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Why Tired And Weak?


manja

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manja Apprentice

I am very tired and my muscles feel weak as well. Got hit by depression last week and it is not going away.

Stopped being on Gluten two months ago. My thryoid level tests came back normal although my thyroid is enlarged again. (Hashimoto)

I only have gluten sensitivity, not Celiac Disease.

The gluten symtoms went away, such as constipation and bloating.

However, now the rest of my body feels even worse than when I was on gluten.

Does anyone have an idea why this might be the case?


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jenvan Collaborator

Those are all Hashi symptoms. Are you on any thyroid meds? If so, perhaps you need them adjusted, since you have also had enlargment too...or perhaps you will need to take them if you aren't. I would start with the thyroid if you are sure you are 100% gluten-free. This article is good on Hashi's and people with normal levels--Open Original Shared Link There are other indicators used to monitor Hashi's..as I'm sure you know. My mom has it and has improved quite a bit on synthroid. It may just be an adjustment to the diet too. 2 months is not very long...so give it more time also. 2 wks ago--did you get glutened? Have you cked on products and medications as well as food? Either way, hope you feel better soon!

DingoGirl Enthusiast

I don't know about Hashimoto, but as Jen said, two months isn't long. In my case, I felt really great almost immediately after going gluten-free, then one month into it, went into a crashing depresion and felt run over by a truck. Went on a very low dose of an antidepressant, which I take only every two to three days, and now feel great.

Give yourself time as far as feeling better off gluten....this, too, shall pass.

Blessings-

SurreyGirl Rookie
I am very tired and my muscles feel weak as well. Got hit by depression last week and it is not going away.

Stopped being on Gluten two months ago. My thryoid level tests came back normal although my thyroid is enlarged again. (Hashimoto)

I only have gluten sensitivity, not Celiac Disease...

hi

Have you considered supplementing zinc? I have just read a brilliant book (sadly out of print) by Ellen Grant (Sexual Chemistry..), who points out at many occasions the detrimental effects of zinc and magnesium deficiencies.

PS. My son is also gluten-sensitive (DQ1).

Alexandra Newbie
I am very tired and my muscles feel weak as well. Got hit by depression last week and it is not going away.

Stopped being on Gluten two months ago. My thryoid level tests came back normal although my thyroid is enlarged again. (Hashimoto)

I only have gluten sensitivity, not Celiac Disease.

The gluten symtoms went away, such as constipation and bloating.

However, now the rest of my body feels even worse than when I was on gluten.

Does anyone have an idea why this might be the case?

Some patients (I am one) with Hashi's seem to do better on Synthroid or Armour, enough to get their TSH not just into the high end of the normal range but to the low end of that range. I found a doctor willing to be aggressive about treatment and felt much better almost immediately (my TSH never got over 3.0 even pre-treatment).

So maybe worth trying? I like the thyroid.about.com website's list of doctors.

-- Alexandra

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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
    • trents
      Losing 12" of your small bowel is going to present challenges for you in nutritional uptake because you are losing a significant amount of nutritional absorption surface area. You will need to focus on consuming foods that are nutritionally dense and also probably look at some good supplements. If indeed you are having issues with gluten you will need to educate yourself as to how gluten is hidden in the food supply. There's more to it than just avoiding the major sources of gluten like bread and pasta. It is hidden in so many things you would never expect to find it in like canned tomato soup and soy sauce just to name a few. It can be in pills and medications.  Also, your "yellow diarrhea, constipation and bloating" though these are classic signs of a gluten disorder, could also be related to the post surgical shorter length of your small bowel causing incomplete processing/digestion of food.
    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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