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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

Liver Enzymes Up
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3 posts in this topic

I went to the Dr. A week or so ago and he did blood work, one blood test was for Liver enzymes evidently. He put me on Terbinafine Tablets for my toenails coming off. Then we went on Vacation! Ughhh I for got my pills! Ohh well it was too late , came home and get a call from the Dr, That my liver enzymes are up, quit taking the Terbinafine , 

What does my liver enzymes have to do with Celiac? He did the blood work before I started taking the pills so the pills were not the reason. I understand why he wants me to stop taking the pills. But what does liver enzymes have to do with Celiac? 

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I went to the Dr. A week or so ago and he did blood work, one blood test was for Liver enzymes evidently. He put me on Terbinafine Tablets for my toenails coming off. Then we went on Vacation! Ughhh I for got my pills! Ohh well it was too late , came home and get a call from the Dr, That my liver enzymes are up, quit taking the Terbinafine , 

What does my liver enzymes have to do with Celiac? He did the blood work before I started taking the pills so the pills were not the reason. I understand why he wants me to stop taking the pills. But what does liver enzymes have to do with Celiac? 

If you look up the drug Terbinafine, you will see that one of the possible side effects is liver injury--so if your liver enzymes are elevated before you even start taking the drug, that might put you at greater risk for liver injury.  Don't worry, however, about having taken the drug for such a short period of time.  As for your elevated "liver enzymes", they might really reflect what is going on with you celiac condition and your gastrointestinal tract rather than what is going on with your liver since these tests can sometimes be elevated with diseases not involving the liver.  Depending on what your liver enzyme test results were, your doctor may want to do some further testing to determine why they are elevated.

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TY for your quick response! Just kinda scared me there!! I was reading up on it I hope this is a reputable source.

 

 

http://www.livestrong.com/article/538873-does-gluten-affect-the-liver/

I read this in there

 

 

Effects

Up to 42 percent of people newly diagnosed with celiac disease have raised liver enzymes, according to research published in 1995 in the medical journal "Hepatology." However, the study found that the liver enzyme test results normalized once the patients had followed strict gluten-free diets for one year, indicating that any damage to their livers due to their gluten ingestion had reversed itself. Another study, published in 2011 in the "American Journal of Gastroenterology," reported a much lower percentage of newly diagnosed celiacs with elevated liver enzymes -- 11 percent. However, that study also found that a gluten-free diet tends to lower elevated liver enzymes in people with celiac.

 

Read more: http://www.livestrong.com/article/538873-does-gluten-affect-the-liver/#ixzz2ho3xB4WP

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    • How do you know what's causing what?
      I am in same boat, yesterday my stomach was churning and bloated and I don't know what the cause was.  How about keeping a food diary? Just note what you ate and how you feel. A few days may be sufficient to discern a pattern, either some rogue product or a previously unknown intolerance. I have read that after gluten is removed further intolerances which were hidden can become apparent.  I don't know whether you could cut yourself some slack from a full vegan approach whilst your body heals? If not, maybe you could substitute say milk with coconut milk or similar to give your body a break whilst keeping calcium levels high? If you join coeliac uk you can check your sauces etc on their gluten-free database, they'll also send you a book which became my bible until I got a hang of which brands I could eat safely. Finally, have you excluded cross contamination from pots and pans, toasters, shared condiments etc?  Good luck!
    • Blood results - odd
      My results were similar – Low ferritin but normal B12. Although my ferritin levels were low, my Iron serum levels were normal. So might be worth getting your iron levels checked out to see if you have any deficiency in Iron. Also I was deficient in Vitamin D, which is perhaps more of a problem in England rather than the US - Our milk isn’t supplemented with vit D and we obviously have less sunshine.
    • How do you know what's causing what?
      Hi Kam, If you are going to continue the celiac testing with an endoscopy, you need to keep eating gluten until it's done. It can be hard for vegetarians to keep their vitamin D levels up.   This Vitamin D  Council link has some good info on ways to boost your levels. https://www.vitamindcouncil.org/about-vitamin-d/
    • Blood results - odd
      Your ferritin was very low!  My result was a 2 when I was diagnosed.    I hard a hard time breathing and the fatigue was awful due to low hemoglobin levels.  But after going gluten free and taking iron for a few months, I quickly recovered from iron-deficiency anemia.  I still have hemologobin levels that are slightly below range due to Thalassemia which is genetic and my body has adjusted for it.   My B12 and folate levels are  super high.  My B12 is over 2000!  Yeah, I googled and ruled out cancers, etc.  Looks like some of us do not process man-made B12 often included in supplements.  I opted for natural sources of B-12 and folate and my levels have come down a bit.   Let us know your results.  Read the Newbie 101 section under "Coping" within this forum for tips.   Be patient.  It can take months, to years to feel good.  But it will happen!    
    • How do you know what's causing what?
      Welcome to the forum!   Well.....in theory you should be able to heal within a few months (grow new villi, etc.).  The reality is that it takes so much longer -- like a year or two (I kid you not!)  Why?  celiac disease can damage more than just the gut.  Depending on what was damaged (nerves, bones, etc) can impact healing time.  The gluten-free diet has a very steep learning curve.  It's not just giving up gluten.  It's avoiding cross contamination.  Becoming an expert in reading labels.  Learning to avoid foods processed on shared lines in a facility.  Then there are intolerances that most celiacs develop.  The most common ones is lactose.  Why?  The villi tips release the enzymes to digest lactose.  No villi tips?  Then you can not digest lactose.  Often this is temporary, but if you are one of the many adults in this world, you might already be lactose intolerant or might become so as you age.   Other intolerances that members often report include corn or soy.   Some celiacs react to oats, even gluten free.  So avoid oats for six months.  So, try cutting out dairy for a few days and see how you feel.  Then add in those items that have the least lactose:  hard cheese, butter, yogurt and see how you feel.   Avoid eating out for six months until you have seen some improvement.   Read our Newbie 101 thread under coping for more ideas!  Hope you feel better soon.   
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