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Tissue transglutaminase IgA antibody (serum/plasma)

Published: August 9, 2026Updated: August 16, 2026

This test measures the presence of antibodies against tissue transglutaminase, a protein linked to gluten sensitivity and celiac disease.

Quick summary

["Helps diagnose gluten-related disorders by detecting immune responses to gluten proteins."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
14838-7
Short code
T gondii Tiss Ql Cult
Synonyms
T gondii Tiss Ql Cult
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
organism-specific-culture
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like persistent diarrhea, abdominal pain, weight loss, or fatigue, especially if you’ve been diagnosed with or suspected of having celiac disease, gluten sensitivity, or an autoimmune condition linked to gluten exposure. It may also be used in screening or monitoring for gluten-related disorders in certain populations.

What to Expect Before the Test

No special preparation is needed, but if you’re on a gluten-free diet, your provider may advise temporarily reintroducing gluten to assess your response. Avoid alcohol and certain medications (like blood thinners) that could affect test results if instructed by your doctor.

What the Test Involves

A small blood sample is drawn from a vein in your arm. The sample is sent to a lab where it’s analyzed for antibodies against tissue transglutaminase. The test is typically done on serum or plasma and takes about 24 hours to complete.

What the Results Mean

Positive results suggest an immune response to tissue transglutaminase, which may indicate celiac disease or gluten sensitivity. Negative results mean no detectable antibodies, but other tests or further evaluation may still be needed to confirm a diagnosis.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High levels of these antibodies are strongly associated with celiac disease, an autoimmune condition where gluten triggers damage to the small intestine. They can also appear in gluten sensitivity or other gluten-related disorders. Early detection is key to managing symptoms and preventing long-term complications like nutrient deficiencies or damage to other organs.

Short name

IgA Anti-TTG

Frequently asked questions

What does a positive result mean?
A positive result strongly suggests celiac disease or gluten sensitivity. Your doctor will likely order additional tests, such as a biopsy of your small intestine or a gluten challenge, to confirm the diagnosis and guide treatment.
Can I eat gluten before the test?
If you’re on a gluten-free diet, your doctor may recommend temporarily reintroducing gluten for 4–6 weeks before testing to ensure accurate results. Follow your provider’s instructions carefully.
How long does it take to get the results?
Results are typically available within 24 hours, but the timing may vary depending on your lab’s processing schedule. Your doctor will discuss the results with you once they’re ready.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy