Library
/
Immune System
/
Celiac Disease Comprehensive Panel Testing

Celiac Disease Comprehensive Panel Testing

February 2, 2026
Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Do I need a Celiac Disease Comprehensive Panel test?

Struggling with bloating, diarrhea, fatigue, or unexplained weight loss? Could gluten be triggering an immune response in your body, and could testing reveal what's really going on?

This panel measures specific antibodies and genetic markers that indicate whether your immune system is reacting to gluten. It helps identify celiac disease or gluten sensitivity that might be causing your digestive distress and fatigue.

Getting tested gives you a vital snapshot of your immune response to gluten, empowering you to pinpoint the root cause of your symptoms. With clear results, you can personalize your diet and lifestyle to finally find relief and reclaim your energy.

Book your test now
With Superpower, you have access to a comprehensive range of biomarker tests
Book a Celiac Disease Comprehensive Panel Testing Test
Physician reviewed
CLIA-certified labs
HIPAA compliant

Get tested with Superpower

If you’ve been postponing blood testing for years or feel frustrated by doctor appointments and limited lab panels, you are not alone. Standard healthcare is often reactive, focusing on testing only after symptoms appear or leaving patients in the dark.

Superpower flips that approach. We give you full insight into your body with over 100 biomarkers, personalized action plans, long-term tracking, and answers to your questions, so you can stay ahead of any health issues.

With physician-reviewed results, CLIA-certified labs, and the option for at-home blood draws, Superpower is designed for people who want clarity, convenience, and real accountability - all in one place.

Key benefits of Celiac Disease Comprehensive Panel testing

  • Confirms whether gluten triggers your immune system to attack your intestine.
  • Spots celiac disease early, before severe nutrient deficiencies or complications develop.
  • Clarifies unexplained anemia, fatigue, bloating, or weight loss tied to gluten.
  • Guides whether a strict gluten-free diet is medically necessary for you.
  • Flags risk for osteoporosis, infertility, and neurological problems if untreated.
  • Tracks antibody levels after diagnosis to confirm your diet is working.
  • Best interpreted while eating gluten regularly; results may be falsely negative otherwise.

What is Celiac Disease Comprehensive Panel?

The Celiac Disease Comprehensive Panel is a group of blood tests that detect specific antibodies your immune system produces when it mistakenly attacks gluten proteins. These antibodies include tissue transglutaminase (tTG), endomysial antibodies (EMA), and deamidated gliadin peptides (DGP), along with total immunoglobulin A (IgA) to ensure your immune system can make antibodies normally.

Your immune system's fingerprint for gluten reactions

When someone with celiac disease eats gluten, their immune system treats it as a threat and creates these specialized antibodies. The antibodies don't just target gluten itself. They also attack tissue transglutaminase, an enzyme in your intestinal lining, causing inflammation and damage.

Why a panel beats a single test

Testing multiple antibodies together increases accuracy because different antibodies appear at different stages or in different people. The IgA measurement is critical because some people are IgA-deficient, which would cause false-negative results on the other tests. This comprehensive approach helps confirm whether your immune system is reacting to gluten in the characteristic pattern of celiac disease.

Why is Celiac Disease Comprehensive Panel important?

The Celiac Disease Comprehensive Panel measures antibodies your immune system produces when gluten triggers an autoimmune attack on the small intestine. This panel reveals whether your body is mistakenly treating gluten as a threat, damaging the villi that absorb nutrients and setting off a cascade that affects digestion, bone health, fertility, neurologic function, and long-term cancer risk.

When the panel comes back negative

Absent or very low antibody levels suggest your immune system tolerates gluten normally. Your intestinal lining remains intact, nutrient absorption proceeds smoothly, and you avoid the fatigue, anemia, and bone loss that untreated celiac disease can cause. Negative results also help rule out celiac disease in people with unexplained symptoms, guiding clinicians toward other diagnoses.

When antibodies are elevated

High antibody titers signal active autoimmune inflammation in the small intestine. Over time, this erodes the absorptive surface, leading to iron and calcium deficiency, osteoporosis, infertility, and neurologic symptoms like peripheral neuropathy or ataxia. Children may experience stunted growth and delayed puberty. Women with untreated celiac face higher miscarriage rates and menstrual irregularities.

The bigger metabolic picture

Because the small intestine governs nutrient entry into the bloodstream, untreated celiac disease reverberates across every organ system. It raises the risk of lymphoma, other autoimmune conditions like type 1 diabetes and thyroid disease, and chronic malnutrition despite adequate food intake. Early detection protects long-term health and quality of life.

What do my Celiac Disease Comprehensive Panel results mean?

Low or negative values usually reflect absence of immune reactivity

A negative panel means your immune system is not producing antibodies against tissue transglutaminase, endomysial antigens, or deamidated gliadin peptides. This typically indicates you are not mounting an autoimmune response to gluten and suggests celiac disease is unlikely. In someone already following a strict gluten-free diet, antibody levels naturally fall, so a negative result may reflect dietary adherence rather than absence of disease.

Normal or negative results suggest no active autoimmune response to gluten

Being in range means your immune system is not reacting to gluten in a way that damages the small intestinal lining. This supports normal nutrient absorption and intestinal barrier function. It does not rule out non-celiac gluten sensitivity, which does not involve these specific antibodies.

High or positive values usually reflect an autoimmune reaction to gluten

Elevated antibodies indicate your immune system is attacking tissue transglutaminase and related proteins in response to gluten exposure. This autoimmune process damages the villi of the small intestine, impairing absorption of iron, calcium, folate, and fat-soluble vitamins. Symptoms range from diarrhea and bloating to anemia, osteoporosis, and neurologic changes.

Interpretation depends on recent gluten intake and testing context

Results are only accurate if you have been consuming gluten regularly for several weeks before testing. IgA deficiency can cause false negatives, so total IgA is often measured alongside. Biopsy remains the diagnostic gold standard.

Method: FDA-cleared clinical laboratory assay performed in CLIA-certified, CAP-accredited laboratories. Used to aid clinician-directed evaluation and monitoring. Not a stand-alone diagnosis.

Subscribe for updates
By clicking “Subscribe” you agree to our Terms and Privacy Policy.
Your content is on its way!
By clicking “Subscribe” you agree to our TOS and Privacy Policy.
Oops! Something went wrong while submitting the form.

Similar biomarker tests from Superpower

See more biomarkers

Frequently Asked Questions

Read more
How it works
What should I expect during a blood draw?
  • A trained phlebotomist will guide you through the process.
  • A tourniquet is placed on your arm, the site is cleaned, and a small needle is used to collect blood into one or more tubes.
  • Results are usually ready in about a week.
  • Most people feel only a quick pinch.
  • The needle is removed, gentle pressure is applied, and a bandage is placed.
How do I prepare for a blood draw?
  • Drink plenty of water beforehand — hydration makes veins easier to find.
  • Wear loose sleeves so your arm is easy to access.
  • Follow any fasting instructions you’ve been given.
  • Let us know if you’re on medications, have fainted before, or have needle anxiety.
What should I do after my blood draw?
  • Press gently on the site for a few minutes.
  • Keep the bandage on for 4-6 hours.
  • Skip heavy lifting or strenuous exercise for the rest of the day.
  • Drink extra water to rehydrate.
  • Monitor the site for redness, swelling, or pain.
How do I book a blood draw with Superpower?

Your membership includes:

  • An annual full body test and report across 100+ biomarkers
  • A personalized action plan to optimize your biomarkers and reach your health goals
  • A dashboard to centralize your health data and track changes across a lifetime
  • Access to a health concierge for questions on your plan and help scheduling
  • Plus a marketplace of curated health products and services cheaper than amazon

Many concierge clinics charge $10k – $100k for their services, we’ve built technology to make the world’s best healthcare as accessible as possible via an all-in-one membership.

Where can I take my blood test?

Superpower is currently available in the following US states:

  • Alabama
  • Arizona
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • South Carolina
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
Our testing
Does Superpower replace my primary care provider?

Superpower specializes in prevention-based testing and treatments and is not intended for emergency or immediate health issues.

While you will have a Superpower care team, your annual membership is designed to complement a primary care doctor if you have one, not replace them.

We are happy to help you share any test results with an outside provider to ensure you receive well-rounded medical care.

How fast are blood test results and how do I read them?

Your annual lab test panel takes about a week to process. We will text you as soon as they become available in your dashboard. Other types of tests may have different testing windows. The Superpower concierge is your own health assistant who helps answer your questions on your results, ensure smooth scheduling, coordination of any office-based tests, specialist referrals as needed, and navigating you to interface with your care team.

Does Superpower accept health insurance?

Superpower membership and products are all eligible for HSA/FSA funding.

We see Superpower like a gym membership for those committed to prevention and performance. Superpower is a bridge between wellness and healthcare. Health insurance traditionally focuses on reactive care whereas, at Superpower, we believe it’s never too early to start looking out for your long-term health.

What if I want more than 1 blood test per year?

Absolutely — you're not limited to just one. Your membership includes one comprehensive 100+ biomarker blood test each year, but if you'd like to track your progress more closely, you can add extra tests at any time. Each additional full-panel test costs $179. You can order as many as you'd like throughout the year.

“Best health check of my entire life.”

Vinay Hiremath, Founder of Loom

“Life changing”

Jordi Hayes, Founder of Capital.xyz

Frequently Asked Questions about Celiac Disease Comprehensive Panel Testing

What is the Celiac Disease Comprehensive Panel blood test and what antibodies does it measure?

The Celiac Disease Comprehensive Panel is a group of blood tests that checks for antibody “signals” your immune system makes when gluten triggers an autoimmune attack on the small intestine. It typically measures tissue transglutaminase (tTG) antibodies, endomysial antibodies (EMA), and deamidated gliadin peptide (DGP) antibodies. It also includes total immunoglobulin A (IgA) to confirm you can produce IgA antibodies reliably.

How does the Celiac Disease Comprehensive Panel confirm whether gluten is damaging my intestine?

In celiac disease, eating gluten causes the immune system to produce antibodies that don’t just react to gluten - they also target tissue transglutaminase in the intestinal lining. Elevated tTG and/or EMA suggests an active autoimmune process that damages the villi, the tiny structures that absorb nutrients. This villi injury can lead to malabsorption of iron, calcium, folate, and fat-soluble vitamins, even before severe symptoms appear.

Why is a comprehensive celiac panel more accurate than a single tTG test?

A panel increases accuracy because different antibodies can appear at different stages or vary across individuals. tTG IgA is often the most sensitive marker, EMA is highly specific for confirming the autoimmune pattern, and DGP can show up earlier or persist in some cases. Total IgA is critical because IgA deficiency can cause false-negative results on IgA-based tests, making a multi-marker approach more reliable.

How should I prepare for a Celiac Disease Comprehensive Panel to avoid false-negative results?

For the most accurate results, the panel is best interpreted while you are eating gluten regularly. If you avoid gluten before testing, antibody levels may drop and the panel can look negative even if celiac disease is present. Timing matters because antibody levels typically decline on a strict gluten-free diet. If you’ve already removed gluten, results may not reflect your true immune response to gluten exposure.

What does it mean if my celiac panel is negative but I still have bloating, anemia, or fatigue?

Negative antibodies usually mean your immune system is not mounting the characteristic autoimmune response to gluten and your intestinal lining is likely not being attacked in the celiac pattern. This can help rule out celiac disease as the cause of symptoms like bloating, fatigue, unexplained anemia, or weight loss. However, if total IgA is low (IgA deficiency), IgA-based antibody tests may be unreliable and can miss celiac disease.

What do elevated tTG IgA, positive EMA, or high DGP antibodies mean on a celiac panel?

Elevated antibodies generally indicate an active autoimmune reaction triggered by gluten exposure in genetically susceptible people. High tTG IgA suggests immune-mediated injury to intestinal villi; positive EMA is highly specific and helps confirm celiac disease. Elevated DGP may appear earlier or persist in some individuals. This antibody pattern is linked to malabsorption and can contribute to anemia, fatigue, diarrhea, bloating, and long-term complications if untreated.

How does IgA deficiency affect celiac disease blood test results, and why is total IgA included?

Total IgA is included because some people are IgA-deficient and cannot produce normal IgA antibodies. In that case, tests like tTG IgA and EMA IgA may come back falsely negative even if celiac disease is present. Measuring total IgA flags when results may be unreliable and signals the need for alternative IgG-based testing strategies to evaluate immune reactivity to gluten more accurately.

Can the Celiac Disease Comprehensive Panel detect celiac disease early before serious complications develop?

Yes. The panel can identify autoimmune activity before severe nutrient deficiencies or major complications occur. Early detection matters because untreated celiac disease can silently erode nutrient absorption and contribute over time to anemia, osteoporosis, infertility, and neurologic issues. Finding elevated antibodies early helps guide timely intervention - most importantly, whether a strict gluten-free diet is medically necessary to stop villi damage and restore absorption.

How can this panel explain non-digestive symptoms like osteoporosis, infertility, brain fog, or neuropathy?

Celiac-related villi damage reduces absorption of key nutrients like iron, B12, folate, calcium, and fat-soluble vitamins. Over time, deficiencies and inflammation can affect bone density (osteoporosis), reproductive health (irregular periods or infertility), and neurologic function (peripheral neuropathy or ataxia). Some people have minimal digestive symptoms, so the panel is useful when symptoms are systemic - fatigue, brain fog, mood changes, or unexplained weight loss.

How is the Celiac Disease Comprehensive Panel used to monitor a gluten-free diet after diagnosis?

After diagnosis, antibody levels typically decline when gluten is strictly removed, so repeat testing can help track whether the diet is working. Falling tTG/EMA/DGP antibodies supports reduced immune activation and intestinal healing over time. If antibodies stay elevated, it may suggest ongoing gluten exposure or persistent immune activity. Monitoring helps connect symptoms and nutritional recovery to objective markers of gluten-triggered autoimmunity.

Finally, healthcare that looks at the whole you