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Genetic Testing for Celiac


JD-New to Celiac

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JD-New to Celiac Explorer

I was wondering if anyone can explain the Celiac genetic testing I had done recently. I did one of the online tests and they really didn't explain the results. I never had the biopsy done but blood test showed positive results with 20 times the normal limit for the tTg IgA and Endomysial IgA showing a positive result and abnormal.

HLA DQ2 = Postive

HLA DQ8 = Negative

Variants detected - HLA DQA1 05; HLA DQA1 05 (listed this variant a 2nd time); HLA DQB1 0201; HLA DQB1 0201 (also listed a 2nd time)


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knitty kitty Grand Master

HLA-DQA1 and HLA-DQB1 Genetic Markers and Clinical Presentation in Celiac Disease

https://journals.lww.com/jpgn/Fulltext/2002/05000/Further_Studies_of_Anti_Endomysium_and.14.aspx

Tracy414 Explorer

I’m not 💯 sure, but that may mean you have two copies of the DQ2 gene. Have you reached out to the company? I did one I got online and it said positive for essentially the same thing, but no clue if it was homo (two copies of DQ2) or heterozygous (only one copy of the DQ2). I reached out and they answered my question. I only have one copy. Two copies = higher risk. But sounds like you’ve already confirmed you have celiac. 

JD-New to Celiac Explorer
28 minutes ago, Tracy414 said:

I’m not 💯 sure, but that may mean you have two copies of the DQ2 gene. Have you reached out to the company? I did one I got online and it said positive for essentially the same thing, but no clue if it was homo (two copies of DQ2) or heterozygous (only one copy of the DQ2). I reached out and they answered my question. I only have one copy. Two copies = higher risk. But sounds like you’ve already confirmed you have celiac. 

Well, yes, Tracy414, I am confirmed but based only on bloodwork. No biopsy. As one member has said at this point I have accepted the fact that I have celiac, but I thought doing the genetic testing would give me a guarantee of some sort. I have tried Google to research the test results and I am afraid I would need a much higher college degree to understand what they are saying. As I read more and more it gives me a headache. I thank you and Knitty Kitty for your help. I thought many more on this site would have had the genetic testing done but perhaps it was a waste of time and money. I am beginning to think celiac is a money pit. I will though take your advice and reach out the lab that did the test.

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    • Scott Adams
      Welcome to the forum, your symptoms are certainly consistent with possible celiac disease. Were you eating lots of gluten daily in the 6-8 weeks before the test? If not it could lead to false negative results. When you post your results please also include the reference ranges, as each lab uses their own. Good luck!
    • Celiacandme
      Keep us posted on your results. I hope you don't have to wait too long. Are you planning to have your son tested? Do you feel your father might get tested? Wishing you all better health.🍀
    • Scott Adams
      Were you eating lots of gluten in the 6-8 weeks before your blood test? If not, you can end up with false negative results. Feel free to share your blood test results--were your antibody levels elevated at all?  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS. If your biopsy ends up negative you still may want to go gluten-free for a few months to see if your symptoms go away. Also, be sure to eat tons of gluten daily in the 2 weeks leading up to your endoscopy, otherwise you could get false negative results.       
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      It's difficult to say exactly why, but it is worth discussing this with your doctor, as it can by a symptom of other things--especially if you're also losing weight.
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