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Any Good Docs At University Of Chicago Celiac Center?


Newbee

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Newbee Contributor

Tomorrow is my 1 year anniversary being gluten free. I was diagnosed with celiac with quite a bit of damage to my system (Marsh stage 3B). I don


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Lisa Mentor

Tomorrow is my 1 year anniversary being gluten free. I was diagnosed with celiac with quite a bit of damage to my system (Marsh stage 3B). I don

Newbee Contributor

Thanks for your response Lisa. Sorry, I'm very frustrated about this this week. Perhaps my GI doc is giving me bad info then. He was telling me after 6 months I should have good stools and that this was indicating perhaps I had the refractory celiac. That freaked me out. I've been doing the specific carbohydrate diet the last couple of months with some success. The beginning of the diet is very restrictive so I don't need a food journal as I pretty much eat the same thing every day. That diet contains a lot of meat/animal products so I'm concerned it will cause other problems for me. And when I have good stools doing that I diet I think it may be because of the huge amount of hard cheeses I eat every day. I'm afraid this may end up causing other health problems (heart disase/stroke). I haven't had a lot of success getting my doctor's to test me for other issues, and when I do I find out they did it wrong (didn't include all the tests for B12 or thyroid).

kareng Grand Master

Maybe eliminate dairy products and see if you get better? Did he re- test your anti- bodies? That could give you an idea if you are on the right track.

Newbee Contributor

Per SCD I have eliminated dairy except for homemade yogurt and hard cheeses. I have had antibodies retested. They are down significantly but still testing positive. Doc said he didn't think it was because of getting gluten into my system.

October3 Explorer

I drive 5 hrs to take my son to the University of Chicago Celiac Disease Center. For us it is well worth the drive. The GI we were seeing had basically given up on diagnosing my son and had said essentially just wait for things to get a lot worse and then we'll figure it out. We see Dr. Guandalini there. He took a long time with us, ran a lot of tests, sends me lab reqs so I can follow up with lab work without going back to see him. He did say he wants to see us once a year which is completely doable. Also he did run a lot of tests looking at nutritional deficits and thyroid issues, etc. And they have a nutritionist on staff who we met with (had to make another trip for that unfortunately but you may be able to schedule them together if you wanted to).

As for other diets etc, we haven't gotten into any of that with him so I don't know how far his expertise goes. I also think a lot of the dietary and other food intolerance things are not supported well by research yet and so MD's maybe aren't the best to help with some of those things no matter how good they are. We have had success working with a Naturopath in addition to MD's with my and my kids multiple food intolerances. I know people who have had fantastic success with the SCD but I don't think I've ever seen a doc who would recommend it because it is so restrictive.

The one complaint I would say I have about the clinic is that it can be difficult to get answers from the doc because he isn't in the office often and is a busy guy. The clinic staff are wonderful and as helpful as they can be but if you have a question for the doc outside of an appointment be prepared to wait a bit to get the answer.

Newbee Contributor

I drive 5 hrs to take my son to the University of Chicago Celiac Disease Center. For us it is well worth the drive. The GI we were seeing had basically given up on diagnosing my son and had said essentially just wait for things to get a lot worse and then we'll figure it out. We see Dr. Guandalini there. He took a long time with us, ran a lot of tests, sends me lab reqs so I can follow up with lab work without going back to see him. He did say he wants to see us once a year which is completely doable. Also he did run a lot of tests looking at nutritional deficits and thyroid issues, etc. And they have a nutritionist on staff who we met with (had to make another trip for that unfortunately but you may be able to schedule them together if you wanted to).

As for other diets etc, we haven't gotten into any of that with him so I don't know how far his expertise goes. I also think a lot of the dietary and other food intolerance things are not supported well by research yet and so MD's maybe aren't the best to help with some of those things no matter how good they are. We have had success working with a Naturopath in addition to MD's with my and my kids multiple food intolerances. I know people who have had fantastic success with the SCD but I don't think I've ever seen a doc who would recommend it because it is so restrictive.

The one complaint I would say I have about the clinic is that it can be difficult to get answers from the doc because he isn't in the office often and is a busy guy. The clinic staff are wonderful and as helpful as they can be but if you have a question for the doc outside of an appointment be prepared to wait a bit to get the answer.

Thank you so much for your response! Great info! Did the doctor determine what vitamin deficiencies/tests to run or was that recommended by the dietician? And what exactly did the dietician do? I've never been to a dietician so not sure what all they cover. Thanks!


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Newbee Contributor

Any other recommendations (or people to stay away from) that have went to University of Chicago for treatment? I was hoping for a few more responses. Thanks!

Lisa Mentor

Any other recommendations (or people to stay away from) that have went to University of Chicago for treatment? I was hoping for a few more responses. Thanks!

Not everyone is so fortunate to have such a great facility nearby, with the most knowledgeable experts in the field of Celiac Disease. ;)

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October3 Explorer

Thank you so much for your response! Great info! Did the doctor determine what vitamin deficiencies/tests to run or was that recommended by the dietician? And what exactly did the dietician do? I've never been to a dietician so not sure what all they cover. Thanks!

The doctor decided what to test for. We didn't see the dietician until later after it was determined we should go back on a gluten-free diet. She mostly answered all the questions about management of the diet itself and how to make sure you are getting the right nutrients, etc. She also worked with us on foods to promote iron absorption since that was our main issue.

Mandy's Mom Newbie

Tomorrow is my 1 year anniversary being gluten free. I was diagnosed with celiac with quite a bit of damage to my system (Marsh stage 3B). I don

kam43 Newbie

Hi! I started seeing Dr. Sonia Kupfer shortly after my diagnosis as I was disappointed with my diagnosing GI, too. She has a very warm demeanor and was willing to communicate via phone and email. She was also on top of sharing information with my MD. Unfortunately, I have since moved too far to continue going there for treatment but in the visits I did have, she took her time and was incredibly thorough. I will say that scheduling procedures, depending on what you need, can be a little tricky as some things are coordinated with other departments and so you may have to make multiple trips but probably worth it if you get results.

I would say, if you are concerned that you have issues beyond Celiac, like thyroid, that you might want to consider an MD that works in an Integrative Medicine practice. I was lucky to find an amazing doc in Chicago and he was actually the one to even think to test me for Celiac after 7 years of suffering and wrong diagnoses. In my experience, an integrative doc goes beyond what a GI generally would to consider the big picture.

That said, I would highly recommend Dr. Kupfer. The entire center really is an amazing thing and you're lucky to be able to take advantage of it, drive and all.

If you'd like the name of the MD I mentioned, feel free to PM me and I will give you his info.

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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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