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Malabsorption


djmu

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djmu Newbie

Brief history with 1 question at the end. Thank you to anyone who may have any thoughts.

Blood test results were my only test for celiac. That was 15 years ago. I had already investigated about how to go gluten free and the discomfort in my gut was so debilitating that I decided that day to strictly adhere to a gluten free diet/life style. My symptoms are a distant memory except for those infrequent times when I've been misinformed at a restaurant. Celiac is a  malabsorption disorder and I understand that people with this disorder are also at risk for vitamin D deficiency.

After 15 years gluten free am I still at risk (due to celiac) for malabsorption of vitamin D from food?


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Scott Adams Grand Master

In general the malabsorption caused by damaged villi in celiac disease will go away after this much time on a gluten-free diet, however, some people with celiac disease still have issues absorbing certain nutrients and need to take supplements (I am in that category). It's a good idea to do follow up blood tests from time to time to check your vitamin/mineral levels.

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    • Gigi2025
      Thanks much Scott.  Well said, and heeded.   I don't have Celiac, which is fortunate.
    • Scott Adams
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    • Scott Adams
      It is odd that your Tissue Transglutaminase (TTG) IgA level has bounced from the "inconclusive" range (7.9, 9.8) down to a negative level (5.3), only to climb back up near the positive threshold. This inconsistency, coupled with your ongoing symptoms of malabsorption and specific nutrient deficiencies, is a strong clinical indicator that warrants a more thorough investigation than a simple "satisfactory" sign-off. A negative blood test does not definitively rule out celiac disease, especially with such variable numbers and a classic symptomatic picture. You are absolutely right to seek a second opinion and push for a referral to a gastroenterologist. A biopsy remains the gold standard for a reason, and advocating for one is the most direct path to getting the answers you need to finally address the root cause of your suffering. Here is more info about how to do a gluten challenge for a celiac disease blood panel, or for an endoscopy: and this recent study recommends 4-6 slices of wheat bread per day:    
    • Scott Adams
      There is a distinction between gluten itself and the other chemicals and processing methods involved in modern food production. Your experience in Italy and Greece, contrasted with your reactions in the U.S., provides powerful anecdotal evidence that the problem, for some people, may not be the wheat, but the additives like potassium bromate and the industrial processing it undergoes here. The point about bromines displacing iodine and disrupting thyroid function is a significant one, explaining a potential biological mechanism for why such additives could cause systemic health issues that mimic gluten sensitivity. It's both alarming and insightful to consider that the very "watchdog" agencies meant to protect us are allowing practices banned in many other developed countries. Seeking out European flour and your caution about the high-carb, potentially diabeticgenic nature of many gluten-free products are excellent practical takeaways from your research, but I just want to mention--if you have celiac disease you need to avoid all wheat, including all wheat and gluten in Europe.
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