I was diagnosed with a Vitamin D deficiency in September 2010, level was 10 (range 30-80, doctors wants me at a minimum of 35). For the most part, all of my bloodwork is normal. Organs all function normally, CBC is completely normal, Vitamin B-12 is normal, thyroid is functioning normally.
The only values that are elevated at all are autoimmune related, however nothing is significantly elevated.
TPO Ab (Thyroid) 109.6 Range 0-100
Rheumatoid Factor 22 Low<20
ESR 21 0-20
My main complaint is fatigue, the low vitamin D was an incidental finding when checking my thyroid. We are pursuing the low vitamin D because it came back that low after I had been training for 4 1/2 months during a typical hot, sunny, Texas summer for a half-marathon. I was outside for increasing amounts of time, maxing out at about 6-7 hours a week running outside. My internal medicine doctor is very concerned about the Vitamin D but my rheumatologist said he isn't that concerned and I should just stay on supplements for awhile longer. They both were in agreement that I should be tested for celiac since all other bloodwork was normal and the vitamin d was so low. If I skip a dose of vitamin d, my bones hurt within a couple of days.
Results I have are:
IgA 172 Range 68-378
tTG IgA 10 0-19
Gliad Pep A 3 0-19
Should I have testing done for the other antibodies? From what I have read the tTG IgA seems very specific but I guess there can be a few cases of false negatives??
I have occasional GI problems but not to the point I would say on a regular basis or following any pattern I can figure out, although they are occurring more often now. I have had a lot of joint problems and tendinitis while running which is why I went to the rheumatologist but he didn't find any signs of any inflammatory or degenerative diseases. He did a lot of questioning leaning toward Ankylosing spondylosis which I know has some relation to celiac but said at this time he doesn't want to pursue any other further testing with my joints since my physical signs were negative, my muscle strength is fine. I do have pitting enamel on my teeth now (29 yrs old) and also did as a child. I didn't have many cavities as a child at all but within the past two years I have had several cavities as well as a root canal after breaking a tooth and may need another one soon. From the ages of about 2-8 yrs I had terrible nose bleeds that the doctor linked to allergies. I do have pretty severe environmental allergies, I get allergy shots and take nasal sprays for those...no oral meds.
I am going in to have my vitamin D level rechecked within the next week and also likely check PTH, phosphorus, magnesium, and calcium.
Thanks in advance!