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Questions To Bring To Celiac Specialist


Guest BERNESES

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jenvan Collaborator

aside from thyroid, it would seem you have some anemia going on...


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Guest BERNESES

That's what I was thinking- it might explain the fatigue! Do you know, Jen, or anyone familar with thyroid, just how out of whack that is? Thanks Jen, Beverly

PS Will probably post the thyroid on Related Disorders too.

jenvan Collaborator

not sure...my mom has hash's. but never studied the tests much to know. might mean nothing since it is borderline...but i certainly won't say. good question to follow-up with doc.

Claire Collaborator
I got my preliminary blood work back today (not the gene test). Here's what was off:

My red blood count: 3.87 (low, scale 4.2-5.4)

MCH 32. 7 (high, scale 27-32)

Ferritin 7. 9 (low, scale 13-150)

Thyroid PTH 66 (high, range 15-65)

What does this all mean? None of it looks too bad. I haven't talked to her but assume I will when the gene tests come in. I'm most curious about the ferritin (iron, right) and the thyroid PTH (does this mean I have hyperthyroid?). Thanks evryone, Beverly

Still have a bone scan and abdominal ultrasound- fun, fun, fun! :blink:

This information may be of use to you:

PTH is a protein hormone secreted by the parathyroid gland which is the most important regulator of body calcium and phosphorus.

PTH:

Increases the calcium and phosphorus release from bone

Decreases the loss of calcium and increases the loss of phosphorus in the urine

Increases the activation of 25-hydroxy vitamin D to 1,25-dihydroxy vitamin D in the kidneys

Secretion of PTH is regulated by the level of calcium in the blood. Low serum calcium causes increased PTH to be secreted, whereas increased serum calcium inhibits PTH release.

Normal Values Return to top

Normal values are 10-55 pg/ml. Normal value ranges may vary slightly among different laboratories.

Note: pg/ml = picograms per milliliter

What abnormal results mean Return to top

Greater-than-normal levels may be associated with:

Chronic renal failure

Hyperparathyroidism

Malabsorption syndrome (inadequate absorption of nutrients in the intestinal tract)

Osteomalacia (adults)

Rickets (children)

Vitamin D deficiency

Source; Open Original Shared Link Claire

Guest BERNESES

Thanks Claire and Jen- I guess I'll have to wait and see what the doctor says. Best, Beverly

claire- I found the malabsorption part especially interesting!

CMCM Rising Star
I am myself trying to understand the difference between the two. Right now, I am trying to counsel my sister. I had FINALLY talked her into going for the bloodwork for celiac because she has ALL the same problems as me, except instead of the big D, she has the big C. Her bloodwork came back negative and basically was told by the GI, "You don't have it, don't worry about", end of story..... I am trying to explain to her that you can have gluten sensitivity or gluten intolerance without actually testing positive for celiac.

I am thinking of buying her the book "Dangerous Grains". I myself have not read it, but have hear very good reviews. For those of you who have read it, would it help my sister in understanding?

Hugs.

Karen

Well, I too am trying to figure out the gene thing. Having one celiac gene and one gluten sensitivity gene and positive for casein sensitivity, and negative to intestinal damage, where to go from here? Enterolab and others recommend that once you are positive and know you have the genes, that you stay firmly gluten (and in my case, casein) free entirely. Yet, if having these things for my entire 56 years has not produced intestinal damage, how do I view this? Obviously I know I can't eat MUCH of these things because I'm frankly very tired of suffering the ill effects of constant gluten and casein ingestion. But my question is this: how critical is it really to 100% eliminate these things??? And ultimately, what does having these 2 genes really mean anyway? I have the PREDISPOSITION to celiac disease, but I don't appear to actually have it at this point in time because there is no apparent intestinal damage....or perhaps only a biopsy would reveal that, and I don't intend to go that route.

As for Dangerous Grains, it's a great book in general. It pays to be educated in this subject. Also, the book "Going Against the Grain" is really good as a second book to read because it discusses all sorts of allergies in general and how the body is affected. I found it very useful for increasing my own understanding of everything.

Ultimately, I guess nobody really knows definitively about all this. A lot of it is speculation based on existing knowlege, but not a lot is actually certain.

Claire Collaborator

There are many people with celiac disease who do not have intestinal damage. That is not the only kind of damage that the disease does. It also sets you up for other autoimmune diseases which often don't appear until you are older - when you least need them.

The one gluten sensitivity gene is to be concerned about because while there may be no intestinal damage with this (there sometimes is) neurological damage is very much associated with it.

You might look into how small an amount of gluten it takes to initiate and sustain a reaction in the body. These reactions do cellular damage - even if you cannot immediately see it. By the time neutological damage is evident to you it is too late to prevent it.

I wish I had known how to prevent it. I learned too late. Claire


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    • knitty kitty
      Welcome to the forum, @McKinleyWY, For a genetic test, you don't have to eat gluten, but this will only show if you have the genes necessary for the development of Celiac disease.  It will not show if you have active Celiac disease.   Eating gluten stimulates the production of antibodies against gluten which mistakenly attack our own bodies.  The antibodies are produced in the small intestines.  Three grams of gluten are enough to make you feel sick and ramp up anti-gluten antibody production and inflammation for two years afterwards.  However, TEN grams of gluten or more per day for two weeks is required to stimulate anti-gluten antibodies' production enough so that the anti-gluten antibodies move out of the intestines and into the bloodstream where they can be measured in blood tests.  This level of anti-gluten antibodies also causes measurable damage to the lining of the intestines as seen on biopsy samples taken during an endoscopy (the "gold standard" of Celiac diagnosis).   Since you have been experimenting with whole wheat bread in the past year or so, possibly getting cross contaminated in a mixed household, and your immune system is still so sensitized to gluten consumption, you may want to go ahead with the gluten challenge.   It can take two years absolutely gluten free for the immune system to quit reacting to gluten exposure.   Avoiding gluten most if the time, but then experimenting with whole wheat bread is a great way to keep your body in a state of inflammation and illness.  A diagnosis would help you stop playing Russian roulette with your and your children's health.      
    • trents
      Welcome to the celiac.com community, @McKinleyWY! There currently is no testing for celiac disease that does not require you to have been consuming generous amounts of gluten (at least 10g daily, about the amount in 4-6 slices of wheat bread) for at least two weeks and, to be certain of accurate testing, longer than that. This applies to both phases of testing, the blood antibody tests and the endoscopy with biopsy.  There is the option of genetic testing to see if you have one or both of the two genes known to provide the potential to develop celiac disease. It is not really a diagnostic measure, however, as 30-40% of the general population has one or both of these genes whereas only about 1% of the general population actually develops celiac disease. But genetic testing is valuable as a rule out measure. If you don't have either of the genes, it is highly unlikely that you can have celiac disease. Having said all that, even if you don't have celiac disease you can have NCGS (Non Celiac Gluten Sensitivity) which shares many of the same symptoms as celiac disease but does not involve and autoimmune reaction that damages the lining of the small bowel as does celiac disease. Both conditions call for the complete elimination of gluten from the diet. I hope this brings some clarity to your questions.
    • McKinleyWY
      Hello all, I was diagnosed at the age of 2 as being allergic to yeast.  All my life I have avoided bread and most products containing enriched flour as they  contain yeast (when making the man made vitamins to add back in to the flour).  Within the last year or so, we discovered that even whole wheat products bother me but strangely enough I can eat gluten free bread with yeast and have no reactions.  Obviously, we have come to believe the issue is gluten not yeast.  Times continues to reinforce this as we are transitioning to a gluten free home and family.  I become quite ill when I consume even the smallest amount of gluten. How will my not having consumed breads/yeast/gluten for the better part of decades impact a biopsy or blood work?  I would love to know if it is a gluten intolerance or a genetic issue for family members but unsure of the results given my history of limited gluten intake.   I appreciate the input from those who have gone before me in experience and knowledge. Thank you all!
    • trents
      I know what you mean. When I get glutened I have severe gut cramps and throw up for 2-3 hr. and then have diarrhea for another several hours. Avoid eating out if at all possible. It is the number one source of gluten contamination for us celiacs. When you are forced to eat out at a new restaurant that you are not sure is safe, try to order things that you can be sure will not get cross contaminated like a boiled egg, baked potatos, steamed vegies, fresh fruit. Yes, I know that doesn't sound as appetizing as pizza or a burger and fries but your health is at stake. I also realize that as a 14 year old you don't have a lot of control over where you eat out because you are tagging along with others or adults are paying for it. Do you have support from your parents concerning your need to eat gluten free? Do you believe they have a good understanding of the many places gluten can show up in the food supply?
    • Peace lily
      Okay went online to check green mountain k cups .It was said that the regular coffees are fine but they couldn’t guarantee cross contamination.with the flavors. im trying to figure out since I eliminated the suyrup so far so good. I’m hoping. thanks it feels good to listen to other people there views.
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