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Is Deaminated Gliadin Iga Of 45 (0-19) A Yes Or No?


ksue12

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ksue12 Newbie

I had that test result two years ago, and at the same time was told I did NOT have celiac because the other tests that more specifically represent celiac were negative, along with my biopsy results. Any thoughts?


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mushroom Proficient

Welcome, ksue.

The DGP (deamidated gliadin protein) is the newest test for gluten sensitivity and is considered to be the most specific for celiac disease. You do not have to test positive on all the tests - that is why they run the entire panel. Your DGP was a definite positive.

Your negative biopsy could be due to your doctor not taking enough samples, taking them from the wrong place, or the pathologist not being experienced in reading celiac slides. Do you still have (or can you get) a copy of the pathologist's report and tell us what it said? Sometimes doctors are not very experienced in reading these and don't know what signs to look for. You could have been in the early stages of damage.

GFinDC Veteran

Yep, one positive blood test is all it takes.

ksue12 Newbie

Thanks for both of your replies!

Mushroom, so does this mean I most likely have celiac or gluten intolerance? And, I could not find the results of the biopsy. I think it was in my online chart, but for some reason I can't find it anymore. All I saw on the paper that they handed me when I finished the endoscopy was that some samples were taken from the "postbulbar duodenum", but that the duodenum looked normal during the scope.

nvsmom Community Regular

Welcome ksue. :)

Whoever told you you were not a celiac was mistaken. :( Unlike celiac disease, there is no test that will indicate non-celiac gluten intolerance (NCGI). This food sensitivity is diagnosed by how well you respond to a gluten-free diet. NCGI sufferers will have the same symptoms as celiacs but they will not have the intestinal damage. Your positive test indicates celiac (as far as I can remember).

The duodenum is the upper part of the small intestine where celiac damage usually occurs so they were looking in the correct spot. This damage may or may not be visable during the scope; the biopsy samples often need to be checked under magnification to see the damage. That damage is often spotty so if a small nummber of samples was taken, it could have been missed... sounds like it was.

Good luck with the diet change. There are many helpful people around here to give good advice, look around and ask questions. :) Best wishes.

GottaSki Mentor

Welcome!

I'd add that it is time for another full celiac panel. If you haven't removed gluten at all, you may now have more positive tests.

Good luck to you :)

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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.
    • Seaperky
      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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