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

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.

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

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  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.

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8 Responses:

 
Joanne Verwey
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said this on
11 May 2015 9:35:45 AM PDT
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".

 
Anne
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said this on
18 May 2015 12:16:15 PM PDT
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.

 
Margaret
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said this on
19 May 2015 8:02:48 PM PDT
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.

 
Jefferson
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said this on
25 May 2015 12:06:23 PM PDT
Good point! I use a liquid form of B-12 with no issues.

 
Wallace Noll
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said this on
21 Jun 2015 1:29:58 PM PDT
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.

 
Nicole
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said this on
18 May 2015 7:01:48 PM PDT
My experience with doctors is "follow the GF 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 GF and despite supplementation (diagnosed when he was 4).

 
Debi
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said this on
07 Jan 2016 10:26:03 AM PDT
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.

 
admin
( Author)
said this on
09 Jan 2016 7:09:05 PM PDT
B12 is listed as the number 1 deficiency???




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I believe the talk around this forum is that cheerios are not gluten free enough for people with celiac at this time. I don't know if anything has changed on that and when their lawyer calls me I'll quickly delete this. haha

Could be we generally say get off of dairy for a few months when going gluten free. The part of the intestines that produce the enzymes, and help break down dairy are associated with the tips of the villi, which are the most damaged if not gone in celiacs. THIS is why most of us end up with a lactose intolerance early on. And most can introduce it later after healing. As to her symptoms with it there was a bunch of research about dairy permeated the gut and causing neurological issues in a autism study I was looking at years ago. And there have been other studies about damaged intestines and how the hormones in milk can easier effect ones body. Personally I also have a huge grudge against dairy on a personal level as it is not natural to suck on a cows tits and drink the stuff, nor your dogs, nor a rabbits......I mean come on even Human Breast milk you would find odd to drink as an adult right? Back in the past dairy was a great way to get calories and fats when there was famine, etc around I mean it is meant to make a calf grow into a 500+lb cow. But on a genetic and hormonal level it is not really for human consumption and now days the whole corporate BS propaganda push and dairy farms shove that oh its healthy stuff down your throat. There are plenty of dairy free options for everything feel free to message me if you need help finding anything I have been dairy free for over a decade.

The full celiac panel checks TTG IGA and IGG, DGP IGA and IGG, IGA, EMA as Jmg stated above. Your test included TTG IGA and IGA. If your IGA was low, a low on TTG IGA would be inconclusive. But your IGA is fine. A high on any one test is a positive for celiac and should lead to an endoscopy for confirmation. So I'd get tested for TTG IGG, DGP IGA and IGG and EMA since there are symptoms. Warning I'm not a doc.

I did a gluten challenge for my endoscopy and requested a second blood test after my follow up with the consultant. I never did see those results but my GP said no celiac was indicated: Which left me gluten free for life, that wasn't an option after the challenge, but with a less satisfactory diagnosis, one by omission rather than the definitive 'you're celiac' one I was expecting. Yes! I have been 'properly' glutened on a couple of occasions but on several more I've detected a change or a reaction based on what could only have been trace amounts. NCGS is as yet poorly understood but patients tend to have more neuro symptoms than digestive. That's definitely been my experience, although it was only after going gluten free that I realised quite how many digestive symptoms I had just been living with as 'normal'. Close friends and family get the full explanation. 'I have an auto immune disease similar to 'coeliac etc.' If they stay awake long enough I'll tell them about the less than perfect testing process I went through or the Columbia Med research and the possibility of a blood test soon. They can see the difference between me on gluten and off it so they understand its not all in my head* If I'm ordering food in a restauarant or asking questions about food prep etc I will often just self declare as coeliac - people are aware of that and understand those requests are medical rather than fad diet based. I don't have any problem doing this, I'm not going to claim that and then cheat on dessert for instance and to be honest I expect once the research is complete the two conditions may wind up alongside others as different faces of the same coin. In the meantime I safeguard my health and avoid getting into a detailed conversation about genuine gluten sensitivity versus faux hipster posturing! *apart from the bits which are in my head

I originally had it on my face and scalp. (22 years ago) First biopsy with dermatologist came back as folliculitis. Then when I had a new outbreak on my upper back, she was able to remove a nice clean blister and we got the diagnosis of DH. She started me on Dapsone (100mg/day) and gluten free diet. Now I take 25-50 mg/day. My understanding at the time was that DH was the skin version of Celiac. Did a lot of research on my own. I met Dr. Peter Green at a Gluten free Vendors Fair and he said that a diagnosis of DH IS a diagnosis of Celiac, even if no other symptoms. So I stay gluten-free