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Please help me determine my results - Low IGA and IGG


adm0707

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adm0707 Newbie

Hi there,

 

Can you please help me determine my results? I'm so confused by everything I see online. I don't believe I had my total IGA test done. Here is all I see:

Antigliadin Abs, IgA

Deamidated Gliadin Abs, IgA - Range (0-19 = Negative) (20-30 = Weak Positive) (>30 Moderate to Strong Positive)

Results= 4

Antigliadin Abs, IgG

Deamidated Gliadin Abs, IgG - Range (0-19 = Negative) (20-30 = Weak Positive) (>30 Moderate to Strong Positive)

Results= 

Reticulin IgA Antibodies

Results= Negative

t-Transglutaminase (tTG) IgA - Range (0-3= Negative) (4-10 Weak Positive) (>10 Positive)

Results= <2


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tessa25 Rising Star

All 4 tests look to be negative. I'm not a doc.

cyclinglady Grand Master

That Reticulin test is pretty darn old and has been long replaced with the TTG, DGP and EMA.  Are you outside of the US?  Your doctor should probably test you for an IgA deficiency.  So, you can not rule out celiac disease yet.  

Here is a government site discussing that Reticulin is obsolete:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3623418/

Consider trying to find a doctor who is celiac savvy:

http://www.cureceliacdisease.org/screening/

adm0707 Newbie
2 hours ago, cyclinglady said:

That Reticulin test is pretty darn old and has been long replaced with the TTG, DGP and EMA.  Are you outside of the US?  Your doctor should probably test you for an IgA deficiency.  So, you can not rule out celiac disease yet.  

Here is a government site discussing that Reticulin is obsolete:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3623418/

Consider trying to find a doctor who is celiac savvy:

http://www.cureceliacdisease.org/screening/

Thank you! I’m in the US. Do the rest of the tests I was tested for matter though? I saw that since I was tested for IgG that it should be enough confirmation, even if I am IgA deficient. 

Only 2% of Celiacs are igA deficient, right?

cyclinglady Grand Master

You are correct, only about 2% are IgA deficient. However, some celiacs are seronegative (never get a positive on the celiac panel).    Your doctor may want to do an endoscopy despite your results or have you trial the gluten-free diet.  This is a conversation you need to have with him or her.

What made you get tested?  

 

adm0707 Newbie

Thank you for confirming :). A lot of what I see online is confusing. Besides the Reticulin test, the others I tested for should relevant, right? Especially the igG one? 

My doctor didn’t push me to get tested for Celiac. I was diagnosed with eosinophillic esophagitis and have had lots of nausea and regurgitation, so I wanted to rule out Celiac. I also got tested for it with the Entero Labs stool test (do people still use those?) about ten years ago and the igA was in the normal levels. 

Thank you for listening, by the way.

cyclinglady Grand Master

With 80% of celiacs undiagnosed, it was good that you requested celiac testing.  ?  The other tests were all valid.  

Have you changed your diet or determined triggers for your EoE?  

 


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    • ChrisSeth
      Okay thanks Scott. So based on my results will they order more tests to be done? Kind of confused.
    • Scott Adams
      Yes, this sounds right. Let us know when you find out your results.
    • ChrisSeth
      Hi thanks for your response! This is the only other info that’s on my test results for the IgA. The initial testing performed in the Celiac Disease Reflex Panel is the total IgA. If the total IgA is <10 mg/dL, the reflex tests that will be ordered are the Tissue Transglutaminase IgG Antibody and the Deamidated Gliadin Peptide IgG Antibody. If the total IgA is >=10 mg/dL, the reflex test that will be ordered is the Tissue Transglutaminase IgA Antibody. Does that give some insight?  following up with my Dr early next week… thanks again.  And I didn’t eat more gluten than usual during the last 6-8 weeks on purpose. Just a normal diet prior to testing. I had gluten everyday for 6-8 weeks though I’m sure.
    • Scott Adams
      Have you tried sheep's milk and goat's milk cheeses? After my diagnosis I could not tolerate cow's milk for ~2 years until my villi healed, but for some reason I did not have issues with sheep milk or goat milk cheeses.  I also had temporary issues with chicken eggs, but could eat duck eggs.
    • Scott Adams
      This is not a test for celiac disease, but your total IgA levels. This test is usually done with other celiac disease blood tests to make sure the results are accurate. Did they do a tTg-IgA test as well? Were you eating lots of gluten in the 6-8 weeks leading up to your blood tests? This article might be helpful. It breaks down each type of test, and what a positive results means in terms of the probability that you might have celiac disease. One test that always needs to be done is the IgA Levels/Deficiency Test (often called "Total IGA") because some people are naturally IGA deficient, and if this is the case, then certain blood tests for celiac disease might be false-negative, and other types of tests need to be done to make an accurate diagnosis. The article includes the "Mayo Clinic Protocol," which is the best overall protocol for results to be ~98% accurate.    
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