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Which Tests Should Husband Get?


anna34

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anna34 Enthusiast

My thanks to everyone on this board. You have been so helpful to me as I learn about this disease.

Our daughter was diagnosed through biopsy a month ago. My TTG was borderline so I began the diet with her. Both of us are seeing our symptoms resolve. :)

My husband's TTG was negative, but we were told by a G.I. that he should be re-tested in the future due to a severely low B12 problem he had a few years back. We weren't given any explanation as to why his B12 was so low (almost gone from his body). He is currently taking B12 shots. Here are my questions:

1. Which tests, specifically, should he request when he does go for testing in the future? (So far my list includes: iron, folate, and B12, but I don't know the specific celiac panel that he should request or if there are other vitamins he should get checked.)

2. Should he stop getting his B12 shots prior to the testing?

3. How far "in the future" she he get tested? How long should we wait?

Any advice/information is appreciated.


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Dixiebell Contributor

Hi anna34.

Also D, E, A & K

Celiac tests

Anti-gliadin antibodies (AGA) both IgA and IgG

Anti-endomysial antibodies (EMA) - IgA

Anti-tissue transglutaminase antibodies (tTG) - IgA and IgG

Total IgA level

Deamidated Gliadin Peptide (DGP) Antibodies, IgA & IgG

mushroom Proficient

B-12 shots will have no effect on testing for celiac - low B12 is a common side effect of celiac due to failure to absorb. He needs it to remain high normal. I would test once every couple of years for celiac unless he has symptoms earlier.

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    • par18
      Thanks for the reply. 
    • Scott Adams
      What you’re describing is actually very common, and unfortunately the timing of the biopsy likely explains the confusion. Yes, it is absolutely possible for the small intestine to heal enough in three months on a strict gluten-free diet to produce a normal or near-normal biopsy, especially when damage was mild to begin with. In contrast, celiac antibodies can stay elevated for many months or even years after gluten removal, so persistently high antibody levels alongside the celiac genes and clear nutrient deficiencies strongly point to celiac disease, even if you don’t feel symptoms. Many people with celiac are asymptomatic but still develop iron and vitamin deficiencies and silent intestinal damage. The lack of immediate symptoms makes it harder emotionally, but it doesn’t mean gluten isn’t harming you. Most specialists would consider this a case of celiac disease with a false-negative biopsy due to early healing rather than “something else,” and staying consistently gluten-free is what protects you long-term—even when your body doesn’t protest right away.
    • Scott Adams
      Yes, I meant if you had celiac disease but went gluten-free before screening, your results would end up false-negative. As @trents mentioned, this can also happen when a total IGA test isn't done.
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      I found at Disney springs and Disney they have specialist that when told about dietary restrictions they come and talk to you ,explain cross contamination measures tsken and work with you on choices. Its the one place I dont worry once I've explained I have celiac disease.  Thier gluten free options are awesome.
    • Churley
      Have you tried Pure Encapsulations supplements? This is a brand my doctor recommends for me. I have no issues with this brand.
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