In some countries, like the UK, there are tangible benefits to having an official celiac diagnosis such as government stipends to offset the cost of gluten free food and supplemental follow-up care. Also, some people find it difficult to stay on the gluten free bandwagon without an official diagnosis. But I hear you. If the toll on your health and livelihood is too great to stay the course with the gluten challenge until the biopsy, it isn't smart to do so. By the way do you have access to the celiac antibody blood test scores? Along with the reference ranges? We don't know where you live but in Europe it is becoming increasingly common for physicians to declare an official diagnosis of celiac...