2 Yr 8 Month Old Blood Panel Results- Celiac? in Parents, Friends and Loved Ones of Celiacs Posted February 1, 2008 · Report to Admin With an elevated Ttg at such a young age, this is evidence of intestinal damage. However, the number is still on the low side so damage has probably just started. Your child most definitely has Celiac so the decision to do a biopsy would really be for your peace of mind. The biopsy could still come up negative, though, if damage is very patchy and they don't hit it right. For myself, I would be hesitant to do one at such a young age but you may be more comfortable with that. A good Celiac doctor would know his bloodwork and symptoms are proof of the disease and back up the diagnosis. You could always start the diet and keep track of response. Then, if things didn't improve within a reasonable amount of time, you could do the scope to see if anything else is going on. That won't affect anything relating to celiac disease because you already know the little guy has it. Good luck! Thanks so much to everyone that responded. I feel that the doctors are waffling on calling these symptoms celiac, simply so that they can be 100% confident in their diagnosis. The Dr's confidence will only come with time, observable damage to the villi in his intestine and undue risk to my sons long term health. I'm fortunate that there is a forum like this to hear what other people think.