Gut · U/mL

tTG-IgA (celiac disease)

tTG-IgA are IgA-class antibodies against tissue transglutaminase — the main screening blood test for celiac disease (autoimmune sensitivity to gluten).

Ranges we useESsCD
RatingRangeWhat it means
Goodbelow 7 U/mLNegative — celiac disease unlikely (with normal total IgA and a gluten-containing diet).
Talk to a doctor7 U/mL and abovePositive — celiac disease suspected; a consultation is needed for confirmation. Do NOT start a gluten-free diet beforehand.
Source: ESsCD · ESsCD 2025 Updated Guidelines on Coeliac Disease in Adults (Al-Toma A et al.) · 2025 · open

Why it matters

Positive with normal total IgA strongly argues for celiac disease.

If it’s low

Negative tTG-IgA (with normal total IgA and a gluten-containing diet) makes celiac disease unlikely.

If it’s high

A positive (elevated) tTG-IgA means suspicion of celiac disease; a high titer (e.g. >10× the upper limit) is a strong predictor. Confirmation with a doctor is needed (biopsy or genetics if required).

What to do

Do not interpret the result yourself. Positive → consult a doctor (gastroenterologist) for confirmation; do NOT start a gluten-free diet before that (it obscures the diagnosis). Always read together with total IgA.

Read together with

IgA (immunoglobulin A) · Ferritin · Vitamin B12

This content is for information only and is not a substitute for medical advice. Talk to your doctor about your results.

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