Gluten free 3 years, still fatigued

[lhu7]

I have had celiac for 3 years, but have had stomach issues all my life. My stomach issues have clear up for the most part. A few of the symptoms I deal with on the daily is fatigue, brain fog, bloating and constipation. I have always had an aversion to fruit and vegetables, which could be arfid. I used to be a go getter and willing to do anything, but the past years I have felt depressed and alone. I just had a check up endoscopy and everything looked good except my disaccharide levels were all low. I am thinking maybe something that to do with pancreatic enzymes and not properly digesting food. I crave carbs and eat a lot of them, which might signal that they aren’t being broken down. Thoughts? 

[trents]

"arfid"?

Have you been checked for SIBO?

[lhu7]

4 minutes ago, trents said:

"arfid"?

Have you been checked for SIBO?

It is Avoidant Restrictive Food intake disorder. It is an eating disorder, but had nothing to do with meat to loose weight. It deal with how people perceive the food group that they hate the texture/ taste of. I have been checked and I don’t have it.

[trents]

So are you saying you have been checked for SIBO or for ARFID?

[lhu7]

Just now, trents said:

So are you saying you have been checked for SIBO or for ARFID?

Sorry. I have been checked for SIBO and I don’t have it. I am going to a clinic soon that specializes in that to see if I do have ARFID. 

[trents]

What about histamine intolerance? https://www.healthline.com/health/histamine-intolerance#symptoms

[lhu7]

4 minutes ago, trents said:

What about histamine intolerance? https://www.healthline.com/health/histamine-intolerance#symptoms

Yes, I don’t have that 

[Scott Adams]

One thing that seems to pop up here over and over is casein/dairy intolerance. Have you tried going dairy-free for a while to see if it helps?

[Posterboy]

7 hours ago, lhu7 said:

I have had celiac for 3 years, but have had stomach issues all my life. My stomach issues have clear up for the most part. A few of the symptoms I deal with on the daily is fatigue, brain fog, bloating and constipation. I have always had an aversion to fruit and vegetables, which could be arfid. I used to be a go getter and willing to do anything, but the past years I have felt depressed and alone. I just had a check up endoscopy and everything looked good except my disaccharide levels were all low. I am thinking maybe something that to do with pancreatic enzymes and not properly digesting food. I crave carbs and eat a lot of them, which might signal that they aren’t being broken down. Thoughts? 

lhu7,

I don't have your condition....

But people typically reduce their food content when they are low in Thiamine,.....and it explains your fatigue symptom's well...

A quick google search shows Thiamine is involved in satiety and hunger....

In fact the eating disorder of Anorexia can be triggered by low Thiamine levels.

Here is some research about it...

Entitled  "Thiamine deficiency induces anorexia by inhibiting hypothalamic AMPK"

https://pubmed.ncbi.nlm.nih.gov/24607345/

And this on ARFID...

Entitled  "Nutritional Deficiency Disease Secondary to ARFID Symptoms Associated with Autism and the Broad Autism Phenotype: A Qualitative Systematic Review of Case Reports and Case Series"

https://pubmed.ncbi.nlm.nih.gov/33221247/

quoting from their study on nutritional deficiencies in ARFID...

"The second-largest percentage of published cases (17.1% [13 of 76]) involved eye disorders secondary to vitamin A deficiency. Other primary nutrient deficiencies reported were thiamine vitamin B-12, and vitamin D"

This nice article explain how a Thiamine deficiency can trigger autonomic conditions....

https://awaken.com/2021/02/the-overlooked-vitamin-that-improves-autoimmune-disease-and-autonomic-dysfunction

Thiamine works best taken in the FAT Soluble forms like Benfotiamine, Lipothiamine or Allithiamine and always with a Meal and preferably Magnesium Glycinate or Magnesium Citrate.....

Both Magnesium and Thiamine aka Vitamin B1 will help your fatigue..

I wrote a nice Posterboy blog post about why Celiac's should take Thiamine at least for a "Season in Time"....

Maybe it will help you to read it...

This great thread on Thiamine might help you too!

Good luck on your continued  journey!

I hope this helpful but it is not medical advice.

Posterboy,

[Kate333]

I used to be a go getter and willing to do anything, but the past years I have felt depressed and alone.

+++++++++++++++

Hi Ihu7.   Your comment above caught my eye.

Fatigue, brain fog (and even GI probs) are often classic PHYSICAL symptoms of severe, chronic depression/anxiety--quite understandable in response to your recent celiac disease diagnosis, not to mention this pandemic (I have been there and had the same symptoms).  I suggest you discuss with your primary or gastro docs and ask for a referral for counseling.  It is so important to have someone to discuss your feelings with on a regular basis, whether a trained counselor or support group.  You may even benefit from a low-dose medication to help reduce your depression/anxiety.  I have found both forms of treatment beneficial in helping relieve my depression/anxiety/insomnia.

Best of luck to you.      

[Kate333]

Le me also mention that there are many websites/articles online that describe the physical symptoms of depression/anxiety and great tips for helping to reduce them.  I especially like anxietycentre.com, which has an article with a cool chart that lists the many physical symptoms of depression/anxiety.  Reading, learning, and understanding about the many ways in which stress can affect the body (the mind-body connection) was really quite revealing, helpful for me.

[GFinDC]

On 6/11/2021 at 12:31 PM, lhu7 said:

I have had celiac for 3 years, but have had stomach issues all my life. My stomach issues have clear up for the most part. A few of the symptoms I deal with on the daily is fatigue, brain fog, bloating and constipation. I have always had an aversion to fruit and vegetables, which could be arfid. I used to be a go getter and willing to do anything, but the past years I have felt depressed and alone. I just had a check up endoscopy and everything looked good except my disaccharide levels were all low. I am thinking maybe something that to do with pancreatic enzymes and not properly digesting food. I crave carbs and eat a lot of them, which might signal that they aren’t being broken down. Thoughts? 

Craving carbs could be a diabetes symptom.  Not feeling well, being tired is also a possible diabetes symptom.  Digestive problems are another possible diabetes symptom.  Maybe you can get your A1C level checked?

[Scott Adams]

You are not alone, and there are many celiacs who report some of the things you're going through. Here is a summary of a recent study on dating and celiac disease. I think getting your diet under control, and getting healthy is every celiac's first priority, but learning how to deal with various social relationships while maintain a gluten-free diet isn't discussed often enough.