Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Celiac.com!
    eNewsletter
    Donate

I Am New. Concerned Mom With Pics.


Chris0107

Recommended Posts

Chris0107 Newbie

Hello everyone

I have not yet seen a doctor about his because I really thought she was fine. Then after looking online I realize there can be a problem. I do plan to see a doctor but in the mean time I am hoping to get some opinions. My daughter is 18 months old. She only weighs 20.8 pounds and I believe that puts her in the 5 percentile. So she is pretty small. She does not eat all that great. She is still on a bottle which she has about 2 or 3 times a day. I fill it with either milk or toddler formula. Then throughout the day she really only snacks and will take a few bites of something here and there. She does drink some juice as well. She does poop everyday and they are normal I think for the most part. The startling thing is despite her tiny frame she has a pretty large stomach. And no its not soft, its hard. She has vomited sometimes out of the blue but its not very often, just on occasion. She seems otherwise normal besides these things. I do not have any celiac in the family that I am aware of. Can you please tell me what you think? Could this all be considered normal still, or should I be concerned? Does this look like a celiac belly? Here I will include the pics. Any opinions are welcome. Thanks.

http://i3.photobucket.com/albums/y78/Sweet.../newpics006.webp

http://i3.photobucket.com/albums/y78/Sweet.../newpics014.webp

http://i3.photobucket.com/albums/y78/Sweet.../newpics018.webp

http://i3.photobucket.com/albums/y78/Sweet.../newpics035.webp

http://i3.photobucket.com/albums/y78/Sweet.../newpics040.webp

Link to comment
Share on other sites

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



mommida Enthusiast

I would get her tested. My daughter's body was just like that. Another body feature is to have a very small, flat butt.

How are her sleeping habits?

Good luck with the testing. It is known fact ~ the testing is not very accurate in patients under 24 months. Hopefully that will change soon. She needs to stay on gluten during the testing. Testing will include the blood panel, an endoscopy with biopsy, possibly the genetic test, and the response on the gluten free diet. If the testing is inconclusive ~ definately try the gluten free diet.

Link to comment
Share on other sites
lovegrov Collaborator

I can't say about the belly, but dies she fall in the"failure to thrive" category. If so, that's a major celiac red flag at this age.

richard

Link to comment
Share on other sites
Genna'smom Apprentice

My daughter at 22 months just stopped eating and drinking all together. She had never been the best eater and was in the 5th percentile but had always been on the small side. She had no symptoms of celiac's disease at all abut she did have a severe ear infection at the time. She ended up going down to 17 lbs and ended up with a feeding tube to keep her going and in two hospitals and ended up with a endopscopy and biopcies which said she has celiac disease. No one in either of our familes has it and my husband and I were both tested and neither of us have it. So it is a hard thing to know for sure without the biopcie.

Good luck and I hope things are ok with your daughter.

Bonnie

Link to comment
Share on other sites
swalker Newbie

Milk allergies run in my family with addition to the wheat intolerance and from what you've said I'd be suspicious of the milk. Has she ever had ear infections? Melt downs? Trouble hearing?

I'd suggest switching the milk with a fortified rice milk while you're pursuing the gluten testing. Both my sister and daughter have extreme milk intolerances and self limited their diets to mostly milk products which is typical of an allergy.

Link to comment
Share on other sites
nikkicn Newbie

My son would vomit every once in awhile too and had the bloated belly and skinny arms. He was diagnosed when he was 3. So it's definitely worth testing--and even if it's negative, she might want to get tested later if there are no other answers. Or you could try gluten free after the test regardless.

Other symptoms he had were fatigue and irregular BMs: constipation or little bits of bowel all day. but the fatigue and vomiting didn't show up until he was three. I don't know how long he officially had celiac.

Link to comment
Share on other sites
krystal Rookie

I can honestly say that doesn't look that much different from my (assumed) healthy kids. Now, there is a chance that they have it, as I am self-diagnosed after years of my doctors farting around and calling me crazy. Gluten free has made me feel a whole ton better, so it is possible that my kids have a gluten issue as well.

However, my kids hovered in the slim end of "normal" and no vomiting on this end. For the most part, they are all healthy. (to my knowledge)

I am not a fan of invasive tests for kids, so I plan on just trying the diet on them when I finally get myself straightened out and see if there is a noticeable difference.

There are pros and cons to doing the tests now - there are always risks with anesthesia and invasive procedures, but you may find it better to do it now when she has little to no memory of gluten and the diet is of no issue. Schools may require a formal diagnosis for concessions, as well.

If it were ME, I would have the blood tests done and then probably decide based on the results. If the blood tests are heavily leaning towards it, then I would probably make the diet modification and see what happens. Blood tests + conclusive dietary results would be good enough for ME for a diagnosis. When she was older, especially if she were continuing to fail to thrive, I'd have a biopsy done to make sure that it truly was gluten free.

Link to comment
Share on other sites

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



sugarsue Enthusiast

Hi, your daughter is so cute! Thanks for posting the pictures. I have a couple of questions based on what I see that may seem random....

Have you ever cut her hair?

Were/are her teeth slow to grow in?

Does she have dark circles under her eyes?

In one picture it looks like she might have circles... If so, this turned out to be a major issue with my now 7 yr old with a dairy allergy (she's also seriously allergic to dust). She also can't eat gluten now but that came about later due to her skin issues.... so on that note, does she have eczema trouble? In addition to any gluten issues you may notice, I would also consider allergies or other food intolerances.

My seriously gluten intolerant dd (now 6 yrs) was small like your dd. Her hair did (and still does not) grow fast. Her teeth were slow to grow in and slow to fall out. We didn't have the large belly issue (at least I did not notice it as unusual at the time) but had a bunch of other issues.

Are there other random symptoms that you notice that you might share?

Link to comment
Share on other sites
Chris0107 Newbie
I would get her tested. My daughter's body was just like that. Another body feature is to have a very small, flat butt.

How are her sleeping habits?

Good luck with the testing. It is known fact ~ the testing is not very accurate in patients under 24 months. Hopefully that will change soon. She needs to stay on gluten during the testing. Testing will include the blood panel, an endoscopy with biopsy, possibly the genetic test, and the response on the gluten free diet. If the testing is inconclusive ~ definately try the gluten free diet.

Hi thanks for responding. Her sleeping habits I think are normal. She sleeps through the night, and takes one nap usually around noon for a couple hours. She doesn't have the flat butt that I can see as of yet.

Link to comment
Share on other sites
Chris0107 Newbie
Hi, your daughter is so cute! Thanks for posting the pictures. I have a couple of questions based on what I see that may seem random....

Have you ever cut her hair?

Were/are her teeth slow to grow in?

Does she have dark circles under her eyes?

In one picture it looks like she might have circles... If so, this turned out to be a major issue with my now 7 yr old with a dairy allergy (she's also seriously allergic to dust). She also can't eat gluten now but that came about later due to her skin issues.... so on that note, does she have eczema trouble? In addition to any gluten issues you may notice, I would also consider allergies or other food intolerances.

My seriously gluten intolerant dd (now 6 yrs) was small like your dd. Her hair did (and still does not) grow fast. Her teeth were slow to grow in and slow to fall out. We didn't have the large belly issue (at least I did not notice it as unusual at the time) but had a bunch of other issues.

Are there other random symptoms that you notice that you might share?

Hi and thanks for replying. I actually have not really ever cut her hair except her bangs a little here and there. I think her teeth came in at a normal pace. I don't think she really has the dark circles. I just checked I didn't see them now. She doesn't have skin issues that I can tell. Though as you can see in the pic her cheeks do get rosey sometimes. Not sure if that means anything. The main thing really is her small weight and big belly, and eating habits. I am so thankful for everyones input and anymore you have to share or ask please do.

Link to comment
Share on other sites
Chris0107 Newbie
I can honestly say that doesn't look that much different from my (assumed) healthy kids. Now, there is a chance that they have it, as I am self-diagnosed after years of my doctors farting around and calling me crazy. Gluten free has made me feel a whole ton better, so it is possible that my kids have a gluten issue as well.

However, my kids hovered in the slim end of "normal" and no vomiting on this end. For the most part, they are all healthy. (to my knowledge)

I am not a fan of invasive tests for kids, so I plan on just trying the diet on them when I finally get myself straightened out and see if there is a noticeable difference.

There are pros and cons to doing the tests now - there are always risks with anesthesia and invasive procedures, but you may find it better to do it now when she has little to no memory of gluten and the diet is of no issue. Schools may require a formal diagnosis for concessions, as well.

If it were ME, I would have the blood tests done and then probably decide based on the results. If the blood tests are heavily leaning towards it, then I would probably make the diet modification and see what happens. Blood tests + conclusive dietary results would be good enough for ME for a diagnosis. When she was older, especially if she were continuing to fail to thrive, I'd have a biopsy done to make sure that it truly was gluten free.

Thanks for your input. What would require anesthesia? Forgive my ignorance.

Are your kids still on the smaller side? I have a 7 year old son and he was always normal sized, if not chunky as a baby/toddler.

Link to comment
Share on other sites
Chris0107 Newbie
Milk allergies run in my family with addition to the wheat intolerance and from what you've said I'd be suspicious of the milk. Has she ever had ear infections? Melt downs? Trouble hearing?

I'd suggest switching the milk with a fortified rice milk while you're pursuing the gluten testing. Both my sister and daughter have extreme milk intolerances and self limited their diets to mostly milk products which is typical of an allergy.

Hi. She actually has not had any ear infections thank God. I did breastfeed til she was 8 months. No trouble hearing that I know of. Melt downs? hmmm well, lol ya but she's a little diva sometimes so hard to say what that means.

Link to comment
Share on other sites
Chris0107 Newbie
My son would vomit every once in awhile too and had the bloated belly and skinny arms. He was diagnosed when he was 3. So it's definitely worth testing--and even if it's negative, she might want to get tested later if there are no other answers. Or you could try gluten free after the test regardless.

Other symptoms he had were fatigue and irregular BMs: constipation or little bits of bowel all day. but the fatigue and vomiting didn't show up until he was three. I don't know how long he officially had celiac.

She does sometimes have the little bits of bowels but then other days she doesn't. Thanks for the input.

Link to comment
Share on other sites
caek-is-a-lie Explorer

Huh, the vomiting has peaked my interest...my son has always been underweight...5th-10th percentile (and freaked WIC out for years but they never figured out what was 'wrong' with him, although I think they liked making me miss work for appointments and making me cry a lot because of course it's because I'm a bad mother and give him too much or not enough milk and/or juice, right? Yes they actually said both in consecutive visits!) but he's tall for his age, so I don't suspect a growth problem. However, he often gets a distended belly (not hard, I don't think,) has random problems with D, and he does occasionally vomit when he isn't sick. He's always thirsty and has always drunk a TON of fluids. He only gets C a few times a year, but his BM's are irregular and unpredictable. Last time he vomited, it was right after he went to bed, and he slept in it all night...didn't wake us up to clean him or anything. I stayed home with him thinking he had the flu, but he was totally fine. And then I forgot about it, until now...he's done things like this before. I know he can get hyper after eating gluten...he eats my gluten-free cookies and he's fine, then eats a wheat cookie and he's bouncing off the walls. Maybe I should get him tested just to be safe...hmmmmm.... Am I being an over-anxious mother? Do kids just puke for no reason? I don't want to be that mother that projects their issues on their kids...he could be totally normal. He's not even close to as sick as my niece was, so I don't want to jump the gun and overreact.

Link to comment
Share on other sites
swalker Newbie

Pink cheeks and/or ears are a sign that a child has recently eaten something they are sensitive too. I highly recommend "Is this Your Child" by Doris Rapp. It answered a lot of questions for us about food sensitivities that no one else could.

caek_is_a_lie it sounds like your son is sensitive to gluten. Foods are chemicals to our bodies and when we consume chemicals we can't digest they do harm.

Link to comment
Share on other sites
krystal Rookie
Thanks for your input. What would require anesthesia? Forgive my ignorance.

Are your kids still on the smaller side? I have a 7 year old son and he was always normal sized, if not chunky as a baby/toddler.

The endoscope to have the final diagnosis is what requires anesthesia.

My kids are all short, some are light, some are average weight. I have 4.

I see possible symptoms in all of them, but right now I'm seeing gluten intolerance in everyone! :LOL

Link to comment
Share on other sites
2boysmama Apprentice

My older son had that "protruberent belly" (as his allergist called it), just like your daughter (she's a cutie, BTW!). He was diagnosed through Enterolabs at 3, and at the age of 5 now has a little washboard belly. My youngest does, too (he's 2.5 and has never had glutens).

I'd get her checked out, or do a gluten-free diet trial.

Link to comment
Share on other sites
talisemama Newbie

My 30 month old daughter was recently diagnosed. She had the same belly and vomitting. She mostly drank milk and ate very little. There were periods when she was an infant that she did not gain weight at all. We removed dairy as well when she went gluten free. Please be careful of the rice milk suggestion. We started with Rice Dream Chocolate Rice Milk which she promptly vomitted. Not all rice milk is gluten free. I found out later that Rice Dream uses barley in the processing. My daughter will vomit within 8 hours if she ingests even minute amounts of gluten. Pediasure is gluten and lactose free as far as I know. However, I found that my daughters appetite increased dramatically within about 2 weeks of being gluten free. Her stomach is now flat!

Link to comment
Share on other sites
krystal Rookie
My 30 month old daughter was recently diagnosed. She had the same belly and vomitting. She mostly drank milk and ate very little. There were periods when she was an infant that she did not gain weight at all. We removed dairy as well when she went gluten free. Please be careful of the rice milk suggestion. We started with Rice Dream Chocolate Rice Milk which she promptly vomitted. Not all rice milk is gluten free. I found out later that Rice Dream uses barley in the processing. My daughter will vomit within 8 hours if she ingests even minute amounts of gluten. Pediasure is gluten and lactose free as far as I know. However, I found that my daughters appetite increased dramatically within about 2 weeks of being gluten free. Her stomach is now flat!

Is that true about Rice Dream? I wonder if that is part of my problem... I've been trying gluten free for about 2 weeks now and have reactions to foods I thought I should have reactions to - I though maybe I had an "additional" food issue, but I know the vanilla Rice Dream was one of my problem foods....

Link to comment
Share on other sites
talisemama Newbie
Is that true about Rice Dream? I wonder if that is part of my problem... I've been trying gluten free for about 2 weeks now and have reactions to foods I thought I should have reactions to - I though maybe I had an "additional" food issue, but I know the vanilla Rice Dream was one of my problem foods....

I read about the Rice Dream in Danna Korn's "Kid's with Celiac Disease" book.

Link to comment
Share on other sites
Chris0107 Newbie

Thanks everyone. I wanted to update. When I took her in Friday she actually only weighed 19.2 pounds! They said she weighed more back in December and that she was not even on the percentile charts anymore. They gave her a catheter right then and she was screaming bloody murder, it was terrible. I also did find out that her great grandpa had celiac, so I was wrong when I said I didn't think anyone in her family had it. She is getting blood work tomorrow and they are supposed to test for celiac and other things it could be. I will update when I get results. I am pretty worried about her at this point. Her eating lately has been terrible I am lucky if I get 4 or 5 bites out of her. She still drinks her milk fine.

Link to comment
Share on other sites
Nicholasmommy Apprentice

Hi! I know your concern and am in a similiar boat. My son is almost 20 months old and weighs 19.8 pounds. Recently he had a blood test for celiac that came back positive. We are currently waiting for the biopsy and have a "consultation" on tuesday. It is having to drive me crazy waiting to know for sure!!!! I am sure that you are in the same boat. But he has the exact same symptoms as your daughter except the random vomiting. Hopefully, you will know soon. keep us updated!

oh, one thing that has helped my son grow and gain a little weight is pedisure with heavy whipping cream in it. My son drinks a lot of it!

Link to comment
Share on other sites
brazen20au Newbie

Hi, my dd was diagnosed last december at 2y9m

this is what her tummy would look like

Open Original Shared Link

we didn't take her to the dr for another 4 months after that photo was taken and it was because she had a week of doing white poos.

now she's diagnosed we can see all the signs and symptoms looking back but at the time it was too easy to find reasons for them all:

* stunted growth, especially compared to her very tall brother & sister - our mothers & sisters are on the shorter side

* that tummy - people said it was normal toddler tummy

* vomits - they only happened occasionally and we thought maybe she'd eaten too much as it would just be once or twice and generally mucus filled

* very pale, especially compared to her sister - my sister has very pale skin (FWIW my sister is a suspected coeliac too)

* very sloppy, runny and frequent poos - same as her brother had had when young (he is now complaining about tummy pain and i am considering further testing on him too)

between blood tests and the biopsy she started complaining of stomach pain and was subconsciously avoiding gluten products.

at the very least i would have the blood tests done, and if they show negative, have the gene test done (if she doesn't have the gene you know it can't possibly be coeliac)

good luck.

PS: after 4 months on the GFD - which she LOVES - she has grown over 2cm (1") and put on over 2kg (1 lb) !!!!

Link to comment
Share on other sites
MomToThree050607 Newbie
My daughter at 22 months just stopped eating and drinking all together. She had never been the best eater and was in the 5th percentile but had always been on the small side. She had no symptoms of celiac's disease at all abut she did have a severe ear infection at the time. She ended up going down to 17 lbs and ended up with a feeding tube to keep her going and in two hospitals and ended up with a endopscopy and biopcies which said she has celiac disease. No one in either of our familes has it and my husband and I were both tested and neither of us have it. So it is a hard thing to know for sure without the biopcie.

Good luck and I hope things are ok with your daughter.

Bonnie

Hello! I read yours and I noticed that you said you and your husband were both tested and neither of you have it. I did TONS of research when they thought it was the possible diagnosis to my daughter and continued for the last 6 months. I was told though that it's completely genetic and has to run down the line for you to actually have the disease. My husband and I debated on who had it and we pinned it to him cause he had all the obvious signs of the disease. Well, it came back to me and me having the genetic. Were you tested for the disease and the genetic or just the disease? I'm just curious on if they had done it though. Thanks!

Link to comment
Share on other sites
talisemama Newbie
Thanks everyone. I wanted to update. When I took her in Friday she actually only weighed 19.2 pounds! They said she weighed more back in December and that she was not even on the percentile charts anymore. They gave her a catheter right then and she was screaming bloody murder, it was terrible. I also did find out that her great grandpa had celiac, so I was wrong when I said I didn't think anyone in her family had it. She is getting blood work tomorrow and they are supposed to test for celiac and other things it could be. I will update when I get results. I am pretty worried about her at this point. Her eating lately has been terrible I am lucky if I get 4 or 5 bites out of her. She still drinks her milk fine.

Hang in there....it is going to get better!!

Link to comment
Share on other sites

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      121,088
    • Most Online (within 30 mins)
      7,748

    Aventine
    Newest Member
    Aventine
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • trents
      Welcome to the community forum, @Anmol! There are a number of blood antibody tests that can be administered when diagnosing celiac disease and it is normal that not all of them will be positive. Three out of four that were run for you were positive. It looks pretty conclusive that you have celiac disease. Many physicians will only run the tTG-IGA test so I applaud your doctor for being so thorough. Note, the Immunoglobulin A is not a test for celiac disease per se but a measure of total IGA antibody levels in your blood. If this number is low it can cause false negatives in the individual IGA-based celiac antibody tests. There are many celiacs who are asymptomatic when consuming gluten, at least until damage to the villous lining of the small bowel progresses to a certain critical point. I was one of them. We call them "silent" celiacs".  Unfortunately, being asymptomatic does not equate to no damage being done to the villous lining of the small bowel. No, the fact that your wife is asymptomatic should not be viewed as a license to not practice strict gluten free eating. She is damaging her health by doing so and the continuing high antibody test scores are proof of that. The antibodies are produced by inflammation in the small bowel lining and over time this inflammation destroys the villous lining. Continuing to disregard this will catch up to her. While it may be true that a little gluten does less harm to the villous lining than a lot, why would you even want to tolerate any harm at all to it? Being a "silent" celiac is both a blessing and a curse. It's a blessing in the sense of being able to endure some cross contamination in social settings without embarrassing repercussions. It's a curse in that it slows down the learning curve of avoiding foods where gluten is not an obvious ingredient, yet still may be doing damage to the villous lining of the small bowel. GliadinX is helpful to many celiacs in avoiding illness from cross contamination when eating out but it is not effective when consuming larger amounts of gluten. It was never intended for that purpose. Eating out is the number one sabotager of gluten free eating. You have no control of how food is prepared and handled in restaurant kitchens.  
    • knitty kitty
      Forgot one... https://www.hormonesmatter.com/eosinophilic-esophagitis-sugar-thiamine-sensitive/
    • trents
      Welcome to the forum community, @ekelsay! Yes, your tTG-IGA score is strongly positive for celiac disease. There are other antibody tests that can be run when diagnosing celiac disease but the tTG-IGA is the most popular with physicians because it combines good sensitivity with good specificity, and it is a relatively inexpensive test to perform. The onset of celiac disease can happen at any stage of life and the size of the score is not necessarily an indicator of the progress of the disease. It is likely that you you experienced onset well before you became aware of symptoms. It often takes 10 years or more to get a diagnosis of celiac disease after the first appearance of symptoms. In my case, the first indicator was mildly elevated liver enzymes that resulted in a rejection of my blood donation by the Red Cross at age 37. There was no GI discomfort at that point, at least none that I noticed. Over time, other lab values began to get out of norm, including decreased iron levels. My PCP was at a complete loss to explain any of this. I finally scheduled an appointment with a GI doc because the liver enzymes concerned me and he tested me right away for celiac disease. I was positive and within three months of gluten free eating my liver enzymes were back to normal. That took 13 years since the rejection of my blood donation by the Red Cross. And my story is typical. Toward the end of that period I had developed some occasional diarrhea and oily stool but no major GI distress. Many celiacs do not have classic GI symptoms and are "silent" celiacs. There are around 200 symptoms that have been associated with celiac disease and many or most of them do not involve conscious GI distress. Via an autoimmune process, gluten ingestion triggers inflammation in the villous lining of the small bowel which damages it over time and inhibits the ability of this organ to absorb the vitamins and minerals in the food we ingest. So, that explains why those with celiac disease often suffer iron deficiency anemia, osteoporosis and a host of other vitamin and mineral deficiency related medical issues. The villous lining of the small bowel is where essentially all of our nutrition is absorbed. So, yes, anemia is one of the classic symptoms of celiac disease. One very important thing you need to be aware of is that your PCP may refer you to a GI doc for an endoscopy/biopsy of the small bowel lining to confirm the results of the blood antibody testing. So, you must not begin gluten free eating until that is done or at least you know they are going to diagnose you with celiac disease without it. If you start gluten free eating now there will be healing in the villous lining that will begin to take place which may compromise the results of the biopsy.
    • Anmol
      Hello all- my wife was recently diagnosed with Celiac below are her blood results. We are still absorbing this.  I wanted to seek clarity on few things:  1. Her symptoms aren't extreme. She was asked to go on gluten free diet a couple years ago but she did not completely cut off gluten. Partly because she wasn't seeing extreme symptoms. Only bloating and mild diarrhea after a meal full of gluten.  Does this mean that she is asymptomatic but enormous harm is done with every gram of gluten.? in other words is amount gluten directly correlated with harm on the intestines? or few mg of gluten can be really harmful to the villi  2. Why is she asymptomatic?  3. Is Gliadin X safe to take and effective for Cross -contamination or while going out to eat?  4. Since she is asymptomatic, can we sometimes indulge in a gluten diet? ----------------------------------------------------------------------------------------------- Deamidated Gliadin, IgG - 64 (0-19) units tTG IgA -  >100 (0-3) U/ml tTG IgG - 4   (0-5) Why is this in normal range? Endomysial Antibody - Positive  Immunoglobulin A - 352 (87-352) ------------------------------------------------------------------------------------------------ Thanks for help in advance, really appreciate! 
    • Tanner L
      Constantly! I don't want everything to cost as much as a KIND bar, as great as they are.  Happy most of the info is available to us to make smart decisions for our health, just need to do a little more research. 
×
×
  • Create New...