My test results came back this afternoon.


Interpretation of Fecal Antigliadin IgA:  Intestinal antigliadin IgA antibody was elevated, indicating that you have active dietary gluten sensitivity. For optimal health, resolution of symptoms (if you have them), and prevention of small intestinal damage and malnutrition, osteoporosis, and damage to other tissues (like nerves, brain, joints, muscles, thyroid, pancreas, other glands, skin, liver, spleen, among others), it is recommended that you follow a strict and permanent gluten free diet. As gluten sensitivity is a genetic syndrome, you may want to have your relatives screened as well.


Interpretation of Fecal Antitissue Transglutam inase IgA:  You have an autoimmune reaction to the human enzyme tissue transglutaminase, secondary to dietary gluten sensitivity.


Interpretation of Quantitative Microscopic Fecal Fat Score:  Provided that dietary fat is being ingested, a fecal fat score less than 300 indicates there is no malabsorbed dietary fat in stool indicating that digestion and absorption of nutrients is currently normal.


Interpretation of Fecal anti-casein (cow’s milk) IgA antibody:  Levels of fecal IgA antibody to a food antigen greater than or equal to 10 are indicative of an immune reaction, and hence immunologic “sensitivity” to that food. For any elevated fecal antibody level, it is recommended to remove that food from your diet. Values less than 10 indicate there currently is minimal or no reaction to that food and hence, no direct evidence of food sensitivity to that specific food. However, because 1 in 500 people cannot make IgA at all, and rarely, some people can still have clinically significant reactions to a food antigen despite the lack of a significant antibody reaction (because the reactions primarily involve T cells), if you have an immune syndrome or symptoms associated with food sensitivity, it is recommended that you try a strict removal of suspect foods from your diet for up to 12 months despite a negative test.


Interpretation Of HLA-DQ Testing:  Although you do not possess one of the main HLA-DQB1 genes predisposing to celiac sprue (HLA-DQB1*0201 or HLA-DQB1*0302), HLA gene analysis reveals that you have one copy of a gene that predisposes to gluten sensitivity (any DQ1, DQ2 not by HLA-DQB1*0201, or DQ3 not by HLA-DQB1*0302). Having one of these genes means that each of your offspring has a 50% chance of receiving this gene from you, and at least one of your parents passed it to you.



          So all that basically means: I have Celiac Disease (hence the autoimmune reaction).  I do NOT have a milk sensitivity.  I do NOT have the gene for Celiac Disease, but DO have allele that predisposes me to it.  Each of my children has a 50% chance of inheriting that gene.  Because it is not the gene “responsible” for Celiac Disease, they should be screened periodically, or if they become symptomatic at any time. 


          The gluten is much easier to remove from my diet than the caseine, so thank The Force for small favors.  I can have my damn cheese and not feel guilty now!  WOOT!  No more hunting around for that certain brand of rice milk, either!  I know having this disease isn’t necessarily a reason to celebrate, but it’s better than what we were looking at, so I’m okay with it.  I can be gluten-free forever.  I really can…  as long as I can have my friggin’ cheese!  WOO-HOO!!!

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