This test measures the level of anti-tissue transglutaminase (TTG) IgG antibodies in the blood. TTG is an enzyme that plays a role in various cellular processes and is found in several organs, including the gut. In individuals with celiac disease, the immune system reacts abnormally to TTG, leading to damage in the lining of the small intestine. This test detects IgG antibodies produced by the immune system in response to TTG.