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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes
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PaulW

Thoughts On My Test Results And Symptoms?

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Hi, I'm looking for advice on what may be the proper interpretation of my test results and symptoms. Three antibody tests were performed on me: Antigliadin IgG was high at 25 units, whereas IgA for antigliadin and tissue transglutaminase were normal at 5 units. From the information I've browsed, it appears as though one interpretation is that in conjunction with the normal IgA tests, the high IgG test isn't diagnostic of proper celiac sprue, though it may instead be indicative other, non-celiac metabolic/immunological abnormalities I may have. On the other hand, I've come across information indicating that in some cases, celiac disease actually results in IgA deficiencies, in which case results like mine are exactly what would be expected. Are these both viable interpretations? Does one sound better than the other?

Additional information about my case: I don't have major, overt gastrointestinal symptoms, though probably an above average amount of GI distress. I have intermittent aching in my arms and legs, fatigue, and "brain fog" symptoms, which appear to result from multiple food/chemical sensitivities. Past experimental attempts I've made at gluten exclusion seem to have resulted in a decrease of abdominal cramping I otherwise have and a change in the character of my bowel movements, though not an overwhelming change in the more bothersome symptoms. Over the past year, I've been dabbling with an unconventional doctor who, with his tests, has found both malabsorption and leaky gut, as well as "detoxification abnormalities." So, one thought I have is that an inherent gluten intolerance may be behind all those symptoms and "alternative" test results, whereas on the other hand, I wonder if I may have other, non-celiac problems causing these symptoms, including perhaps some reactivity to gluten and elevated anti-gliadin IgG, but not proper celiac sprue.

I'll be grateful for any and all thoughts, thanks very much.

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Hi Paul,

I'm not sure if I can help you but my IGA was elevated @74 but my

IGG was 16. I read somewhere that having 1 or more of these elevated

antibodies means that you are reacting to Gluten. It may be that you

don't have enough damage to cause both to rise. However, I had no

damage to the villi and a neg biopsy??? My GI doc said he can't prove

I have CS and he can't disprove it so for right now I have Gluten

Sensitivity.

Are you consuming dairy? After I stopped dairy my brain fog lifted

and after 9mos on this diet I am pain free. I think there needs to be

a lot more research on these diseases, I think we are seeing only

the tip of the iceberg. Good luck..

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Paul,

I'm in the same boat as you. My IGG was 40 (positive), my IGA was 23 (I think that's borderline). Through all of my tests, the doctor is looking for something other than celiac, since my tests point mainly to the IGG's. There are other conditions, (intolerance included) that can cause an elevation in only the IGG's as well as I've heard that it can be elevated normally in some individuals. Best thing is to keep talking with your doctor about your symptoms and not give up. Better to error on the side of caution than to find something too late. I've read somewhere that "leaky gut" can result in higher levels of certain things, like IGG's to circulate in your blood. I also have high indirect bilirubin and I'm trying to find out why. Have they ruled out IBD for you?

Like you, if something bizzare shows up in my tests, I want to know why. If you're symptomatic, knowing why is important. Good luck to you.

Gretchen

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