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Can It Really Be This Simple?


JerryK

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JerryK Community Regular

Folks 6 years ago I was diagnosed with Depression and Anxiety. To make a long story short, I was given multiple trials of medications, even an atypical anti-psychotic(which made me gain 30 lbs).

(No kidding, this drug made me wake up in the fridge eating....)

Eventually I stayed on a low dose of Lexapro. Can't say that it does that much, but for the last 5 years I've been relatively functional.

I've always had this sense that something about me had changed. Couldn


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Ursa Major Collaborator

Ah, but Jerry, antidepressants are big business, and the psychiatrists need to make a living, too, don't you know? :rolleyes::ph34r:

I have never heard anybody suggest to me that my depression, anxiety, aggression, meltdowns, angry outbursts etc. could be food related. It seems NO doctors seem to know that there could be a connection. And family and friends will look at you as if you have gone completely off your rocker when you suggest to them that maybe certain foods make you behave like that.

My husband is fond of suggesting that it has nothing to do with food, but that I am influenced by demons instead. And that I am sinning if I have angry outbursts and should be able to control them. Right. In the meantime, he leaves his crumbs everywhere.

Nancym Enthusiast

Well, don't step in front of the bus now! You know how to make it better. :)

Now I still don
Guhlia Rising Star

Ah... Jerry... It IS that simple. :) It's a real shame that doctors don't get it, but sadly, most of them don't. Thank goodness your dentist had half a brain and mentioned something to you. Would you have ever found us otherwise? I'm sorry that you're feeling crummy right now from eating gluten, but I'm really glad that you've discovered the length to which your symptoms go. Perhaps you'll be able to ditch the antidepressants after a few months on the gluten free diet. I did, it took me a year, but I felt SO much better off of them when I finally went off. Are you still going to be looking for a doctor's diagnosis or is your mind made up?

tarnalberry Community Regular

but for so long, depression was seen as being made up. and then it was just a chemical thing in the brain. can't be connected to anything else of course.

bah.

docs are slow to change what they know. it'll happen, but it'll take years.

btw, if you can get in to see a urologist, you should be able to get the low testosterone treated. (I was told that I couldn't have that as an issue - I was 24 and female. turns out, my levels were undetectable. it makes a subtle, but *very* important difference - in mood as well. do not let your HMO stand in the way of your health. you may have to be demanding, but sometimes we have to stand up for ourselves.)

happygirl Collaborator

Yes, it is that simple.

And yes, its frustrating that most doctors know little to nothing about it.

Hence why NIH has launched a celiac awareness campaign among medical professionals because even NIH recognizes that our current doctors just don't get it.

Its not taught in med school to the degree it needs to be, and incorrect/outdated info is still being passed along.

Undiagnosed Celiac is related to unfavorable outcomes with pregnancy or those who have trouble conceiving, and yet, its not part of the general screening process. However, Dr. Green and his colleagues are working on that.

Little is known about Celiac, but even less is known about non-Celiac gluten sensitive/intolerance. Try throwing THAT one around to your Kaiser people :) :) :)

celiacgirls Apprentice

For me it was that simple. I wasn't on the a/d's as long as you but I started tapering off them 2 days after I went gluten-free. My daughter was diagnosed with depression and had behaviour issues at home that have gone away. She's still tapering off her a/d. But when she went gluten-free, we were thinking we would have to add an anti-psychotic or mood stabilizer. Instead, she watches her diet and is getting off the a/d. Her psychiatrist is surprisingly open to the idea that this is helping, but even he also thinks it is "maturity".

I read another board for children with behaviour issues and tell them many times about my daughter and that their child might respond well to the gluten-free diet, especially when there are gi issues involved, but so far, no one has tried it. The gluten-free diet seems like a miracle to me, still, after 9 months.


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Aizlynn Rookie

I notice a BIG difference within a day that I get that moody fog and get sad. When I cleanse my body by going back to gluten free and couple it with gluten-free green tea it helps. I also take a vitamin B-Complex. Something about the gluten products alters your ability to absord B vitamins. I make sure that the vitamins I have contain no allergens. I double up on that time of the month and that helps with PMS>>>> everyone else seems to enjoy me better that way I am not a doctor, but I this is what my chiropractor/nutritionist has me on. When I go without my vitamin supplements I notice a big difference.

msutherlin Newbie
Folks 6 years ago I was diagnosed with Depression and Anxiety. To make a long story short, I was given multiple trials of medications, even an atypical anti-psychotic(which made me gain 30 lbs).

(No kidding, this drug made me wake up in the fridge eating....)

Eventually I stayed on a low dose of Lexapro. Can't say that it does that much, but for the last 5 years I've been relatively functional.

I've always had this sense that something about me had changed. Couldn

lonewolf Collaborator
If you knew what I
jerseyangel Proficient

Hard to believe at the beginning--but it is that simple!

I was continually misdiagnosed for more than the last 20 years. Everything from allergies to depression, to having too small a sinus, to ear problems etc, etc. :angry:

A couple of years ago, my GP told me I would just have to live with some of my symptoms (because, evidently, she didn't know what was wrong, so I was nuts)

The only reason I even suspected Celiac was that I reluctantly saw an alternative practioner (Kinesiologist) who my sister swore by. He was going to be in town the same week we were to go up for a wedding.

The first thing he said while checking for food related problems was wheat, oats, barley and rye. This was absolutely the first time anyone had ever suggested my problems might be food related.

As soon as I got home, I studied everything on the subject I could get my hands on. I ended up taking my newfound info and my symptoms to a new gastroenterologist--who listened and scheduled me for testing.

If it hadn't been for that meeting, that just happened to work out, I might still not know what was really at the root of my health issues. I believe everything happens for a reason.

So, after all we go through to get here, it turns out that it's pretty simple. It just dosen't seem like it should be, after the sometimes long road that leads us here.

As for why don't the doctors tell us, instead of us telling them? That made me mad and resentful for some time. I had to work that out in my own mind--I was extremely upset thinking of all the years I wasted being sick, when there was a real medical cause that could have been treated.

After a year and a half, and having a lot of my depression and anxiety helped by the diet, I have come to grips with it (pretty much) and am moving on with my life.

Keep writing here, Jerry. It helps to get it all out to people who can relate. :)

JerryK Community Regular

I guess to my psychaitrist's credit, he did ask me how my mood was when I went gluten-free.

So there is at least some understanding out there in mainstream medicine, that there

might be some connection.

The hard part is, now that I know gluten is what turns my world dark, dreary and anxious,

how do I continue eating it long enough to get an official diagnoses?

On the one hand, I'd like to have an official diagnoses, to send a message to the HMO that

they "dun me wrong". However, since I now know that an apple fritter will screw up my whole day

and possibly the next...do you think I'm going to want to eat one?

The docs had me convinced it was me...

What do I do :blink: ?? What would you do? I don't want to eat it ever again, but I want a diagnoses to push in my doctors face and ask him if he's learned something!!! :angry:

Do I just do what works for me and to hell with what other people think, diagnosed or not?

Guhlia Rising Star

Have you shown him your Enterolab results? I know most doctors don't put much weight in Enterolab, but some do. Perhaps he will accept that as an official diagnosis. It's worth a try. If I were you, I'd probably go back to going gluten free since it's solidified in your mind. You know you have a problem with it, there's no need to prove it to your doctor. You can tell him that you found gluten to be your problem and perhaps he'll keep his eyes open with the next patient. Unlikely, but possible.

Jestgar Rising Star

Cool, huh!

jerseyangel Proficient

I agree with Angie--take your Enterolab results, along with a detailed account of how you feel on and off gluten to your doctor. Include the conversation you had with your dentist.

It's possible that your doctor will accept those--maybe he will order a gene test as well. You will never know unless you try.

It's a difficult situation, I know. I wish it were easier.

AliceW Apprentice
I guess to my psychaitrist's credit, he did ask me how my mood was when I went gluten-free.

So there is at least some understanding out there in mainstream medicine, that there

might be some connection.

The hard part is, now that I know gluten is what turns my world dark, dreary and anxious,

how do I continue eating it long enough to get an official diagnoses?

On the one hand, I'd like to have an official diagnoses, to send a message to the HMO that

they "dun me wrong". However, since I now know that an apple fritter will screw up my whole day

and possibly the next...do you think I'm going to want to eat one?

The docs had me convinced it was me...

What do I do :blink: ?? What would you do? I don't want to eat it ever again, but I want a diagnoses to push in my doctors face and ask him if he's learned something!!! :angry:

Do I just do what works for me and to hell with what other people think, diagnosed or not?

I believe you only started the gluten-free diet in mid-December, and have been on and off of it since then? If that's the case, your blood test results might still be positive for celiac (if you have it) if you just keep eating gluten for another week or two. So it might be worth getting the blood tests, at least. That way if they are positive, you can have one more clue as to what your diagnosis is, and then you can decide whether or not you want to do the biopsy. If they're negative, that might be more suggestive of a non-celiac gluten intolerance, and then you can just go your merry way being gluten-free and feeling better.

I know how you feel, though. I'm starting to feel so much better on the gluten-free diet that if the improvement continues, I'm going to be afriad to do a gluten challenge, even though it's important to me to confirm that it really is gluten that is my problem (scientific method and all that).

Alice

CMCM Rising Star

I don't know why so many of us (I'm including myself) want so badly to have a doctor confirm our diagnosis...we want someone who knows little or nothing about celiac disease to tell us we do or don't have it! Why is this?

When I demanded a traditional celiac disease blood test from my doctor, after a lengthy conversation with him, he said "Well, you certainly know more about celiac disease than I do!" So yep, I want this guy to confirm things just because his shingle says "doctor"???!!!!! :lol::lol::lol:

I'd say get a gene test...$165 from Enterolab. Then you at least know what predisposition you might have genetically. Beyond that, the diet tells the story. It's funny how reluctant we are to give up gluten even if eliminating it makes us feel good. Unless you have full blown celiac disease which is wasting you away due to malabsorption, it looks to me like no one can tell you you DO or DON'T have celiac disease instead of gluten sensitivity, which Dr. Fine at Enterolab thinks is just as serious as celiac disease, and that both conditions warrant 100% avoidance of gluten.

ianm Apprentice

It really is that simple. My doctor said that the diet is obviously working so what more do I really need to know? According to her the only thing an "official" diagnosis is going to do is put a pre-existing condition on my medical records and make it difficult if not impossible to get any kind of insurance in the future.

Creative-Soul Newbie
It really is that simple. My doctor said that the diet is obviously working so what more do I really need to know? According to her the only thing an "official" diagnosis is going to do is put a pre-existing condition on my medical records and make it difficult if not impossible to get any kind of insurance in the future.

Amen!

Yes, JerryK, it is that simple!

How did I find out about neurological symptoms of Celiac/Gluten Sensitivity? From this board and putting 2+2 together when I began to feel so amazingly better after going gluten-free! I'd been clinically depressed most of my life; I'd also have the most horrendous panic attacks (I would sometimes 'whiteout' and was placed on a controlled-substance to manage it), agoraphobia and suicidal tendencies. At the worst point not that long ago I actually came thisclose on 3 occasions to checking out, so to speak. When I made the connection I told my present psycologist and she was thrilled for me.

I'm so glad that you've found some answers...stay commited to improving you health and I know you'll see even more improvement!

Gentleheart Enthusiast
Amen!

Yes, JerryK, it is that simple!

How did I find out about neurological symptoms of Celiac/Gluten Sensitivity? From this board and putting 2+2 together when I began to feel so amazingly better after going gluten-free! I'd been clinically depressed most of my life; I'd also have the most horrendous panic attacks (I would sometimes 'whiteout' and was placed on a controlled-substance to manage it), agoraphobia and suicidal tendencies. At the worst point not that long ago I actually came thisclose on 3 occasions to checking out, so to speak. When I made the connection I told my present psycologist and she was thrilled for me.

I'm so glad that you've found some answers...stay commited to improving you health and I know you'll see even more improvement!

Creative Soul,

How long did it take for you to see results after eliminating everything? Did you have any trouble with accidental glutenings or cross contamination along the way?

JerryK Community Regular
I don't know why so many of us (I'm including myself) want so badly to have a doctor confirm our diagnosis...we want someone who knows little or nothing about celiac disease to tell us we do or don't have it! Why is this?

Thanks for asking...

I know why I want an official diagnosis. I want to walk in to my psychiatrist

tarnalberry Community Regular
I want to thank my doctor for telling me that Depression is a chronic condition, a "Chemical Imbalance" that you must take an Antidepressant for, for the rest of your life (wonder who thought that one up):)

To be fair, it *has* been relatively well established that true depression *can* be a chronic condition brought on by a chemical imbalance in the brain. That's not to say it's true for everyone, or that it should be the first type assumed. (I think most psych's assume situational, then chronic, and you're right that they don't adequately address causal medical issues.)

But dismissing the whole thing for those for whom it is true does the same thing that people who dismissed celiacs (or still do) does.

TestyTommy Rookie

Well said, Jerry. And I'm right there with you. I was sick for 8+ years and lost pretty much everything in the world that mattered to me. And the doctors just kept telling me that it was all in my head, that I was 'stressed', and that I need to be pumped full of anti-depressants. I don't have any 'official' diagnosis either, but after a year of being gluten-free I fell better that I have in many, many years.

I'd love to be able to go back to all those greedy, idiot doctors who 'treated' me and tell them that they were wrong. I wouldn't mind suing a few of them, either (that's the lawyer in me talking). But the truth is, they wouldn't care. They say, "Huh! What do you know?" and move on. Because medicine isn't about helping people, it's about making money. Doctors will help the people that are easy to help, because those patients are profitable. The rest of us are just 'dog' files --- cases that lose them money.

For what it's worth, the anger will lessen after a while. I try to keep my mind on re-building the life that I lost and looking forward to the future. When I find myself thinking about all the years I lost, that huge part of my life that I'll never get back, I do my best to shut it out. It's over; it's gone; there's nothing I can do to get back it back. It's a cliche, but focusing on the positive is the only way to keep the anger from consuming your life. Or driving you mad.

The best revenge -- the only revenge -- against the frickin' doctors is to live a good life. And to help the people that come after us to avoid the price that we had to pay.

jerseyangel Proficient
The best revenge -- the only revenge -- against the frickin' doctors is to live a good life. And to help the people that come after us to avoid the price that we had to pay.

Amen! :)

JerryK Community Regular
But dismissing the whole thing for those for whom it is true does the same thing that people who dismissed celiacs (or still do) does.

Oh no, I'm not dismissing this thing called "Depression". It's real. The problem is "Depression" has become a catch-all phrase. When someone doesn't feel good and a doc can't easily figure it out, they are labeled "Depressed" and if the magic potions don't work..."Chronic Major Depression".

Then if you are REALLY lucky, you can become a life-long customer of one of our highly successful pharmaceutical companies. Since once they get you hooked on their drug du jour, it's pretty damn

hard to get off...regardless of whether or not the drug actually helps you.

I'm not minimizing depression and medication...I'm advocating a little more caution and testing before we decide that this person needs medication... gluten-free did more for me in 1 week than any of the medications they tried on me...turns out I was already drugged, by what I was eating.

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    • trents
      So, essentially all of the nutrition in the food we eat is absorbed through the villous lining of the small bowel. This is the section of the intestinal track that is damaged by celiac disease. This villous lining is composed of billions of finger-like projections that create a huge amount of surface area for absorbing nutrients. For the celiac person, when gluten is consumed, it triggers an autoimmune reaction in this area which, of course, generates inflammation. The antibodies connected with this inflammation is what the celiac blood tests are designed to detect but this inflammation, over time, wears down the finger-like projections of the villous lining. Of course, when this proceeds for an extended period of time, greatly reduces the absorption efficiency of the villous lining and often results in many and various nutrient deficiency-related health issues. Classic examples would be osteoporosis and iron deficiency. But there are many more. Low D3 levels is a well-known celiac-caused nutritional deficiency. So is low B12. All the B vitamins in fact. Magnesium, zinc, etc.  Celiac disease can also cause liver inflammation. You mention elevated ALP levels. Elevated liver enzymes over a period of 13 years was what led to my celiac diagnosis. Within three months of going gluten free my liver enzymes normalized. I had elevated AST and ALT. The development of sensitivities to other food proteins is very common in the celiac population. Most common cross reactive foods are dairy and oats but eggs, soy and corn are also relatively common offenders. Lactose intolerance is also common in the celiac population because of damage to the SB lining.  Eggs when they are scrambled or fried give me a gut ache. But when I poach them, they do not. The steam and heat of poaching causes a hydrolysis process that alters the protein in the egg. They don't bother me in baked goods either so I assume the same process is at work. I bought a plastic poacher on Amazon to make poaching very easy. All this to say that many of the issues you describe could be caused by celiac disease. 
    • catnapt
      thank you so much for your detailed and extremely helpful reply!! I can say with absolute certainty that the less gluten containing products I've eaten over the past several years, the better I've felt.   I wasn't avoiding gluten, I was avoiding refined grains (and most processed foods) as well as anything that made me feel bad when I ate it. It's the same reason I gave up dairy and eggs- they make me feel ill.  I do have a bit of a sugar addiction lol so a lot of times I wasn't sure if it was the refined grains that I was eating - or the sugar. So from time to time I might have a cookie or something but I've learned how to make wonderful cookies and golden brownies with BEANS!! and no refined sugar - I use date paste instead. Pizza made me so ill- but I thought it was probably the cheese. I gave up pizza and haven't missed it. the one time I tried a slice I felt so bad I knew I'd never touch it again. I stopped eating wheat pasta at least 3 yrs ago- just didn't feel well after eating it. I tried chick pea pasta and a few others and discovered I like the brown rice pasta. I still don't eat a lot of pasta but it's nice for a change when I want something easy. TBH over the years I've wondered sometimes if I might be gluten intolerant but really believed it was not possible for me to have celiac disease. NOW I need to know for sure- because I'm in the middle of a long process of trying to find out why I have a high parathyroid level (NOT the thyroid- but rather the 4 glands that control the calcium balance in your body) I have had a hard time getting my vit D level up, my serum calcium has run on the low side of normal for many years... and now I am losing calcium from my bones and excreting it in my urine (some sort of renal calcium leak) Also have a high ALP since 2014. And now rapidly worsening bone density.  I still do not have a firm diagnosis. Could be secondary HPT (but secondary to what? we need to know) It could be early primary HPT. I am spilling calcium in my urine but is that caused by the high parathyroid hormone or is it the reason my PTH is high>? there are multiple feedback loops for this condition.    so I will keep eating the bread and some wheat germ that does not seem to bother me too much (it hasn't got enough gluten to use just wheat germ)    but I'm curious- if you don't have a strong reaction to a product- like me and wheat germ- does that mean it's ok to eat or is it still causing harm even if you don't have any obvious symptoms? I guess what you are saying about silent celiac makes it likely that you can have no symptoms and still have the harm... but geez! you'd think they'd come up with a way to test for this that didn't require you to consume something that makes you sick! I worry about the complications I've been reading about- different kinds of cancers etc. also wondering- are there degrees of celiac disease?  is there any correlation between symptoms and the amnt of damage to your intestines? I also need a firm diagnosis because I have an identical twin sister ... so if I have celiac, she has it too- or at least the genetic make up for having it. I did have a VERY major stress to my body in 2014-2016 time frame .. lost 50lbs in a short period of time and had severe symptoms from acute protracted withdrawal off an SSRI drug (that I'd been given an unethically high dose of, by a dr who has since lost his license)  Going off the drug was a good thing and in many ways my health improved dramatically- just losing 50lbs was helpful but I also went  off almost a dozen different medications, totally changed my diet and have been doing pretty well except for the past 3-4 yrs when the symptoms related to the parathyroid issue cropped up. It is likely that I had low vit D for some time and that caused me a lot of symptoms. The endo now tells me that low vit D can be caused by celiac disease so I need to know for sure! thank you for all that great and useful information!!! 
    • trents
      Welcome, @catnapt! The most recent guidelines are the daily consumption of a minimum of 10g of gluten (about the amount found in 4-6 slices of wheat bread) for a minimum of two weeks. But if possible stretching that out even more would enhance the chances of getting valid test results. These guidelines are for those who have been eating gluten free for a significant amount of time. It's called the "gluten challenge".  Yes, you can develop celiac disease at any stage of life. There is a genetic component but also a stress trigger that is needed to activate the celiac genes. About 30-40% of the general population possesses the genetic potential to develop celiac disease but only about 1% of the general population actually develop celiac disease. For most with the potential, the triggering stress event doesn't happen. It can be many things but often it is a viral infection. Having said that, it is also the case that many, many people who eventually are diagnosed with celiac disease probably experienced the actual onset years before. Many celiacs are of the "silent" type, meaning that symptoms are largely missing or very minor and get overlooked until damage to the small bowel lining becomes advanced or they develop iron deficiency anemia or some other medical problem associated with celiac disease. Many, many are never diagnosed or are diagnosed later in life because they did not experience classic symptoms. And many physicians are only looking for classic symptoms. We now know that there are over 200 symptoms/medical problems associated with celiac disease but many docs are only looking for things like boating, gas, diarrhea. I certainly understand your concerns about not wanting to damage your body by taking on a gluten challenge. Your other option is to totally commit to gluten free eating and see if your symptoms improve. It can take two years or more for complete healing of the small bowel lining once going gluten free but usually people experience significant improvement well before then. If their is significant improvement in your symptoms when going seriously gluten free, then you likely have your answer. You would either have celiac disease or NCGS (Non Celiac Gluten Sensitivity).
    • catnapt
      after several years of issues with a para-gland issue, my endo has decided it's a good idea for me to be tested for celiac disease. I am 70 yrs old and stunned to learn that you can get celiac this late in life. I have just gradually stopped eating most foods that contain gluten over the past several years- they just make me feel ill- although I attributed it to other things like bread spiking blood sugar- or to the things I ate *with* the bread or crackers etc   I went to a party in Nov and ate a LOT of a vegan roast made with vital wheat gluten- as well as stuffing, rolls and pie crust... and OMG I was so sick! the pain, the bloating, the gas, the nausea... I didn't think it would ever end (but it did) and I was ready to go the ER but it finally subsided.   I mentioned this to my endo and now she wants me to be tested for celiac after 2 weeks of being on gluten foods. She has kind of flip flopped on how much gluten I should eat, telling me that if the symptoms are severe I can stop. I am eating 2-3 thin slices of bread per day (or english muffins) and wow- it does make me feel awful. But not as bad as when I ate that massive amnt of vital wheat gluten. so I will continue on if I have to... but what bothers me is - if it IS celiac, it seems stupid for lack of a better word, to intentionally cause more damage to my body... but I am also worried, on the other hand, that this is not a long enough challenge to make the blood work results valid.   can you give me any insight into this please?   thank you
    • trents
      The biopsy looks for damage to the mucosal lining of the small bowel from the inflammation caused by celiac disease when gluten is ingested. Once you remove gluten from the diet, inflammation subsides and the mucosal lining begins to heal. 
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