Better2Know Gut health

Coeliac Test (Endomysial Antibodies)

Measures IgA endomysial antibodies, described by Better2Know as a highly specific marker for coeliac disease, from a blood sample. Suits people with digestive symptoms who can keep eating gluten in the run-up to testing.

Sample
Blood
Collection
Venous draw at clinic or nurse visit
Results in
2 days
Biomarkers
1
Tests for
  • Endomysial Antibodies

Test specifications

Provider
Better2Know
Sample type
blood
Collection method
venous draw at clinic or nurse visit
Turnaround time
2 days
Biomarkers tested
1
At-home test
No
Doctor reviewed
No
Gender focus
Both

What's tested

1 biomarker as listed by Better2Know.

  • Endomysial Antibodies

About this test

Endomysial antibodies (EMA) are produced in most people with coeliac disease, and Better2Know describes IgA EMA as a highly specific marker for the condition. The test measures this from a venous blood sample, and Better2Know's own guidance is that you should keep eating gluten in the weeks before testing, since the antibody is only produced while gluten remains in your diet.

There is no formal comparison group listed for this exact test, but among the gut health tests we track, £195 sits well above the typical price for a single-marker screen like this one.

Clarity scores well because Better2Know publishes a full description, the marker, the turnaround and clear collection options. value for money is the main weak spot, priced well above the typical gut health test of this size we track, and results and follow-up also loses marks because results are not reviewed by a doctor as standard, even though Better2Know can arrange a private consultation afterwards.

Who is it for?

This suits you if you have digestive symptoms such as stomach pain, bloating, diarrhoea or unexplained weight loss, and you are able to keep eating gluten in the weeks before your appointment, since the antibody is only produced while gluten is in your diet.

Because Better2Know is explicit that a negative result does not rule out coeliac disease, this suits people who are happy to treat the result as one piece of evidence to discuss with a GP or nutritionist, rather than a final answer, particularly since results here are not reviewed by a doctor as standard.

How it works

You give a venous blood sample at a Better2Know clinic or during a home nurse visit. The sample is sent to Better2Know's laboratory and tested for IgA endomysial antibodies, with results available within two working days. Better2Know does not state that results are reviewed by a doctor as standard, though a private consultation with a doctor can be arranged before or after testing.

Pros & cons

Pros

  • Tests for IgA endomysial antibodies, described by Better2Know as a highly specific marker for coeliac disease.
  • Results are ready within two working days of the sample reaching the lab.
  • A home nurse visit means you don't have to attend a clinic in person for this one either.
  • Better2Know is upfront that a negative result does not rule out coeliac disease.

Cons

  • At £195, it costs well above the typical price for a similarly sized gut health test.
  • No doctor review is included as standard.
  • You need to keep eating gluten beforehand, which may not suit everyone with symptoms.
  • Only one marker is tested, so it does not cover wider gut health measures.

Our editorial score

Compare Health Test Score Specific coeliac marker; needs gluten in your diet first
Editorial confidence: 9.0/10

This £195 blood test checks for IgA endomysial antibodies, a marker Better2Know describes as specific to coeliac disease, with results in two working days. It costs well above the typical price for similarly sized gut health tests we track, and Better2Know is clear that a negative result does not rule out coeliac disease. You need to have been eating gluten in the weeks beforehand for an accurate reading.

Score breakdown

  • Clarity and documentation 9.0/10

    The listing publishes a detailed description, the full biomarker list, a stated turnaround, clear collection options, the sample type; it does not state what the report looks like.

  • Clinical depth 6.4/10

    1 biomarkers, placing it in the 32nd percentile of gut health tests we track.

  • Collection convenience 6.0/10

    Requires a venous draw at a clinic; a home nurse visit is offered; results in around 2 days, well ahead of the gut health norm of 5.

  • Results and follow-up 3.0/10

    Results are not doctor-reviewed and no consultation is included; the provider does not describe the report format.

  • Trust signals 6.5/10

    Trustpilot 4.2 from 775 reviews; CQC registered; trading 18+ years.

  • Value for money 2.5/10

    £195.00 against a median of £108.00 for the 29 similarly sized gut health tests we track (+81%).

Calculated 13 September 2026 from the facts we hold about this test and provider, using our published scoring formula. Scores are not hand-edited.

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