Review appointment TTG levels
My daughter is 12 and was diagnosed with coeliac disease 2 years ago so has been gluten free since then. She had her review bloods and appointment with the dieticians this week and her TTG levels came back at 11. This is a massive difference since they were mega high when she was diagnosed. However the dietician said they should ideally be no more than 5 so she must still have gluten in her system and we need to review what we are doing. She doesn't seem to be showing any symptoms currently. We have had 2 occasions over the past 2 years where she has accidentally eaten gluten and she will vomit within an hour or 2 so it's very clear when it happens!
Has anyone else had this situation? Is there anything in particular that made a difference to bring the result down to safe levels? She has a fully separate kitchen area at home, her own equipment, separate food storage, we have a dedicated gluten free oven, we are careful choosing where we eat out, her school caters for her correctly. The only thing I can think of is minor cross contamination from surfaces or hands so being more strict about washing and wiping down even when we eat out. She does have a 3 year old sister who still eats gluten so can sometimes be hard to stop her covering the place in crumbs! But we keep eating areas as separate as possible.
Any advice would be amazing! Thank you all!