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Severe Fatigue Ruining Life


Zheshi

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Zheshi Newbie
(edited)

Male, White, 23, 5'10, 165 lbs 

Hello all,

 

My health has felt like it’s been in the crapper for way too long. When I was 12-13 I was diagnosed with GERD (acid reflux). It affected my sleep a little bit from what I remember, but not hugely. Right around this time I also started developing a bit of general anxiety, but again wasn't debilitating. And then, starting at age 16, I woke up one day and noticed I was a little tired for some odd reason. Unfortunately, I have been tired ever since. I've gradually gotten tireder and tireder over the course of the past 7 years, to the point where I'm at now where I can hardly function because the exhaustion has become so debilitating. From the moment I wake up to the moment I fall asleep I feel so unbelievably drained, and as the days goes on I get tireder and tireder. 

 

I have had practically every sort of blood/urinary test done, have had heart scans, cortisol levels, vitamin/mineral checks, thyroid, etc. Everything comes back fine. I have tried for the hell of it multiple anti-anxiety/anti-depression medications, none of which helped me in the slightest. My diet is healthy, I still try to exercise most days of the week (although it's gotten harder to due to my shear exhaustion). Exercise does not make me feel better or worse. I do not suffer from insomnia. I do not have ADD/ADHD. I do not suffer from any joint pain or any pain for that matter. I average 7-9 hours of sleep a night and usually fall asleep fairly easily, although I do usually wake up 1-2 times a night to pee. I stay very hydrated throughout the day. I have slightly elevated CO2 levels in my blood (but nothing dangerous), slightly elevated bilirubin levels, and testosterone levels on the lower side of the spectrum (but still within the "healthy" range). I do not get sick that often, maybe two colds a year. On a side note, about 2 years ago, for a span of 2-3 months, I would get this painful abdominal/stomach pain on and off. It has since dissipated.

 

Symptoms include:

 

* Chronic fatigue that has gradually gotten worse and worse over 7 years span

* Overall cognitive decline (concentration, alertness, memory, focus, brain fog, processing words, etc.)

* Coordination/motor skills decline

* Feel like I move extremely slow now both mentally and physically

* Urge to urinate more 

* No energy

* Extremities/body parts feel so utterly exhausted and numb-like to the touch. It’s been a gradual decline as well. 

* Head often feels very tired and heavy

* Occasional headache (not super often though)

* Consistent yawning throughout the day

* Wake up many mornings with a dry mouth/throat. Also sometimes throat feels sore/irritated like I'm coming down with an illness, but then goes away the next day.

* I notice I tilt my head to the side often

* Minor facial acne (not acne prone) Also these weird things I get once or so a month on my face. They initially look like a zit, but then stay raised with no sensitivity to them, the flatten out and stay there as a mark for what seems like forever.

* The worse I get, I feel more anxious/stressed easily where everything feels like a chore

* Overall hearing quality seems slightly weakened

* Seem slightly more bloated in face (but could be due to a bit of weight gain) but also look heavier than I really am.

* Feel intoxicated much more easily/quickly

* Have a perpetual drunk-like feeling like I'm not quite in real life

* Lower libido (but can still get and maintain an erection and ejaculate)

* Night sweats often

* Sometimes lump type feeling in throat (mostly at night)

* Acid reflux history

* Just over the past 6 months or so, slight nauseous feeling every once in while, but no vomit. Especially after having caffeine

* Sensitive to sunlight/bright light. Also get eye floaters

 

Overall, it just feels like everything is suppressed by this fog that has gradually gotten worse and worse over time. For example, caffeine’s effect, sex drive, post-workout adrenaline and endorphins, getting plenty of sleep, etc. I can sort of FEEL all these things for the most part, but it feels hidden and pushed down from this utter exhaustion. It’s like nothing can surpass the fatigue’s roadblock. 

 

I was recently diagnosed with very mild sleep apnea and have been using a CPAP machine for about 2 weeks now (haven't noticed a difference yet). I also had an extensive food intolerance test done and am mostly sensitive to kidney beans. Every other sensitivity is very mild (barley, cherries, halibut, mushrooms) or nonexistent. I think all of my symptoms may be **gut related** at this point. I know the gut can be the root of many problems. Don't know what else it could be. **I think maybe my gut health is GIVING me severe fatigue, anxiety, food intolerances, minor sleep apnea, and acid reflux issues rather than these other issues being the root cause. 

Others have mentioned things like CFS/ME, POTS, fibromyalgia, depression, etc. I just don’t think that is the issue.

 

**Any advice/thoughts?**

Edited by Zheshi

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cyclinglady Grand Master
(edited)
8 hours ago, Zheshi said:

Male, White, 23, 5'10, 165 lbs 

Hello all,

 

My health has felt like it’s been in the crapper for way too long. When I was 12-13 I was diagnosed with GERD (acid reflux). It affected my sleep a little bit from what I remember, but not hugely. Right around this time I also started developing a bit of general anxiety, but again wasn't debilitating. And then, starting at age 16, I woke up one day and noticed I was a little tired for some odd reason. Unfortunately, I have been tired ever since. I've gradually gotten tireder and tireder over the course of the past 7 years, to the point where I'm at now where I can hardly function because the exhaustion has become so debilitating. From the moment I wake up to the moment I fall asleep I feel so unbelievably drained, and as the days goes on I get tireder and tireder. 

 

I have had practically every sort of blood/urinary test done, have had heart scans, cortisol levels, vitamin/mineral checks, thyroid, etc. Everything comes back fine. I have tried for the hell of it multiple anti-anxiety/anti-depression medications, none of which helped me in the slightest. My diet is healthy, I still try to exercise most days of the week (although it's gotten harder to due to my shear exhaustion). Exercise does not make me feel better or worse. I do not suffer from insomnia. I do not have ADD/ADHD. I do not suffer from any joint pain or any pain for that matter. I average 7-9 hours of sleep a night and usually fall asleep fairly easily, although I do usually wake up 1-2 times a night to pee. I stay very hydrated throughout the day. I have slightly elevated CO2 levels in my blood (but nothing dangerous), slightly elevated bilirubin levels, and testosterone levels on the lower side of the spectrum (but still within the "healthy" range). I do not get sick that often, maybe two colds a year. On a side note, about 2 years ago, for a span of 2-3 months, I would get this painful abdominal/stomach pain on and off. It has since dissipated.

 

Symptoms include:

 

* Chronic fatigue that has gradually gotten worse and worse over 7 years span

* Overall cognitive decline (concentration, alertness, memory, focus, brain fog, processing words, etc.)

* Coordination/motor skills decline

* Feel like I move extremely slow now both mentally and physically

* Urge to urinate more 

* No energy

* Extremities/body parts feel so utterly exhausted and numb-like to the touch. It’s been a gradual decline as well. 

* Head often feels very tired and heavy

* Occasional headache (not super often though)

* Consistent yawning throughout the day

* Wake up many mornings with a dry mouth/throat. Also sometimes throat feels sore/irritated like I'm coming down with an illness, but then goes away the next day.

* I notice I tilt my head to the side often

* Minor facial acne (not acne prone) Also these weird things I get once or so a month on my face. They initially look like a zit, but then stay raised with no sensitivity to them, the flatten out and stay there as a mark for what seems like forever.

* The worse I get, I feel more anxious/stressed easily where everything feels like a chore

* Overall hearing quality seems slightly weakened

* Seem slightly more bloated in face (but could be due to a bit of weight gain) but also look heavier than I really am.

* Feel intoxicated much more easily/quickly

* Have a perpetual drunk-like feeling like I'm not quite in real life

* Lower libido (but can still get and maintain an erection and ejaculate)

* Night sweats often

* Sometimes lump type feeling in throat (mostly at night)

* Acid reflux history

* Just over the past 6 months or so, slight nauseous feeling every once in while, but no vomit. Especially after having caffeine

* Sensitive to sunlight/bright light. Also get eye floaters

 

Overall, it just feels like everything is suppressed by this fog that has gradually gotten worse and worse over time. For example, caffeine’s effect, sex drive, post-workout adrenaline and endorphins, getting plenty of sleep, etc. I can sort of FEEL all these things for the most part, but it feels hidden and pushed down from this utter exhaustion. It’s like nothing can surpass the fatigue’s roadblock. 

 

I was recently diagnosed with very mild sleep apnea and have been using a CPAP machine for about 2 weeks now (haven't noticed a difference yet). I also had an extensive food intolerance test done and am mostly sensitive to kidney beans. Every other sensitivity is very mild (barley, cherries, halibut, mushrooms) or nonexistent. I think all of my symptoms may be **gut related** at this point. I know the gut can be the root of many problems. Don't know what else it could be. **I think maybe my gut health is GIVING me severe fatigue, anxiety, food intolerances, minor sleep apnea, and acid reflux issues rather than these other issues being the root cause. 

Others have mentioned things like CFS/ME, POTS, fibromyalgia, depression, etc. I just don’t think that is the issue.

 

**Any advice/thoughts?**

Symptoms  for many illnesses often overlap.  So, it is impossible to guess what might be your issue.  You can rule out celiac disease by getting tested.  Ask your doctor.  In the meantime, keep eating gluten or all the celiac disease tests will be invalid.  

http://www.cureceliacdisease.org/screening/

Your “acne” may be rosacea which is now commonly linked to celiac disease, thyroiditis, etc.  

http://www.dermatologytimes.com/dermatology/more-evidence-rosacea-autoimmune-link

I hope you feel better soon.  

Edited by cyclinglady
Ennis-TX Grand Master

The fatigue was bad for me in highschool, several other things raise issues. As mentioned keep eating gluten and make sure to get the full blood test to rule out celiac.
Few things to help in the mean time, if it is gut related, as in damaged intestines consider taking oral/liquid Supplements for common ones. IE B-vitamins (full spectrum, like Liquid Health Energy & Stress and Neurological Support 1tbsp each 3 times a day), Magnesium (Take Gycinate doctors best if you have daily BM if you go once every few days then Natural Vitality Calm as your constipated and dose to tolerance), Vitamin D, Vitamin C and perhaps focus on more whole foods and foods high in iron.
Avoid Dairy, processed sugars, and try to watch sodium intake to help with water retention and inflammation issues.

Posterboy Mentor
On 12/6/2018 at 4:20 AM, Ennis_TX said:

The fatigue was bad for me in highschool, several other things raise issues. As mentioned keep eating gluten and make sure to get the full blood test to rule out celiac.
Few things to help in the mean time, if it is gut related, as in damaged intestines consider taking oral/liquid Supplements for common ones. IE B-vitamins (full spectrum, like Liquid Health Energy & Stress and Neurological Support 1tbsp each 3 times a day), Magnesium (Take Gycinate doctors best if you have daily BM if you go once every few days then Natural Vitality Calm as your constipated and dose to tolerance), Vitamin D, Vitamin C and perhaps focus on more whole foods and foods high in iron.
Avoid Dairy, processed sugars, and try to watch sodium intake to help with water retention and inflammation issues.

Zheshi,

EnnistTx has given you good advice.

Try a B-complex and Magnesium Glycinate.

Her is an article on Livestrong about how a B-Vitamin/Complex can help us.

https://www.livestrong.com/article/383697-how-does-vitamin-b-complex-help-your-body/

Thiamine has been tied to both CFS and IBD issues.

See this research entitled "Thiamine and fatigue in inflammatory bowel diseases: an open-label pilot study."

https://www.ncbi.nlm.nih.gov/pubmed/23379830

for the elevated C02 levels see this livestrong as a good over of potential cause of elevated C02 levels.

https://www.livestrong.com/article/142405-what-causes-high-carbon-dioxide-blood/

here is a more technical study on elevated C02 I found that might help you.

entitled "Elevated CO2 Levels Cause Mitochondrial Dysfunction and Impair Cell Proliferation*" Kind of technical but it might be the cause of your elevated C02 levels.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199454/

I am no saying it will. ... but it is something to look into.

the great thing about a B-complex it helps us manage our stress levels.

from the above citation it  (livestrong article on benefits of a B-complex) mentions NAD and in the livestrong article B Vitamins helps the NAD formation in our body drive the Kreb's cycle which helps us make/drive our energy cycle . .. and why both (and all three  really) Thiamine, Magnesium and Niacin (another B-vitamin) can help restore our kreb cycle to a virtuous cycle and how a B-complex and Magnesium can help your energy levels/chronic Fatigue.

See this link/thread on Sleep Apnea for more discussion on how Magnesium Citrate/Glycinate can/should help your Sleep Apnea symptom's.

https://www.celiac.com/forums/topic/122992-diagnosed-with-sleep-apnea/?page=2&tab=comments#comment-998659

I hope this is helpful but it is not medical advice.

good luck on your continued journey.

“Consider what I say; and the Lord give thee understanding in all things” this included

2 Timothy 2: 7

Posterboy by the Grace of God

 

Posterboy Mentor
On 12/5/2018 at 11:17 PM, Zheshi said:

Male, White, 23, 5'10, 165 lbs 

Hello all,

 

My health has felt like it’s been in the crapper for way too long. When I was 12-13 I was diagnosed with GERD (acid reflux). It affected my sleep a little bit from what I remember, but not hugely. Right around this time I also started developing a bit of general anxiety, but again wasn't debilitating. And then, starting at age 16, I woke up one day and noticed I was a little tired for some odd reason. Unfortunately, I have been tired ever since. I've gradually gotten tireder and tireder over the course of the past 7 years, to the point where I'm at now where I can hardly function because the exhaustion has become so debilitating. From the moment I wake up to the moment I fall asleep I feel so unbelievably drained, and as the days goes on I get tireder and tireder. 

 

I have had practically every sort of blood/urinary test done, have had heart scans, cortisol levels, vitamin/mineral checks, thyroid, etc. Everything comes back fine. I have tried for the hell of it multiple anti-anxiety/anti-depression medications, none of which helped me in the slightest. My diet is healthy, I still try to exercise most days of the week (although it's gotten harder to due to my shear exhaustion). Exercise does not make me feel better or worse. I do not suffer from insomnia. I do not have ADD/ADHD. I do not suffer from any joint pain or any pain for that matter. I average 7-9 hours of sleep a night and usually fall asleep fairly easily, although I do usually wake up 1-2 times a night to pee. I stay very hydrated throughout the day. I have slightly elevated CO2 levels in my blood (but nothing dangerous), slightly elevated bilirubin levels, and testosterone levels on the lower side of the spectrum (but still within the "healthy" range). I do not get sick that often, maybe two colds a year. On a side note, about 2 years ago, for a span of 2-3 months, I would get this painful abdominal/stomach pain on and off. It has since dissipated.

 

Symptoms include:

 

* Chronic fatigue that has gradually gotten worse and worse over 7 years span

* Overall cognitive decline (concentration, alertness, memory, focus, brain fog, processing words, etc.)

* Coordination/motor skills decline

* Feel like I move extremely slow now both mentally and physically

* Urge to urinate more 

* No energy

* Extremities/body parts feel so utterly exhausted and numb-like to the touch. It’s been a gradual decline as well. 

* Head often feels very tired and heavy

* Occasional headache (not super often though)

* Consistent yawning throughout the day

* Wake up many mornings with a dry mouth/throat. Also sometimes throat feels sore/irritated like I'm coming down with an illness, but then goes away the next day.

* I notice I tilt my head to the side often

* Minor facial acne (not acne prone) Also these weird things I get once or so a month on my face. They initially look like a zit, but then stay raised with no sensitivity to them, the flatten out and stay there as a mark for what seems like forever.

* The worse I get, I feel more anxious/stressed easily where everything feels like a chore

* Overall hearing quality seems slightly weakened

* Seem slightly more bloated in face (but could be due to a bit of weight gain) but also look heavier than I really am.

* Feel intoxicated much more easily/quickly

* Have a perpetual drunk-like feeling like I'm not quite in real life

* Lower libido (but can still get and maintain an erection and ejaculate)

* Night sweats often

* Sometimes lump type feeling in throat (mostly at night)

* Acid reflux history

* Just over the past 6 months or so, slight nauseous feeling every once in while, but no vomit. Especially after having caffeine

* Sensitive to sunlight/bright light. Also get eye floaters

 

Overall, it just feels like everything is suppressed by this fog that has gradually gotten worse and worse over time. For example, caffeine’s effect, sex drive, post-workout adrenaline and endorphins, getting plenty of sleep, etc. I can sort of FEEL all these things for the most part, but it feels hidden and pushed down from this utter exhaustion. It’s like nothing can surpass the fatigue’s roadblock. 

 

I was recently diagnosed with very mild sleep apnea and have been using a CPAP machine for about 2 weeks now (haven't noticed a difference yet). I also had an extensive food intolerance test done and am mostly sensitive to kidney beans. Every other sensitivity is very mild (barley, cherries, halibut, mushrooms) or nonexistent. I think all of my symptoms may be **gut related** at this point. I know the gut can be the root of many problems. Don't know what else it could be. **I think maybe my gut health is GIVING me severe fatigue, anxiety, food intolerances, minor sleep apnea, and acid reflux issues rather than these other issues being the root cause. 

Others have mentioned things like CFS/ME, POTS, fibromyalgia, depression, etc. I just don’t think that is the issue.

 

**Any advice/thoughts?**

Zhesi,

the dry mouth, night sweats and frequent urination might be a sign of undiagnosed diabetes.

I developed these problems/issues/symptoms before I developed prediabetes.

I hope this is helpful but it is not medical advice.

Posterboy,

  • 9 months later...
Kraebb Newbie
(edited)
On 12/6/2018 at 6:17 AM, Zheshi said:

Male, White, 23, 5'10, 165 lbs 

Hello all,

 

My health has felt like it’s been in the crapper for way too long. When I was 12-13 I was diagnosed with GERD (acid reflux). It affected my sleep a little bit from what I remember, but not hugely. Right around this time I also started developing a bit of general anxiety, but again wasn't debilitating. And then, starting at age 16, I woke up one day and noticed I was a little tired for some odd reason. Unfortunately, I have been tired ever since. I've gradually gotten tireder and tireder over the course of the past 7 years, to the point where I'm at now where I can hardly function because the exhaustion has become so debilitating. From the moment I wake up to the moment I fall asleep I feel so unbelievably drained, and as the days goes on I get tireder and tireder. 

 

I have had practically every sort of blood/urinary test done, have had heart scans, cortisol levels, vitamin/mineral checks, thyroid, etc. Everything comes back fine. I have tried for the hell of it multiple anti-anxiety/anti-depression medications, none of which helped me in the slightest. My diet is healthy, I still try to exercise most days of the week (although it's gotten harder to due to my shear exhaustion). Exercise does not make me feel better or worse. I do not suffer from insomnia. I do not have ADD/ADHD. I do not suffer from any joint pain or any pain for that matter. I average 7-9 hours of sleep a night and usually fall asleep fairly easily, although I do usually wake up 1-2 times a night to pee. I stay very hydrated throughout the day. I have slightly elevated CO2 levels in my blood (but nothing dangerous), slightly elevated bilirubin levels, and testosterone levels on the lower side of the spectrum (but still within the "healthy" range). I do not get sick that often, maybe two colds a year. On a side note, about 2 years ago, for a span of 2-3 months, I would get this painful abdominal/stomach pain on and off. It has since dissipated.

 

Symptoms include:

 

* Chronic fatigue that has gradually gotten worse and worse over 7 years span

* Overall cognitive decline (concentration, alertness, memory, focus, brain fog, processing words, etc.)

* Coordination/motor skills decline

* Feel like I move extremely slow now both mentally and physically

* Urge to urinate more 

* No energy

* Extremities/body parts feel so utterly exhausted and numb-like to the touch. It’s been a gradual decline as well. 

* Head often feels very tired and heavy

* Occasional headache (not super often though)

* Consistent yawning throughout the day

* Wake up many mornings with a dry mouth/throat. Also sometimes throat feels sore/irritated like I'm coming down with an illness, but then goes away the next day.

* I notice I tilt my head to the side often

* Minor facial acne (not acne prone) Also these weird things I get once or so a month on my face. They initially look like a zit, but then stay raised with no sensitivity to them, the flatten out and stay there as a mark for what seems like forever.

* The worse I get, I feel more anxious/stressed easily where everything feels like a chore

* Overall hearing quality seems slightly weakened

* Seem slightly more bloated in face (but could be due to a bit of weight gain) but also look heavier than I really am.

* Feel intoxicated much more easily/quickly

* Have a perpetual drunk-like feeling like I'm not quite in real life

* Lower libido (but can still get and maintain an erection and ejaculate)

* Night sweats often

* Sometimes lump type feeling in throat (mostly at night)

* Acid reflux history

* Just over the past 6 months or so, slight nauseous feeling every once in while, but no vomit. Especially after having caffeine

* Sensitive to sunlight/bright light. Also get eye floaters

 

Overall, it just feels like everything is suppressed by this fog that has gradually gotten worse and worse over time. For example, caffeine’s effect, sex drive, post-workout adrenaline and endorphins, getting plenty of sleep, etc. I can sort of FEEL all these things for the most part, but it feels hidden and pushed down from this utter exhaustion. It’s like nothing can surpass the fatigue’s roadblock. 

 

I was recently diagnosed with very mild sleep apnea and have been using a CPAP machine for about 2 weeks now (haven't noticed a difference yet). I also had an extensive food intolerance test done and am mostly sensitive to kidney beans. Every other sensitivity is very mild (barley, cherries, halibut, mushrooms) or nonexistent. I think all of my symptoms may be **gut related** at this point. I know the gut can be the root of many problems. Don't know what else it could be. **I think maybe my gut health is GIVING me severe fatigue, anxiety, food intolerances, minor sleep apnea, and acid reflux issues rather than these other issues being the root cause. 

Others have mentioned things like CFS/ME, POTS, fibromyalgia, depression, etc. I just don’t think that is the issue.

 

**Any advice/thoughts?**

I can see that I'm late to responding to this, but I choose to anyway. Your case overlaps mine in key areas, and maybe we could be of any help to one another.

I've dealt with life-wrecking fatigue since teenage (Progressively worse) with no (significant) confirmed medical condition.

Made a breakthrough though, eliminating gluten and cows milk. Initially, but it went downhill from there and now i alternate between only 2 meals in some extreme elimination diet that refuses expansion. But. When it works, I feel like I can almost touch the sky. And it's not just a feeling, my productivity, sociability and happiness skyrockets

This is my first post, and I'm under the influence of the fatigue now so apologies for inconsistency, incoherence and such.

Edited by Kraebb
ctrl-enter did not yield single row break as intended, but posted
kareng Grand Master
17 minutes ago, Kraebb said:

I can see that I'm late to responding to this, but I choose to anyway. Your case overlaps mine in key areas, and maybe we could be of any help to one another.

I've dealt with life-wrecking fatigue since teenage (Progressively worse) with no (significant) confirmed medical condition.

Made a breakthrough though, eliminating gluten and cows milk. Initially, but it went downhill from there and now i alternate between only 2 meals in some extreme elimination diet that refuses expansion. But. When it works, I feel like I can almost touch the sky. And it's not just a feeling, my productivity, sociability and happiness skyrockets

This is my first post, and I'm under the influence of the fatigue now so apologies for inconsistency, incoherence and such.

Sorry you are feeling so bad.  Sounds like you have been to a doctor and had the usual suspects checked - thyroid, anemia, vitamin D, etc?

Is it possible that an extremely limited diet might be part of the problem?  Not giving you enough energy?

from the little you have said, it seems like you might be depressed?  I mean more that just bummed at the diet you are on.  


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Kraebb Newbie
19 minutes ago, kareng said:

Sorry you are feeling so bad.  Sounds like you have been to a doctor and had the usual suspects checked - thyroid, anemia, vitamin D, etc?

Is it possible that an extremely limited diet might be part of the problem?  Not giving you enough energy?

from the little you have said, it seems like you might be depressed?  I mean more that just bummed at the diet you are on.  

I’m impressed by your haste and touched by your concern. Thank you. 

Actually I’m trying to compose a  new thread about it as I have a seriously MEATY case.

But yes, I deal with deal with depression although it seems to be a product rather than the cause. 
The diet is nuts, I know, but carefully calculated to be nutritionally sufficent. More on that later. Thank you again

kareng Grand Master
(edited)
1 hour ago, Kraebb said:

I’m impressed by your haste and touched by your concern. Thank you. 

Actually I’m trying to compose a  new thread about it as I have a seriously MEATY case.

But yes, I deal with deal with depression although it seems to be a product rather than the cause. 
The diet is nuts, I know, but carefully calculated to be nutritionally sufficent. More on that later. Thank you again

I was quick because I had to approve your first post, so I might as well respond.  ? I  think starting a new thread would be an excellent idea.  We have people on here that have a lot of good ideas .  A few have more restrictions than I do, so they might be more helpful with how to deal with a lot of intolerances 

Edited by kareng

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    • knitty kitty
      @Jane02, I hear you about the kale and collard greens.  I don't do dairy and must eat green leafies, too, to get sufficient calcium.  I must be very careful because some calcium supplements are made from ground up crustacean shells.  When I was deficient in Vitamin D, I took high doses of Vitamin D to correct the deficiency quickly.  This is safe and nontoxic.  Vitamin D level should be above 70 nmol/L.  Lifeguards and indigenous Pacific Islanders typically have levels between 80-100 nmol/L.   Levels lower than this are based on amount needed to prevent disease like rickets and osteomalacia. We need more thiamine when we're physically ill, emotionally and mentally stressed, and if we exercise like an athlete or laborer.  We need more thiamine if we eat a diet high in simple carbohydrates.  For every 500 kcal of carbohydrates, we need 500-1000 mg more of thiamine to process the carbs into energy.  If there's insufficient thiamine the carbs get stored as fat.  Again, recommended levels set for thiamine are based on minimum amounts needed to prevent disease.  This is often not adequate for optimum health, nor sufficient for people with absorption problems such as Celiac disease.  Gluten free processed foods are not enriched with vitamins like their gluten containing counterparts.  Adding a B Complex and additional thiamine improves health for Celiacs.  Thiamine is safe and nontoxic even in high doses.  Thiamine helps the mitochondria in cells to function.  Thiamine interacts with each of the other B vitamins.  They are all water soluble and easily excreted if not needed. Interesting Reading: Clinical trial: B vitamins improve health in patients with coeliac disease living on a gluten-free diet https://pubmed.ncbi.nlm.nih.gov/19154566/ Safety and effectiveness of vitamin D mega-dose: A systematic review https://pubmed.ncbi.nlm.nih.gov/34857184/ High dose dietary vitamin D allocates surplus calories to muscle and growth instead of fat via modulation of myostatin and leptin signaling https://pubmed.ncbi.nlm.nih.gov/38766160/ Safety of High-Dose Vitamin D Supplementation: Secondary Analysis of a Randomized Controlled Trial https://pubmed.ncbi.nlm.nih.gov/31746327/ Vitamins and Celiac Disease: Beyond Vitamin D https://pmc.ncbi.nlm.nih.gov/articles/PMC11857425/ Investigating the therapeutic potential of tryptophan and vitamin A in modulating immune responses in celiac disease: an experimental study https://pubmed.ncbi.nlm.nih.gov/40178602/ Investigating the Impact of Vitamin A and Amino Acids on Immune Responses in Celiac Disease Patients https://pmc.ncbi.nlm.nih.gov/articles/PMC10814138/
    • Jane02
      Thank you so much @knitty kitty for this insightful information! I would have never considered fractionated coconut oil to be a potential source of GI upset. I will consider all the info you shared. Very interesting about the Thiamine deficiency.  I've tracked daily averages of my intake in a nutrition software. The only nutrient I can't consistently meet from my diet is vitamin D. Calcium is a hit and miss as I rely on vegetables, dark leafy greens as a major source, for my calcium intake. I'm able to meet it when I either eat or juice a bundle of kale or collard greens daily haha. My thiamine intake is roughly 120% of my needs, although I do recognize that I may not be absorbing all of these nutrients consistently with intermittent unintentional exposures to gluten.  My vitamin A intake is roughly 900% (~6400 mcg/d) of my needs as I eat a lot of sweet potato, although since it's plant-derived vitamin A (beta-carotene) apparently it's not likely to cause toxicity.  Thanks again! 
    • knitty kitty
      Hello, @Jane02,  I take Naturewise D 3.  It contains olive oil.   Some Vitamin D supplements, like D Drops, are made with fractionated coconut oil which can cause digestive upsets.  Fractionated coconut oil is not the same as coconut oil used for cooking.  Fractionated coconut oil has been treated for longer shelf life, so it won't go bad in the jar, and thus may be irritating to the digestive system. I avoid supplements made with soy because many people with Celiac Disease also react to soy.  Mixed tocopherols, an ingredient in Thornes Vitamin D, may be sourced from soy oil.  Kirkland's has soy on its ingredient list. I avoid things that might contain or be exposed to crustaceans, like Metagenics says on its label.  I have a crustacean/shellfish/fish allergy.  I like Life Extension Bioactive Complete B Complex.  I take additional Thiamine B 1 in the form Benfotiamine which helps the intestines heal, Life Extension MegaBenfotiamine. Thiamine is needed to activate Vitamin D.   Low thiamine can make one feel like they are getting glutened after a meal containing lots of simple carbohydrates like white rice, or processed gluten free foods like cookies and pasta.   It's rare to have a single vitamin deficiency.  The water soluble B Complex vitamins should be supplemented together with additional Thiamine in the form Benfotiamine and Thiamine TTFD (tetrahydrofurfuryl disulfide) to correct subclinical deficiencies that don't show up on blood tests.  These are subclinical deficiencies within organs and tissues.  Blood is a transportation system.  The body will deplete tissues and organs in order to keep a supply of thiamine in the bloodstream going to the brain and heart.   If you're low in Vitamin D, you may well be low in other fat soluble vitamins like Vitamin A and Vitamin K. Have you seen a dietician?
    • Scott Adams
      I do not know this, but since they are labelled gluten-free, and are not really a product that could easily be contaminated when making them (there would be not flour in the air of such a facility, for example), I don't really see contamination as something to be concerned about for this type of product. 
    • trents
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