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Yes Or No?


mcc0523

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mcc0523 Newbie

Like the header for the title says, my test results came back with a normal tTC IgA and a slightly elevated tTC IgG. As my labwork says, I have "none detected" niacin, almost no Vitamin D, and I'm on the "low normal" ranges of the other vitamins I was tested for. Even with a little over a week of going gluten free, the nausea that has been a constant in my life for... a really, really long time (at least 15 years) is not nearly as severe. I've been able to forgo anti-emetics a couple mornings, actually, when I would have taken it if I had still been eating gluten (I suspect). D hasn't been so bad... things have been loose, but not explosive (except the morning after I ate something without reading a label... which is when the nausea came back).

So.... I trust others who live with these diseases than I do doctors who only read about them. I haven't heard from my doc about these results, actually... They were drawn a month ago, and were expected to be in after two weeks. I called yesterday and demanded they be faxed to me. I don't know if or when I would have been notified. I am supposed to get another test and see this doctor again, but after this, I'm not sure if I want to. I have been reading more and more about the effects of B3 deficiency, and it's not pretty. The same with Vitamin D. It is a miracle that I only have very, very minor skin involvement going on right now (pellegra and DH look very similar.... perhaps a connection?), and I don't have full blown Pellagra (although I'm not so sure that I don't have delirium right now. :rolleyes: ).

Sigh... I keep hearing snippets of the Hippocratic Oath, not so much "Do no harm", though that if you follow that, then providing prevention should be no question, because prevention of a disease is far superior than a cure for a disease (or something like that).


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ravenwoodglass Mentor

It can take a while to heal and the fact the nausea is getting better is a good sign. False negatives are not uncommon so go with how you feel after a couple months on the diet strictly. Hopefully you are supplementing with good gluten free vitamins to help the deficiencies. It is a good idea to avoid dairy and soy for a bit until you are well healed and make sure you do all you need to do to avoid cross contamination. Change your toaster, cutting boards, replace scratched pans and don't bake with flour for others. Take it easy with gluten free replacement foods for a bit and go with whole unprocessed naturally gluten free stuff instead. Hang in there it and hopefully you will be feeling better soon.

cassP Contributor

Like the header for the title says, my test results came back with a normal tTC IgA and a slightly elevated tTC IgG. As my labwork says, I have "none detected" niacin, almost no Vitamin D, and I'm on the "low normal" ranges of the other vitamins I was tested for. Even with a little over a week of going gluten free, the nausea that has been a constant in my life for... a really, really long time (at least 15 years) is not nearly as severe. I've been able to forgo anti-emetics a couple mornings, actually, when I would have taken it if I had still been eating gluten (I suspect). D hasn't been so bad... things have been loose, but not explosive (except the morning after I ate something without reading a label... which is when the nausea came back).

So.... I trust others who live with these diseases than I do doctors who only read about them. I haven't heard from my doc about these results, actually... They were drawn a month ago, and were expected to be in after two weeks. I called yesterday and demanded they be faxed to me. I don't know if or when I would have been notified. I am supposed to get another test and see this doctor again, but after this, I'm not sure if I want to. I have been reading more and more about the effects of B3 deficiency, and it's not pretty. The same with Vitamin D. It is a miracle that I only have very, very minor skin involvement going on right now (pellegra and DH look very similar.... perhaps a connection?), and I don't have full blown Pellagra (although I'm not so sure that I don't have delirium right now. :rolleyes: ).

Sigh... I keep hearing snippets of the Hippocratic Oath, not so much "Do no harm", though that if you follow that, then providing prevention should be no question, because prevention of a disease is far superior than a cure for a disease (or something like that).

my ttg iga & igg were both "weak positive". and my antigliadin were negative. but my endomysial was positive, and 2 yrs after those tests- i got DH, Hashimoto's and Graves.... so dont necessarily be fooled by your WEAK elevated numbers...

what about the antigliadin & endomysial antibodies? and you might as well get a Total Iga Serum test too.

this disease can be very sneaky- you'll want to see all pieces to the puzzle

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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
      There was not a total IGA test done, those were the only two ordered. I would say I was consuming a normal amount of gluten, I am not a huge bread or baked goods eater
    • trents
      Were you consuming generous amounts of gluten in the weeks leading up to the blood draw for the antibody testing? And was there a Total IGA test done to test for IGA deficiency?
    • jlp1999
      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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