In children or symptomatic adults unwilling unable to undergo endoscopy a combo of high level TTG IgA2 10x ULN w positive EMA4 in 2nd blood sample is suggested as a reliable test for CD dx C M Serology should be performed while pt is on a regular gluten c

In children or symptomatic adults unwilling/unable to undergo endoscopy, a combo of high-level TTG-IgA² (>10x ULN) w/ positive EMA⁴ in 2nd blood sample is suggested as a reliable test for CD dx [C/M]. Serology should be performed while pt is on a regular (gluten-containing) diet.