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Tests To Monitor My Health


BlessedMommy

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BlessedMommy Rising Star

I don't have an actual celiac disease diagnosis, because my symptoms resolved when gluten-free and then when I resumed eating gluten, I had a TIA caused by chronic headaches on the gluten trial. That happened only 10 days in. Doing a 3 month gluten challenge would be a disaster!

 

So while I would've loved a real diagnosis, I don't have the inclination to risk death, hospitalization, or permanent disability to get one.

 

However, that means that I don't have any doctor's guidance and I sometimes wonder if I'm doing things right or if I'm truly healing. My regular family doctor doesn't know much about things, he just told me to stay away from gluten, but that "a little bit probably wouldn't bother me."  :huh:  :(

 

I also don't know whether I have celiac or NCGI either. 

 

After 4 years gluten-free, would celiac tests do me any good? In other words, if I took a celiac blood panel would it tell me if I'm being successful enough at following the gluten-free diet? Or are the tests not sensitive enough to detect minute levels of gluten in the blood?

 

Also, what about tests to check my nutrient levels? Are there any ones in particular that are recommended for celiacs/NCGI?


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1desperateladysaved Proficient

I use a "SpectraCell" nutrient test.  This uses white blood cells to see what nutrients have actually gotten in to the cells. As I understand it, the body keeps the blood levels of nutrients stable while it may sacrifice the levels in the cell if there is a deficiency.  This test came to be covered by insurance about a year ago.  My nutrient levels were at first low even using a serum blood test.  However, my Spectra-Cell revealed rises in nutrient levels which were adequate.  I was between 12-18 months gluten free when we discovered my nutrient levels had come up.

BlessedMommy Rising Star

Where could I get those tests?

kareng Grand Master

You don't need to do fringe tests from Internet labs. Your doctor can order some basic ones to see if you are getting enough vit d, iron, ferritin, 12, etc.

A Celiac gets Celiac blood tests every year to see if they are doing a good job with the gluten-free free diet. However, occasional accidental gluten would not show up on those tests.

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Do I need to have a follow-up test each time I get glutened?

Follow-up tests are intended to test whether there’s significant (and repeated) exposure to gluten. A mistake (or two) may cause symptoms, but they will only activate the disease for a short time, though it must be noted that each celiac responds differently. It’s the repeated exposure for the long-term that keeps the disease active enough to cause damage.

BlessedMommy Rising Star

I don't necessarily want to order "fringe tests" but I don't necessarily want to order through my doctor either. 

 

I suppose that a normal private lab (not an internet lab) would have the basic tests that I need.

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      Not necessarily. The "Gluten Free" label means not more than 20ppm of gluten in the product which is often not enough for super sensitive celiacs. You would need to be looking for "Certified Gluten Free" (GFCO endorsed) which means no more than 10ppm of gluten. Having said that, "Gluten Free" doesn't mean that there will necessarily be more gluten than "Certified Gluten" in any given batch run. It just means there could be. 
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      I think it is wise to seek a second opinion from a GI doc and to go on a gluten free diet in the meantime. The GI doc may look at all the evidence, including the biopsy report, and conclude you don't need anything else to reach a dx of celiac disease and so, there would be no need for a gluten challenge. But if the GI doc does want to do more testing, you can worry about the gluten challenge at that time. But between now and the time of the appointment, if your symptoms improve on a gluten free diet, that is more evidence. Just keep in mind that if a gluten challenge is called for, the bare minimum challenge length is two weeks of the daily consumption of at least 10g of gluten, which is about the amount found in 4-6 slices of wheat bread. But, I would count on giving it four weeks to be sure.
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      thank you both for the insights. i agree, im going to back off on dairy and try sucraid. thanks for the tip about protein powder, i will look for whey protein powder/drinks!   i don’t understand why my doctor refused to order it either. so i’ve decided i’m not going to her again, and i’m going to get a second opinion with a GI recommended to me by someone with celiac. unfortunately my first appointment isn’t until February 17th. do you think i should go gluten free now or wait until after i meet with the new doctor? i’m torn about what i should do, i dont know if she is going to want to repeat the endoscopy, and i know ill have to be eating gluten to have a positive biopsy. i could always do the gluten challenge on the other hand if she does want to repeat the biopsy.    thanks again, i appreciate the support here. i’ve learned a lot from these boards. i dont know anyone in real life with celiac.
    • trents
      Let me suggest an adjustment to your terminology. "Celiac disease" and "gluten intolerance" are the same. The other gluten disorder you refer to is NCGS (Non Celiac Gluten Sensitivity) which is often referred to as being "gluten sensitive". Having said that, the reality is there is still much inconsistency in how people use these terms. Since celiac disease does damage to the small bowel lining it often results in nutritional deficiencies such as anemia. NCGS does not damage the small bowel lining so your history of anemia may suggest you have celiac disease as opposed to NCGS. But either way, a gluten-free diet is in order. NCGS can cause bodily damage in other ways, particularly to neurological systems.
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