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Blood Tests For Celiac?


sfm

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sfm Apprentice

I am having bloodwork done to test me for gluten intolerance, malabsorption of nutrients, celiac, etc. Lucky for me, my doctor was open-minded and listened to me when I said I thought it might be an issue.

My concern is that I have been trying to maintain a gluten-free diet for almost 2 months now. I have been feeling tons better, although occasionally I have gotten some gluten a few times since, with predictable results. So I am pretty sure that this is what has been making me sick.

But from what I hear, me being off gluten might make the blood tests inaccurate. I guess my question is how long the antibodies stick around? If it's only been a couple of months, will they still show up?

The thought of going back on gluten just for an accurate diagnosis makes me ill thinking about it. I don't want to feel that way anymore if I can help it! My only reason for wanting an actual diagnosis is that my children might need to be tested, and I wouldn't want to ignore the possibility of them inheriting gluten intolerance / celiac disease if that's what I have. But I have been easing them into eating "my foods" anyway, with mixed results, so I think if I had to, I could just assume that they have the same gluten issues I do.

Any guidance, advice, answers would be greatly appreciated!

Sheryll


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happygirl Collaborator

If you have been gluten free for two months, your tests won't be very accurate. However:

if they are positive, then they are probably accurately positive.

if they are negative, it doesn't mean that they are accurately negative (since you took out the offender-gluten-that isn't triggering the reaction).

In order for the blood tests to be accurate (not a false negative), you have to be consuming gluten for an extended period of time.

Did you tell your doc you had been gluten free? What was his response?

Budew Rookie

Sfm -

Great answer.

happygirl-

I would suggest you have your children tested no matter what. If they are eating gluten now and have a blood test to see if they react why not do it. My mom has had celiac for 50 years, I was not tested until I was 40 years old. I never had the "typical symptoms" so I was never tested. My system was severely damaged because I had celiac disease for many years and ate gluten. This disease can be difficult to diagnose if you are looking for symptoms, ease if you check for it with a blood test while eating gluten.

As far as your test. It is a personal choice. If you are sure and don't feel like you need a blood test to confirm your suspicion, don't do it and skip feeling sick.

Good Luck

Budew

rez Apprentice

Definitely still get the test. My son's tTG was still positive after being very strictly gluten free for over 3 months. Make sure they do a tTG and an EMA for those will stay positive longer than the other two, I think IGG and IGA. Good luck!

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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!
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    • Jack Common
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