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Clinician handoff

Celiac

Designed for a 60-second scan in primary care. Use this to explain why this theory fits, what would weaken it, and which tests are most worth discussing.

Why this still fits

I want to systematically evaluate whether Celiac is contributing to my brain fog and compare it against close alternatives.

What would weaken it

  • -Do gluten-linked symptoms and celiac serology (tTG-IgA with total IgA) point to immune-mediated gluten injury rather than non-celiac gut dysbiosis alone?
  • -Are reactions tightly linked to gluten exposure and celiac markers, rather than multiple-food intolerance without autoimmune evidence?
  • -Is anemia better explained by intestinal malabsorption and celiac markers, or by non-celiac causes of iron/B12 deficiency?

Key points to communicate

  • Please document what findings would confirm this cause versus lower confidence.
  • I want an evidence-first workup with clear follow-up criteria.
  • Please note which competing causes should be checked in parallel if results are inconclusive.

Tests and measurements to discuss

Need the fuller context? Use the test explainers for the measurement itself, or jump back to the tests section on the Celiac page to see how the tests fit the whole pattern.

Celiac Testing

Nutrient Status (if diagnosed)

Peer-reviewed references

  1. https://www.nice.org.uk/guidance/ng20
  2. https://doi.org/10.14309/ajg.0000000000000893
  3. https://doi.org/10.1016/S0140-6736(17)31796-8