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Biopsy Result At Last. Help Understanding It!


designerstubble

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designerstubble Enthusiast

Wooah, 43 years undiagnosed? That's rough. Is that perhaps why you are taking longer to heal?? You are so positive, actually an inspiration... How did you get through that first endo being told that you hadn't healed. Its my nightmare ( I've become a real pessimist these last few years, prob celiac related). Respect to you, seriously.

So is this why you have cut out so many other foods? If you are intolerant to say soya for example and it gives you gi symptoms... Does this also cause gut damage? Or is it that it doesn't allow the gut to heal because of the inflammation? (I was doing well until Christmas where I somehow lost the plot and started consuming gluten-free kettle chips like crazy! Ok to start with, but then I had a few slices of gluten-free bread, and a few choc mints... Bang! Oooooh my poor guts. Why did I do it. I've undone all my good work. And now have come in random rashes etc. what an idiot eh?) back on my meagre simple diet... Hopefully get back to a happy gut in a few weeks.

Thanks for your posts, and answers, and advice.

One last question. How do you get on with life? As in... How do you let celiac NOT consume life. I'm too paranoid to even go out for a wine with friends. I've become a paranoid food obsessed hermit, stalking the celiac forums, unable to share normal conversation with my nearest and dearest, scouring my kitchen for crumbs, perusing google unsuccessfully for evidence that I'm unlikely to get lymphoma!! I just want to forget it all for a week and not care that my guts hurt, that I can't have nice fatty evil lump of cheese, or a nice cup of tea! Oops, dunno where that came from, ohh the frustration. Aaaaaggghh! :)


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designerstubble Enthusiast

Well now GFinDC, must admit you've made me laugh!!! Thank you!

Google university!! I'm there now, it's a tough course! Anyway, you saw Dr Fasano? Thanks for the link btw, I've got major brain ache as I have just spent the last 2 hours reading up on him via my cell, and my eyes are crossed now. ;)

Very verrrry interesting indeed! The pregnancy fits for me, had my son 6 years ago (and 2 miscarriages within 14 months after that), followed by noro virus and a severe bout of rotavirus! This was also a time of quite severe personal stress (not inc the pregnancy thing)... So I guess it could've been that. Just wish I could remember when bread started bothering me.

I'm interested... The cat meowing??!! Totally awesome! Obviously not that you were sick etc but, hey... animals and their senses.

So how long have you been gluten free? This food intolerance thing keeps cropping up, what kind of stuff did you cut out? 4.5 years eh? Did you actually have repeat endo's to know you we're still damaged or not? Or was just that you still felt rough with symptoms?

As for grapes?? How did you get to that one??! Is fruit a common one? Do you drink wine?

I'm so nosey, sorry :)

So what I'm really very interested in is this leaky gut. Dr F (so far in my 2 hour research) hasn't explained how to heal it! I fell off the wagon for a few days over Christmas (nothing major, chips and a few chocs and a bit gluten-free bread)... I'm now paying the price for it as I've come up in hives and itches etc... I reckon I have leaky gut.

I must unleak this gut of mine. You are right there are many bogus nasty people trying to make a buck from quick fixes.

But what's the truth? Can you heal a leaky gut? Obviously removing gluten is not enough for some of us. What have you done to feel normal? I want to be normal (never thought I'd say that!)

Where are you from GFinDC?

England has some great history, parts of it are beautiful... But the weather is too cold for me (I'm actually British born but half Spanish, half Hungarian and believe that I don't belong in this country having previously lived in the Spanish mountains for 6 years!)

And thank you for your time once again, I can't tell you what it means to have such support. Sincerely. :)

GFinDC Veteran

Well now GFinDC, must admit you've made me laugh!!! Thank you!

Google university!! I'm there now, it's a tough course! Anyway, you saw Dr Fasano? Thanks for the link btw, I've got major brain ache as I have just spent the last 2 hours reading up on him via my cell, and my eyes are crossed now. ;)

Very verrrry interesting indeed! The pregnancy fits for me, had my son 6 years ago (and 2 miscarriages within 14 months after that), followed by noro virus and a severe bout of rotavirus! This was also a time of quite severe personal stress (not inc the pregnancy thing)... So I guess it could've been that. Just wish I could remember when bread started bothering me.

I'm interested... The cat meowing??!! Totally awesome! Obviously not that you were sick etc but, hey... animals and their senses.

So how long have you been gluten free? This food intolerance thing keeps cropping up, what kind of stuff did you cut out? 4.5 years eh? Did you actually have repeat endo's to know you we're still damaged or not? Or was just that you still felt rough with symptoms?

As for grapes?? How did you get to that one??! Is fruit a common one? Do you drink wine?

I'm so nosey, sorry :)

So what I'm really very interested in is this leaky gut. Dr F (so far in my 2 hour research) hasn't explained how to heal it! I fell off the wagon for a few days over Christmas (nothing major, chips and a few chocs and a bit gluten-free bread)... I'm now paying the price for it as I've come up in hives and itches etc... I reckon I have leaky gut.

I must unleak this gut of mine. You are right there are many bogus nasty people trying to make a buck from quick fixes.

But what's the truth? Can you heal a leaky gut? Obviously removing gluten is not enough for some of us. What have you done to feel normal? I want to be normal (never thought I'd say that!)

Where are you from GFinDC?

England has some great history, parts of it are beautiful... But the weather is too cold for me (I'm actually British born but half Spanish, half Hungarian and believe that I don't belong in this country having previously lived in the Spanish mountains for 6 years!)

And thank you for your time once again, I can't tell you what it means to have such support. Sincerely. :)

Hi DS,

I guess we might as well support each other. At least we know what it's like to live with this condition, whereas other people don't. Dr. Fasano has a relation to a company working on a drug to treat leaky gut. It's still in testing I believe. Alba Theraputics.

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My food intolerances are listed in my signature. But basically nightshades, dairy and soy plus grapes are the biggies for me. They didn't seem to all hit at once though, but developed over time. Some of them seemed to get much worse over time, like soy. I did a series of elimination diets to find my intolerances. I cut out wine for 4 months a few years ago, but didn't notice any real difference. But I was still eating grapes and raisins. So no wonder, Duh! So last April I cut out all grapes, including wine, raisins, grape jam, grape juice everything. That made a huge improvement for me. Not instantly but over a month or 2. So, no I don't drink wine anymore. It was good while it lasted though! :)

Muffin, my cat, likes to kneed my stomach when my gut is hurting. I don't know how she knows it, but she does.

My opinion is the best thing is to stick to a whole foods diet for awhile, and see how things go. If things don't improve after 3 to 6 months, then it makes sense to look at other food intolerances. It can take 3 to 6 months for people to learn to eat gluten-free in the first place.

I am in Washington, DC, USA. I came here from Ohio though, another state in the US. Spain would be nice to visit. I made it as close as Portugal once, but didn't get to Spain. My ancesters are Irish, English and German though. With a little American Indian thrown in.

We are having a warm winter here in DC so far. Hardly any snow and not too cold. I think it is close to a record warm winter in fact.

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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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