What Is IgG Food Sensitivity Testing?

IgG food sensitivity testing aims to identify specific foods that may contribute to various delayed, non-allergic reactions. This testing operates on the premise that certain immune responses to food, distinct from immediate allergic reactions, could be linked to uncomfortable symptoms. It seeks to pinpoint foods that may lead to adverse responses over time, guiding dietary adjustments.

How IgG Food Sensitivity Tests Work

IgG food sensitivity tests analyze a blood sample to measure immunoglobulin G (IgG) antibodies. These antibodies are proteins produced by the immune system when it encounters foreign substances like food proteins as part of its normal immune response. The test exposes drawn blood to various food components in a laboratory.

The laboratory quantifies how IgG antibodies bind to each specific food protein, often using methods like ELISA. The aim is to identify foods for which the body shows an elevated IgG antibody response. Companies claim high IgG levels indicate a “sensitivity” or “intolerance,” though IgG antibodies can also reflect normal dietary exposure.

IgG Testing Versus True Food Allergies

Understanding the distinction between IgG-mediated responses and true food allergies is important, as they involve different immune mechanisms and manifest differently. True food allergies are mediated by immunoglobulin E (IgE) antibodies, resulting in rapid, often severe reactions. These IgE-mediated allergies can cause symptoms ranging from hives, swelling, and difficulty breathing to life-threatening anaphylaxis, usually occurring within minutes to a few hours. The immune system mistakenly identifies a harmless food protein as a threat, triggering an immediate release of chemicals like histamine.

In contrast, IgG-mediated “food sensitivities” are delayed, milder reactions that are not life-threatening. Symptoms such as bloating, headaches, fatigue, or skin rashes can appear hours or even days after consumption, making identification challenging without testing. While both involve antibodies, the type of antibody and the timing and severity of the reaction are distinct. IgE testing diagnoses allergies, while IgG testing is used for sensitivities.

Interpreting Your IgG Food Sensitivity Test Results

IgG food sensitivity test results typically present a “score” or categorization for each food, indicating the level of IgG reactivity. These scores range from “no reactivity” to “high reactivity,” suggesting varying degrees of immune response. An elevated result indicates a higher amount of IgG antibodies produced in response to that food.

Following these results, a common recommendation is to implement a temporary elimination diet. This involves removing highly reactive foods for a period to observe if symptoms improve, followed by a reintroduction phase. It is important to approach any significant dietary changes with professional guidance from a healthcare provider or registered dietitian. These professionals can help interpret results within your health context and ensure nutritional adequacy.

The Scientific Consensus on IgG Food Sensitivity Testing

Major medical and allergy organizations worldwide do not recommend the routine use of IgG food sensitivity testing for diagnosing food allergies or intolerances. Organizations like the American Academy of Allergy, Asthma & Immunology (AAAAI), the European Academy of Allergy and Clinical Immunology (EAACI), and the Canadian Society of Allergy and Clinical Immunology (CSACI) base this stance on the understanding that IgG antibodies to food are a common immunological response to normal dietary exposure.

Scientific evidence indicates that IgG antibodies, particularly the IgG4 subclass, are found in healthy individuals without adverse food reactions. Higher levels of IgG4 may even be associated with immune tolerance, indicating the body has been regularly exposed and developed a non-inflammatory response. Peer-reviewed scientific evidence supporting IgG testing as a diagnostic tool for most conditions is lacking, and studies provided by test manufacturers are often considered outdated or from non-reputable sources. Medical guidelines emphasize that IgG testing plays no role in diagnosing food allergy or intolerance. Relying solely on these tests can lead to unnecessary dietary restrictions, potentially affecting nutritional intake and quality of life.