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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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    • trents
      So the tTG-IGA at 28 is positive for celiac disease. There are some other medical conditions that can cause elevated tTG-IGA but this is unlikely. There are some people for whom the dairy protein casein can cause this but by far the most likely cause is celiac disease. Especially when your small bowel lining is "scalloped". Your Serum IGA 01 (aka, "total IGA") at 245 mg/dl is within normal range, indicating you are not IGA deficient. But I also think it would be wise to take your doctor's advice about the sucraid diet and avoiding dairy . . . at least until you experience healing and your gut has had a chance to heal, which can take around two years. After that, you can experiment with adding dairy back in and monitor symptoms. By the way, if you want the protein afforded by dairy but need to avoid casein, you can do so with whey protein powder. Whey is the other major protein in dairy.
    • jenniber
      hi, i want to say thank you to you and @trents   . after 2 phone calls to my GI, her office called me back to tell me that a blood test was “unnecessary” and that we should “follow the gold standard” and since my biopsy did not indicate celiac, to follow the no dairy and sucraid diet. i luckily have expendable income and made an appt for the labcorp blood test that day. i just got my results back and it indicates celiac disease i think 😭   im honestly happy bc now i KNOW and i can go gluten free. and i am SO MAD at this doctor for dismissing me for a simple blood test that wouldn’t have cost her anything !!!!!!!!!!! im sorry, im so emotional right now, i have been sick my whole life and never knew why, i feel so much better already   my results from labcorp:   Celiac Ab tTG TIgA w/Rflx Test Current Result and Flag Previous Result and Date Units Reference Interval t-Transglutaminase (tTG) IgA 01 28 High U/mL 0-3 Negative 0 - 3 Weak Positive 4 - 10 Positive >10 Tissue Transglutaminase (tTG) has been identified as the endomysial antigen. Studies have demonstrated that endomysial IgA antibodies have over 99% specificity for gluten sensitive enteropathy. Immunoglobulin A, Qn, Serum 01 245 mg/dL 87-352
    • JoJo0611
      Thank you this really helped. 
    • Samanthaeileen1
      Okay that is really good to know. So with that being positive and the other being high it makes sense she diagnosed her even without the endoscopy. So glad we caught it early. She had so many symptoms though that to me it was clear something was wrong.   yeah I think we had better test us and the other kids as well. 
    • GlorietaKaro
      One doctor suggested it, but then seemed irritated when I asked follow-up questions. Oh well—
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