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      Frequently Asked Questions About Celiac Disease   04/24/2018

      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 Celiac.com's FREE weekly eNewsletter   What is Celiac Disease and the Gluten-Free Diet? What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  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 What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes
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    VITAMIN AND MINERAL DEFICIENCIES COMMON IN NEWLY DIAGNOSED CELIAC DISEASE PATIENTS


    Jefferson Adams

    Celiac.com 12/09/2013 - People with celiac disease commonly suffer malabsorption, weight loss and vitamin/mineral-deficiencies. A team of researchers recently set out to assess the nutritional and vitamin/mineral status of current “early diagnosed” untreated adult celiac disease patients in the Netherlands.


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    vitamin_d_capsule--cc--kool_skatkat-2.jpgThe research team included Nicolette J. Wierdsma, Marian A. E. van Bokhorst-de van der Schueren, Marijke Berkenpas, Chris J. J. Mulder, and Ad A. van Bodegraven.

    They are affiliated with the Department of Nutrition and Dietetics and the Department of Gastroenterology at Celiac Centre Amsterdam in VU University Medical Centre in Amsterdam, The Netherlands.

    Researchers assessed 80 newly diagnosed adult celiac patients, averaging 42.8 years old, ± 15.1 years. They compared vitamin concentrations for those patients against a sample of 24 healthy Dutch subjects.

    Before prescribing gluten-free diets to the patients, the researchers assessed nutritional status and serum concentrations of folic acid, vitamin A, B6, B12, and (25-hydroxy) D, zinc, haemoglobin (Hb) and ferritin.

    Almost nine out of ten celiac patients (87%) measured at least one value below the lowest normal reference levels. Specifically, for vitamin A, 7.5% of patients showed deficient levels, for vitamin B6 14.5%, folic acid 20%, and vitamin B12 19%.

    Likewise, 67% of celiac patients showed zinc deficiency, 46% showed decreased iron storage, and 32% had anaemia.

    Overall, 17% of celiac patients were malnourished, with more than 10% experiencing undesired weight loss, 22% of the women underweight (Body Mass Index (BMI) < 18.5), and 29% of the patients overweight (BMI > 25).

    Vitamin deficiencies were nearly non-existent in healthy control subjects, though they did show some vitamin B12 deficiency.

    Interestingly, vitamin and or mineral deficiencies were not associated with greater histological intestinal damage or with adverse nutritional status.

    This study shows that vitamin and/or mineral deficiencies are still common in newly “early diagnosed” celiac patients, even as rates of obesity upon initial celiac diagnosis continue to rise.

    Thorough nutritional monitoring is likely warranted for establishing a dietary baseline and maintaining nutritional levels during the course of celiac disease treatment.

    Source:


    Image Caption: Photo: CC--koolskatkat
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    Very interesting article. To make an interesting connection here, consider that the list you gave: "folic acid, vitamin A, B6, B12, and (25-hydroxy) D, zinc, haemoglobin (Hb) and ferritin" overlaps a bit with the typical deficiencies of the average American. For confirmation of this, see the anti-aging videos of Dr. Bruce Ames. He's about as expert a nutrition expert as they get. And he shows a table with all the typical deficiencies seen in the general population. Folic acid is definitely on the list, but I don't have them all memorized. It makes me wonder whether the "wheat belly" theory is true and the breeding of super-wheat is damaging more people than we think. Oh well, the cure is the same.

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    So if the common celiac patient has vitamin deficiencies that contributes to weight loss, why then did I have tremendous weight gain? Since my diagnosis in 2004, I have gone from 164 lbs to nearly 198lbs. Go Figure!

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    Guest Allison

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    This jives with my own experience. Upon final diagnosis (bioposy & blood), I was given a standard screening test and found be anemic, which explained my extreme fatigue. But interestingly a year later a different doctor did another screening and checked on B12 and I was still deficient despite being gluten-free for a full year. My body wasn't able to get back to normal levels on its own without supplements for several months in both cases.

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    Jefferson Adams

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    American Journal of Clinical Nutrition, Vol. 72, No. 4, 937-939, October 2000
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