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My Imaware Results and Questions


WhatsTheDealiac

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WhatsTheDealiac Apprentice

I have my celiac panel testing results. I tried to attach them, but the picture was too big, so I will post numbers.

tTg-IgA 1.7 U/mL

tTg-IgG 3.3 U/mL

DGP-IgA 4.1 U/mL

DGP-IgG 6 U/mL

I want to preface this post by mentioning that my sister got a food sensitivity test by EverlyWell, where they rate you on a 1,2, or 3 scale for severity of sensitivity to each food they test for. She received a 2 for gluten.

It appears that I don’t have Celiac Disease?

I really thought this would come back as probable for Celiac Disease, with all the problems I have had, but alas, it did not. I did not restrict my gluten intake, whatsoever, before testing.

How many people get dermatitis herpetiformus without Celiac Disease? Can gluten sensitivity cause that? What about the mental manifestations? Can that be caused by gluten sensitivity?


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WhatsTheDealiac Apprentice

If this thread is needlessly redundant, feel free to delete this thread. I just wanted people to see the results for lurkers that was a point of reference.

tTg-IgA 1.7 U/mL Above 5.4 is abnormal

tTg-IgG 3.3 U/mL Above 6.4 is abnormal

DGP-IgA 4.1 U/mL Above 14.7 is abnormal

DGP-IgG 6 U/mL Above 10.5 is abnormal

I don’t understand how the references could be different from different companies? I would think that if it was above a certain amount, you would have Celiac, no matter where it was done?

I haven’t had a biopsy done, but the rash is bumpy, itchy, and looks like some of the pictures I have found for DH. It happened in the same time frame that I got a bumpy rash on the undersides of my arms, and also getting loose stools that is causing the worst anal itch in the world, accompanied by anal bleeding

Scott Adams Grand Master

Although your blood test results indicate that you may not have celiac disease, some of them are elevated, which can still indicate non-celiac gluten sensitivity, for which there are not current tests, yet ~10x more people have than do celiac disease. Were you eating at least 2 slices worth of wheat bread per day for 6-8 weeks before the blood test? If not, your results could be false negative.

If possible it would be a good idea for you to see a dermatologist and get a DH skin biopsy next to a blister to see if it is DH. 

Have you ever tried a gluten-free diet? After all testing for celiac disease is completed you may want to try it for a few months to see if it helps with your symptoms.

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    • trents
      @KRipple, thank you for the lab results from your husband's celiac disease blood antibody testing. The lab result you share would seem to be the tTG-IGA (Tissue Transglutaminase IGA) and the test result is in excess of 10x normal. This is significant as there is an increasing tendency for physicians to grant a celiac disease diagnosis on the basis of antibody testing alone when the scores on that particular test exceed 10x normal. This trend started in the UK during the COVID pandemic when there was tremendous pressure on the medical system over there and it has spread to the USA. The tTG-IGA is the centerpiece of celiac disease blood antibody testing. All this to say that some doctors would grant a celiac disease diagnosis on your husband's bloodwork alone and not feel a need to go forward with an endoscopy with biopsy. This is something you and your husband might wish to take up with his physicians. In view of his many health issues it might be wise to avoid any further damage to his small bowel lining by the continuing consumption of gluten and also to allow healing of such to progress. The lining of the small bowel is the place where essentially all of our nutrition is absorbed. This is why celiac disease when it is not addressed with a gluten free diet for many years typically results in additional health problems that are tied to nutritional deficiencies. The millions and millions of tiny finger-like projections that make up the nutrient absorbing surface of the small bowel lining are worn down by the constant inflammation from gluten consumption. In celiac disease, the immune system has been tricked into labeling gluten as an invader. As these finger-like projections are worn down, the efficiency of nutrient absorption becomes more and more compromised. We call this villous atrophy.   
    • KRipple
      Thank you so much! And sorry for not responding sooner. I've been scouring the hospital records and can find nothing other than the following results (no lab info provided): Component Transglutaminase IgA   Normal Range: 0 - 15.0 U/mL >250.0 U/mL High   We live in Olympia, WA and I will be calling University of Washington Hospital - Roosevelt in Seattle first thing tomorrow. They seem to be the most knowledgeable about complex endocrine issues like APS 2 (and perhaps the dynamics of how APS 2 and Celiacs can affect each other). His diarrhea has not abated even without eating gluten, but that could be a presentation of either Celiac's or Addison's. So complicated. We don't have a date for endoscopy yet. I will let my husband know about resuming gluten.    Again, thank you so much for sharing your knowledge with me!
    • Jmartes71
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    • aattana
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    • trents
      Scott makes a good point about the prednisone. It has a general suppressing effect on the immune system. Don't misunderstand me. In view of your husband's several autoimmune afflictions, it would seem to be an appropriate medication therapy but it will likely invalidate endoscopy/biopsy test results for celiac disease.
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