ClarityPathology Report — Excerpt
Marsh Classification System
Duodenal biopsy: Marsh Type IIIB lesion with subtotal villous atrophy.
Intraepithelial lymphocytosis present (>25 IELs/100 enterocytes).
Crypt hyperplasia noted. Villi:crypt ratio <1:1.
Anti-tTG IgA: 142 U/mL (ref: <4.0 U/mL). Elevated.
Clinical correlation with strict gluten-free dietary adherence recommended.
Duodenal biopsy — 400× magnification
This is what lands in your inbox after the procedure. Most people read it four times and still don't know what it means.
Your biopsy result,
in plain language.
The report confirms celiac disease. Here's exactly what each line means — and what you do next.
"Marsh Type IIIB — subtotal villous atrophy"
The tiny finger-like projections in your small intestine that absorb nutrients are significantly flattened. This is why you've been feeling exhausted and deficient.
"Anti-tTG IgA: 142 U/mL (ref: <4.0)"
Your immune system is 35× more active against gluten than it should be. This number will drop significantly within 6–12 months on a strict gluten-free diet.
"Strict gluten-free dietary adherence recommended"
A completely gluten-free diet is the only treatment. No medication needed — your gut can heal fully with diet alone.
No account needed · First 3 resources free · Reviewed by gastroenterologists
Complexity becomes clarity
in real time.
Every section of your celiac journey — from diagnosis to dining out — shown side by side: the clinical source and the plain-language answer.
Wheat flour ingredient list
INGREDIENTS: Enriched wheat flour (flour, malted barley flour, reduced iron, niacin, thiamine mononitrate, riboflavin, folic acid), water, yeast, salt, soybean oil.
CONTAINS: WHEAT, SOY
May contain traces of milk and eggs.
Manufactured in a facility that also processes tree nuts.
What to look for on every label
"Wheat flour" in any form — enriched, bleached, unbleached. All contain gluten.
"Malted barley flour" — barley contains gluten. Often hidden in "natural flavors."
Yeast, salt, soybean oil are naturally gluten-free in this context.
Look for the certified GF symbol — it means tested below 20 ppm.
Gut healing timeline research
Abstract: Mucosal recovery in adult celiac disease patients on a strict gluten-free diet (GFD) was assessed at 0, 6, 12, and 24 months via repeat endoscopy.
Results: 34% achieved Marsh 0 at 12 months. 66% showed partial recovery (Marsh I–II). Full recovery (Marsh 0) was observed in 82% at 24 months.
Conclusion: Mucosal healing is a slow, nonlinear process. Dietary adherence was the strongest predictor of recovery velocity.
Your gut heals. It just takes time.
Most people feel significantly better. Energy improves, bloating reduces. But the gut lining is still healing.
1 in 3 people have fully healed intestinal lining. 2 in 3 are well on their way.
82% of patients show complete mucosal recovery. The key: zero accidental gluten.
Healing isn't instant — but it's real. The single biggest factor is your diet.
Threshold sensitivity study
Study: Daily gluten intake threshold for mucosal damage in celiac disease.
Finding: Ingestion of as little as 10mg gluten/day caused histological damage in 50% of subjects over 90 days.
Context: A single breadcrumb weighs approximately 30–50mg. One crouton ≈ 500–1000mg gluten.
Codex Alimentarius safe threshold: <20 ppm gluten in "gluten-free" labeled products.
Why crumbs actually matter
Contains ~30–50mg gluten — already 3–5× above the daily damage threshold.
Leaves gluten residue. For celiac, a dedicated toaster isn't fussy — it's medically necessary.
Crumbs from a knife transfer gluten. Separate spreads, separate utensils.
"Gluten-free" on a label means <20 ppm. Look for certified GF logos for extra assurance.
Five stages,
one calm path.
Each stage is a curated library of resources, not a wall of text. Pick where you are today.
Understanding Your Diagnosis
Decode your biopsy, blood results, and what Marsh classification actually means for your body.
Gluten-Free Diet Transition
Grocery guides, safe swap lists, and label-reading skills — built for week one.
Cross-Contamination
Why crumbs count, how to navigate shared kitchens, and the restaurant card to carry in your wallet.
Emotional Health & Grief
The mourning period is real. Validated strategies for social situations, food anxiety, and the long adjustment.
Long-Term Monitoring
Annual testing schedule, when to retest antibodies, nutritional deficiencies to watch, and what healing looks like.
The exhale after
months of confusion.
I read my biopsy report seven times before finding Clarity. The side-by-side translation took me from panic to understanding in about four minutes. I cried — but this time with relief.
Margot Vaillancourt
Newly diagnosed, 34 · Portland, OR
My daughter was diagnosed at age 7. The school lunch guide alone was worth everything — I printed the allergen card and her teacher finally understood why a crouton isn't 'just a crouton.'
Deshawn Okafor
Father of a 7-year-old with celiac · Chicago, IL
As a gastroenterologist, I spend 20 minutes per new celiac patient on education I don't have handouts for. Clarity's provider resources have cut that to 5 minutes of clarifying questions. The translations are clinically accurate.
Dr. Priya Subramanian
Gastroenterologist, GI Associates · Houston, TX
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