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Gut is better, everything else is worse


RCFR

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RCFR Rookie

Hello, I have been very recently diagnosed with celiac disease. My biopsy results, which was not looking for celiac, came back with flattened villi and inflammation in the duodenal bulb. Today I finally got the antibody test back, and it was positive (just barely) for celiac. I had thought I had something called Mast Cell Activation Disorder but celiac could explain my ongoing GI issues (not severe but persistent), hives, dermatographism, flushing, itchy (not DH) skin, and episodic fatigue/pain. Right?

Anyway, I stopped eating wheat-containing foods as soon as my blood got drawn, and implemented cross-contamination procedures at home soon after. I have been sticking with whole foods and foods with simple ingredients and trying to eat a balance of proteins, grains (corn and rice), fruits, nuts, seeds, dairy, veggies etc. A little sugar for treats but not tons. 

After a couple days completely gluten free I started feeling HORRIBLE. I haven't been to work all week. Exhausted, achy, dizzy, brain fog. I keep thinking I'm doing better, then do a little light housework and have to lie down again after a few minutes. My stomach feels better, so that's good -- it's weird not to be nauseated all the time (I'd gotten used to it). But I am having terrible chronic fatigue / fibromyalgia - like symptoms. Is this really just a reaction to cutting gluten? How long until I will feel like I can go to work again? Shouldn't I be at least slightly better instead of horribly horribly worse?

 


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Ennis-TX Grand Master
(edited)

This varies in cause, there is such a thing as gluten withdrawal. Literally like withdrawal with and additive drug full on to the letter, yes some people experience this and I did to some degree.
Another concept is you have not got the diet down. IE if you just change to gluten free breads etc. and not a whole foods diet your going to have issues. Most gluten products are enriched with B-vitamins and other things. Gluten free beads, crackers, flours are not enriched and lacking these. IE you have to eat whole foods like leafy greens, meats, nuts, seeds, and keep a varied and balanced diet. From another point your damaged intestines could have absorption issues and the gluten foods sprayed with multivitamins were just getting you by. So you might consider seeing if you low in anything and supplementing, common ones are Magnesium, all b-vitamins, Vitamin D, Iron, etc.
Also note that once you start a gluten free diet, reactions to accidental gluten exposures are normally much worse.
Please see the Newbie 101 section to be sure on CC issues, some will surprise you.
https://www.celiac.com/forums/topic/91878-newbie-info-101/

 

Edited by Ennis_TX
Forgot some info
RCFR Rookie
59 minutes ago, Ennis_TX said:

This varies in cause, there is such a thing as gluten withdrawal. Literally like withdrawal with and additive drug full on to the letter, yes some people experience this and I did to some degree.
Another concept is you have not got the diet down. IE if you just change to gluten free breads etc. and not a whole foods diet your going to have issues. Most gluten products are enriched with B-vitamins and other things. Gluten free beads, crackers, flours are not enriched and lacking these. IE you have to eat whole foods like leafy greens, meats, nuts, seeds, and keep a varied and balanced diet. From another point your damaged intestines could have absorption issues and the gluten foods sprayed with multivitamins were just getting you by. So you might consider seeing if you low in anything and supplementing, common ones are Magnesium, all b-vitamins, Vitamin D, Iron, etc.
Also note that once you start a gluten free diet, reactions to accidental gluten exposures are normally much worse.
Please see the Newbie 101 section to be sure on CC issues, some will surprise you.
https://www.celiac.com/forums/topic/91878-newbie-info-101/

 

Thank you! I Just started wondering about vitamin deficiencies. I have previously (pre-celiac diagnosis) had low D and low B12... I'm trying to mostly eat whole foods--a varied diet as much as possible, but you are  pointing out something I hadn't considered -- the fact that breads would have been enriched with some vitamins. SO helpful. Thank you. 

I think I have the hang of avoiding cross-contamination after many podcasts and reading online to get tips from people with actual celiac. I'm still a bit stunned that this has been the problem all along. Thank you as well for the link!

cyclinglady Grand Master

You can still have Mast Cell Activation issues as well, any other autoimmune disorder or just get sick from a virus.  Your symptoms may not all be due to celiac disease.  However, focusing on healing from celiac disease should be your first priority.  

I noticed you mentioned wheat foods.  Celiacs react to barley and rye and sometimes oats.  It is best to avoid oats for the first six months and then add in only certified (field dedicated) gluten-free oats.  

Research all that you can.    It is your best defense!  Welcome to the forum.  ?

 

 

GFinDC Veteran

I thought I would feel fine after short time gluten-free.  It turned out to take quite a while to get much better though.  Slow improvements were the name of the game.

You might try cutting out diary from your diet for a few months now.  Celiac damages the villi that produce an enzyme (lactase) which digests dairy sugar (lactose).  So you may be lactose intolerant for a few months until you heal some (grow new villi).

While you are healing a good amount of protein can be helpful.  All those villi that need to regrow take nutrients and energy.  That energy is best gotten from protein, meats, eggs, nuts and some plants.  Avocados, peas and peanut butter are a good choice for protein.  But try to avoid eating the same things every day.  Sometimes our irritated guts can start reacting to other foods we eat frequently.  Then we can get additional food intolerances beyond wheat, rye and barley.

RCFR Rookie

This is all so helpful! AND I think I might have eaten gluten on Saturday and just now realized it. SAUSAGE -- from a restaurant. I was so hungry. That would make sense because I started feeling terrible that day. OMG I am so grateful to have joined this community!

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    • marion wheaton
      Thanks for responding. I researched further and Lindt Lindor chocolate balls do contain barely malt powder which contains gluten. I was surprised at all of the conflicting information I found when I checked online.
    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
    • BlessedinBoston
      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
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