. But even so, that doesn't eliminate the possibility of having NCGS (Non Celiac Gluten Sensitivity).
    • ThomasA55
    • trents
      Welcome to the celiac.com community, @ThomasA55! Before I give my opinion on your question about whether or not you should undergo a gluten challenge, I would like to know how you react when you get a good dose of gluten? Are you largely asymptomatic or do you experience significant illness such as nausea and diarrhea? You mentioned intermittent joint pain before you began experimenting with a low gluten diet. Anything else?
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