Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.


  • Celiac.com Sponsor (A1):
    Celiac.com Sponsor (A1-M):
  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Tissue Transglutaminase Test In Canada...


fogged

Recommended Posts

fogged Newbie

I have been suffering since the new year with copious amounts of bone and joint pain, terrible bowel movement irregularities and brain fog to name a few. I was finally able to see a specialist/diagnostician in July. I have had a Tissue Transglutaminase test performed twice. I was never informed about my "number" the first time I was tested as I never was able to actually see the doctor, simply received a letter in the mail informing me to have the test taken again in one month and eat a "regular" diet. I called the dr's office today to possibly receive some news and I was informed that my results where "19" 0-20 is the range. I wish I could provide more information but I cannot until the doctor has some time to read my results (hopefully within the year but hey, it is Canada, I guess I'll just keep waiting...)

Most of the posts I read have ranges for this test between 0-10....Any idea on why mine is 0-20?

Thanks!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



mushroom Proficient

Hello, and welcome to the forum.

Each lab has its own testing range (and don't ask me why this is - maybe Jestgar can tell you - something to do with sampling frequency maybe) but at any rate the rates for the labs differ but are reliable within their specified ranges. So it sounds like for your lab the range of 0-20 is the negative range; normally there is an intermediate range which is mildly positive, and beyond that range is a definitive positive. So your results fall just below mildly positive.

Bear in mind, however, that there is a 20% error rate on blood testing. And normally there are four or five different tests run for celiac of which tissue transglutaminase is just one. This result does not mean that you do not have a problem with gluten; in fact being just below the mildly positive range it may well indicate that you do. Unfortunately, there is a large group of people who test negative for celiac but who are gluten sensitive/intolerant and for whom a gluten-free diet is not only desirable, but required for good health. Since you are in Canada you may not be able to persuade your doctor to run any of the other celiac tests. I believe you have a Biocard test you can order through the mail which might be worth pursuing.

But when all the medical testing is done, the ultimate test ix whether or not eliminating gluten from your diet makes you feel better. You do not want to take this step until you have pursued all the testing available to you, but if all else fails than a good three-month trial of the gluten free diet is the best test there is as to your gluten sensitivity.

  • 2 weeks later...
fogged Newbie

So supposedly in Canada the tissue transglutaminase is the only thing they bank their "Celiac" diagnosis on. If the blood test isn't over the "20" rating then they rule out Celiacs. It has been decided that I need to take a Protein Pump Inhibitor by the specialist even though my first test was 17 and then second blood test was 19. I've even felt improvements by not consuming gluten for a week but once back to gluten terrible bone pain and diarrhea returned...When commenting to the specialist about what I have read and tried I was told I have to visit my family doctor to be referred to a G.I. specialist. More waiting and suffering...ahhh how Canada's health care system is so poor and frustrating...

curiousgeorge Rookie

So supposedly in Canada the tissue transglutaminase is the only thing they bank their "Celiac" diagnosis on. If the blood test isn't over the "20" rating then they rule out Celiacs. It has been decided that I need to take a Protein Pump Inhibitor by the specialist even though my first test was 17 and then second blood test was 19. I've even felt improvements by not consuming gluten for a week but once back to gluten terrible bone pain and diarrhea returned...When commenting to the specialist about what I have read and tried I was told I have to visit my family doctor to be referred to a G.I. specialist. More waiting and suffering...ahhh how Canada's health care system is so poor and frustrating...

The scale they used for me (Ontario) was 0-20 (neg) and 20-25 was borderline and over 25 was positive. At 19, you do fall into the neg category. I also had anti-gliadin IgA and IgG done. So no, its not all TTG in Canada. From blood test to biopsy, it was just over 3 weeks for me but that was because I was on vacation. My TTG was wickedly positive at 74. BTW I had a family doc refer me to an internest who referred me to the GI so your specialist is giving you the run around and could refer you to a GI.

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - knitty kitty replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

    2. - Jane02 replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

    3. - knitty kitty replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

    4. 0

      Penobscot Bay, Maine: Nurturing Gluten-Free Wellness Retreat with expert celiac dietitian, Melinda Dennis

    5. - Scott Adams replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      133,331
    • Most Online (within 30 mins)
      7,748

    Kristy2026
    Newest Member
    Kristy2026
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

    • There are no registered users currently online
  • Upcoming Events

  • Posts

    • knitty kitty
      @Jane02, I hear you about the kale and collard greens.  I don't do dairy and must eat green leafies, too, to get sufficient calcium.  I must be very careful because some calcium supplements are made from ground up crustacean shells.  When I was deficient in Vitamin D, I took high doses of Vitamin D to correct the deficiency quickly.  This is safe and nontoxic.  Vitamin D level should be above 70 nmol/L.  Lifeguards and indigenous Pacific Islanders typically have levels between 80-100 nmol/L.   Levels lower than this are based on amount needed to prevent disease like rickets and osteomalacia. We need more thiamine when we're physically ill, emotionally and mentally stressed, and if we exercise like an athlete or laborer.  We need more thiamine if we eat a diet high in simple carbohydrates.  For every 500 kcal of carbohydrates, we need 500-1000 mg more of thiamine to process the carbs into energy.  If there's insufficient thiamine the carbs get stored as fat.  Again, recommended levels set for thiamine are based on minimum amounts needed to prevent disease.  This is often not adequate for optimum health, nor sufficient for people with absorption problems such as Celiac disease.  Gluten free processed foods are not enriched with vitamins like their gluten containing counterparts.  Adding a B Complex and additional thiamine improves health for Celiacs.  Thiamine is safe and nontoxic even in high doses.  Thiamine helps the mitochondria in cells to function.  Thiamine interacts with each of the other B vitamins.  They are all water soluble and easily excreted if not needed. Interesting Reading: Clinical trial: B vitamins improve health in patients with coeliac disease living on a gluten-free diet https://pubmed.ncbi.nlm.nih.gov/19154566/ Safety and effectiveness of vitamin D mega-dose: A systematic review https://pubmed.ncbi.nlm.nih.gov/34857184/ High dose dietary vitamin D allocates surplus calories to muscle and growth instead of fat via modulation of myostatin and leptin signaling https://pubmed.ncbi.nlm.nih.gov/38766160/ Safety of High-Dose Vitamin D Supplementation: Secondary Analysis of a Randomized Controlled Trial https://pubmed.ncbi.nlm.nih.gov/31746327/ Vitamins and Celiac Disease: Beyond Vitamin D https://pmc.ncbi.nlm.nih.gov/articles/PMC11857425/ Investigating the therapeutic potential of tryptophan and vitamin A in modulating immune responses in celiac disease: an experimental study https://pubmed.ncbi.nlm.nih.gov/40178602/ Investigating the Impact of Vitamin A and Amino Acids on Immune Responses in Celiac Disease Patients https://pmc.ncbi.nlm.nih.gov/articles/PMC10814138/
    • Jane02
      Thank you so much @knitty kitty for this insightful information! I would have never considered fractionated coconut oil to be a potential source of GI upset. I will consider all the info you shared. Very interesting about the Thiamine deficiency.  I've tracked daily averages of my intake in a nutrition software. The only nutrient I can't consistently meet from my diet is vitamin D. Calcium is a hit and miss as I rely on vegetables, dark leafy greens as a major source, for my calcium intake. I'm able to meet it when I either eat or juice a bundle of kale or collard greens daily haha. My thiamine intake is roughly 120% of my needs, although I do recognize that I may not be absorbing all of these nutrients consistently with intermittent unintentional exposures to gluten.  My vitamin A intake is roughly 900% (~6400 mcg/d) of my needs as I eat a lot of sweet potato, although since it's plant-derived vitamin A (beta-carotene) apparently it's not likely to cause toxicity.  Thanks again! 
    • knitty kitty
      Hello, @Jane02,  I take Naturewise D 3.  It contains olive oil.   Some Vitamin D supplements, like D Drops, are made with fractionated coconut oil which can cause digestive upsets.  Fractionated coconut oil is not the same as coconut oil used for cooking.  Fractionated coconut oil has been treated for longer shelf life, so it won't go bad in the jar, and thus may be irritating to the digestive system. I avoid supplements made with soy because many people with Celiac Disease also react to soy.  Mixed tocopherols, an ingredient in Thornes Vitamin D, may be sourced from soy oil.  Kirkland's has soy on its ingredient list. I avoid things that might contain or be exposed to crustaceans, like Metagenics says on its label.  I have a crustacean/shellfish/fish allergy.  I like Life Extension Bioactive Complete B Complex.  I take additional Thiamine B 1 in the form Benfotiamine which helps the intestines heal, Life Extension MegaBenfotiamine. Thiamine is needed to activate Vitamin D.   Low thiamine can make one feel like they are getting glutened after a meal containing lots of simple carbohydrates like white rice, or processed gluten free foods like cookies and pasta.   It's rare to have a single vitamin deficiency.  The water soluble B Complex vitamins should be supplemented together with additional Thiamine in the form Benfotiamine and Thiamine TTFD (tetrahydrofurfuryl disulfide) to correct subclinical deficiencies that don't show up on blood tests.  These are subclinical deficiencies within organs and tissues.  Blood is a transportation system.  The body will deplete tissues and organs in order to keep a supply of thiamine in the bloodstream going to the brain and heart.   If you're low in Vitamin D, you may well be low in other fat soluble vitamins like Vitamin A and Vitamin K. Have you seen a dietician?
    • Scott Adams
      I do not know this, but since they are labelled gluten-free, and are not really a product that could easily be contaminated when making them (there would be not flour in the air of such a facility, for example), I don't really see contamination as something to be concerned about for this type of product. 
    • trents
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.