Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Nutritionalists


Guest ~wAvE WeT sAnD~

Recommended Posts

Guest ~wAvE WeT sAnD~

I see my nutritionalist tomorrow. I'm trying to remain positive, but my mother heard about some displeasing experiences other patients had. Someone said that the nutritionalist just looked up the definition of celiac disease on the internet and simply started with the "little hairs that push the food down" etc, etc discussion.

Please--let me know if this type of specialist, or whatever category in which they fall, is trustworthy and helpful.

Thank you!!!!


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



flagbabyds Collaborator

If you are seeing a good nutritionalist who knows a lot about celiac disease then they can be a major help, but if they are clueless and know nothign about it then maybe try to look for someone better

debmidge Rising Star

The nutritionist we saw knew about as much as I did. I got my info from library and CSA. I went there expecting superior knowledge and all we got were the same things I ran into during my research. Unless the celiac disease patient is utterly clueless, the nutritionist is a waste of money. I feel the nutritionist should have Betty Hagman's books in their office to show you and the CSA product guide to show you (not to give to the patient, but to show that it exists).

Guest Lindam

I have seen two nutritionists. The first one was when I was in the hospital. She knew alot because her husband has celiac disease, so she was able to give me alot of info. The second one, was a waste of money and time. I had already done alot of research and gave her information, instead of her giving me info. In my opinion, joining this forum and chatting with others, is where I found most of my useful information as well as the strength to get through it.

Good luck! I hope you have a better experience!

Take Care!

Wish Newbie

Hi again :-),

I understand where you're coming from regarding the nutritionist...the first dietician I saw was affiliated with my GI doctor and just printed a few sheets of paper from the Internet...as if I couldn't have done that myself and saved a heck of a lot of money <_< !

However, through the support group in my area I met a dietician who has Celiac disease himself. As I said in my response to your support group post, I'm not sure where Greenville, PA is or how close it is to Pittsburgh. If you can make it into Pittsburgh, though, I would really recommend making an appointment with him if the nutritionist you see isn't helpful. He spent 2 hours going over the gluten-free diet with me and then gave me a huge packet of information listing meal/snack ideas and providing the names of mainstream products that are gluten-free. Since he is both a dietician and a Celiac, I personally place full trust in the accuracy of the information he provides. If you're interested, just e-mail me and I'll give you his name and contact info. In any case, good luck in your quest to learn more about the gluten-free diet!

Guest ~wAvE WeT sAnD~

Thanks all!

I met with the nutritionist this am--she knew how to calculate my calorie intake based on my weight, height, and age. She also knew the basic Gluten-Free no brainer foods (rice, corn, etc.). Although she didn't know a great deal about the special gluten-free products everyone has shared with me online, or the special goodies I buy at the store, she rewarded my knowledge by reducing the bill (she treated it as a fifteen minute follow up consulation--so instead of costing $52.50, it was $28).

She gave me a massive packet with a lot of good gluten-free recipes, which is helpful. My only concern was that many of those recipes contain wheat starch--but then I heard that if I didn't feel the need, I could replace it with my all-purpose gluten-free flower.

Yay!

She exceeded my expectations, and thank God she didn't go into the "little hairs on your intestines" bit.

She was satisfied with my food choices, too.

celiac3270 Collaborator

With my nutritionist, I was already 2 months in or something, so I knew what I could and couldn't eat. Therefore, a lot of the basic stuff wasn't helpful. She did, however, recommend some products that were gluten-free.....unfortunately, many contain significant amounts of dairy. So, it wasn't as helpful as it could've been, but then again, I was already too far into the diet for it to be amazingly useful. I know you've already gone, Jill, but I just wanted to post my experience, anyway... :D

Glad you were satisfied and got helpful tips/recipes/suggestions. :)

-celiac3270


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



kvogt Rookie

I wouldn't see any nutritionist who wasn't an active member of a celiac support group. I would ask if s/he goes to meetings, meets with celiac patients regularly, etc.

celiac3270 Collaborator
I wouldn't see any nutritionist who wasn't an active member of a celiac support group. I would ask if s/he goes to meetings, meets with celiac patients regularly, etc.

Makes sense....I went to Anne Lee (a nutritionist who works with Dr. Green; one of the most famous celiac doctors in the US). I don't know if she goes to support groups, but she tries out her gluten-free stuff on family (who aren't celiacs, but still used as guinea pigs :lol: ). I trusted her, especially since she works for a really famous celiac dr..........

-celiac3270

Guest ~wAvE WeT sAnD~

I see...she didn't really answer any medical questions, so I don't know if she's in touch with very many top celiac disease doctors.

celiac3270, thank you very much for your feedback! I appreciate hearing everyone's stories, no matter how far along I am :)

Thanks again!!!!

cmom Contributor

The nutritionist I was sent to after my initial DX was also not very helpful. For example, she told me that malt flavoring was bad and then later told me I could have Rice Krispies (they contain the malt). When I asked her about this, she couldn't give me an answer.

Archived

This topic is now archived and is closed to further replies.

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - SamAlvi replied to SamAlvi's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      7

      High TTG-IgG and Normal TTG-IgA

    2. - knitty kitty replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    3. - lizzie42 replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    4. - knitty kitty replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

    5. - lizzie42 replied to lizzie42's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      6

      Son's legs shaking

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,873
    • Most Online (within 30 mins)
      7,748

    kellz
    Newest Member
    kellz
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Who's Online (See full list)

    • There are no registered users currently online
  • Upcoming Events

  • Posts

    • SamAlvi
      Thanks again for the detailed explanation. Just to clarify, I actually did have my initial tests done while I was still consuming gluten. I stopped eating gluten only after those tests were completed, and it has now been about 70 days since I went gluten-free. I understand the limitations around diagnosing NCGS and the importance of antibody testing and biopsy for celiac disease. Unfortunately, where I live, access to comprehensive testing (including total IgA and endoscopy with biopsy) is limited, which makes things more complicated. Your explanation about small-bowel damage, nutrient absorption, and iron-deficiency anemia still aligns closely with my history, and it’s been very helpful in understanding what may be going on. I don't wanna get Endoscopy and I can't start eating Gluten again because it's hurt really with severe diarrhea.  I appreciate you taking the time to share such detailed and informative guidance. Thank you so much for this detailed and thoughtful response. I really appreciate you pointing out the relationship between anemia and antibody patterns, and how the high DGP IgG still supports celiac disease in my case. A gluten challenge isn’t something I feel safe attempting due to how severe my reactions were, so your suggestion about genetic testing makes a lot of sense. I’ll look into whether HLA testing is available where I live and discuss it with my doctor. I also appreciate you mentioning gastrointestinal beriberi and thiamine deficiency. This isn’t something any of my doctors have discussed with me, and given my symptoms and nutritional history, it’s definitely worth raising with them. I’ll also ask about correcting deficiencies more comprehensively, including B vitamins alongside iron. Thanks again for sharing your knowledge and taking the time to help. I’ll update the forum as I make progress.
    • knitty kitty
      Blood tests for thiamine are unreliable.  The nutrients from your food get absorbed into the bloodstream and travel around the body.  So, a steak dinner can falsely raise thiamine blood levels in the following days.  Besides, thiamine is utilized inside cells where stores of thiamine are impossible to measure. A better test to ask for is the Erythrocyte Transketolace Activity test.  But even that test has been questioned as to accuracy.  It is expensive and takes time to do.   Because of the discrepancies with thiamine tests and urgency with correcting thiamine deficiency, the World Health Organization recommends giving thiamine for several weeks and looking for health improvement.  Thiamine is water soluble, safe and nontoxic even in high doses.   Many doctors are not given sufficient education in nutrition and deficiency symptoms, and may not be familiar with how often they occur in Celiac disease.  B12 and Vitamin D can be stored for as long as a year in the liver, so not having deficiencies in these two vitamins is not a good indicator of the status of the other seven water soluble B vitamins.  It is possible to have deficiency symptoms BEFORE there's changes in the blood levels.   Ask your doctor about Benfotiamine, a form of thiamine that is better absorbed than Thiamine Mononitrate.  Thiamine Mononitrate is used in many vitamins because it is shelf-stable, a form of thiamine that won't break down sitting around on a store shelf.  This form is difficult for the body to turn into a usable form.  Only thirty percent is absorbed in the intestine, and less is actually used.   Thiamine interacts with all of the other B vitamins, so they should all be supplemented together.  Magnesium is needed to make life sustaining enzymes with thiamine, so a magnesium supplement should be added if magnesium levels are low.   Thiamine is water soluble, safe and nontoxic even in high doses.  There's no harm in trying.
    • lizzie42
      Neither of them were anemic 6 months after the Celiac diagnosis. His other vitamin levels (d, B12) were never low. My daughters levels were normal after the first 6 months. Is the thiamine test just called thiamine? 
    • knitty kitty
      Yes, I do think they need a Thiamine supplement at least. Especially since they eat red meat only occasionally. Most fruits and vegetables are not good sources of Thiamine.  Legumes (beans) do contain thiamine.  Fruits and veggies do have some of the other B vitamins, but thiamine B 1 and  Cobalamine B12 are mostly found in meats.  Meat, especially organ meats like liver, are the best sources of Thiamine, B12, and the six other B vitamins and important minerals like iron.   Thiamine has antibacterial and antiviral properties.  Thiamine is important to our immune systems.  We need more thiamine when we're physically ill or injured, when we're under stress emotionally, and when we exercise, especially outside in hot weather.  We need thiamine and other B vitamins like Niacin B 3 to keep our gastrointestinal tract healthy.  We can't store thiamine for very long.  We can get low in thiamine within three days.  Symptoms can appear suddenly when a high carbohydrate diet is consumed.  (Rice and beans are high in carbohydrates.)  A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function, so symptoms can wax and wane depending on what one eats.  The earliest symptoms like fatigue and anxiety are easily contributed to other things or life events and dismissed.   Correcting nutritional deficiencies needs to be done quickly, especially in children, so their growth isn't stunted.  Nutritional deficiencies can affect intelligence.  Vitamin D deficiency can cause short stature and poor bone formation.   Is your son taking anything for the anemia?  Is the anemia caused by B12 or iron deficiency?  
    • lizzie42
      Thank you! That's helpful. My kids eat very little processed food. Tons of fruit, vegetables, cheese, eggs and occasional red meat. We do a lot of rice and bean bowls, stir fry, etc.  Do you think with all the fruits and vegetables they need a vitamin supplement? I feel like their diet is pretty healthy and balanced with very limited processed food. The only processed food they eat regularly is a bowl of Cheerios here and there.  Could shaking legs be a symptom of just a one-time gluten exposure? I guess there's no way to know for sure if they're getting absolutely zero exposure because they do go to school a couple times a week. We do homeschool but my son does a shared school 2x a week and my daughter does a morning Pre-K 3 x a week.  At home our entire house is strictly gluten free and it is extremely rare for us to eat out. If we eat at someone else's house I usually just bring their food. When we have play dates we bring all the snacks, etc. I try to be really careful since they're still growing. They also, of course, catch kids viruses all the time so I  want to make sure I know whether they're just sick or they've had gluten. It can be pretty confusing when they're pretty young to even be explaining their symptoms! 
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.