Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Questions To Ask Dietician


JosieToo

Recommended Posts

JosieToo Explorer

Hi all,

 

I'm meeting a dietician tomorrow. This will be my first meeting with a dietician since being diagnosed with Celiac. I've put together this list of questions for her, but wondered if anyone else had any suggestions for good questions to ask (or that you might like an answer to!). Here's my list! Feedback appreciated.

 

 

  • Are there any foods that are known to aid in healing of the intestinal lining in Celiacs? If not, are there any foods in particular that are generally known to aid in healing? Are there any foods known to reduce inflammation associated with Celiac Disease?
  • What nutrient and mineral deficiencies do I need to be particularly aware of and what foods should I be eating to guard against them? What about probiotics or digestive enzymes?
  • Are there any vitamin or mineral supplements you recommend?
  • We are hoping to try and have a baby in the near future. I would like to make sure my body is as healthy as possible. Given the larger-than-normal risks for nutrient deficiencies due to malabsorption from Celiac, and lack of eating fortified foods like pasta, what foods should I be increasing in my diet? Should I be considering any gluten-free supplements? If so, which do you recommend? If I become pregnant, are there any other dietary changes I should make at that time?
  • How many times a week should I be eating “safe” grains like quinoa and brown rice?
  • I understand that a large number of people with Celiac disease develop temporary lactose intolerance as a result of the damage to their stomach lining. Is this something I need to be concerned about if I don’t seem to have any symptoms? What are your recommendations in this regard? Should I be tested for this?
  • I’m concerned about weight gain. Is this something that I need to be worried about if I’m eating a healthy diet with a limited amount of processed gluten-free food? Is it likely I would gain weight just given normal nutrient absorption I would expect to experience as I start to heal?
  • I’ve read that other foods like corn and soy can have a similar effect on your body to wheat. Is this the case? If so, will I put myself at further risk if I continue to eat these foods?
  • In your experience, is there any merit to the idea of “gluten cross reactivity” with other foods? From what I understand, testing for this is highly controversial and there is little scientific evidence to back this theory.
  • In your experience, is there anything to the “rotation diet” as a mechanism to prevent additional food allergies from developing?
  • What’s your position on smoothies? Good for fast absorption, or lacking important fibre and too much sugar going too quickly into the bloodstream?
  • How do you feel about oats (certified gluten-free) and other grains in early stages of healing from Celiac?
  • Is being hungry often a symptom of malabsorption?

 

 

 


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



notme Experienced

that seems like a good list, josie - i am curious as to how many answers you will get from him/her.  i was recommended to a dietician/nutritionist but it was going to be like 3 weeks before i could get in for an appointment.  i had to feed myself in between that time and then the day before my appt, they postponed it!  by that time, i was already here and learned on the way.....  so, i cancelled the appointment.  but i am still curious!  let us know what they say/how well versed they are in regards to celiac :)  good luck!

JosieToo Explorer

that seems like a good list, josie - i am curious as to how many answers you will get from him/her.  i was recommended to a dietician/nutritionist but it was going to be like 3 weeks before i could get in for an appointment.  i had to feed myself in between that time and then the day before my appt, they postponed it!  by that time, i was already here and learned on the way.....  so, i cancelled the appointment.  but i am still curious!  let us know what they say/how well versed they are in regards to celiac :)  good luck!

 

Thanks. She's one of my country's leading dieticians with a specialty in Celiac Disease, so I'm hopeful she'll be knowledgeable.

1desperateladysaved Proficient

Thanks. She's one of my country's leading dieticians with a specialty in Celiac Disease, so I'm hopeful she'll be knowledgeable.

Oh, that sounds interesting.  Let us know how it goes.

 

D

cap6 Enthusiast

My first question would be ~ How many celiacs have you counseled.  You said she specializes so you may be ahead of the ball game there.  My experience was being handed a stack of papers from the internet. 

  • 4 years later...
GlutenFreeDonutPrincess Newbie

Hi Josie!

I know it's been 5 years since your post. I am freshly diagnosed and meeting with a nutritionist this week. I read a few books and came up with a list of questions really similar to yours. What were the responses to these questions? Do you have any recommendations for a newly diagnosed celiac?

Sincerely,

Lauren

GFinDC Veteran
(edited)
50 minutes ago, GlutenFreeDonutPrincess said:

Hi Josie!

I know it's been 5 years since your post. I am freshly diagnosed and meeting with a nutritionist this week. I read a few books and came up with a list of questions really similar to yours. What were the responses to these questions? Do you have any recommendations for a newly diagnosed celiac?

Sincerely,

Lauren

Hi Lauren, (gfdonutprincess)

Josie hasn't been on the forum since 2015.  So you probably won't get a response from her.  Also, she is not following this thread, so she won't get a notice that someone posted in it.  You can tell that by looking at the small round circle near the top right of the thread title.  There is small circle with a number that indicates how many people are following the thread.  If you click the larger green circle you can add a subscription to the thread yourself.  The small number shows how many people are subscribed to the thread.  Right now it has a "1" in it because I just subscribed to daily updates on this thread.  If Josie had done that some years ago she would get an email message automatically that someone posted in her thread.  But alas...

I think Josie's questions are really good ones myself.  I am curious if she was talking about Trish Thompson, who is a well known dietician with celiac knowledge.

Now you know and can sleep soundly tonight! :)

Oh, you could send Josie a PM if you like.  I am not sure if that is allowed for new members right away though. :(

Oh, please check out the Newbie 101 thread stickied to the top of the "Coping With" forum section.  It has good info for starting the gluten-free diet.

Edited by GFinDC

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - xxnonamexx replied to xxnonamexx's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      4

      My journey is it gluten or fiber?

    2. - cristiana replied to sha1091a's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      2

      Issues before diagnosis

    3. - chrisinpa commented on Scott Adams's article in Skin Problems and Celiac Disease
      2

      Celiac Disease and Skin Disorders: Exploring a Genetic Connection

    4. - knitty kitty replied to xxnonamexx's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      4

      My journey is it gluten or fiber?

    5. - trents replied to sha1091a's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      2

      Issues before diagnosis

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,695
    • Most Online (within 30 mins)
      7,748

    Aanhmcbride
    Newest Member
    Aanhmcbride
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • xxnonamexx
      I read that as well but I saw the Certified Gluten free symbol that is the reason I ourchased it.
    • cristiana
      I agree, it so often overlooked! I live in the UK and I have often wondered why doctors are so reluctant to at least exclude it - my thoughts are perhaps the particular tests are expensive for the NHS, so therefore saved for people with 'obvious' symptoms.  I was diagnosed in 2013 and was told immediately that my parents, sibling and children should be checked.  My parents' GP to this day has not put forward my father for testing, and my mother was never tested in her lifetime, despite the fact that they both have some interesting symptoms/family history that reflect they might have coeliac disease (Dad - extreme bloating, and his Mum clearly had autoimmune issues, albeit undiagnosed as such; Mum - osteoporosis, anxiety).  I am now my father' legal guardian and suspecting my parents may have forgotten to ask their GP for a test (which is entirely possible!) I put it to his last GP that he ought to be tested.  He looked at Dad's blood results and purely because he was not anemic said he wasn't a coeliac.  Hopefully as the awareness of Coeliac Disease spreads among the general public, people will be able to advocate for themselves.  It is hard because in the UK the NHS is very stretched, but the fallout from not being diagnosed in a timely fashion will only cost the NHS more money. Interestingly, a complete aside, I met someone recently whose son was diagnosed (I think she said he was 8).  At a recent birthday party with 8 guests, 4 boys out of the 8 had received diagnosis of Coeliac Disease, which is an astounding statistic  As far as I know, though, they had all had obvious gastric symptoms leading to their NHS diagnosis.  In my own case I had  acute onset anxiety, hypnopompic hallucinations (vivid hallucinations upon waking),  odd liver function, anxiety, headaches, ulcers and low iron but it wasn't until the gastric symptoms hit me that a GP thought to do coeliac testing, and my numbers were through the roof.  As @trents says, by the grace of God I was diagnosed, and the diet has pretty much dealt with most of those symptoms.  I have much to be grateful for. Cristiana
    • knitty kitty
      @xxnonamexx, There's labeling on those Trubar gluten free high fiber protein bars that say: "Manufactured in a facility that also processes peanuts, milk, soy, fish, WHEAT, sesame, and other tree nuts." You may want to avoid products made in shared facilities.   If you are trying to add more fiber to your diet to ease constipation, considering eating more leafy green vegetables and cruciferous vegetables.  Not only are these high in fiber, they also are good sources of magnesium.  Many newly diagnosed are low in magnesium and B vitamins and suffer with constipation.  Thiamine Vitamin B1 and magnesium work together.  Thiamine in the form Benfotiamine has been shown to improve intestinal health.  Thiamine and magnesium are important to gastrointestinal health and function.  
    • trents
      Welcome to celiac.com @sha1091a! Your experience is a very common one. Celiac disease is one the most underdiagnosed and misdiagnosed medical conditions out there. The reasons are numerous. One key one is that its symptoms mimic so many other diseases. Another is ignorance on the part of the medical community with regard to the range of symptoms that celiac disease can produce. Clinicians often are only looking for classic GI symptoms and are unaware of the many other subsystems in the body that can be damaged before classic GI symptoms manifest, if ever they do. Many celiacs are of the "silent" variety and have few if any GI symptoms while all along, damage is being done to their bodies. In my case, the original symptoms were elevated liver enzymes which I endured for 13 years before I was diagnosed with celiac disease. By the grace of God my liver was not destroyed. It is common for the onset of the disease to happen 10 years before you ever get a diagnosis. Thankfully, that is slowly changing as there has developed more awareness on the part of both the medical community and the public in the past 20 years or so. Blessings!
    • knitty kitty
      @EndlessSummer, You said you had an allergy to trees.  People with Birch Allergy can react to green beans (in the legume family) and other vegetables, as well as some fruits.  Look into Oral Allergy Syndrome which can occur at a higher rate in Celiac Disease.   Switching to a low histamine diet for a while can give your body time to rid itself of the extra histamine the body makes with Celiac disease and histamine consumed in the diet.   Vitamin C and the eight B vitamins are needed to help the body clear histamine.   Have you been checked for nutritional deficiencies?
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.