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JenAnderson

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JenAnderson Rookie

What is Enterolab and why does it seem like that is the gold standard in testing? What do they do when they test? I have taken a blood test that came back inconclusive and had a "Biopsy", but the gastro that I saw said that he didn't see any scarring. I've had an appendectomy a few months ago and the surgeon said that I needed to be retested because from the state of my appendix, I could have been having problems with that all along. Can anyone help me? I have been gluten-free since Jan 04 and I have no idea what to do with all this new info.


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cornbread Explorer

Go to their web site and read read read - lots of great info there. :)

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tiffjake Enthusiast

I had testing done there (EnteroLab) because I didn't want to go through my doc. After doing several tests (Lame Advertisement, EnteroLab, and gluten free diet and then challenge) I went to my doc for the blood tests. I didn't want to get the discouraging comments that I have seen on here that so many people get from non-believing docs. That was my experience. Good luck! I hope you find what you are looking for!

mmaccartney Explorer

the "gold standard" is positive serology with positive intestinal biopsy. These methods are extermely old, and as we celiacs know, they are not that accurate unless your disease is progressed!

Enterolab is appealing to many as 1) it is non invasive, 2) it does NOT require you to ingest gluten for testing purposes.

The issues are that the testing is not standardized nor has it been put through a peer review. Many doctors don't see them as legitimate.

I made the choice to use them. My serology was funny, my biopsy negative. But then my disease was only active for about 1.5 yrs. If I continued on and got tested after a year or two, the results surely would have been different. So, I ended up going with Enterolab (my ins actually paid!!) and I got the results I knew I would get.

JenAnderson Rookie

Well I've called my insurance company and since it's not a military physician or facility, the military won't cover it (Go Figure) Ah well.

mmaccartney Explorer

Bummer! I know nothing about military insurance. I would ask them if the military provides this type of testing, and if a military doctor ordered it, would it still be covered??? I woul expect that if a doctor in their plan ordered the test, it wouldn't matter what lab it came from!

My insurance company told me that they would *not* cover the testing. They wouldn't consider it "medically necesary" unless a doctor ordered it.

I wanted the testing, so I put up the $390 to have it done. Just for kicks I got a claim form and sent it to my insurance company. Surprise! they paid it! I am still shocked......

I am having my kids tested. Just to be safe I'm trying to ge their pediatrician to "order" the tests so that if the ins denies it I can appeal and get payment...

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    • trents
      I would ask for a total IGA test (aka, Immunoglobulin A (IgA) and other names as well) to check for IGA deficiency. That test should always be ordered along with the TTG IGA. If someone is IGA deficient, their individual celiac IGA test scores will be artificially low which can result in false negatives. Make sure you are eating generous amounts of gluten leading up to any testing or diagnostic procedure for celiac disease to ensure validity of the results. 10g of gluten daily for a period of at least 2 weeks is what current guidelines are recommending. That's the amount of gluten found in about 4-6 slices of wheat bread.
    • jlp1999
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    • trents
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      Thank you for the reply. It was the TTG IGA that was within normal limits
    • trents
      Welcome to the forum, @jlp1999! Which IGA test do you refer to as being normal? TTG-IGA? Total IGA? DGP-IGA? Yes, any positive on an IGA or an IGG test can be due to something other than celiac disease and this is especially true of weak positives. Villous atrophy can also be cause by other things besides celiac disease such as some medications, parasitic infections and even some foods (especially dairy from an intolerance to the dairy protein casein). But the likelihood of that being the case is much less than it being caused by celiac disease.
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