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Permanent Intestinal Damage?


Fine

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Fine Newbie

I went gluten free almost 3 years ago and still suffer for up to 3 weeks even with just cross contamination and have recently developed other issues.  I am now 64 but believe I am life-time celiac.  I am also in autism spectrum.  1.5 years ago I started showing signs of Sjogren's (which my mother had along with other autoimmune diseases) and Addison's, but am testing negative for those. Also negative for Hashimoto's.  I go low  sodium periodically and self-correct with salt water sole (1-2 tablespoons every morning) and licorice supplement when needed.  Muscles get weak and I am constantly fatigued (have symptoms of hypothyroid as well and am on levothyroxine but think I need more; also test "normal" on this count).  I also go anemic still unless I take daily iron along with a host of other supplements.  I believe my mother was celiac and never diagnosed.  I am self-diagnosed as doctor never thought to check and I went gluten free on my own and it made such a huge difference until like I said 1.5 years ago when these other problems came up.   Have any of you gone gluten free only to have other issues start showing up even after a couple/few years?  I don't think my intestines are healing.....  I do not want to undergo the biopsy...will not be able to tolerate it.  Feeling frustrated and endocrinologist of no help.....  Any advice appreciated and helpful to know if others out there going through things like this...


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trents Grand Master

First, it is very common for autoimmune diseases to come in bunches. If you have one it is very common to develop others over time. And yes, they do run in families so you come by these things honestly.

Second, it is a well-established fact that many Celiacs never experience complete gut healing, even when they make a sincere effort to eat gluten free. Cross contamination may keep it smoldering but there may be also other issues that prevent some Celiacs from healing that we don't completely understand but have nothing to do with gluten ingestion. The term is "refractory" Celiac disease.

Third, I don't mean to be nosy but why is it you say you wouldn't be able to tolerate and endoscopy/biopsy? They use a method of sedation that doesn't put put you completely out but eliminates the discomfort (at least you won't remember it). Called conscious sedation. I've had it done multiple times and it wasn't a frightening experience by any means.

Ennis-TX Grand Master
1 hour ago, Fine said:

I went gluten free almost 3 years ago and still suffer for up to 3 weeks even with just cross contamination and have recently developed other issues.  I am now 64 but believe I am life-time celiac.  I am also in autism spectrum.  1.5 years ago I started showing signs of Sjogren's (which my mother had along with other autoimmune diseases) and Addison's, but am testing negative for those. Also negative for Hashimoto's.  I go low  sodium periodically and self-correct with salt water sole (1-2 tablespoons every morning) and licorice supplement when needed.  Muscles get weak and I am constantly fatigued (have symptoms of hypothyroid as well and am on levothyroxine but think I need more; also test "normal" on this count).  I also go anemic still unless I take daily iron along with a host of other supplements.  I believe my mother was celiac and never diagnosed.  I am self-diagnosed as doctor never thought to check and I went gluten free on my own and it made such a huge difference until like I said 1.5 years ago when these other problems came up.   Have any of you gone gluten free only to have other issues start showing up even after a couple/few years?  I don't think my intestines are healing.....  I do not want to undergo the biopsy...will not be able to tolerate it.  Feeling frustrated and endocrinologist of no help.....  Any advice appreciated and helpful to know if others out there going through things like this...

I got 6+ weeks diarrhea from my last contamination. Celiac disease is life long, no cure other then a gluten free diet.
I also have Asperger Syndrome, ADHD, BiPolar, Ulcerative Colitis. and tons of food issues. It is very common for us to develop new food issues each time we get exposed...I noticed after my last exposure I can not eat any meat other then fish now. I vomit with beef, turkey, porky, chicken, and crab....on top of all my issues you can find in my signature
I still have to supplement B-vitamins, Vitamin C, Magnesium daily. I had iron issues but eat pea protein and pumpkin protein which are really high in iron.
Pro tip with iron. Take with a vitamin C supplement, they work together.

tessa25 Rising Star

You can always do the complete celiac blood test and see what your levels are. Maybe you're getting trace amounts of gluten without knowing it.

Fine Newbie

Thank you all for your input and information.  To the one curious about not wanting to undergo biopsy:  for me going to a doctor for any reason is somewhat traumatic--believe it has to do with being in autism spectrum.  I only go when necessary and the biopsy will not change anything other than perhaps show where my intestines stand.  I will still have to be gluten free for life.  If I have other autoimmune issues they are not showing up in lab work.  Some of this may have to do with the fact I have been following the Wahl's Protocol for about 6 months now and it does seem to be making a difference in my body.  I will try to follow the Wahl's more diligently along with being more diligent on tracking down any possible gluten contamination (i.e. in the generic garlic powder I WAS using.....said it my contain traces of wheat...who would have thought that!)  Being my age and probably life-long celiac whose system shut down at age 59-60 and did not figure out I was celiac until then, my guess is I may not totally heal; but that's ok I guess as I am getting better......

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    • trents
      Cristiana asks a very relevant question. What looks normal to the naked eye may not look normal under the microscope.
    • cristiana
      Hello @CC90 Can I just ask a question: have you actually been told that your biopsy were normal, or just that your stomach, duodenum and small intestine looked normal? The reason I ask is that when I had my endoscopy, I was told everything looked normal.  My TTG score was completely through the roof at the time, greater than 100 which was then the cut off max. for my local lab.  Yet when my biopsy results came back, I was told I was stage 3 on the Marsh scale.  I've come across the same thing with at least one other person on this forum who was told everything looked normal, but the report was not talking about the actual biopsy samples, which had to be looked at through a microscope and came back abnormal.
    • trents
      My bad. I should have reread your first post as for some reason I was thinking your TTG was within normal range. While we are talking about celiac antibody blood work, you might not realize that there is not yet an industry standard rating scale in use for those blood tests so just having a raw number with out the reference scale can be less than helpful, especially when the test results are marginal. But a result of 87.4 is probably out of the normal range and into the positive range for any lab's scale. But back to the question of why your endoscopy/biopsy didn't show damage despite significantly positive TTG. Because they took the trouble to take seven samples, it is not likely they missed damage because of it being patchy. The other possibility is that there hasn't been time for the damage to show up. How long have you been experiencing the symptoms you describe in your first post? Having said all that, there are other medical conditions that can cause elevated TTG-IGA values and sometimes they are transient issues. I think it would be wise to ask for another TTG-IGA before the repeat endoscopy to see if it is still high.  Knitty kitty's suggestion of getting genetic testing done is also something to think about. About 35% of the general population will have one or both genes that are markers for the potential to develop active celiac disease but only about 1% of the population actually develop celiac disease. So, having a celiac potential gene cannot be used to definitively diagnose celiac disease but it can be realistically used to rule it out if you don't have either of the genes. If your symptoms persist, and all testing is complete and the follow-up endoscopy/biopsy still shows no damage, you should consider trialing a gluten free diet for a few months to see if symptoms improve. If not celiac disease, you could have NCGS (Non Celiac Gluten Sensitivity). 
    • knitty kitty
      @CC90, Your Lansoprazole is a proton pump inhibitor and has immunosuppressive effects!!!!  This is why your endoscopy didn't show much damage to the intestinal lining!!  The Lansolprazole is suppressing tTg IgA antibodies in the intestines, but those antibodies are getting into the blood stream and causing inflammation and damage in other organs.   Proton pump inhibitors cause intestinal damage in the long run.  If you get off the Lansoprazole for a few months so your immune system is not blocked, then do a gluten challenge, and an endoscopy, THEN they would see intestinal damage. Sheesh!  Doctors can be so ignorant.  I've seen this so many times it's frustrating! Take the B Complex and Benfotiamine.  Get off the Lansoprazole.  Go with the DNA test results.   Welcome to the tribe! P.S. B vitamins are needed to correct anemia!  Not just iron.  
    • knitty kitty
      Hi, @kevert93, Those Gluten Assist enzymes digest carbohydrates, not just gluten specifically.  Eating a high carbohydrate meal can deplete Thiamine Vitamin B 1 causing digestive symptoms like you describe.  You could also be having difficulty digesting the oils used in those chips.  Thiamine in the form Benfotiamine can help. We need the eight B vitamins to digest our food, carbs, fats and proteins.  Poor digestion can cause symptoms like vomiting and stomach pain, brain fog, headaches, exhaustion.  Try taking a B Complex with the activated forms of the B vitamins (Life Extension's Bioactive B Complex is great!) and additional Benfotiamine.  The B vitamins are used to make digestive enzymes and will allow your digestive system to function properly.  The B vitamins also will improve headaches, exhaustion, and brain function.  Taking Thiamine in the form Benfotiamine will improve digestive symptoms and lower inflammation, too.  Benfotiamine and the B vitamins are safe.  The B vitamins are chemical compounds found in whole foods, not in highly processed foods like chips.   The body cannot make the B vitamins, so supplementing is beneficial.  Benfotiamine is safe and nontoxic even in high doses.
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