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Enterolab Tests?


jessicalw28

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jessicalw28 Apprentice

I was wondering if anyone thought the Enterolab tests for sensitivities/intolerances were worth the money. I am pretty positive I have a gluten intolerance, but not sure about other foods like corn, legumes, etc. I'm not really sure how to go about figuring out the other intolerances on my own. Seems like a test would be easier, but it's pretty expensive. What do you guys think?


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mushroom Proficient

As far as I know (could be wrong), Enterolab tests only for soy and casein (in addition to gluten of course). I figured out the others on my own. It is easier if you keep a diary but I kept it pretty simple and when I reacted to peas!! (knew everything else was safe), did it again the next night, and peas!! again. So they said green beans would probably be okay. A week later I tried green beans!!! Nope. After a few more positive legume trials I got rid of all of them, not to be tried for at least another year for me. With citrus, I knew I had been eating a lot of it so cut it out, then tried it again - whammo! It's really not that difficult if you work in food groups to start with and then focus down to individual foods.

Jestgar Rising Star

What shroomie said.

An elimination diet / food diary is the best way to figure these things out.

ravenwoodglass Mentor

While I didn't use them as part of my celiac diagnosis I did find them helpful in confirming my soy intolerance. I did them for that and to see what genes I carried since my blood and biopsy diagnosed DD was told she could never be celiac because she didn't have DQ2 or DQ8 and I wanted to find out which genes I did have. I had the testing done 5 years after I was diagnosed celiac. I wish I had known about them during all the years of negative blood testing. While they do not diagnose celiac I think the antibody testing can provide some valuable clues in the diagnostic process.

CMCM Rising Star

Enterolab testing was useful for me because I had minimized gluten to the extent that I couldn't/wouldn't get anything definitive on a traditional blood test. What the Enterolab testing told me was this: that I had a celiac gene and a gluten sensitivity gene, that my tests showed reactivity, that I am casein sensitive, and that no sensitivity showed up for soy or corn. None of this was a firm diagnosis of celiac disease or anything else. Given that my mom has celiac disease in the most severe way possible and given that I've had a lifetime of digestive problems, what Enterolab did for me was encourage me to pay attention to the possibility that I might have it and that I was most certainly predisposed to it.

So I experimented a lot with diet and learned that I'm better off without gluten, without dairy, without legumes of any kind, without starches and without sugar. A big list, but now I know how to eat to feel good. Perhaps all the sensitivities I have are somehow related to gluten. Or not.

Although my food issues were largely digestive my whole life, my reactions have morphed into arthritis type symptoms in my hands, fingers, wrist. This occurs if I eat gluten, and goes away when I don't eat it. The connection is obvious and glaring and I can't ignore it. The digestive issues still occur, but the fact is, unless I want to heavily eat gluten for rather a long time to create intestinal damage and thus get a firm diagnosis, I'm stuck with the knowledge I have at this point. I see no reason to ignore what I've learned about how I should eat. Whether or not I **had** active celiac disease at one point is immaterial. What I know is that IF I EAT gluten, I COULD get celiac disease and all that comes with that diagnosis. And what I know without a doubt is that gluten and certain other foods make me feel horrible. AND....I most certainly do not need a usually somewhat clueless doctor to officially proclaim that I have celiac disease. Fact is, if my test were negative and I were told to go ahead and eat gluten etc., I absolutely know how I would feel and I don't want to feel that way any more. So there! Therefore, I eat how I should eat, and it has paid off all around.

I don't want to risk getting active celiac disease, I feel fabulous when I eat gluten free and also don't eat the other things listed above except very rarely, and that's that. So this is the overall value of Enterolab, in my opinion. I'm grateful to Enterolab for providing me with useful information I was unable to get otherwise and a starting point for action, and therefore it helped me figure out a good way to eat to preserve my health from that point onwards.

Skylark Collaborator

Enterolab only tests for IgA. That is not the only kind of sensitivity - you could have allergies with IgE or IgG to foods. You might get some useful information from Enterolab or an allergist running RAST. Once you have some foods to suspect, the only sure way is an elimination diet. You don't need the testing to try the elimination; it only makes it a little easier. You would choose a meat you like/tolerate, eat rice for a starch, and a few veggies like leaf lettuce, chard, and maybe carrots (not nightshades or crucifers) for a week or two. If things settle down, you can try adding foods you suspect to be problematic like corn and legumes. You add them one at a time in a "pure" form (like frozen corn kernels) and wait a few days between new foods to be sure there are no delayed reactions.

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    • knitty kitty
      Welcome to the forum, @McKinleyWY, For a genetic test, you don't have to eat gluten, but this will only show if you have the genes necessary for the development of Celiac disease.  It will not show if you have active Celiac disease.   Eating gluten stimulates the production of antibodies against gluten which mistakenly attack our own bodies.  The antibodies are produced in the small intestines.  Three grams of gluten are enough to make you feel sick and ramp up anti-gluten antibody production and inflammation for two years afterwards.  However, TEN grams of gluten or more per day for two weeks is required to stimulate anti-gluten antibodies' production enough so that the anti-gluten antibodies move out of the intestines and into the bloodstream where they can be measured in blood tests.  This level of anti-gluten antibodies also causes measurable damage to the lining of the intestines as seen on biopsy samples taken during an endoscopy (the "gold standard" of Celiac diagnosis).   Since you have been experimenting with whole wheat bread in the past year or so, possibly getting cross contaminated in a mixed household, and your immune system is still so sensitized to gluten consumption, you may want to go ahead with the gluten challenge.   It can take two years absolutely gluten free for the immune system to quit reacting to gluten exposure.   Avoiding gluten most if the time, but then experimenting with whole wheat bread is a great way to keep your body in a state of inflammation and illness.  A diagnosis would help you stop playing Russian roulette with your and your children's health.      
    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
    • trents
      I know what you mean. When I get glutened I have severe gut cramps and throw up for 2-3 hr. and then have diarrhea for another several hours. Avoid eating out if at all possible. It is the number one source of gluten contamination for us celiacs. When you are forced to eat out at a new restaurant that you are not sure is safe, try to order things that you can be sure will not get cross contaminated like a boiled egg, baked potatos, steamed vegies, fresh fruit. Yes, I know that doesn't sound as appetizing as pizza or a burger and fries but your health is at stake. I also realize that as a 14 year old you don't have a lot of control over where you eat out because you are tagging along with others or adults are paying for it. Do you have support from your parents concerning your need to eat gluten free? Do you believe they have a good understanding of the many places gluten can show up in the food supply?
    • Peace lily
      Okay went online to check green mountain k cups .It was said that the regular coffees are fine but they couldn’t guarantee cross contamination.with the flavors. im trying to figure out since I eliminated the suyrup so far so good. I’m hoping. thanks it feels good to listen to other people there views.
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