People often ask…
**“How do you actually get diagnosed with celiac disease?”**
For most people in the United States, diagnosis still involves:
Positive celiac blood tests
A positive endoscopic biopsy
But in some children…
There may be another path.
It’s often called a **“triple positive”** or **“no-biopsy”** diagnosis.
This approach has been used in Europe for years and is now increasingly recognized in the United States for selected pediatric patients.
That typically means:
**tTG-IgA is more than 10× your lab’s normal range**
**A second blood sample confirms a positive EMA test**
**The child is still eating gluten during testing**
And yes…
**All testing must be done while eating gluten.**
No gluten…
No accurate test.
Celiac is common.
**Diagnosis is not.**
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