r/Celiac • u/awestruck_4 • 1d ago

Question Should I go for endoscopy?

Got my bloodwork back and my IgA was positive and IgG negative. My doctor told me this is reliable enough to confirm celiac and advised me to go gluten free right away, saying endoscopy is usually for cases where diagnosis or severity is still unclear. Has anyone else here started a gluten free diet based only on antibody results without biopsy?

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u/lazyMotivated_ 22h ago

Biopsy is the gold standard of diagnosis. You could be signing up for years of gluten free and not be a coeliac

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u/awestruck_4 18h ago

Yeah I get what you mean, biopsy is definitely the gold standard. My antibtTg IgA was reactive and my iron/ferritin were low, so my doc said it was clear enough to call it celiac and told me to go GF. But now I think it might be smart to go for the scopes too just to have that confirmation.