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For You Law Savvy People Out There


NicoleAJ

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NicoleAJ Enthusiast

I honestly don't know the answer to this question, and I don't mean to anger anyone with this question--I'm just genuinely curious about the legal definitions and ramifications of our disease. When potential employers ask you to check off boxes about your minority or disability status, what do you do? Technically, unless we have other complications, we are all vibrant, able-bodied, functioning members of society, but the effects of gluten contamination can be both temporarily debilitating and pose long-range problems for our health. In some jobs it's completely easy to maintain a gluten free lifestyle, but in others, it is very difficult to have access to the foods that we need to remain healthy, and things would be a lot easier if our employers made *reasonable* efforts that would help us to assure our own safety in terms of food.


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tarnalberry Community Regular

Unless a well controlled celiac disease would significantly interfere with the daily requirements of your job, it should not come up. If you are to be a pastry chef, it may play a role, and is then worth talking to your potential employer about. (Employers actually can't ask you most questions about your status on most things - could lead to discrimination. Or, in some situations they can ask, but can't make you answer. Laws can vary by state as well.)

mmaccartney Explorer

I've never been asked about disability status before. It was mentioned before that the US Military does consider Celiac a disability. Those with celiac cannot be put into "unfreindly" sittuations. e.g. Iraq...how would they safely feed you??

As far as general. I believe it to be a disability, someone did call the ADA once and they got a yes answer.

Here is the ADA definition of a disability:

An individual is considered to have a "disability" if s/he has a physical or mental impairment that substantially limits one or more major life activities, has a record of such an impairment, or is regarded as having such an impairment. Persons discriminated against because they have a known association or relationship with an individual with a disability also are protected.

The first part of the definition makes clear that the ADA applies to persons who have impairments and that these must substantially limit major life activities such as seeing, hearing, speaking, walking, breathing, performing manual tasks, learning, caring for oneself, and working. An individual with epilepsy, paralysis, HIV infection, AIDS, a substantial hearing or visual impairment, mental retardation, or a specific learning disability is covered, but an individual with a minor, nonchronic condition of short duration, such as a sprain, broken limb, or the flu, generally would not be covered.

The second part of the definition protecting individuals with a record of a disability would cover, for example, a person who has recovered from cancer or mental illness.

The third part of the definition protects individuals who are regarded as having a substantially limiting impairment, even though they may not have such an impairment. For example, this provision would protect a qualified individual with a severe facial disfigurement from being denied employment because an employer feared the "negative reactions" of customers or co-workers.

Reference: Open Original Shared Link

Note that the Americans with Disabilities Act applies to employment.

Personally I think celiac qualifies. It does impair my life activities, particularly due to my arthritis and fibro that are caused by my celiac. Those symptoms remain and impede me daily. For celiac though, as long as I maintain control on my diet then celiac does not interfere with my life acitivities. But one contamination and I'm outta work for 2-3 days, let alone any other life activities.

I think that it depends on what your symptoms are, realistically how well our diet works, other associated syndromes/diseases/problems you have that are caused by or related to your symptoms.

I think each person would be different, and I also don't think you'd get a solid answer until you talked to an attorney that understands disability law.

Of course, anything would require an official diagnosis as your doctor(s) would likely be consulted.

penguin Community Regular

I called the ADA once when I was dx'ed. They said it probably is a disability, but it would depend from person to person and place to place. It's a crapshoot, as far as they're concerned.

NicoleAJ Enthusiast

Thanks for all of the responses--I hadn't found any definitive answers on the topic, so I assumed that this was a sort of gray area.

tiredofdoctors Enthusiast

Quite frankly, I also think it depends upon your doctor's notes and perspective. I have applied for Social Security Disability because the gluten intolerance has affected my brain. My neurologist was the one who told me to apply. His notes are pretty strong, as well as the second neurologist I see, so I would hope that it would be considered a disability.

If you're talking about in your workplace, it's pretty easy to consider it a disability -- and your employer would have to make accommodations for that.

If you're talking about Social Security -- Ha! I expect to be rejected at least twice -- then have an attorney go before the hearing and then I'll get it. It's rediculous.

Rusla Enthusiast

From 2001-2003 in Canada it was considered a disability because of the fact we had to trudge everywhere to get food, the making of the food the fact that this disease could interfere with daily living. Then all of a sudden so bright individual who doesn't have this decided that it isn't a disability because we don't need a feeding tube. So, now it is considered a medical expense which means, in order to get any part of it off our income tax we need to make copious amounts of money.


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mmaccartney Explorer
If you're talking about Social Security -- Ha! I expect to be rejected at least twice -- then have an attorney go before the hearing and then I'll get it. It's rediculous.

Wow, keep us informed! This is typical of social security, it takes at least 2 denials, then an attorney (at your expense) to get any $$ out of the gov't for social security disability.

What kinds of symptoms do you have that your neurologists feel so strongly about? I haven't had many noticeable cognitive issues, mine seem to be all physical...

My biggest problem is my arthritis and fibro. I am a computer scientist and all my training, education, and expierence is in the computer industry. Well, it hurts to type, and it is getting worse.

MySuicidalTurtle Enthusiast

I do consider Celiacs to be a disability under the law because it does rule our lives and could be a problem at work and/or school. I do not, however, list it when filling out paper work.

tarnalberry Community Regular

in most cases, our employers don't supply us with food, so it's kinda a moot point at work in many situations (not all, I know, and in those other situations, employers may have to make some accomodations). if we stay on the gluten-free diet, we're pretty much like anyone else unless we're dealing with additional medical problems, which usually end up needing to be dealt with on a case by case basis if it comes down to involving the law. and then, it's mostly "my doctor says...", which is dependent of having a good doctor...

cultureslayer Rookie

I've been denied housing because of it. No joke, and this happened a few days after I was diagnosed. I was paying for a room from the 1st of May and arriving on the 12th late at night and the jerk that ran the place wanted me to spend a night in a hostel and check in the next day. I called and sent her an email stating that with chronic fatigue and my gluten free diet (= many hours in multiple grocery stores finding food) there was no way I could move in on Saturday and get everything done by the time I started work on Monday, so I would like to have a friend pick up my key a week early and stay in the room (you don't want to be walking around honolulu after dark if you're obviously from out of town, safety precaution).

She then returned my deposit and said I was being too difficult. I'm still trying to decide if I should create hell for her with the fair housing office when I get there.

tiredofdoctors Enthusiast
I've been denied housing because of it. No joke, and this happened a few days after I was diagnosed. I was paying for a room from the 1st of May and arriving on the 12th late at night and the jerk that ran the place wanted me to spend a night in a hostel and check in the next day. I called and sent her an email stating that with chronic fatigue and my gluten free diet (= many hours in multiple grocery stores finding food) there was no way I could move in on Saturday and get everything done by the time I started work on Monday, so I would like to have a friend pick up my key a week early and stay in the room (you don't want to be walking around honolulu after dark if you're obviously from out of town, safety precaution).

She then returned my deposit and said I was being too difficult. I'm still trying to decide if I should create hell for her with the fair housing office when I get there.

That is OUTRAGEOUS! I would create hell, I think. What a jerk!

mmaccartney: I have gluten ataxia. There are sites (mostly because of studies done in the UK) that can explain it better than me, but here goes: there are proteins on the Perkinje cells of the cerebellum of the brain and the retinas of the eye that are extremely similar to gliadin. They rely on gliosis for their maintenance. With gluten ataxia, the body mistakes these cells for the same cells that are in gluten. Therefore, when the antigliadin antibodies are elevated, the body just starts attacking everything, including the Perkinje cells and subsequently destroying them. Because of that, the cerebellum doesn't get a fluid stream of information in order to coordinate (basically every part of) the body. When you're drunk, the alcohol affects your cerebellum -- hence, you fail the drunk test. I can't even stand with my feet together now. They tried to have me close my eyes and put my hands out in front of me at the doctor, and they caught me right before I hit the floor. It's started affecting other things too (I just posted a topic about hating this disease that has a lot of what's happening to me). I fall ALL the time, can't drive now, am in a wheelchair, etc. etc. The really ironic thing? Before it happened, I was 6'1, 148 lbs., size 6 or 8, and 12% bodyfat. I was buff! My daughter has a picture of me and my husband prior to my getting sick. She showed it to my ex-husband -- he said, has your mother been lifting weights? She is BUFF! (trust me -- for him to say anything good, it has to be monumental!) Unfortunately, because it's brain tissue that's been targeted, it is gone. It won't heal, won't regenerate. The best that I can hope for is that MAYBE it can re-route and develop new pathways. It's highly unlikely, because I have yet ANOTHER condition that, under normal circumstances, would require brain surgery, but because I have this, they don't want to risk it. So . . . . I'm kind of stuck. (Sorry for the long explanation, but I don't know a shorter version)

Hoping that Social Security sees it that way, too . . . but you know how that goes . . . . probably not!

  • 10 years later...
jeanzdyn Apprentice

I have a question regarding notifying my employer officially, with a letter from my GI doctor, that I have Celiac Disease.  They want an "outline" of restrictions, if any.  I am concerned that they will try to use it as ammunition to fire me.  I was hired because I have a CDL (commercial truck driver's license) and they think that if I cannot drive the vehicle they can fire me.  I would be required to go out alone and move trailers and hook/unhook trailers, and a host of other duties --we are NOT a trucking company, we do hearing testing.  My wish is to transition into the office and not have to travel or drive any more.  

I do not want to give them a letter from my doctor if they can use it to fire me.  All of that stated: I am not sure I want to work for them at all any longer, HOWEVER, I cannot simply quit my job,  I have no savings and am single, I have no one to provide for me, no pension, etc.  This is very complicated. 

The main thing I want to know is: can they fire me for providing them with a letter that may state that I cannot travel overnight away from home?   

kareng Grand Master
54 minutes ago, jeanzdyn said:

I have a question regarding notifying my employer officially, with a letter from my GI doctor, that I have Celiac Disease.  They want an "outline" of restrictions, if any.  I am concerned that they will try to use it as ammunition to fire me.  I was hired because I have a CDL (commercial truck driver's license) and they think that if I cannot drive the vehicle they can fire me.  I would be required to go out alone and move trailers and hook/unhook trailers, and a host of other duties --we are NOT a trucking company, we do hearing testing.  My wish is to transition into the office and not have to travel or drive any more.  

I do not want to give them a letter from my doctor if they can use it to fire me.  All of that stated: I am not sure I want to work for them at all any longer, HOWEVER, I cannot simply quit my job,  I have no savings and am single, I have no one to provide for me, no pension, etc.  This is very complicated. 

The main thing I want to know is: can they fire me for providing them with a letter that may state that I cannot travel overnight away from home?   

The way I understand it,  if your job is staying overnight and you no longer can perform that duty  without  "reasonable" accommodations, they can fire you.   You could certainly ask for a transfer to an available job.  You could get a doc to say what accommodations you need.  Perhaps the ability to bring a cooler and stay at hotels with microwaves would work.  That seems "reasonable". 

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   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.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
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    • Jack Common
      Hello! I want to share my situation. I had symptoms like some food intolerance, diarrhea, bloating, belching one year ago. I thought I could have celiac disease so I did the blood tests. The results were ambiguous for me so I saw the doctor and he said I needed to do tests to check whether I had any parasites as well. It turned out I had giardiasis. After treating it my symptoms didn't disappear immediately. And I decided to start a gluten free diet despite my doctor said I didn't have it. After some time symptoms disappeared but that time it wasn't unclear whether I'd had them because of eliminating gluten or that parasite. The symptoms for both are very similar. Giardiasis also damages the small intestine. The only way to check this was to start eating bread again as I thought. Now about my results.   These are my first test results (almost a year ago) when I had symptoms: The Tissue Transglutaminase IgA antibody - 0.5 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) The Tissue Transglutaminase IgG antibody - 6.6 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) Immunoglobulin A - 1.91 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) IgA Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) IgG Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) Deamidated gliadin peptide IgA - 0.3 U/ml (for the lab I did the tests 0.0 - 6.0 is normal) Deamidated gliadin peptide IgG - 46.1 U/ml (for the lab I did the tests 0.0 - 6.0 is normal)   Then I didn't eat gluten for six months. Symptoms disappeared. And I started a gluten challenge. Before the challenge I did some tests. My results: The Tissue Transglutaminase IgG antibody - 0.5 U/ml (for the lab I did the tests < 20 U/ml is normal)) Deamidated gliadin peptide IgG - 28 U/ml (for the lab I did the tests < 20 U/ml is normal)   During the challenge I ate 6 slices of wheat bread. After the challenge my results are: The Tissue Transglutaminase IgA antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) The Tissue Transglutaminase IgG antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.31 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgA - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Deamidated gliadin peptide IgG - 2.13 U/ml (for the lab I did the tests < 20 U/ml is normal)   To be sure I continued consuming gluten. I ate a lot each day. Two months after I did the tests again. My results I got today are: The Tissue Transglutaminase IgA antibody - 0.7 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.62 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgG - 25.6 U/ml (for the lab I did the tests < 20 U/ml is normal)   Nowadays I didn't have any symptoms except tiredness but I think it's just work. I think it was this parasite because two years ago, for example, and before I didn't have these symptoms and I always ate gluten food. But I'm still not sure especially because the Deamidated gliadin peptide IgG results are sometimes high. What do you think? @Scott Adams
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