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Evidence checklist

Celiac Disease

DC 735538 CFR § 4.114Digestive

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Small bowel biopsy confirming villous atrophy (Marsh grade)Critical

Duodenal biopsy from upper endoscopy showing villous atrophy, crypt hyperplasia, and increased intraepithelial lymphocytes (Marsh grade IIIa–IIIc) — the gold standard for celiac diagnosis.

Private provider · independent opinion
Nexus opinion linking celiac disease to service ("at least as likely as not")Critical

A medical opinion connecting celiac disease onset or exacerbation to service-related stress, infections, or gluten exposure patterns during deployment.

Private provider · independent opinion
02

Treating physician

0 of 2 collected
Tissue transglutaminase IgA (tTG-IgA) and total IgA serologyCritical

Lab results showing elevated tTG-IgA antibodies (or anti-endomysial antibodies in IgA-sufficient patients) — the primary screening test for celiac disease. Total IgA must be measured to rule out IgA deficiency.

Your treating provider · written request
Dietary compliance records and dietitian documentation

Records from a registered dietitian or treating gastroenterologist documenting strict gluten-free diet requirement and the impact of dietary restriction on daily living.

Your treating provider · written request
03

Treatment records

0 of 1 collected
Malabsorption lab panel (iron, B12, folate, vitamin D, calcium, ferritin)

Lab results documenting nutritional deficiencies resulting from intestinal malabsorption — anemia, osteopenia, vitamin D deficiency, and hypoalbuminemia support a higher severity rating.

VA or private records · written request
04

Lay statements

0 of 2 collected
Documentation of chronic diarrhea, prescribed diet, and nutritional deficiencies

Your provider's written prescription for a gluten-free diet, records of chronic diarrhea, and labs showing nutritional deficiencies. Under DC 7355 these are the named criteria: 30% for malabsorption with chronic diarrhea managed by a prescribed diet, 50% when nutritional deficiencies and systemic manifestations are added, and 80% with wasting, anemia, and weakness that interferes with daily activities.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Intestinal Conditions (other than Small or Large Intestine)Critical

Standardized form capturing celiac diagnosis confirmation, symptom frequency, nutritional deficiency status, and incapacitating episode count.

Provider-completed · VA DBQ formHow to get this →
06

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

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