General MedicineGeneral Medicine
Tissue Transglutaminase Antibody (IgA)
Lab test

tTG-IgA test

Ongoing digestive symptoms like bloating or diarrhea are the most common reason to check. This test measures tTG-IgA, the primary antibody used to screen for celiac disease.

Reviewed by a licensed clinician, with results typically back in 1 to 2 days

Insurance accepted, with clear pricing options before you book

Flexible scheduling at your choice of nearby labs

Most insurance accepted

Board-certified clinicians

No hidden fees

Available nationwide

What is a Tissue Transglutaminase Antibody (IgA) Test?

The tTG-IgA test measures IgA antibodies directed against tissue transglutaminase — the enzyme that becomes a target of the immune system when a person with celiac disease consumes gluten. It is the single most sensitive and specific blood marker for celiac disease and serves as the cornerstone of celiac screening in clinical practice.

Celiac disease screening

Elevated tTG-IgA is the primary blood-based indicator of celiac disease — reflecting the autoimmune response to gluten that causes progressive damage to the small intestinal lining. A positive result is strong evidence that further evaluation, including intestinal biopsy, is warranted.

Gluten exposure requirement for accuracy

tTG-IgA levels fall when gluten is removed from the diet — making it critical that patients consume a normal gluten-containing diet for at least 6 weeks before testing to avoid false negative results.

Treatment monitoring

After a confirmed celiac diagnosis and initiation of a gluten-free diet, declining tTG-IgA levels over time confirm that intestinal healing is occurring — providing objective evidence that dietary compliance is reducing the immune response.

Complete insights in days

1

Book your test

Instantly schedule at 2,000+ labs nationwide, at a time that works for you. Most visits take 15 minutes or less, with both walk-ins and appointments available.

2

Get clinician-reviewed results

Your results are delivered quickly—and reviewed by medical professionals. You’ll get clear explanations, robust health insights, and recommended next steps tailored to your health needs.

3

Take action with physician guidance

Choose to review your results and manage your plan with a General Medicine physician—or simply use the insights on your own.

4

Track progress over time

Repeat annually to see trends, improvements, and new emerging risks or book individual tests that focus on your set goals

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

What's included

Test type

Blood sample

Collection method

Venipuncture

Fasting

Not required

Results processing time

1 to 2 days

tissue transglutaminase IgA antibody

Measures IgA antibodies against tissue transglutaminase (the main marker of celiac disease).

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

What our customers have to say

Hear from people who felt heard, understood, and supported on General Medicine.

“I found the ease of setting the appointment and how quickly I was able to be seen to be amazing. The physician was very friendly and amazingly helpful.”

Natalie, Texas

“The chat visit was super convenient. The doctor was friendly and took the time needed to answer any questions I had. The prescription I needed was called in and ready the same afternoon.”

Dustin, Tennessee

“I loved my General Medicine experience. It gave me peace of mind to know someone cared and I felt they listened to what I was saying.”

Ann, Florida

“General Medicine is easily the most approachable, efficient, high-quality, and responsive care team I've had the pleasure of working with.”

John, Utah

“General Medicine helped me get the imaging and blood work I needed, referred me to the right specialists, and even helped me find a new family doctor.”

Bridget, Mississippi

Order your lab today.

Frequently asked questions

What does the tTG-IgA test measure?

Tissue transglutaminase IgA (tTG-IgA) measures IgA antibodies against the enzyme tissue transglutaminase — the most sensitive and specific blood test for celiac disease. Elevated tTG-IgA strongly suggests an autoimmune reaction to gluten that is damaging the small intestinal lining.

Is this the same as the Celiac Disease Panel?

The tTG-IgA is the primary component of celiac testing. The Celiac Disease Panel includes this marker plus total IgA (to confirm you can produce IgA antibodies, which affects test validity). The standalone tTG-IgA may be ordered when the purpose is specifically to screen for celiac antibodies.

Do I need to be eating gluten for this test to be accurate?

Yes — this is critical. If you've already reduced or eliminated gluten, antibody levels will fall and the test may produce a false negative. You must be consuming a normal gluten-containing diet (at least 1–2 servings daily) for at least 6 weeks before testing.

What does a positive tTG-IgA mean?

A positive result is strong evidence of celiac disease, but definitive diagnosis still requires small intestinal biopsy to confirm villous atrophy. The positive test is the critical first step that guides whether endoscopy is warranted.

I have IgA deficiency — will this test work?

No — IgA-based tests produce false negatives in people with IgA deficiency. This is why total IgA is checked alongside tTG-IgA in the Celiac Disease Panel. If your IgA is low, IgG-based tests (DGP-IgG or tTG-IgG) are used instead.