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    • trents
      Welcome to the forum, @Toaster! EMA is a celiac disease specific antibody test. It was one of the first antibody tests developed for celiac disease but it has fallen out of favor in recent years. It is an excellent test but expensive to administer as it requires the use of animal organ tissue (esophagus I think) in order to be run. Since then, a less expensive test known as the tTG-IGA has been developed that essentially accomplishes the same thing. Your test result of 1.24 g/L is meaningless unless you can also supply the reference range values used by the lab. Different labs use different reference ranges for negative vs. positive. There is no standard. The EMA test is discussed in this article along with other celiac disease antibody tests:  
    • Toaster
      EMA Iga 1.24 g/L It's in my medical records but has never been mentioned to me. 
    • Scott Adams
      I didn't have the issue until ~25 years after I went gluten-free. It's possible that our dry eye issues are not related to celiac disease...difficult to know for sure.
    • Scott Adams
      This might be an idea: https://www.hickoryfarms.com/gift-baskets/gluten-free/ 
    • Scott Adams
      Ok, sorry...do you eat oats? Around 10% of celiacs react to oats, even certified gluten-free oats. You may want to cut out oats and dairy/casein for a while to see if this helps.  Many people with celiac disease, especially those who are in the 0-2 year range of their recovery, have additional food intolerance issues which could be temporary. To figure this out you may need to keep a food diary and do an elimination diet over a few months. Some common food intolerance issues are dairy/casein, eggs, corn, oats, and soy. The good news is that after your gut heals (for most people who are 100% gluten-free this will take several months to two years) you may be able to slowly add some these items back into your diet after the damaged villi heal. This article may be helpful:   Here is some more info on seronegative celiacs.  You can still have celiac disease with negative blood test results, although it's not very common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/   
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