FOR CELIAC DISEASE
FOUR BLOOD TESTS are recommended by the Celiac Disease Foundation to diagnose CD. It is unfortunate that few doctors are aware of these 4 tests so you may need to request them. I have discovered this personally through my own family experiences, in conversation with many folks who are trying to resolve their health issues and recently with a lab experience trying to help a friend. You may be able to just call and request these four tests without making another appointment.
THE FOUR BLOOD TESTS:
- tTG: IgG and IgA – Tissue Transglutaminase
- EMA: IgA – Endomysial Antibody
- AGA: IgG and IgA – Antigliadin Antibody
- Total Serum IgA – IgA Deficiency test
The tTG and EMA are LIMITED to diagnosing Celiac Disease
They will not identify Non-Celiac Gluten Intolerance
TESTING NEGATIVE for tTG
DOES NOT RULE OUT
NON-CELIAC GLUTEN INTOLERANCE
The ANTIGLIADIN ANTIBODY (AGA: IgG and IgA) testing is very important and is recognized by more forward thinking doctors. It is recommended by 3 national support groups; go to the Celiac Disease Foundation website, www.celiac.org, and download the PDF brochure on the ‘home page’ which will give credence to the 4 blood tests listed above. Take it to your doctor.
The ANTIGLIADIN ANTIBODY (AGA) blood testing should be used for children under 2 because the tTG or EMA antibodies may not have had time to develop; however, the ENTEROLAB STOOL TEST is more sensitive.
If you test negative on the blood tests, you will be told that you don’t have CD; the blood tests are often falsely negative. Patients are often told they may continue to consume gluten, which may lead to more or worse symptoms. CD/GI is a slow and progressively degenerative process; villous atrophy may be occurring at a miniscule level that is not even detectable with the typical microscope that is used, or…
The ANTIGLIADIN ANTIBODY
May be damaging other parts of the body
WITHOUT having any villous atrophy
It is important that people begin with the 4 blood tests (doctors need to learn about the 4 tests, and they will most likely be covered by your insurance). However, if you are negative on these tests or if your doctor is resistant to your request and the information you provide and s/he is only willing to do 1 test, then YOU MUST continue your quest for better health with ENTEROLAB STOOL TESTING or you simply may never resolve your health issues (see: ‘Progressive Testing’).
The AGA: IgG and IgA antibody blood tests are often positive when there is no intestinal damage (no villous atrophy), especially with neurological issues. These antibodies can affect other parts of the body: skin, nerves, blood, organs and more.
One could have NON-CELIAC GLUTEN INTOLERANCE (no gut damage) with numerous nasty ailments going on, and could highly benefit from the ANTIGLIADIN ANTIBODY (AGA: IgG and IgA) blood testing if doctors were more aware of these tests.
Some people have IgA Deficiency. It is important to have the Total Serum IgA blood test to discover this. If a person has IgA Deficiency they will not make enough IgA antibodies to test properly. They may actually test negative, but really be positive if they had been able to produce enough of the IgA antibodies.
- You MUST keep consuming gluten until you have your blood tests.
- Heavy-duty drugs (immuno-suppressants, maybe others) may jade or compromise the test results.
- If you are positive, it is recommended that parents, children, and siblings be tested as genes are involved.
- A STRICT Gluten-Free Diet MUST be adopted for life to rejuvenate your health or halt degenerative damage.
In SUPPORT of the 4 blood tests:
- Celiac Disease Foundation www.celiac.org; download their testing information (click on the home page for their PDF brochure) for your doctor, yourself, and your family and friends. It is on the 2nd side of their pamphlet and is also available in Spanish.
- The 4 BLOOD TESTS are also recommended in the Dangerous Grains book.
- The 4 BLOOD TESTS are recommended in the Lancet: “Coeliac Disease” by Dr. Peter Green. This is a great article written for doctors; see if you can get a copy for your doctor through a hospital or city library or perhaps your doctor subscribes to the Lancet. Keep a copy for future reference.
To be diagnosed with CD, traditional medicine says that you need to be positive on the endoscopic biopsy, the ‘gold standard’, showing damaged villi. There is a very wide spectrum here; not everyone who is Gluten Sensitive has damaged villi and not everyone tests positive on the tTG. There are many reasons one may seem to be negative on the endoscopy or actually not have flattened villi, but may be positive on the AGA blood tests, (or if negative on those, may be positive on the stool tests) and may be very Gluten Intolerant and perhaps quite sick.
REQUEST a COPY of the 4 TESTS
To be sure you received ALL 4
It is your legal right
Many people have been tested for CD, told they didn’t have it and only were given 1 test (most likely the tTG), when in reality they had requested the 4 blood tests. You need to be sure you were given all 4 tests as described above. If you are “sick and tired of being sick and tired” or are having chronic issues:
DO NOT JUMP FOR JOY
IF NEGATIVE ON THE BLOOD TESTS
DO THE STOOL TESTING AT ENTEROLAB
(See: ‘Progressive Testing’)