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Low Serum Vitamin B12 is Common in Celiac Disease and is not due to Autoimmune Gastritis

Eur J Gastroenterol Hepatol. 2002 Apr;14(4):425-7. Related Articles, Links

Celiac.com 07/30/2004 - The following abstract of a study that was done in 2002 emphasizes the importance of vitamin supplementation in the treatment of many celiacs:

Dickey W. - Department of Gastroenterology, Altnagelvin Hospital, Londonderry BT47 6SB, Northern Ireland.

OBJECTIVE: Although coeliac disease is a disorder of the proximal small bowel, associated vitamin B12 deficiency has been reported. This study aimed to assess the prevalence of B12 deficiency in a large series of coeliac patients, and to exclude the possibility that it is due to associated autoimmune gastritis.

DESIGN: Prospective routine measurement of serum B12 in coeliac patients, with investigations for pernicious anaemia/autoimmune gastritis in B12-deficient patients.

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SETTING: Gastroenterology department of a large district general hospital.

INTERVENTIONS: If they were not taking vitamin B12 supplements already, patients had serum B12 measured before starting dietary gluten exclusion. Those with low levels also had gastric biopsies taken and plasma gastrin and serum gastric parietal cell and intrinsic factor antibodies measured.

MAIN OUTCOME MEASURES: Prevalence of low serum B12, and presence or absence of indicators of pernicious anaemia/autoimmune gastritis in patients with low serum B12.

RESULTS: Of 159 patients, 13 had low serum B12 at diagnosis. A further six had been receiving B12 replacement therapy for 3-37 years before diagnosis, giving an overall prevalence of 12% (19 patients). Only 2/19 patients had gastric corpus atrophy, one with intrinsic factor antibodies and the other with hypergastrinaemia. There was no relationship between low B12 and clinical characteristics.

CONCLUSIONS: Low B12 is common in coeliac disease without concurrent pernicious anaemia, and may be a presenting manifestation. B12 status should be known before folic acid replacement is started.

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Since my new diet change due to the UC and complete keto I feel great so much energy and a clear mind. I started working on a new business idea, I have always dreamed of the culinary arts and doing a full on kitchen or restaurant. But made due to the cottage home bakery and selling Artisan Almond butters and baked goods at the farmers markets. I wish to expand to full on kitchen, I have a bunch of savory breads and dishes down now, and have a full on menu list with rotating cuisines for a food truck down. I have been planning out designs and what kind it will be for about a month and am actively seeking investors and have a potential one lined up. I have also worked out the truck design and gotten a builder lined up if I can get the funding. The base idea of the truck is Paleo and grain free. No Gluten, Corn, Dairy, Peanuts, Soy, or grains period. I have sources down for all ingredients and a menu consisting of grain free nut based foods of toasted sandwiches, pizza, Stir Fries, and noodle dishes. I have it planned out pretty well am still need a few things. I have been spending my days working out options, going over how I will handle different situations, looking at permits fees cost and always looking for a partner to help out with it lol. Sorta fun and exciting, I never thought with these allergies and this disease I could work in the food industry, I threw this idea under the table years ago, but now I see it can be done if I manage it and use a completely dedicated food truck. While still expensive it brings down the cost of a brick and mortar building and allows me to go to venues where I can sell best like events, etc. I looked over the local food truck booking companies for the DFW area and there are no Dedicated gluten-free trucks, so I have a good market potential. Partnering with them will allow me to advertise and get bookings locally to and they help manage fees and permits.......soo much potential I keep praying it all works out. I even have plans to run a local soup kitchen out of it with donation from farmers market on Sundays help the community.

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