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Newly Diagnosed- Dealing With Rude Comments


eblue

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eblue Apprentice

Hey everyone,

ugg...I am so frustrated. After 4 years of misdaignosed health problems, was diagnosed with celiac about 2 weeks ago. It has been a major adjustment in which I am still learning, but I can already tell a difference in my health. I have read as much as I possibly can to learn about the disease. My family is extremely unsupportive and it's getting the better of me. They have just slipped in little rude comments such as :

"I don't think it's that serious, a little gluten won't hurt you"....

 "at least you don't have crohn's disease, that would be really bad"

"you are being a hypocondraic...you really can't feel that bad...you are young and healthy! It must all be in your head"

"You will grow out of it, this won't be forever. Maybe you should try to eat a little bit here and there to get your body used to it. Kind of like allergy shots!"

"Why don't you want to go to steak and shake with me....I am sure you can eat something!"

When I politely turned down the casserole that my aunt made last week, my uncle roled his eyes and just got that annoyed look on his face.

 

I am getting so frustrated. I try to educate them as much as possible about the disease (they know NOTHING about it) but it seems like they don't care. They don't listen. In fact, a couple days ago I said something about celiac disease and my dad looked at me and said "What is celiac disease?" sheesh....it is the disease that I have dad....the one that I have told you about 20 times now....

 I try to educate them as much as possible  but they don't listen. It is extremely discouraging. I try to tell them that gluten doesn't just give me a stomach ache...it literally damages my body and could cause serious health problems later in life if i don't avoid it 100 percent. But they just tune me out. My husband and mom are supportive and willing to learn, but no one else is. I am so thankful for them. But it still is not easy when practically everyone else in your family treats you like this.

 

Have any of yall dealt with this? How did you deal with it?

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GlutenStinks15 Explorer

My family is supoprtive thankfully, but I've been getting some comments at work.

 

I will say this though - my mom was like that when I was diagnosed with hypo thyroid disease about 16 years ago. She was telling me it was all in my head. I just had to ignore it and keep moving.

Bottom line is, it's YOUR health - so do whatever YOU have to do to stay healthy. Eventually they should come around and if they don't, it's THEIR problem.

 

I'm sorry I can't offer you anything more helpful.

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IrishHeart Veteran

Hi eblue and welcome to the family :) !

 

I will never understand why people question a diagnosis of celiac disease. it is a potentially life-threatening autoimmune disease and I wonder if they would have questioned a DX of MS or cancer,  too?

 

The way you stand firm and present it to others will be key in them taking you seriously.

 

Maybe this article by Danna Korn will offer some thoughts. 

 

 

https://www.celiac.com/articles/22070/1/Talking-to-Others-About-the-Gluten-Free-Diet-by-Danna-Korn/Page1.html

 

Your family should be made aware of the fact that this is a hereditary disease and so, enlightening them may prove helpful.

 

I wrote my large extended family a letter after my DX. I am sure some of them ignored it and I am sure some of them said

"Well, that's not me; so...." but mostly, the people who saw my horrible decline in health for so many years knew it was real

and have never questioned my dietary needs. 

 

Just focus on getting well and learning all you can about celiac disease right now.

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surviormom Rookie

Hey everyone,

ugg...I am so frustrated. After 4 years of misdaignosed health problems, was diagnosed with celiac about 2 weeks ago. It has been a major adjustment in which I am still learning, but I can already tell a difference in my health. I have read as much as I possibly can to learn about the disease. My family is extremely unsupportive and it's getting the better of me. They have just slipped in little rude comments such as :

"I don't think it's that serious, a little gluten won't hurt you"....

 "at least you don't have crohn's disease, that would be really bad"

"you are being a hypocondraic...you really can't feel that bad...you are young and healthy! It must all be in your head"

"You will grow out of it, this won't be forever. Maybe you should try to eat a little bit here and there to get your body used to it. Kind of like allergy shots!"

"Why don't you want to go to steak and shake with me....I am sure you can eat something!"

When I politely turned down the casserole that my aunt made last week, my uncle roled his eyes and just got that annoyed look on his face.

 

I am getting so frustrated. I try to educate them as much as possible about the disease (they know NOTHING about it) but it seems like they don't care. They don't listen. In fact, a couple days ago I said something about celiac disease and my dad looked at me and said "What is celiac disease?" sheesh....it is the disease that I have dad....the one that I have told you about 20 times now....

 I try to educate them as much as possible  but they don't listen. It is extremely discouraging. I try to tell them that gluten doesn't just give me a stomach ache...it literally damages my body and could cause serious health problems later in life if i don't avoid it 100 percent. But they just tune me out. My husband and mom are supportive and willing to learn, but no one else is. I am so thankful for them. But it still is not easy when practically everyone else in your family treats you like this.

 

Have any of yall dealt with this? How did you deal with it?

I just shared with my family what I have been going through.  By my family I mean my sister and father.  We already have a strained relationship, I can just imagine the eye rolling they are doing as they read the lengthy mail I sent them.  No we do not even talk anymore.  So, yes, I can get it.  I even worry about restaurants and friends treating me that way.  I make such strict requests if we go out even to a gluten-free restaurant, that I expect eye rolling and am so happy when it doesn't happen.  My hubby says we are paying for this, they better do it your way.  As for friends are they really your friends if they do not want to listen and understand?  Family, I cannot help you with, my husbands family is more supportive than mine, very understanding.  Good luck, I hope it gets better.

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notme Experienced

i had been very sick for a very long time, so the people who know me take it seriously.  one of my friends who was my 'recipe/foodie buddy' from church made me stuffed grape leaves when i was first diagnosed and told me there was no gluten in it.  when i opened the container it had lemon sauce on it.  I ALMOST DIDN'T CALL HER and ask her what was in the sauce, not wanting to be picky, but sooooo glad i did "oh, there *is* a little flour in the sauce, i forgot!  but it's only, like, a tablespoon"  - i think she rolls her eyes at me but i don't care lolz - if i try to explain anything to her, she sort of shuts off or changes the subject.  she invited my husband and i to a dinner party, haha, i just drank (my own) beer, oops, she forgot about my celiac .  that's ok, i already ate :)  

 

roll with it, baby, that's what i do.  good luck!

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Ciel121 Apprentice

  So sorry to hear that this has happened to you. I find that happens to me very often. My family is supportive, but strangers are another matter. My father has Celiac too (I got it from him) and he won't admit to strangers he has it because he's tired of the nastiness. What I don't get is what makes people think they can be nasty to someone sick just because they are completely uneducated and ignorant of a disease? Just don't get that.

   For me, I try to nip it in the bud...if I see eye rolling I say, "Excuse me, I see that I eye roll and that is rude and unacceptable.How dare you?" Being a teacher, I correct people. I need to take it head on and put them in their place because they are completely wrong to behave that way. Even if they feel that way, I don't care, they are still obligated to be polite to me if they don't want me to give them a correction or speak to them ever again.

   I think it is important to put your health first and I also have found for my mental health it is important to ignore completely, tune out those who are not supportive. Sorry, but people have to earn my friendship and for me to speak to them, family or not. I think it is so important for your health to protect yourself from gluten and toxic people. :-)

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Nikki2777 Community Regular

My immediate family was very supportive, but my mom was initially dismissive.  I broke down and told her that this was really really hard to do (stick with the diet) and that I needed her support.  Luckily she had just learned how to use The Google and did some research and did a complete 180.  Now she asks me about everything she makes for me and my family.  Can you somehow encourage your family to do a little research?  Can you offer them a night on the town if they research and answer a 10 question quiz (I don't know, just trying to figure out ways to incentivize them)

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Adalaide Mentor

By far the worst comment I get (which is recurring) is from someone who has a lymphoma associated with celiac and a raging family medical history that point to celiac in about a million ways. She has told me over and over that if she had to deal with what I deal with she would just eat whatever she wants and wait to die. Well... she's in luck I guess because that is exactly what she is doing.

 

What is maddening is that she feels the need to tell me over and over, that basically she would rather die than live with a restricted diet like I have to. Thanks for telling me my life is so meaningless I should kill myself. Bitch.

 

What is heartbreaking is that this is my MIL and I have to watch her kill herself inch by inch when she doesn't have to die.

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pricklypear1971 Community Regular

By far the worst comment I get (which is recurring) is from someone who has a lymphoma associated with celiac and a raging family medical history that point to celiac in about a million ways. She has told me over and over that if she had to deal with what I deal with she would just eat whatever she wants and wait to die. Well... she's in luck I guess because that is exactly what she is doing.

What is maddening is that she feels the need to tell me over and over, that basically she would rather die than live with a restricted diet like I have to. Thanks for telling me my life is so meaningless I should kill myself. Bitch.

What is heartbreaking is that this is my MIL and I have to watch her kill herself inch by inch when she doesn't have to die.

I get pity from my FIL. He's had two open heart surgeries, a few more heart procedures, two new knees, a new hip, he almost can't walk, and can't lift his arms, and can't hear an elephant go through a wall. And he thinks its terrible I can't eat gluten. Seriously. I'm the one that deserves pity?

When I felt and looked like dog crap, that was fine. But now that I don't eat gluten and I feel and look better I am an object of pity. Interesting.

Interestingly, he happily eats anything I cook for him...except kale. He still can't remember potatoes aren't glutinous - it's only been two years....

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surviormom Rookie

i had been very sick for a very long time, so the people who know me take it seriously.  one of my friends who was my 'recipe/foodie buddy' from church made me stuffed grape leaves when i was first diagnosed and told me there was no gluten in it.  when i opened the container it had lemon sauce on it.  I ALMOST DIDN'T CALL HER and ask her what was in the sauce, not wanting to be picky, but sooooo glad i did "oh, there *is* a little flour in the sauce, i forgot!  but it's only, like, a tablespoon"  - i think she rolls her eyes at me but i don't care lolz - if i try to explain anything to her, she sort of shuts off or changes the subject.  she invited my husband and i to a dinner party, haha, i just drank (my own) beer, oops, she forgot about my celiac .  that's ok, i already ate :)

 

roll with it, baby, that's what i do.  good luck!

My hubby and I are former foodies/recipe lovers, I was always trying to copy something we had while on a date night or vacation.  I am just learning to be a foodie in a new way, and looking at my recipes differently.  I made our favorite pain de beuf the other day and replaced several things, but it tasted just as good as before and held up just as well.  The kids fought over the last piece.  Off topic, just wanted to add that there is life after for all of us Foodies.  

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surviormom Rookie

By far the worst comment I get (which is recurring) is from someone who has a lymphoma associated with celiac and a raging family medical history that point to celiac in about a million ways. She has told me over and over that if she had to deal with what I deal with she would just eat whatever she wants and wait to die. Well... she's in luck I guess because that is exactly what she is doing.

 

What is maddening is that she feels the need to tell me over and over, that basically she would rather die than live with a restricted diet like I have to. Thanks for telling me my life is so meaningless I should kill myself. Bitch.

 

What is heartbreaking is that this is my MIL and I have to watch her kill herself inch by inch when she doesn't have to die.

That is why my father, sister and I have a strained relationship, that will be their attitude.  We have different outlooks on life.  Be who you are, that is all you can do.  It took a lot for me to tell them what I have been going through and warn them to be checked.   If you try to tell her, that is all you can do.  Do it a couple of times, if you need to, say I am not trying to preach to you, but, and give her some links to read.  

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Ksee Rookie

I don't know if this will help or discourage but it's what I have found to be true. When some people decide you or whatever illness you may have isn't meaningful there isn't a lot to be done except walk away. I know, we are talking about families but the same as we wouldn't keep eating something making us sick to prove that point, throwing ourselves against the unbreakable perceptions of these people will only leave us bloody and bruised.

 

I have found some actually enjoy watching us struggle and in pain. It's not your problem but something very wrong with that person unable to offer understanding to those they should care about. I know this personally and it took me a long time to realize. I was reminded of it recently. I made a choice to disengage from the battle, which was difficult because for a long time there were increasing efforts to draw me back in. I left the door open for pleasant, healthy, conversation and relationship but there was no interest in that. Over time the effort to provoke grew more desperate and ridiculous before eventually stopping. 

Of course it meant that all communication stopped because of the lack of interest in anything pleasant. The other day I received an "accidental" message followed by an apology for unintentionally including me in sending such an unhappy letter. So after reading the "apology", I deleted the other and didn't reply. It was an obvious ploy and I wasn't interested. I've spent to much of my life in that trap.

Some people don't realize their lack of consideration but others do and actually enjoy what they do. I don't know if any of you are dealing with this but knowing the difference can save a lot of grief.

Good Luck
 

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surviormom Rookie

I don't know if this will help or discourage but it's what I have found to be true. When some people decide you or whatever illness you may have isn't meaningful there isn't a lot to be done except walk away. I know, we are talking about families but the same as we wouldn't keep eating something making us sick to prove that point, throwing ourselves against the unbreakable perceptions of these people will only leave us bloody and bruised.

 

I have found some actually enjoy watching us struggle and in pain. It's not your problem but something very wrong with that person unable to offer understanding to those they should care about. I know this personally and it took me a long time to realize. I was reminded of it recently. I made a choice to disengage from the battle, which was difficult because for a long time there were increasing efforts to draw me back in. I left the door open for pleasant, healthy, conversation and relationship but there was no interest in that. Over time the effort to provoke grew more desperate and ridiculous before eventually stopping. 

Of course it meant that all communication stopped because of the lack of interest in anything pleasant. The other day I received an "accidental" message followed by an apology for unintentionally including me in sending such an unhappy letter. So after reading the "apology", I deleted the other and didn't reply. It was an obvious ploy and I wasn't interested. I've spent to much of my life in that trap.

Some people don't realize their lack of consideration but others do and actually enjoy what they do. I don't know if any of you are dealing with this but knowing the difference can save a lot of grief.

Good Luck

 

That is why I use email to communicate with some family.  You are so right!

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w8in4dave Community Regular

Very very frustrating!! I am so sorry you have to go thru this! Support is a good thing and if you don't have it is is hard! I don't really say anything to my family except my Daughters and hubbs. I just say I am on a diet and cannot eat this and that! I don't have to answer to anyone but me! I personally believe that gluten is not good for anyone! Just because they can tolerate it doesn't make it good for them. When they ask what kind of diet I am on I say an all natural diet! If it comes out of a box or a can I cannot eat it unless it is natural :) 

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Ciel121 Apprentice

By far the worst comment I get (which is recurring) is from someone who has a lymphoma associated with celiac and a raging family medical history that point to celiac in about a million ways. She has told me over and over that if she had to deal with what I deal with she would just eat whatever she wants and wait to die. Well... she's in luck I guess because that is exactly what she is doing.

 

What is maddening is that she feels the need to tell me over and over, that basically she would rather die than live with a restricted diet like I have to. Thanks for telling me my life is so meaningless I should kill myself. Bitch.

 

What is heartbreaking is that this is my MIL and I have to watch her kill herself inch by inch when she doesn't have to die.

Wow, it is even more sad to hear that people have so little discipline that they would give up everything. Hmmm... send her to the army asap lol or better yet to a country where food is scarce. She'll change her mind in no time. We are so spoiled in the U.S. Scary.

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Ciel121 Apprentice

Very very frustrating!! I am so sorry you have to go thru this! Support is a good thing and if you don't have it is is hard! I don't really say anything to my family except my Daughters and hubbs. I just say I am on a diet and cannot eat this and that! I don't have to answer to anyone but me! I personally believe that gluten is not good for anyone! Just because they can tolerate it doesn't make it good for them. When they ask what kind of diet I am on I say an all natural diet! If it comes out of a box or a can I cannot eat it unless it is natural :)

Wow, great idea. A non-processed food diet is ideal, right? Very healthy and great for weight management. I guess that's what I do automatically if I don't have the energy to explain Celiac disease, ha. Also, eblue, tell your family that Celiacs and people with food allergies are officially considered disabled by the government under the Americans with Disabilities Act. That should shake them up. :-D

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cyclinglady Grand Master

Check out this YouTube video by Better Batter that talks about "Stuff People Say to Celiacs".  It's pretty funny and I think we can all relate!  :lol:

 

 

 

Have a great evening.

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Happy canary Newbie

I can relate and find it very hard to deal with. It upsets me when people are so rude and belittling.

I have one friend who does the passive aggressive 'you miss out on so much' said with a subtext of 'its all in your head and you are making this up'. If I try to talk to her about it all she just changes the subject or pretends not to hear. I have tried to stick with it and not let it affect me but after reading this thread I realise that I am quite upset about it and will not eat with her anymore.

Yes, I have experienced the eye roll, the doubtful looks and some direct challenges.

I find that most of my friends now are either gluten-free or have their own food intolerances or other health issues. Those who have experienced the pain of being different are a lot more compassionate than those who have not.

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psawyer Proficient

:o

:angry:

 

:)

;) 

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psawyer Proficient

Welcome to the board, Happy canary,
 

I have one friend who does the passive aggressive 'you miss out on so much' said with a subtext of 'its all in your head and you are making this up'. If I try to talk to her about it all she just changes the subject or pretends not to hear. I have tried to stick with it and not let it affect me but after reading this thread I realise that I am quite upset about it and will not eat with her anymore.

This is not the behavior of a friend. If she was your friend she would not do this.

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IrishHeart Veteran

Peter is right...and I have friends who have taken the time to learn about CC and have actually cooked for me while I supervised and I was fine. :)

 

Explain. Give them information from a reputable site.

Give them a copy of Real Life with Celiac Disease by Melinda Dennis and Daniel Leffler (it has everything in it--good advice from celiac dieticians like Shelly Case and Tricia Thompson) , excellent articles by Celiac docs like Dr. Fasano and Dr, Green and  an explanation about how family members should also be tested .

 

This "schooling"  is in your hands, guys! Tell them, invite them over and cook for them and have them see that gluten-free dining does not mean"boring and tasteless" and then, let it go.

You cannot let them get you down.

Trust me on this.

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surviormom Rookie

Check out this YouTube video by Better Batter that talks about "Stuff People Say to Celiacs".  It's pretty funny and I think we can all relate!  :lol:

 

 

 

Have a great evening.

Loved it. 

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dani nero Community Regular

Their ignorance is the source of their bliss. You can put yourself in bliss too by not giving a damn about their opinions.

What is the worst that could happen when they roll their eyes.. will that make you lose a leg, an eye, your house? Nope. Stop caring, and live your life with the people who understand you.

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dani nero Community Regular

Check out this YouTube video by Better Batter that talks about "Stuff People Say to Celiacs".  It's pretty funny and I think we can all relate!  :lol:

 

 

 

Have a great evening.

 

Awesome video. Every single comment in was said to me and even more

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eers03 Explorer

First, that really has to hurt.  No wants to feel like the person that takes a pass on the family casserole.  Irish Heart is right, its on you to educate and cite reputable sources.  I'm in sales and my thing is this...  State someone's objections before they can.

 

So...

 

Them (Eyeroll)

 

You (I know, right?!  Its crazy!  I used to think that people that were allergic to gluten were just being overly picky eaters.  I had no idea that all it takes is 1/8 of a teaspoon to chemically create a reaction in ones body.)  

 

Them: WHAT?!

 

You: Yeah, its insane.  Did you know that if I cheat on my diet and eat one meal containing gluten per month that my mortality rate increases over time by 600%?  Thats why I never cheat!!!

 

Them: Whoa!  

 

You: Yep, its true.  If I can't check out the ingredients on a recipe, I have to stay out of it.  I CAN eat ALL kinds of stuff though.  Fresh fruit, steak, pork, chicken, but I stay out of the processed meats.  I still have my dairy. (hopefully)  Nuts, etc...

 

Them: Oh....  So what happens if you eat it?  

 

You:  C'mon, now.  Nobody wants to talk about that...  Alright look, my body fights gluten just like it fights the flu or any other foreign invader.  Now imagine that your body has to react like it has the flu every time you eat a meal.  Your body gets into an "inflamed" state over time that can lead to other diseases or even cancer.  Every time I eat the stuff, the battlefield of inflammation becomes my GI tract, my liver, and my intestines and over time it inhibits my ability to get what I need out of food.  So trust me, its not a fad diet for me. 

 

You:  It was tough at first but I know my resources now and to be honest, I'm a nutritional expert.  If you ever have questions about anything, I can probably point you in the right direction.  

 

 

That's how I play it off sometimes.  If you've already had your own version of this dialog and those same people are giving you "the look" they need to "look" at themselves and ask why they are so selfish.  

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      @BluegrassCeliac, I'm agreeing.  It's a good thing taking magnesium. And B vitamins. Magnesium and Thiamine work together.  If you supplement the B vitamins which include Thiamine, but don't have sufficient magnesium, Thiamine won't work well.  If you take Magnesium, but not Thiamine, magnesium won't work as well by itself. Hydrochlorothiazide HCTZ is a sulfonamide drug, a sulfa drug.  So are proton pump inhibitors PPIs, and SSRIs. High dose Thiamine is used to resolve cytokine storms.  High dose Thiamine was used in patients having cytokine storms in Covid infections.  Magnesium supplementation also improves cytokine storms, and was also used during Covid. How's your Vitamin D? References: Thiamine and magnesium deficiencies: keys to disease https://pubmed.ncbi.nlm.nih.gov/25542071/ Hiding in Plain Sight: Modern Thiamine Deficiency https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8533683/ The Effect of a High-Dose Vitamin B Multivitamin Supplement on the Relationship between Brain Metabolism and Blood Biomarkers of Oxidative Stress: A Randomized Control Trial https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316433/ High‐dose Vitamin B6 supplementation reduces anxiety and strengthens visual surround suppression https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787829/ Repurposing Treatment of Wernicke-Korsakoff Syndrome for Th-17 Cell Immune Storm Syndrome and Neurological Symptoms in COVID-19: Thiamine Efficacy and Safety, In-Vitro Evidence and Pharmacokinetic Profile https://pubmed.ncbi.nlm.nih.gov/33737877/ Higher Intake of Dietary Magnesium Is Inversely Associated With COVID-19 Severity and Symptoms in Hospitalized Patients: A Cross-Sectional Study https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132593/ Magnesium and Vitamin D Deficiency as a Potential Cause of Immune Dysfunction, Cytokine Storm and Disseminated Intravascular Coagulation in covid-19 patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861592/ Sulfonamide Hypersensitivity https://pubmed.ncbi.nlm.nih.gov/31495421/
    • BluegrassCeliac
      Hi,   Not saying Thiamine (B1) couldn't be an issue as well, but Mg was definitely the cause of my problems. It's the only thing that worked. I supplemented with B vitamins, but that didn't change anything, in fact they made me sick. Mg stopped all my muscle pain (HCTZ) within a few months and fixed all the intestinal problems HCTZ caused as well. Mom has an allergy to some sulfa drugs (IgG Celiac too), but I don't think I've ever taken them. Mg boosted my energy as well. It solved a lot of problems. I take 1000mg MgO a day with no problems. I boost absorption with Vitamin D. Some people can't take MgO,  like mom, she takes Mg Glycinate. It's one of those things that someone has try and find the right form for themselves. Everyone's different. Mg deficiency can cause anxiety and is a treatment for it. A pharmacist gave me a list of drugs years ago that cause Mg deficiency: PPIs, H2 bockers, HCTZ, some beta blockers (metoprolol which I've taken -- horrible side effects), some anti-anxiety meds too were on it. I posted because I saw he was an IgG celiac. He's the first one I've seen in 20 years, other than my family. We're rare. All the celiacs I've met are IgA. Finding healthcare is a nightmare. Just trying to help. B  
    • Scott Adams
      It sounds like you've been through a lot with your son's health journey, and it's understandable that you're seeking answers and solutions. Given the complexity of his symptoms and medical history, it might be beneficial to explore a few avenues: Encourage your son to keep a detailed journal of his symptoms, including when they occur, their severity, any triggers or patterns, and how they impact his daily life. This information can be valuable during medical consultations and may help identify correlations or trends. Consider seeking opinions from specialized medical centers or academic hospitals that have multidisciplinary teams specializing in gastrointestinal disorders, especially those related to Celiac disease and Eosinophilic Esophagitis (EOE). These centers often have experts who deal with complex cases and can offer a comprehensive evaluation. Since you've already explored alternative medicine with a nutrition response doctor and a gut detox diet, you may want to consider consulting a functional medicine practitioner. They take a holistic approach to health, looking at underlying causes and imbalances that may contribute to symptoms. Given his low vitamin D levels and other nutritional markers, a thorough nutritional assessment by a registered dietitian or nutritionist specializing in gastrointestinal health could provide insights into any deficiencies or dietary adjustments that might help alleviate symptoms. In addition to routine tests, consider asking about more specialized tests that may not be part of standard screenings. These could include comprehensive stool analyses, food intolerance testing, allergy panels, or advanced imaging studies to assess gut health.
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