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Advice On Which Tests To Have


KristenAM

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KristenAM Newbie

Hi all,

I just got the results for my "celiac panel." The only tests on the panel were tTG IgA and tTG IgG, and I was within normal levels for each (<1.2 with a ref. range of <4.0 for IgA and <1.2 with a ref. range of <6.0 for IgG). I also had a food allergy panel and had no significant IgE wheat response or other allergies.

I am a 22 year-old white female. I was in good health until age 19. I was diagnosed with depression and ADHD at age 20 (nobody ever suspected I had ADHD as a child.) My other symptoms include: frequent diarrhea and bloating, occasional migraines, very poor circulation, always feeling cold, constant exhaustion, mild lactose intolerance, and sores and thrush on my tongue.

If I am indeed a celiac, is it possible that I'm too "young" to show high tTG levels because my symptoms only manifested two years ago?

Is it worth it for me to get the endomysial antibody or genetic marker testing?

If I do an experimental gluten free period, do I need to eliminate all trace amounts (i.e. food contaminated on preparation surfaces) to notice a change in my symptoms or will I see a difference from simply avoiding foods with gluten in the ingredients?

Any advice would be appreciated. I was so disappointed when my tests came back negative, because Celiac Disease would explain EVERYTHING.


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breavenewworld Apprentice

you might call Great Plains Lab and ask what tests to have for celiac.

ask your doc but i would do a complete blood panel to see about nutritional deficiencies like iron poor blood, potassium, B12 etc. if you do that you could also ask for the fat-soluble vitamins since some celiacs are low in those. or better yet if you have a more naturopathicly minded doc, a nutritional analysis of the whole blood cell through spectracell or some lab like that.

also it's great that you dont have any IgE mediated allergies. have you also thought about IgG mediated intolerances? elimination diets are best for figuring out intolerances, but a good igG assay would give you a snapshot of what your blood is reacting to at the moment. a good lab for that is immunolabs, in my opinion.

there is also a test for the gliadin antibodies that some celiacs have periodically to make sure they're not ingesting gluten without knowing it. i am so sorry but i dont know the name of that one.

Currypowder87 Rookie

Sorry I can't give any advice. But I am in the exact same boat as you are. Like the exact same. I am also 22 and have all the symptoms you have, well not ADHD and Depression. But I have all the other ones. I think it is funny we are both 22 and have the same situation. I just got my test's back today and it said I was normal, but we know our won bodies and I do not feel good. I just had a sandwich and I feel horrible. Next Friday I am going to have an endoscopy so hopefully they will see something. I just want to figure out what is wrong with me. Well I hope you will figure out your diagnosis. Take care.

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    • 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).
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    • 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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