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Higher-Than-Normal Thyroxine Doses Offer a Clue to Celiac Disease

Celiac.com 03/26/2012 - People with thyroiditis and untreated celiac disease may suffer from reduced thyroid-stimulating hormone levels, a new study has found. Those people may require supplemental doses of thyroxine to normalize their thyroid-stimulating hormone levels.

That study, which appears in the Journal of Clinical Endocrinology and Metabolism, also indicates that following a gluten-free diet seems to require less thyroxine to push thyroid hormone back toward normal levels.

Photo: CC - sanofi pasteurMore and more, people diagnosed with celiac disease, show atypical symptoms, many without the classic gastrointestinal complaints that traditionally characterized celiac disease.

The study team notes that the need for higher thyroxine doses may offer a clue to such atypical celiac disease.

Leader of the study, endocrinologist Dr. Marco Centanni, of Sapienza University of Rome, in Italy, encourages doctors to consider the "possibility of the presence of other occult autoimmune disorders…every time they see a patient with autoimmune thyroiditis."

Dr. Centanni adds that doctors should consider malabsorption, and possible celiac disease, whenever standard thyroxine doses fail to reduce thyroid-stimulating hormone levels to under 2.5mU/L. For Dr. Centanni, an individually-tailored dose of thyroxine that fails to hit the therapeutic target is a powerful "tool to unveil occult gastrointestinal disorders."

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Dr. Centanni and his team analyzed replacement T4 doses in 35 hypothyroid patients with Hashimoto's thyroiditis (HT) and atypical celiac disease. They also looked at 68 patients with Hashimoto's alone.

After an about five months of thyroxine doses averaging 1.31 mcg/kg/day, the 68 patients without celiac disease reached target serum thyroid-stimulating hormone levels of a median of 1.02 mU/L.

After receiving similar thyroxine doses over a similar span of time, the 35 patients with celiac disease showed much higher hormone levels, averaging 4.20 mU/l, and just a single patient had reached the target level.

The team then encouraged patients with celiac disease to adopt a gluten-free diet, and found 21 willing patients.

When they measured those 21 patients again after an average of 11 months, they found that the patients had returned to target serum hormone levels on a average thyroxine dose of 1.32 mcg/kg/day, which is similar to the dose originally used in the non-celiacs.

To get normal target serum hormone levels in the 14 celiac patients who did not comply with the gluten-free diet, the team had to increase the dosage substantially.

From these results, the researchers conclude that malabsorption of thyroxine may offer an as yet undiscovered way detect celiac disease in certain cases.

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these sound like celiac reactions yes ... basically avoid anything that causes the reaction always and find your self a great natural practitioner and rebuild your body .. Rest vitamins digestive enzymes and very strict diet Good Luck

Hey guys im from the UK and this site is really helpful for me. I've been diagnosed with Coeliac disease (uk spelling) for 5 years now and I slowly became dairy intolerant, which makes sense and I live with this now... but now alcohol has turned on me. I don't drink often and I don't drink a lot (I used to in my uni years) but the reaction the next day (or same night) is horrific. I wondered if anyone else had this problem. I start with sweats and dizziness , then the stomach cramps cause chronic diarrhoea ... I then start to vomit until my body is empty .... this isn't the bad part. After my body is empty I go into a fit like state and cannot move walk talk or anything... the cold sweats start but I'm burning up. The stomach spasms are awful, I have to lie in bed flat with cold wet towels on my head and belly. I cannot speak or move for hours and feel so weak and unstable ..: this lasts all day and I can't eat or drink anything but I don't feel myself for three or four days. I avoid drinking but sometimes it's nice to go out and have some... am I alcohol intolerant??!! Does anyone else have this!? I obviously stick to gluten free drinks and have a very strict diet! Im a severe case! Thankyoy steph

I'm going to contact my primary Dr and see what his take is on this. I know I can't wait another 4 weeks to go to my gastroenterologist. Today marks day 23 of diarrhea. Since switching back to Imodium it has gotten worse. I think that the other 2 medications, even though I couldn't tolerate them and they didn't stop the diarrhea, at least slowed it down a little. If my primary has no clue, then I am definitely contacting U of C. The only thing stopping me is that they are out of network for my insurance plan so it would be more costly.

Spring is cherry blossom season, which means that actual cherries are still far enough off that we'll have to leave their deliciousness ahead, and turn to their canned cousins for this recipe. Turns out, that's not a bad thing. Canned cherries make a tasty cornerstone to this super quick, super-easy no-bake cheesecake. Topped with lovely cherries, this no-bake cheesecake is a contender. Enjoy! View the full article

Haha todays cheat day and I cant decide if i want pizza or mac and cheese lmao oh the struggle.