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Celiac Disease Quiz #4 - Dietary Compliance

Scott Adams
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Celiac Disease Quiz #4 - Dietary Compliance  

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Scott Adams Grand Master
Scott Adams
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Dietary Compliance

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    • trents
      Am I overexaggerating or is it normal?

      By trents · Posted

      I agree with knitty kitty.
    • trents
      3 month retest

      By trents · Posted

      So, did you get the decimal point wrong in both places? Was that original tTG-IGA 18.9 instead of 189? So, did it go from 18.9  up to 22.6 or from 189 down to 22.6? The endomycial (aka, EMA) is an older test and has generally been replaced by the tTG-IGA which is less expensive to perform and pretty much tests in the same way. It is more sensitive than the EMA so it is not uncommon for the tTG-IGA to be positive and the EMA to be negative, especially when the tTG-IGA is not a strong positive. As mentioned by knitty kitty, dairy can cause elevated tTG-IGA and so can oats (even gluten free oats) in about 10% of celiacs. We call this cross reactivity. The proteins of these foods are similar in structure to gluten. Also, there are some medications like NSAIDs and a certain blood pressure med that can damage small bowel villi as well as certain other medical conditions. https://www.verywellhealth.com/villous-atrophy-562583
    • knitty kitty
      3 month retest

      By knitty kitty · Posted

      Welcome to the forum, @glucel! Are you still consuming dairy?   About half of people with Celiac Disease also react to dairy.  Dairy products can make antibody levels rise. More importantly, vitamin deficiencies occur after surgery.  Anesthesia can precipitate a B 12 deficiency because nitrous oxide used in anesthesia can irrevocably bind with the B12 making it useless.  Thiamine deficiency can be precipitated by surgery because of increased metabolic demands when ill.   Deficiencies in these vitamins can cause constipation and "senior moments".  Do talk to your doctor about checking for nutritional deficiencies as part of proper follow up care for Celiac patients.  Supplementing with essential vitamins and minerals can boost your absorption of these nutrients.  Most Celiacs are deficient in the B Complex vitamins, Vitamin D, and minerals like magnesium, iron, and zinc, all important in repairing and healing the body.   Keep us posted on your progress!
    • Scott Adams
      Trying for a baby. Husband recently diagnosed Celiac

      By Scott Adams · Posted

      If your husband is 100% gluten-free going forward, any fertility affects caused by untreated celiac disease should disappear, it's very important that his diet is gluten-free. This article has some detailed information on how to be 100% gluten-free, so it may be helpful (be sure to also read the comments section.):    
    • Scott Adams
      Test results???

      By Scott Adams · Posted

      I agree with @trents and your low total IgA means that your tTG-IgA would have been higher--and you already mentioned that it was a "weak positive." A weak positive is still a positive test result, so the likely next test would be an endoscopy to confirm celiac disease.  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.     
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