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    What Are the Most Common Vitamin Deficiencies in Celiac Disease Patients?


    Jefferson Adams

    Celiac.com 05/11/2015 - Many people with celiac disease know that gluten exposure can cause gut damage and trouble absorbing some vitamins and minerals, which can lead to serious deficiencies. However, even celiac who follow gluten-free diets may experience similar issues, including impaired vitamin and mineral absorption.


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    Photo: CC--Shannon KringenThe most common vitamin and mineral deficiencies in celiac patients include the following vitamins and minerals:

    1. B vitamins, especially B12
    2. Vitamin A
    3. Vitamin D
    4. Vitamin E
    5. Vitamin K
    6. Iron
    7. Calcium
    8. Carotene
    9. Copper
    10. Folic acid
    11. Magnesium
    12. Selenium
    13. Zinc

    As a result, patients with celiac disease can develop iron-deficiency anemia, including a type that resists oral iron supplementation, and may also develop osteoporosis and osteopenia due to bone loss resulting from decreased calcium and vitamin D absorption.

    For these reasons, it is important that patients with celiac disease be monitored regularly to ensure that they have proper levels of vitamins and minerals in their bodies.

    Source:


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    Guest Joanne Verwey

    Posted

    I would value such monitored statistics. This seemingly small step in overall wellness is beyond my current realities however. My General Practitioner refused my interest in a blood analysis of mineral & vitamin levels. She being the first authority I turned to seeking advice on my celiac symptoms. Ushering me out of her office, her extensive education provided her with this summary, "just follow the Canada Food Guide".

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    Guest Anne

    Posted

    Celiacs certainly may have vitamin deficiencies but the solution is not always to add supplements to one's diet. I recently tried adding vitamin B12; my reaction was similar to adding gluten to my diet. My symptoms disappeared within two days of stopping the supplement. I discovered that celiacs do not absorb a B12 supplement. (It was labeled gluten free.) I wish there was more discussion regarding how celiacs can safely compensate for potential vitamin deficiencies.

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    Guest Nicole

    Posted

    My experience with doctors is "follow the gluten-free diet." No follow-up. Thankfully my kids' doctors want follow-up with lab work. Kids hate it but my oldest still struggles with deficiencies after nearly six years gluten-free and despite supplementation (diagnosed when he was 4).

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    Guest Margaret

    Posted

    Celiacs certainly may have vitamin deficiencies but the solution is not always to add supplements to one's diet. I recently tried adding vitamin B12; my reaction was similar to adding gluten to my diet. My symptoms disappeared within two days of stopping the supplement. I discovered that celiacs do not absorb a B12 supplement. (It was labeled gluten free.) I wish there was more discussion regarding how celiacs can safely compensate for potential vitamin deficiencies.

    I get Vit B12 injections once a month, at my doctors office. It is a prescription of straight Vit B12, no chance of a gluten reaction. I have been getting it since I was diagnosed 9 years ago. I quit taking it once, got so tired, felt like I was gonna fall asleep standing up. Since then haven't stopped getting it, it gives me energy, and makes me feel half normal.

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    Guest Jefferson

    Posted

    Celiacs certainly may have vitamin deficiencies but the solution is not always to add supplements to one's diet. I recently tried adding vitamin B12; my reaction was similar to adding gluten to my diet. My symptoms disappeared within two days of stopping the supplement. I discovered that celiacs do not absorb a B12 supplement. (It was labeled gluten free.) I wish there was more discussion regarding how celiacs can safely compensate for potential vitamin deficiencies.

    Good point! I use a liquid form of B-12 with no issues.

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    Guest Wallace Noll

    Posted

    Celiacs certainly may have vitamin deficiencies but the solution is not always to add supplements to one's diet. I recently tried adding vitamin B12; my reaction was similar to adding gluten to my diet. My symptoms disappeared within two days of stopping the supplement. I discovered that celiacs do not absorb a B12 supplement. (It was labeled gluten free.) I wish there was more discussion regarding how celiacs can safely compensate for potential vitamin deficiencies.

    That is very interesting about the Vitamin B12 shot. I am in the same category as Nicole in that there is no way my doctors would do anything like that.

     

    I find that raw foods and juicing really helps me a lot.

     

    I have a lower quality insurance company, actually a medicaid company, and so with my doctors they have to be dragged kicking and screaming just to give me any tests at all. follow-up, no that is not an option. monitoring of my ability to absorb, no that is an exotic thing unavailable.

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    B12 injections do not work here on the NHS in England as they contain the wrong type of B12. I was so low on B12 I nearly died, was told I had to have B12 injections and I said, are the injections the same as the tablets you put me on, they said yes, and I said, what's the point the tablets didn't work so why would the injection!? So I did my research (around the world on the net from 1960 to present day, took me 9 hours) and found a B12 spray that you spray onto your tongue. My doctor said she could not prescribe it as the NHS wouldn't fund it!!?? Yet would fund an injection every month????? Anyway, I have been using it for the last 5 years and my B12 is now 800, instead of being 100. Do your research folks.

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    B12 injections do not work here on the NHS in England as they contain the wrong type of B12. I was so low on B12 I nearly died, was told I had to have B12 injections and I said, are the injections the same as the tablets you put me on, they said yes, and I said, what's the point the tablets didn't work so why would the injection!? So I did my research (around the world on the net from 1960 to present day, took me 9 hours) and found a B12 spray that you spray onto your tongue. My doctor said she could not prescribe it as the NHS wouldn't fund it!!?? Yet would fund an injection every month????? Anyway, I have been using it for the last 5 years and my B12 is now 800, instead of being 100. Do your research folks.

    B12 is listed as the number 1 deficiency???

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    Guest Shar

    Posted

    B12 injections do not work here on the NHS in England as they contain the wrong type of B12. I was so low on B12 I nearly died, was told I had to have B12 injections and I said, are the injections the same as the tablets you put me on, they said yes, and I said, what's the point the tablets didn't work so why would the injection!? So I did my research (around the world on the net from 1960 to present day, took me 9 hours) and found a B12 spray that you spray onto your tongue. My doctor said she could not prescribe it as the NHS wouldn't fund it!!?? Yet would fund an injection every month????? Anyway, I have been using it for the last 5 years and my B12 is now 800, instead of being 100. Do your research folks.

    Sounds like a new doctor is needed when they won't even write the prescription for you, regardless of who pays.

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  • Related Articles

    Melissa Reed
    Celiac.com 08/19/2014 - It is common for many people with celiac disease to have vitamin deficiencies. Eating a wide variety of foods such as meat, fish, eggs and vegetables can assist in with fixing those deficiencies. Children need vitamins to promote growth, development and good immune health. As adults we need them to prevent disease and stay healthy.
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    Dr. Ron Hoggan, Ed.D.
    Celiac.com 06/15/2018 - There seems to be widespread agreement in the published medical research reports that stuttering is driven by abnormalities in the brain. Sometimes these are the result of brain injuries resulting from a stroke. Other types of brain injuries can also result in stuttering. Patients with Parkinson’s disease who were treated with stimulation of the subthalamic nucleus, an area of the brain that regulates some motor functions, experienced a return or worsening of stuttering that improved when the stimulation was turned off (1). Similarly, stroke has also been reported in association with acquired stuttering (2). While there are some reports of psychological mechanisms underlying stuttering, a majority of reports seem to favor altered brain morphology and/or function as the root of stuttering (3). Reports of structural differences between the brain hemispheres that are absent in those who do not stutter are also common (4). About 5% of children stutter, beginning sometime around age 3, during the phase of speech acquisition. However, about 75% of these cases resolve without intervention, before reaching their teens (5). Some cases of aphasia, a loss of speech production or understanding, have been reported in association with damage or changes to one or more of the language centers of the brain (6). Stuttering may sometimes arise from changes or damage to these same language centers (7). Thus, many stutterers have abnormalities in the same regions of the brain similar to those seen in aphasia.
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    My own experience with stuttering is limited. I stuttered as a child when I became nervous, upset, or self-conscious. Although I have been gluten free for many years, I haven’t noticed any impact on my inclination to stutter when upset. I don’t know if they are related, but I have also had challenges with speaking when distressed and I have noticed a substantial improvement in this area since removing gluten from my diet. Nonetheless, I have long wondered if there is a connection between gluten consumption and stuttering. Having done the research for this article, I would now encourage stutterers to try a gluten free diet for six months to see if it will reduce or eliminate their stutter. Meanwhile, I hope that some investigator out there will research this matter, publish her findings, and start the ball rolling toward getting some definitive answers to this question.
    Sources:
    1. Toft M, Dietrichs E. Aggravated stuttering following subthalamic deep brain stimulation in Parkinson’s disease--two cases. BMC Neurol. 2011 Apr 8;11:44.
    2. Tani T, Sakai Y. Stuttering after right cerebellar infarction: a case study. J Fluency Disord. 2010 Jun;35(2):141-5. Epub 2010 Mar 15.
    3. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    4. Jäncke L, Hänggi J, Steinmetz H. Morphological brain differences between adult stutterers and non-stutterers. BMC Neurol. 2004 Dec 10;4(1):23.
    5. Kell CA, Neumann K, von Kriegstein K, Posenenske C, von Gudenberg AW, Euler H, Giraud AL. How the brain repairs stuttering. Brain. 2009 Oct;132(Pt 10):2747-60. Epub 2009 Aug 26.
    6. Galantucci S, Tartaglia MC, Wilson SM, Henry ML, Filippi M, Agosta F, Dronkers NF, Henry RG, Ogar JM, Miller BL, Gorno-Tempini ML. White matter damage in primary progressive aphasias: a diffusion tensor tractography study. Brain. 2011 Jun 11.
    7. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    8. [No authors listed] Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1988. A 52-year-old man with persistent watery diarrhea and aphasia. N Engl J Med. 1988 Oct 27;319(17):1139-48
    9. Molteni N, Bardella MT, Baldassarri AR, Bianchi PA. Celiac disease associated with epilepsy and intracranial calcifications: report of two patients. Am J Gastroenterol. 1988 Sep;83(9):992-4.
    10. http://ezinearticles.com/?Food-Allergy-and-Stuttering-Link&id=1235725 
    11. http://www.craig.copperleife.com/health/stuttering_allergies.htm 
    12. https://www.celiac.com/forums/topic/73362-any-help-is-appreciated/
    13. Ford RP. The gluten syndrome: a neurological disease. Med Hypotheses. 2009 Sep;73(3):438-40. Epub 2009 Apr 29.
    14. Hadjivassiliou M, Gibson A, Davies-Jones GA, Lobo AJ, Stephenson TJ, Milford-Ward A. Does cryptic gluten sensitivity play a part in neurological illness? Lancet. 1996 Feb 10;347(8998):369-71.

    Jefferson Adams
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    Source:
    Journal of Clinical Pathologyhttp://dx.doi.org/10.1136/jclinpath-2018-205023