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Problems with the RAST test for Gluten/Wheat. Part 1: Testing the Test.

One out of 133 individuals are estimated to have Celiac Disease.  Yet only 1% of the affected population have been diagnosed.  Why is this?  One of the reasons is possibly the test requested by physicians.  The most common blood test requested for allergies is the RAST test or RadioAllergoSorbent Test.  Blood samples are taken to see if the blood contains IgE (Immunoglobulin E) antibodies that attached to an allergen’s surface.  While the test is very safe, it can give “false negatives”.  One needs to have the allergen in the blood stream for it to react; and it needs to be recent!  How recent is the question?  To answer this question, I asked my youngest son to volunteer to be my “guinea pig”.  He just started going to a new physician  who was not familiar with Celiac Disease. He made an appointment for his blood test for Monday.  The Friday before he started a hi-gluten diet.  He ate meals that consisted of: pasta, pizza, soft bread, and drank hi-gluten beer.  By Saturday night his stomach was rebelling and he had diarrhea.  On Sunday his stomach really started to hurt.  By Monday morning he was so tired he could hardly get out of bed.  He went for his blood test, then returned to his gluten-free diet.  The next week he went for his results.  The physician proudly announced to him that his test result of 14 was negative (My result was .7 ).  My son then sat his physician down and educated him about the results.  Why did the test give a “false negative”?  Combined with my son’s symptoms, was 14 really a negative result?

To be continued…..

46 Responses to “Problems with the RAST test for Gluten/Wheat. Part 1: Testing the Test.”

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    thanks for blogging about this! i have a gluten-free family, and while my kids are vibrant, healthy, intelligent, socially skilled, and beautiful, people always seem to think that i’m ‘too careful’ about the wheat in their diets (because i’m the one who’s allergic to it). I’m not diagnosed celiac (even though i took the blood test a day or two after drinking beer), but certainly have horrible reactions that make me more likely to voluntarily bungee jump than eat wheat. i get the same horrible fear sensation at the thought of each. I liked your comment on an earlier post about how once a celiac, always a celiac. if i could only convince people that wheat is not something you can grow un-allergic to… my attitude is if my kids have healthy balanced diets and are thriving, why in the world subject them to wheat which could take away much of their health and strength? and i love that you offer recipes everyone enjoys. being wheat-free is not a punishment, eating wheat when it makes you ill is. enjoying good wholesome nourishing food is very possibly (and sometimes easier) on a gluten-free diet.

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