How are Zöliakie Test and Darmgesundheit related?

The celiac test (typically HLA-DQ2/DQ8 genotyping and tTG-IgA antibodies) is a specific screening tool for celiac disease, an autoimmune gut disorder triggered by gluten. A positive result indicates elevated risk or active disease, which if untreated can cause villous atrophy and nutrient malabsorption. Gut health, however, is a broader concept encompassing microbiome composition, barrier integrity, inflammation, and digestive efficiency. Thus, the celiac test is only one piece of the gut health puzzle. Many gut issues (IBS, dysbiosis, food intolerances) have other causes. Evidence for the celiac test is strong (clinical guidelines), but it does not replace a comprehensive gut health assessment. Caveat: A negative celiac test does not rule out other gut disorders. The genetic component (HLA) is lifelong stable, while antibody levels can fluctuate. For a full picture, combine with stool markers, food sensitivity testing, and clinical symptoms.