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

"continuing Villous Atrophy" On A gluten-free Diet


frec

Recommended Posts

frec Contributor

I just saw my naturopath. He had me on a GI repair supplement. I finished the bottle and asked if I should stop taking it. He said no, I should take it the rest of my life, because celiacs, even if they remain on a gluten-free diet, continue to have some "continuing villous atrophy". I had suspected this for years (given the way I keep coming up short of nutrients) but my gastroenterologist specifically denied it. Do you all already know about this? I'll google some research, but I also think I should get a new gastroenterologist. (Mostly I'll just go to my naturopath.)


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



Celiac.com Sponsor (A8-M):



DingoGirl Enthusiast

Ummm......this sounds kind of...fishy. :huh:

You said you wanted a new GI.......but the naturopath is supplying the supplement, right? Is the supplement somethign the naturopath sells? Because if so.....I think they do make quite a profit off of their supplements, and so will insist on selling them, no matter what. <_< Just my two cents.

I, for one, have had unbelievably bounding good health, a serious rise in numbers (ferritin, hemoglobin, all of it), and an unbelievable lowering of the gluten antibodies (Ttg was greater than 100 when I was tested, and my GI reported that the measurement stopped at 100 - so mine was literally off the charts; at the one year mark, my ttg was 17).

Your villi really should only continue to heal on a gluten-free, whole foods diet, if celiac is your only issue.

:)

Lisa Mentor

A GI repair suppliment sounds like SNAKE OIL to me. <_< I hope your health did not pay too much for it.

I think you need to find a new GI as well as a new Naturopath Dr.

jerseyangel Proficient
I just saw my naturopath. He had me on a GI repair supplement. I finished the bottle and asked if I should stop taking it. He said no, I should take it the rest of my life, because celiacs, even if they remain on a gluten-free diet, continue to have some "continuing villous atrophy". I had suspected this for years (given the way I keep coming up short of nutrients) but my gastroenterologist specifically denied it. Do you all already know about this? I'll google some research, but I also think I should get a new gastroenterologist. (Mostly I'll just go to my naturopath.)

If you have Celiac Disease, there is no suppliment that will repair your intestine.

In the vast majority of cases, the gluten free diet, done strictly, will gradually reverse the damage. As the healing takes place, you will begin to absorb nutrients. As for "continuing villous atrophy"--I don't really understand what he means. In the absence of gluten, there would be no more atrophy.

I think the nautropath is the one that should go ;)

frec Contributor

I appreciate the advice, and I am not convinced as to the effectiveness of the GI supplement either. Naturopaths believe in nutritional and herbal supplements, and I can always stop taking this one. But I was diagnosed celiac 5 and 1/2 years ago, and have followed the diet as perfectly as anyone can ever since. Yet I still, when tested, keep showing nutritional deficits and having nutritionally based health problems. I know many people on this forum complain of ongoing health problems even after going gluten-free.

I did some research on PubMed. If you want to do it google villous atrophy, or nonresponsive celiac. There are a lot of interesting abstracts you can read. There is some recent research on biopsy results on patients after going gluten-free. Intestinal healing is slower and less complete than once thought--the best recovery is in children, but older adults can still be healing over 2 years after diagnosis. Histological recovery is slower than endoscopic recovery. There were several articles on bacterial overgrowth and lactose intolerance sometimes causing ongoing problems.

nutralady2001 Newbie

Have to agree with the others here , w/o gluten the atrophy of the villi will stop and gradually heal

confusedks Enthusiast

I agree that you should get rid of the Naturopath. I am all for them, but only if they know what they're doing, and it doesn't sound like this one does. :huh:

If you do still have villi damage, are you dairy free? What about soy free? I know for a fact that dairy can stop/slow the healing process tremendously.

If you are dairy free and you're still not healing, I think they may need to re-scope your intestines to see if you do have refractory sprue. If you don't and you're still deficient in vitamins, minerals, etc. then they need to look into that a little deeper.


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



Celiac.com Sponsor (A8-M):



frec Contributor

I gave up dairy before 2000. I only gave up soy and casein/whey this year, though (on the recommendation/testing of the naturopath), so maybe that will help. Thank you.

What I'm reading on PubMed, however, shows my naturopath is correct. There is research that shows continuing villous atrophy in some celiacs. He still may be ripping me off on the supplement, though!

confusedks Enthusiast

Frec,

I would be worried that if you do have continuous villous atrophy, that needs to be checked out. If in fact you do have refractory sprue, that needs to be taken seriously.

ravenwoodglass Mentor
He still may be ripping me off on the supplement, though!

One thing that I would like to add in addition to the good advice you have already gotten is that it is not uncommon for naturopathic meds to be contaminated or grown on, or formulated with small amounts of gluten, casien, and soy. I have recieved 'scripts' for supplements etc and even found allergen warnings on them for substances that I had just talked in depth with one about being sensitive to. Half of the ones that didn't have warnings turned out to not be safe when the maker was called. Unfortunately I took them first and only thought to call after I reacted. He also pronounced that I would be taking everything indefinately and any gluten reactions were blown off as a 'healing crisis', excuse me I know when I am glutened.

You also need to be wary of where and how some of the stuff is formulated. I was at the naturopaths 'pharmacy' on my last visit and a very young man walked in announced he was back for lunch and was set to work on the other side of the room formulaing tablets. He never went near a sink or a pair of gloves. The 'pharm' introduced me to him to me as her son, who had a short day at school that day. They also had shelves full of clear glass jars with various plants that they grew in their home garden for use. I thought they were just for display until I saw her take one down. Herbs and such should almost never be stored in clear glass. Many react to light and their properties and potency is effected. Anyway be careful and look around the prep area if they make their own formulas.

There are good naturopaths out there, many have had good experiences. As with any medical professionals we need to be careful, unfortunately, when we deal with their treatment of us. They just don't know much about this genetic difference and while I don't think they are trying deliberately to keep us symptomatic their ignorance of our sensitivities can do just that.

Rikki Tikki Explorer

I think you also need to double check you are not somehow ingesting gluten, double check everything. Also, if you are not healing it could be refactory sprue, which may mean you need to be on steriods, that is what happened with me and now I am fine

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. - knitty kitty replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

    2. - Jane02 replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

    3. - MichaelDG posted a topic in Board/Forum Technical Help
      0

      celiac.com support

    4. - knitty kitty replied to Jane02's topic in Gluten-Free Foods, Products, Shopping & Medications
      9

      Desperately need a vitamin D supplement. I've reacted to most brands I've tried.

    5. 0

      Penobscot Bay, Maine: Nurturing Gluten-Free Wellness Retreat with expert celiac dietitian, Melinda Dennis

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

    • Total Members
      133,327
    • Most Online (within 30 mins)
      7,748

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

    • Total Topics
      121.6k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • knitty kitty
      @Jane02, I hear you about the kale and collard greens.  I don't do dairy and must eat green leafies, too, to get sufficient calcium.  I must be very careful because some calcium supplements are made from ground up crustacean shells.  When I was deficient in Vitamin D, I took high doses of Vitamin D to correct the deficiency quickly.  This is safe and nontoxic.  Vitamin D level should be above 70 nmol/L.  Lifeguards and indigenous Pacific Islanders typically have levels between 80-100 nmol/L.   Levels lower than this are based on amount needed to prevent disease like rickets and osteomalacia. We need more thiamine when we're physically ill, emotionally and mentally stressed, and if we exercise like an athlete or laborer.  We need more thiamine if we eat a diet high in simple carbohydrates.  For every 500 kcal of carbohydrates, we need 500-1000 mg more of thiamine to process the carbs into energy.  If there's insufficient thiamine the carbs get stored as fat.  Again, recommended levels set for thiamine are based on minimum amounts needed to prevent disease.  This is often not adequate for optimum health, nor sufficient for people with absorption problems such as Celiac disease.  Gluten free processed foods are not enriched with vitamins like their gluten containing counterparts.  Adding a B Complex and additional thiamine improves health for Celiacs.  Thiamine is safe and nontoxic even in high doses.  Thiamine helps the mitochondria in cells to function.  Thiamine interacts with each of the other B vitamins.  They are all water soluble and easily excreted if not needed. Interesting Reading: Clinical trial: B vitamins improve health in patients with coeliac disease living on a gluten-free diet https://pubmed.ncbi.nlm.nih.gov/19154566/ Safety and effectiveness of vitamin D mega-dose: A systematic review https://pubmed.ncbi.nlm.nih.gov/34857184/ High dose dietary vitamin D allocates surplus calories to muscle and growth instead of fat via modulation of myostatin and leptin signaling https://pubmed.ncbi.nlm.nih.gov/38766160/ Safety of High-Dose Vitamin D Supplementation: Secondary Analysis of a Randomized Controlled Trial https://pubmed.ncbi.nlm.nih.gov/31746327/ Vitamins and Celiac Disease: Beyond Vitamin D https://pmc.ncbi.nlm.nih.gov/articles/PMC11857425/ Investigating the therapeutic potential of tryptophan and vitamin A in modulating immune responses in celiac disease: an experimental study https://pubmed.ncbi.nlm.nih.gov/40178602/ Investigating the Impact of Vitamin A and Amino Acids on Immune Responses in Celiac Disease Patients https://pmc.ncbi.nlm.nih.gov/articles/PMC10814138/
    • Jane02
      Thank you so much @knitty kitty for this insightful information! I would have never considered fractionated coconut oil to be a potential source of GI upset. I will consider all the info you shared. Very interesting about the Thiamine deficiency.  I've tracked daily averages of my intake in a nutrition software. The only nutrient I can't consistently meet from my diet is vitamin D. Calcium is a hit and miss as I rely on vegetables, dark leafy greens as a major source, for my calcium intake. I'm able to meet it when I either eat or juice a bundle of kale or collard greens daily haha. My thiamine intake is roughly 120% of my needs, although I do recognize that I may not be absorbing all of these nutrients consistently with intermittent unintentional exposures to gluten.  My vitamin A intake is roughly 900% (~6400 mcg/d) of my needs as I eat a lot of sweet potato, although since it's plant-derived vitamin A (beta-carotene) apparently it's not likely to cause toxicity.  Thanks again! 
    • knitty kitty
      Hello, @Jane02,  I take Naturewise D 3.  It contains olive oil.   Some Vitamin D supplements, like D Drops, are made with fractionated coconut oil which can cause digestive upsets.  Fractionated coconut oil is not the same as coconut oil used for cooking.  Fractionated coconut oil has been treated for longer shelf life, so it won't go bad in the jar, and thus may be irritating to the digestive system. I avoid supplements made with soy because many people with Celiac Disease also react to soy.  Mixed tocopherols, an ingredient in Thornes Vitamin D, may be sourced from soy oil.  Kirkland's has soy on its ingredient list. I avoid things that might contain or be exposed to crustaceans, like Metagenics says on its label.  I have a crustacean/shellfish/fish allergy.  I like Life Extension Bioactive Complete B Complex.  I take additional Thiamine B 1 in the form Benfotiamine which helps the intestines heal, Life Extension MegaBenfotiamine. Thiamine is needed to activate Vitamin D.   Low thiamine can make one feel like they are getting glutened after a meal containing lots of simple carbohydrates like white rice, or processed gluten free foods like cookies and pasta.   It's rare to have a single vitamin deficiency.  The water soluble B Complex vitamins should be supplemented together with additional Thiamine in the form Benfotiamine and Thiamine TTFD (tetrahydrofurfuryl disulfide) to correct subclinical deficiencies that don't show up on blood tests.  These are subclinical deficiencies within organs and tissues.  Blood is a transportation system.  The body will deplete tissues and organs in order to keep a supply of thiamine in the bloodstream going to the brain and heart.   If you're low in Vitamin D, you may well be low in other fat soluble vitamins like Vitamin A and Vitamin K. Have you seen a dietician?
    • Scott Adams
      I do not know this, but since they are labelled gluten-free, and are not really a product that could easily be contaminated when making them (there would be not flour in the air of such a facility, for example), I don't really see contamination as something to be concerned about for this type of product. 
    • trents
×
×
  • 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.