Clinical Cut offs (New Guidance in place 16/07/2026)
Adults (Individuals 16 and over)
FCAL <100 ug/g : Not indicative of GI Inflammation. Consider IBS or alternative diagnoses.
FCAL 100-250 ug/g : Indeterminate. Suggest repeating in 2-4 weeks if clinical concern remains or relevant family history. NSAIDs/PPIs should be stopped 2 weeks prior to sample collection. If repeat result also indeterminate suggest referral.
FCAL >250 ug/g : Indicative of GI inflammation, suggest referral.

Paediatrics (children <16 years old)
FCAL <50 ug/g - Not indicative of GI Inflammation
FCAL 50-150 ug/g : No further action needed. Consider repeat if symptoms worsen.
FCAL 151-250 ug/g : Indeterminate. Suggest repeating in 4 weeks if clinical concern remains or relevant family history. NSAIDs/PPIs should be stopped 2 weeks prior to sample collection. If repeat result also indeterminate suggest referral.
FCAL >250 ug/g : Indicative of GI inflammation, although false positives can occur in patients with high BMI. Suggest referral.