A member asked:

Celiac testing- iga total 410, ttg iga 4 (weak positive), deamidated gliadin abs, igg 4 (negative). positive for celiac? dr initially said yes, now says no despite symptoms?

Q: celiac testing- iga total 410, ttg iga 4 (weak positive), deamidated gliadin abs, igg 4 (negative). positive for celiac? dr initially said yes, now says no despite symptoms?

: This is far more complex in many cases. Testing includes HLA typing, serum levels of gliadin and transglutaminase, and small bowel biopsy. Confirmation is not always easy, as this can depend on dietary gluten restrictions. Perhaps a second opinion from an experienced gastroenterologist?

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Dr. Bennett Machanic answered

This is far more complex in many cases. Testing includes HLA typing, serum levels of gliadin and transglutaminase, and small bowel biopsy. Confirmation is not always easy, as this can depend on dietary gluten restrictions. Perhaps a second opinion from an experienced gastroenterologist?

Answered 9/30/2022

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A member asked:

Celiac testing- iga total 410, ttg iga 4 (weak positive), deamidated gliadin abs, igg 4 (negative). positive for celiac? dr initially said yes, now says no despite symptoms?

A doctor has provided 1 answer

Dr. Bennett Machanic answered

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