I think most doctors probably require a positive blood test before proceeding to the biopsy. But as you say, I doubt the blood test really catches everyone. So a lot of people who should have a biopsy probably don't get one. However, a biopsy has risks. The person I knew who died, had been mis-diagnosed for at least 10-15 years before finding out she was celiac. Once she was diagnosed she was very strict on the celiac diet, but it was not enough. BTW, a real celiac diet is godawful, involves FAR more than just avoiding gluten in grains and grain products and baked goods.
sol

zeb caffe wrote:

thanks for the information sol. I to have heard that the test for celiac isnt always accurate and yet not many doctors do the biopsys.

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