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Guest celiacbuzzroom

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Guest celiacbuzzroom

I FOUND THIS............I WILL TRY THIS (VITAMIN E)

IN MY CASE, I HARDLY WALK.

Case of the Month

Reversible inflammatory and vacuolar myopathy with vitamin E deficiency in celiac disease

Kleopas A. Kleopa, MD, Kyriacos Kyriacou, PhD, Eleni Zamba-Papanicolaou, MD, Theodoros Kyriakides, FRCP

Department of Clinical Neurosciences,

Cyprus Institute of Neurology and Genetics,

P.O. Box 23462, Nicosia, Cyprus

Department of Electron Microscopy and Molecular Pathology, Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus

email: Theodoros Kyriakides (Open Original Shared Link)

*Correspondence to Theodoros Kyriakides, Department of Clinical Neurosciences, Cyprus Institute of Neurology and Genetics, P.O. Box 23462, Nicosia, Cyprus

setDOI("ADOI=10.1002/mus.20144")

Keywords

anti-gliadin antibodies • ataxia • gluten enteropathy • inclusion-body myopathy • malabsorption • neuropathy

Abstract

We report a patient with late-onset celiac disease and neurological manifestations including myopathy, polyneuropathy, and ataxia.

Laboratory investigations showed anti-gliadin antibodies and severe vitamin E deficiency.

Muscle biopsy revealed inflammatory infiltrates and rimmed vacuoles, similar to those found in inclusion-body myositis.

A gluten-free diet and vitamin E supplementation reversed both the clinical neurological manifestations and the abnormalities in the muscle biopsy.

Anti-gliadin antibodies were no longer present.

This case illustrates the spectrum of neurological complications of celiac disease and documents the occurrence of reversible pathology resembling inclusion-body myopathy in the muscle. Muscle Nerve 2004

===================================================

Let's cut the chase for those who are suffering and let them see who has helped you in your State.

I am In Salem, Or. and this Neurologist below helped me before any MD would.

Dr. Benton Davidson

Salem, Oregon

He tested for Vitamin K.

I had 2 years with my MD who would not do any testing.

I slipped hehind his back and got to this Neurologist.

Bye


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  • Replies 113
  • Created
  • Last Reply
Lisa Mentor

No help here in North Carolina...still trying to seek a DR. who cares enough to do some research. <_<

Guhlia Rising Star

Frederick Saunders MD

Lancaster, Pennsylvania

Nooner Newbie

Dr Daniel McGuire

South Florida Gastro Associates

Boynton Beach Florida (in Palm Beach County)

He accepted my Enterolab results, and based on that, my history and dietary response, diagnosed me. He was recommended by the local CSA of America support group.

~Li

Nantzie Collaborator

Patricia Chen, MD Internal Medicine

Citrus Heights, CA

Doesn't think she's God. Considers the doctor patient relationship a team. Wants to hear what you have to say. Never made me feel like I was a hypochondriac.

Dr. Vallero, MD GI

Roseville and Carmichael, CA

Didn't make me feel like a hypochondriac. Didn't seem too sold on the celiac thing, but completely open and not confrontational or critical at all. I had the biopsy done, but more to check and make sure there wasn't anything more scary causing my symptoms. At my followup appt, he said that he had other patients who had negative biopsies but positive dietary response and to keep doing what I was doing. He said that I figured it out on my own.

Yinka Davies, MD Pediatric GI

Roseville, CA and Downtown Sacramento, CA

I had already put Jenny gluten-free for over a month when we had our appt. Told her the whole story and that I put her gluten-free because of Enterolab testing and how much better Jenny was doing. She was very interested and seemed to enjoy hearing about Jenny's before and after. All she said about the biopsy was that she was just asking because it was the gold standard, and <I didn't want to have the biopsy for Jenny did I?> I told her no. She said great. So all we're doing is blood work twice a year to make sure she's not developing any other related issues.

.....................

I've been very, very lucky with finding great MDs. I know how rare that is on this board. I really don't think that our GP's would have ever brought celiac/gluten intolerance up on their own, but when I brought it up, they went down that path right along with me.

Nancy

frenchiemama Collaborator

Dr. Kristie Gering

Chippewa Falls, WI

She's fantastic.

KerriAnne Rookie

Dr. Jeffrey Stein

Columbia Presbyterian

New York, NY

212-305-5444

WONDERFUL!!!

He's a one-man show... he does it all from taking your basic vitals to prescribing Rx and diagnostic testing. Kind, compassionate human being. He's very cautious and thorough.


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jerseyangel Proficient

Dr. John Kravitz in Mount Laurel, New Jersey.

Listened to my story and was open to testing me for Celiac.

KarenLee Rookie

Austin, Texas

Dr. Craig Lubin

Open Original Shared Link

celiac sucks Newbie

Stefano Guandalini, MD Chicago Illinois

This man is amzaing!! He is the head of research at Chicago and travels around the world for research, but he is only a pediatric docotr.

ehrin Explorer

Dr. Richard Schwartz

190 Groton Rd, Ayer MA

(978) 772-7500

I also cannot say enough good things about my GI doc.

I went in complaining of severe bloating after eating - I didn't even know what celiac disease was.

Because I am a T1 diabetic he suspected diabetic gastroparesis and did an upper endoscopy to see if my stomach was dumping it's food. Well while he was in there he decided to do a biopsy of my intestine- I did not know he was doing this. Well low and behold gastro was ruled out and the "most abnormal biopsy I've ever seen" confirmed the Celiac dx.

For those in MA/NH - Ayer is located in the Northern Central part of the state.

Guest nini

Dr. Bill Meyer, Atlanta, GA

Pediatric Gastroenterology

Open Original Shared Link

he is active in our local Celiac support group and a really nice guy!

happygirl Collaborator

Dr. Patricia Raymond

Hampton Roads/Norfolk/Virginia Beach

have not seen her myself, but have heard wonderful things about her. She is the advisory doc to the CSA group.

Mtndog Collaborator

Dr Marni Nicholas

Portsmouth, NH

Primary Care

Dr. catherine Cheney

Beth Israel

Celiac specialist

Boston/Lexington, MA

THEY BOTH ROCK!!!!!!!!!!!!!!!!

jlinc Rookie

Great topic! I was just thinking I need to find a new doc, because of recurring kidney pain.

Does anyone have a suggestion for Portland, OR?

Thanks for any help you can give.

Josh.

TriticusToxicum Explorer

Dr. Thomas Brasitus

Dr. Nancy Merrill

GI's M.I. Bassett Hospital, Cooperstown, NY

  • 2 weeks later...
Susan M-G Rookie

Dr. Karen Nepveu, Rheumatologist

Colchester, Vermont

Mamato2boys Contributor

Dr. Alwyn Koil (NM Pediatrics) & Dr. Thomas Rothfeld (Presbyterian)

both of Albuquerque, NM

both general pediatricians and WONDERFUL doctors - very nice. Dr. Koil not totally sold on Enterolab because he's not familiar with them, but is very supportive and interested.

Dr. Jay Jacobi (SW Medical)

General practitioner - also of Albuquerque

I haven't had occasion to tell him about my family going gluten-free yet, but I fully expect him to be supportive when I do.

I wanted to add Dr. Jeffrey Fahl with the University of New Mexico. I haven't seen him myself, but we work for the same Univeristy and he is a VERY nice guy.

jayhawkmom Enthusiast

Dr. William Buser - GI - Gastrointestinal Center of Kansas City

&

Dr. Jose Cocjin - Pediatric GI - University of Kansas Medical Center

Fiddle-Faddle Community Regular

Dr. Michele (pronounced "Michael") Monaco, pediatric cardiologist, Danville, PA and State College, PA

Dr. James Rodrigues, pediatrician with Bellevue Peds, Pittsburgh PA

Guest AutumnE

Dr. Gale Cookingham- Allergist and she has celiac disease herself and was tested and suppourtive of enterolab. Flint, michigan office on fridays and port huron office monday through thursday.

azmom3 Contributor

***ARIZONA***

Dr. Shimamoto, SanTan Allergy and Asthma, Mesa (or Gilbert?), Arizona -- This is the single best doctor I have ever known! All 3 of our kids are being treated by him. He is the most down-to-earth, easy-going, yet extremely knowledgeable person you'd ever meet. My kids love going to him and the 35 minute drive to his office is so worth it. I would probably drive 2 hours to go to this guy if I had to...just can't say enough. It took 7 months and 4 doctors to make even a slight dent in my youngest son's issues. I had more answers in my first visit with this doctor than I did with all the rest put together.

Dr. Nancy Yokois, Pediatric GI, Scottsdale, AZ -- We've only been to her once. She was patient, extremely thorough, answered all our questions, very knowledgeable of celiac and eosinophilic disorders. No one can compare to Dr. Shimamoto, but she does come in a close second and I would highly recommend. She came highly recommended to us by several different people and it's easy to see why once you meet her.

GFinVA Newbie

Jeffrey Retig

Bryn Mawr, PA (Philadelphia suburb)

He's an excellent doctor and an extremely patient man - I highly recommend him!

fairydust Newbie

I see Dr. Peter Green in New York.

jmengert Enthusiast

Dr. Mark Ringold

Christiansburg, Virginia

Absolutely wonderful--probably the best doctor of any speciality that I've ever seen.

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    • knitty kitty
      @NanceK, I do have Hypersensitivity Type Four reaction to Sulfa drugs, a sulfa allergy.  Benfotiamine and other forms of Thiamine do not bother me at all.  There's sulfur in all kinds of Thiamine, yet our bodies must have it as an essential nutrient to make life sustaining enzymes.  The sulfur in thiamine is in a ring which does not trigger sulfa allergy like sulfites in a chain found in pharmaceuticals.  Doctors are not given sufficient education in nutrition (nor chemistry in this case).  I studied Nutrition before earning a degree in Microbiology.  I wanted to know what vitamins were doing inside the body.   Thiamine is safe and nontoxic even in high doses.   Not feeling well after starting Benfotiamine is normal.  It's called the "thiamine paradox" and is equivalent to an engine backfiring if it's not been cranked up for a while.  Mine went away in about three days.  I took a B Complex, magnesium and added molybdenum for a few weeks. It's important to add a B Complex with all eight essential B vitamins. Supplementing just one B vitamin can cause lows in some of the others and result in feeling worse, too.  Celiac Disease causes malabsorption of all the B vitamins, not just thiamine.  You need all eight.  Thiamine forms including Benfotiamine interact with each of the other B vitamins in some way.  It's important to add a magnesium glycinate or chelate supplement as well.  Forms of Thiamine including Benfotiamine need magnesium to make those life sustaining enzymes.  (Don't use magnesium oxide.  It's not absorbed well.  It pulls water into the intestines and is used to relieve constipation.)   Molybdenum is a trace mineral that helps the body utilize forms of Thiamine.   Molybdenum supplements are available over the counter.  It's not unusual to be low in molybdenum if low in thiamine.   I do hope you will add the necessary supplements and try Benfotiamine again. Science-y Explanation of Thiamine Paradox: https://hormonesmatter.com/paradoxical-reactions-with-ttfd-the-glutathione-connection/#google_vignette
    • Wheatwacked
      Your goal is not to be a good puppet, there is no gain in that. You might want to restart the ones that helped.  It sounds more like you are suffering from malnutrition.  Gluten free foods are not fortified with things like Thiamine (B1), vitamin D, Iodine, B1,2,3,5,6 and 12 as non-gluten free products are required to be. There is a Catch-22 here.  Malnutrition can cause SIBO, and SIBO can worsen malnutrition. Another possibility is side effects from any medication that are taking.  I was on Metformin 3 months before it turned me into a zombi.  I had crippling side effects from most of the BP meds tried on me, and Losartan has many of the side effects on me from my pre gluten free days. Because you have been gluten free, you can test and talk until you are blue in the face but all of your tests will be negative.  Without gluten, you will not create the antigen against gluten, no antigens to gluten, so no small intestine damage from the antigens.  You will need to do a gluten challange to test positive if you need an official diagnosis, and even then, no guaranty: 10 g of gluten per day for 6 weeks! Then a full panel of Celiac tests and biopsy. At a minimum consider vitamin D, Liquid Iodine (unless you have dermatitis herpetiformis and iodine exasperates the rash), and Liquid Geritol. Push for vitamin D testing and a consult with a nutritionist experienced with Celiack Disease.  Most blood tests don't indicate nutritional deficiencies.  Your thyroid tests can be perfect, yet not indicate iodine deficiency for example.  Thiamine   test fine, but not pick up on beriberi.  Vegans are often B12 deficient because meat, fish, poultry, eggs, and dairy are the primary souces of B12. Here is what I take daily.  10,000 IU vitamin D3 750 mg g a b a [   ] 200 mg CoQ10 [   ] 100 mg DHEA [   ] 250 mg thiamine B1 [   ] 100 mg of B2 [   ] 500 mg B5 pantothenic acid [   ] 100 mg B6 [   ] 1000 micrograms B12 n [   ] 500 mg vitamin c [   ] 500 mg taurine [   ] 200 mg selenium   
    • NanceK
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    • Wheatwacked
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