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Wonderful Family Doctor Experience

zarfkitty

By zarfkitty
in Doctors

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zarfkitty Explorer
zarfkitty
Posted

I just love, love, love my family doctor. I saw her this morning and made her a packet of my GI history, symptoms, tests and treatments. Also my non-GI symptoms and treatments.

I gave several reasons for not wanting the traditional celiac workup, which she accepted as solid.

Then I explained my enterolab results and why I think Dr. Fine is onto something. I was sure to keep my statements about Dr. Fine's work very objective, that the results were a good piece of information, not an accepted medical test.

I gave her documentation of my gluten-free diet and the positive response.

She told me she supported me 100%, she marked my chart gluten-intolerant, and she even asked me for Dr. Fine's website so that she could learn more about Enterolab. She said she believes in a wide spectrum of gluten sensitivity and that stool testing would be a very good tool to have when mainstream testing isn't enough.

At that point I literally jumped off the table and hugged her. She said I "enlightened her" today and that I was an easy patient because I did all her work for her.

Wheeeeeeeeeee! :D :D :D

p.s. I've got the packet saved on my computer. Email me if you'd like to use it as a template for discussing enterolab results with your doc.

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Sandi Explorer
Sandi
Posted
I just love, love, love my family doctor. I saw her this morning and made her a packet of my GI history, symptoms, tests and treatments. Also my non-GI symptoms and treatments.

I gave several reasons for not wanting the traditional celiac workup, which she accepted as solid.

Then I explained my enterolab results and why I think Dr. Fine is onto something. I was sure to keep my statements about Dr. Fine's work very objective, that the results were a good piece of information, not an accepted medical test.

I gave her documentation of my gluten-free diet and the positive response.

She told me she supported me 100%, she marked my chart gluten-intolerant, and she even asked me for Dr. Fine's website so that she could learn more about Enterolab. She said she believes in a wide spectrum of gluten sensitivity and that stool testing would be a very good tool to have when mainstream testing isn't enough.

At that point I literally jumped off the table and hugged her. She said I "enlightened her" today and that I was an easy patient because I did all her work for her.

Wheeeeeeeeeee! :D :D :D

p.s. I've got the packet saved on my computer. Email me if you'd like to use it as a template for discussing enterolab results with your doc.

can you please send me a copy I get my results back I want to go talk to my dr

sandi

thank you

zarfkitty Explorer
zarfkitty
Posted
  • Author

Sandi I sent you an email. I need your real email address so I can send you the attachment. The packet is really too long to post here as text. :)

Sandi Explorer
Sandi
Posted
Sandi I sent you an email. I need your real email address so I can send you the attachment. The packet is really too long to post here as text. :)

Thank you again

it will be very helpful

sandi

celiacgirls Apprentice
celiacgirls
Posted

Will you tell me your doctor's name? I am also in Austin and might consider switching doctors. I like my doctor but I don't think she believes in my gluten intolerance.

zarfkitty Explorer
zarfkitty
Posted
  • Author
Will you tell me your doctor's name? I am also in Austin and might consider switching doctors. I like my doctor but I don't think she believes in my gluten intolerance.

Your email address is hidden. Email me from my profile. I'm happy to share. :)

little d Enthusiast
little d
Posted

zarfkitty

Good for you, I just went to my family doctor for my posible DH on friday, he I guess believes me he had all my results from my GI doc and when I told him that I have been having D along with the DH he said ok welll maybe there is a connection here and did not say ok ya you are a Celiac or anything just said if the diet helps well then continue on with the diet. Well ok thats fine but he never told me if it could be DH or not, but I did get a blood work up for the physical, will any blood work be abnormal if in the middle of a possible DH outbreak and D

donna

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    • Scott Adams
      How many grams is there in one slice of wheat bread?

      By Scott Adams · Posted

      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
      Confused with test results

      By Scott Adams · Posted

      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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      By MaryMJ · Posted

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    • trents
      What should I do with these test results?

      By trents · Posted

      I agree. Doesn't look like you have celiac disease. Your elevated DGP-IGG must be due to something else. And it was within normal at that after your gluten challenge so it is erratic and doesn't seem to be tied to gluten consumption.
    • Jack Common
      How many grams is there in one slice of wheat bread?

      By Jack Common · Posted

      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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