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Basic metabolic panel results - more flags

Rejoicephd

By Rejoicephd
in Related Issues & Disorders

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Rejoicephd Explorer
Rejoicephd
Posted

Hey all 

Has anyone on here experienced any of the following on their basic metabolic panel results ? This is what mine is currently flagging :

- low sodium 

- nearly too low potassium

- nearly too low chloride

- high CO2 

- low anion gap 

This is now after being nearly gluten-free for over a year (although I admit I make mistakes sometimes and pay dearly for it). My TtG went down to undetectable. I was so sensitive to so many foods I am now avoiding meat dairy and don’t eat a lot of cooked food in general (raw veggies, white rice, avocados and boiled eggs are my usual go-to meal that doesn’t make me sick). But my abdomen still hurts, i have a range of other symptoms too (headaches that last for days before letting up, fatigue, joint pain, bladder pain). Anyway im hoping my urologist (that’s now the latest specialist I’ve seen on account of the bladder pain and cloudy urine after eating certain foods) will help me with this since he ordered this metabolic panel. But I’m bouncing around a lot between specialists and still not sure what’s wrong. Also went back to the GI doctor and she thought maybe the celiac is just not healed or I have something else going on in the colon and I should have that looked at too. I’m still anemic too BTW. And I’m taking sooo may vitamins daily. 

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trents Grand Master
trents
Posted

I have many of those same CMP irregularities from time to time, with the exception that my potassium is always normal. What I can tell you is that it is normal for everything not to be normal when you get a CMP done. I used to get a CBC and CMP done annually and there were always some things out of spec. Docs don't get excited about it for the most part. It depends on the particular parameter (some are more important than others) and it depends on how far out of range it is. Docs also look for trends over time as opposed to isolated snapshots of this or that being out of spec at any given time. Our body chemistry is a dynamic entity. 

knitty kitty Grand Master
knitty kitty
Posted

Which vitamins are you taking?

Rejoicephd Explorer
Rejoicephd
Posted
  • Author

Multivitamin - 2 pills daily

vitamin D - 1 pills daily 

magnesium - 3 pills daily

iron - 1 pill daily 

 

knitty kitty Grand Master
knitty kitty
Posted

@Rejoicephd,

I'm not a doctor, but I experienced severe thiamine deficiency.  Your symptoms seem really familiar.  Malabsorption is a real thing that happens with Celiac.  A multivitamin is not going to prevent nor correct nutritional deficiencies.    Doctors do not recognize nutritional deficiency symptoms.  Gastrointestinal Beriberi is not recognized often.  Caused by thiamine deficiency, high dose thiamine supplements or IV administration with other vitamins, minerals and glucose under doctor's care is needed.  

Thiamine deficiency is found in anemia.  Thiamine deficiency in the kidneys can result in electrolyte imbalances and cloudy urine.  Thiamine deficiency can cause high blood sugar which can cause cloudy urine.  Dehydration can cause cloudy urine.  

I'm linking some PubMed articles.  You see if your symptoms match.  Discuss the possibility of Gastrointestinal Beriberi with one of your specialists soon!  Just to rule it out.  I'm very concerned.  

I'm linking some PubMed articles.  You see if your symptoms match.  

Thiamine, gastrointestinal beriberi and acetylcholine signaling

https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/#ref3

From Section 3:

"In conclusion, TD limited to the gastrointestinal system may be an overlooked and underdiagnosed cause of the increasingly common gastrointestinal disorders encountered in modern medical settings. Left unattended, it may progress to wet or dry beriberi, most often observed as Wernicke encephalopathy.". .

And...

Refeeding Syndrome

https://www.ncbi.nlm.nih.gov/books/NBK564513/

Rejoicephd Explorer
Rejoicephd
Posted
  • Author

Thank you @trents for letting me know you experience something similar thanks @knitty kitty for your response and resources.  I will be following up with my doctor about these results and I’ll read the articles you sent. Thanks - I really appreciate you all.

  • 4 weeks later...
Rejoicephd Explorer
Rejoicephd
Posted
  • Author

Thanks again so much. I’ve been working harder on my vitamin supplement and an anti-inflammatory diet regimen. Today I got results back and it was a totally normal comprehensive metabolic profile- yay! I do feel a lot better too. I’m avoiding a lot of foods (way more than just gluten) but I think it’s helping and the supplements are needed too. Much appreciate your feedback on this forum. 

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