what is all about ?

[grumbleguts]

  On 3/17/2022 at 8:20 PM, knitty kitty said:

@grumbleguts,

Be aware that Metformin will cause B12, folate, and thiamine deficiency.  

I suggest you discuss with your doctor supplementing thiamine as well as B12 and folate.

B12 and thiamine deficiencies can cause symptoms of altered mentation before blood tests reveal deficiency.  

Diabetics, both type one and two, have been shown to have low thiamine levels.  Adding Metformin can cause outright thiamine deficiency.

Gestational diabetes is shown to be connected to low thiamine levels. 

Gastroparesis, slow emptying of the stomach, is another symptom of low thiamine levels.  Gastritis is also seen with insufficient Thiamine levels. 

Thiamine deficiency can have symptoms of altered mental status called Wernicke's Encephalopathy.  

Do you feel your mentality has changed in the time you've been taking Metformin? Having memory difficulty?  Fatigue? 

Since blood tests aren't an accurate measurement of thiamine stores, high dose Thiamine supplementation (>500 mg/day) for several days should produce improvement in symptoms.

The World Health Organization -WHO - says a thiamine deficiency can be diagnosed if supplementing with 500 mg thiamine hydrochloride brings improvement.  Some get improvement within hours.  

I took Metformin and got very ill and the doctors were clueless as to the interconnection between Celiac, Diabetes (yes, @trents, there is a connection with type two diabetes and Celiac*), and thiamine deficiency.

Do discuss thiamine deficiency with your doctor!

*  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639597/

 

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I will. certainly check up thiamin info with her... 

[plumbago]

I would advise you checking with your doctor to see if you can get B vitamin levels checked. Just because metformin - a highly useful drug - can cause B vitamin deficiency doesn't mean it will or does in you specific case. If you have celiac disease, you may have malabsorption of those vitamins because of it.

Also, as you know as someone with type 2 diabetes, gastroparesis could occur due to some nerve impairment of the vagus nerve which facilitates digestion.

Plumbago

[grumbleguts]

  On 3/18/2022 at 9:31 AM, plumbago said:

I would advise you checking with your doctor to see if you can get B vitamin levels checked. Just because metformin - a highly useful drug - can cause B vitamin deficiency doesn't mean it will or does in you specific case. If you have celiac disease, you may have malabsorption of those vitamins because of it.

Also, as you know as someone with type 2 diabetes, gastroparesis could occur due to some nerve impairment of the vagus nerve which facilitates digestion.

Plumbago

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Thank you. I will indeed have a word with my doc. nobody has ever spoken to me aboutthis before. the slow transit has been will me all my life since birth.  Lovely flower by the way. 

[CJolly]

  On 3/16/2022 at 4:16 PM, trents said:

I don't think that is the mechanism involved in generating celiac disease. It's not the slow transit that is the issue. It is the immune system misinterpreting gluten as an invader. See my previous post above. So, the real problem is that something in the immune system is haywire that causes it to mistakenly identify gluten as harmful.

By the way, the biopsies of your stomach may have been triggered by your anemia. There is a kind of anemia known as "pernicious anemia." With pernicious anemia, there is an autoimmune attack of the parietal cells that line the stomach. The parietal cells produce an enzyme know as "intrinsic factor" which is necessary for the absorption of B12, which in turn is necessary for the absorption of iron from our diet. And so, the result is iron deficiency anemia. One way to compensate for that is B12 injections. We have also discovered that large doses of B12 orally can also work as there is a secondary, less efficient pathway for B12 absorption by the body.

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I have a very high WBC, over 13K for over a year now, with the symptoms of low Vit. D, B12, and weight loss, diarrhea etc... I am curious if others with celiac also have high WBC because of the inflammation. Thanks so much!

[knitty kitty]

  On 3/18/2022 at 8:55 AM, grumbleguts said:

Sorry to bother you again but would a problem with three different types of benign tumours i have had also be caused by a sightly deranged auto immune system? . No one else in my immediate family of parents and 8 siblings have ever had the health problems i have had?

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I found this article....

Celiac Disease Associated with a Benign Granulomatous Mass Demonstrating Self-Regression after Initiation of a Gluten-Free Diet

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624261/

"...celiac disease can also be associated with benign small bowel thickening and reactive lymphadenopathy. These reactive changes do not always represent malignancy and often regress after the institution of a gluten-free diet (GFD) as the inciting antigen is removed."

 

[trents]

  On 3/18/2022 at 1:24 PM, CJolly said:

I have a very high WBC, over 13K for over a year now, with the symptoms of low Vit. D, B12, and weight loss, diarrhea etc... I am curious if others with celiac also have high WBC because of the inflammation. Thanks so much!

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That I am aware of, high WBC is not a typical symptom associated with celiac disease. But your other symptoms are classic for either celiac disease or NCGS (Non Celiac Gluten Sensitivity) which is 10x more common than celiac disease. There is no diagnostic test for NCGS. celiac disease must first be ruled out. Sounds like you need to be tested for celiac disease.

Edited March 18, 2022 by trents

[grumbleguts]

  On 3/18/2022 at 1:36 PM, knitty kitty said:

I found this article....

Celiac Disease Associated with a Benign Granulomatous Mass Demonstrating Self-Regression after Initiation of a Gluten-Free Diet

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624261/

"...celiac disease can also be associated with benign small bowel thickening and reactive lymphadenopathy. These reactive changes do not always represent malignancy and often regress after the institution of a gluten-free diet (GFD) as the inciting antigen is removed."

 

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One was in My stomach, one in womb and bilateral in latisimus dorssi. all having been exised. So  not applicable... really. Thank you.

[CJolly]

  On 3/18/2022 at 2:47 PM, trents said:

That I am aware of, high WBC is not a typical symptom associated with celiac disease. But your other symptoms are classic for either celiac disease or NCGS (Non Celiac Gluten Sensitivity) which is 10x more common than celiac disease. There is no diagnostic test for NCGS. celiac disease must first be ruled out. Sounds like you need to be tested for celiac disease.

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Thanks so much. This is all new to me. Such great knowledge on this website. 

[plumbago]

  On 3/18/2022 at 1:24 PM, CJolly said:

I have a very high WBC, over 13K for over a year now, with the symptoms of low Vit. D, B12, and weight loss, diarrhea etc... I am curious if others with celiac also have high WBC because of the inflammation. Thanks so much!

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Hi,

I have not had high WBC on a routine blood test. Not to say I never ever have had elevated WBCs, but during my celiac disease testing phase, my WBC were never elevated. What was elevated, was what was found on endoscopy: intra-epithelial lymphocytes (IELS), in my small intestines.

Of course, I've had low D - something that is practically epidemic in the modern world, regardless of Celiac status and B12, and yes, the diarrhea.

Plumbago

[Wheatwacked]

though the Power of the Internet:

300 Signs and Symptoms of Celiac Disease (adults and children)

Here is a list of some essential vitamins and minerals. VitaminRDA

[Wheatwacked]

  On 3/17/2022 at 12:40 PM, grumbleguts said:

I had a tumour that resulted in a partial gastrectomy

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If you've had a partial gastrectomy, you may be able to get enough vitamins and minerals from your diet by eating foods that are high in nutrients – in particular, foods high in iron, calcium, and vitamins C and D.     https://www.nhs.uk/conditions/gastrectomy/recovery/

Funny that article by the NHS does not mention B12.  I understand the no oral B12 is because the gastrectomy reduces absorbtion and injection guarantees that you get enough. But what of the others? Vitamin C, Zinc and others are essential to fighting infection.

Many of the deficiencies from celiac disease intersect with gastrectomy. Which came first? Does not matter at this point.

Post-Gastrectomy: Managing  the Nutrition Fall-Out