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Ttg Level Drop... Opinions?


Kim27

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Kim27 Contributor

Hi All!!

So to reiterate my story quickly, I was diagnosed with Celiac disease in April. In March I had a ttg level of 168. I've been completely gluten-free since 4/28 (biopsy date) (that I know of!!!). My doctor wanted to check some vitamin levels last week and so she said while we're at it we might as well check your ttg-iga level. I protested because I had only been gluten-free for 5 weeks and thought it wouldn't be enough time for my levels to drop really or be normal. She insisted saying let's just see to see if your body is dropping/responding at all. I had read that most people don't get rechecked until 4 to 5 months after being gluten-free. So I heard from the nurse today that as of last Friday my ttg level is at 65. The doctor hasn't had a chance to talk to me about it yet, but the nurse did divulge the level number. So what do you all think??? At 5 weeks gluten-free should it lower??? Should it be closer to normal????!!! The normal range they use it 0-19. I want to be encouraged that it has dropped to 65 and just think my body needs more time, but I also want others opinions to see if they think it should be lower than that by now and gluten might be sneaking in somewhere!

Thanks for any opinions!

Kim

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Skylark Collaborator

You're doing great! It usually takes a few months for Ab levels to drop so seeing results after five weeks is good news.

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WheatChef Apprentice

Some IgA levels can take half a year or so to drop to normal levels. You're certainly on the right track!

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Kim27 Contributor

My doctor called later this afternoon & said she's very happy with these results so far & that Im doing good with it. She said normally within 5-6 months, the ttg should be closer to the normal range. Thanks everyone for the encouragement! Knowing that it has dropped by 103 already makes the hassle worth it! ;)

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DonaldandAlanda Evans Apprentice

My TTG went back to normal after a little less than 3 months

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kayo Explorer

Can you remind me, what's the normal range for ttg?

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Jestgar Rising Star

The normal range will depend on the lab that does the testing.

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WheatChef Apprentice

Normally anywhere from <8 to <19

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Kim27 Contributor

My lab uses <19 as normal. I know labs can vary but from what I've read from others on here for the TTG IGA that seems to be pretty typical. 0-19 is normal, 20-30 lowly positive, >30 very positive (at least that's what my Dr. told me)

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Kim27 Contributor

I have a typo in my previous post, not <19 normal, it's 19 and <

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sa1937 Community Regular

I think it definitely depends on the lab. My lab said:

< 5 Negative

5 - 8 Equivocal

> 8 Positive

My tTG was > 100 (definitely positive followed up with EGD/biopsy - also positive)

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  • 2 months later...
SaraKat Contributor

Hello- my TTG level was 38 and my lab said <5 negative. I have my biopsy Tuesday morning- did you have a lot of intestinal damage? I am so nervous about that. I have this horrible pain in my left side (just under the ribs and wraps around the the lower back).

Does a higher TTG level indicate more intestinal damage?

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Skylark Collaborator
.

Does a higher TTG level indicate more intestinal damage?

Not really. Don't worry. Even if there is damage, it will heal when you go off gluten.

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    • Kmd2024
      Hmm interesting I just assumed that any “IGA” tests including the DPG iga would be negative in a person who is IGA deficient but maybe that is not the case for the DPG test.
    • Scott Adams
      If you were just diagnosed I can say that if you go 100% gluten-free should should see dramatic improvement of your symptoms over the next few months, but the hard part is to stay gluten-free. This article has some detailed information on how to be 100% gluten-free, so it may be helpful (be sure to also read the comments section.):    
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      From the article I linked above: DGP-IgA and DGP-IgG (Deamidated Gliadin Peptide) Blood Tests for Celiac Disease These tests measure the levels of antibodies in the blood, but specifically targets deamidated gliadin peptides, which are a type of gluten protein that can trigger an immune response in people with celiac disease. The test is not always included in adults, but should be in cases with IgA deficiency.  I'm not sure if this is a grammatical error or not but in the context, two tests are being spoken of together so it could be intended to say, "These tests". I'll ask Scott about that.
    • Kmd2024
      No they did not run a total IGA. But wouldn’t the DPG-IGA also be negative also if I was IGA deficient? They did also run a TTG-IGG and a DPG-IGG and they were also negative.
    • trents
      The DGP-IGA is valuable when celiac is suspected but the person being tested is IGA deficient. Were you tested for IGA deficiency. In other words, was there a test known as "Total IGA" ordered? Here is an overview of the various blood tests that can be run when diagnosing celiac disease:   
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