Anti-tTG first: In suspected celiac disease / gluten enteropathy / sprue, the cheap screening test is the anti-ttg (tissue transglutiminase); followup may include the more costly IgA anti-endomysial antibdies (ema), biopsy of the gut, and/or a trial of a gluten-free diet. No one knows how common celiac disease really is; what matters is whether gluten elimination ultimately helps you.
Answered 8/5/2018
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