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Diagnosis: Celiac


strawberrygm

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strawberrygm Enthusiast

we finally got the results of dd's second set of bloodwork back.

the total IGA went down from 56 to 46, and the test that is supposed to be at least 20 to be normal, hers is 0.4.

i cant remember the abbreviations.

i will find out tomorrow if they want us to hold off on the diet until an endoscopy is performed or not.

however, i figure i should go ahead and place an order for foods and snacks to get started.

i have been looking at glutenfreemall.com. we live in small town america, so online will be my best bet for foods.

what on there do you recommend? what do you say is horrible? are the cheaper brands as good as the pricey ones?

it is so close to the end of the school year, should i go ahead and replace her art supplies now as well or wait till next school year?

i am also going to start a support group here, anyone have any suggestions about that as well?

guess this means i will be sticking around this board, and i look forward to getting to know you all!


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feedmykids Rookie

I live in a small town too. I really hate ordering before I know if we like it or not. I usually wait until we make a trip to a larger town and visit a health food store and find the product. THat way I only buy one with no shipping. If we like it - we order it. If not - we don't. Mostly I find that doing my own cooking works best for us! Good luck!

KTNY Newbie

In regards to food and snacks: It's hit-or-miss with gluten-free foods in my experience, regardless of price. I haven't tried everything on glutenfreemall but I will say that I find the Glutano brand to be kind of bland. I have had good experiences with the Enjoy Life brand (great bagels) and Gillians. I don't think it's on glutenfreemall but I also like products made by Pamela's and the Erewhon gluten-free cereals (you might find them elsewhere online). As an aside, if you're ever traveling and get to a Whole Foods their Gluten Free Pantry stuff is really the best tasting in my experience.

strawberrygm Enthusiast

ok my ex husband has already ticked me off

he has talked to some doc that bowls with him that supposedly works at st jude who tells him celiac is no big deal and that it is ok for her to have gluten, just in moderation.

so i just told dd that her dad has talked to a doc who specializes in cancer, not celiac, and that while her daddy trusts him and he may be a great doc who means well, he doesnt know as much as our specialists and she is to do as her doc at vandy tells her.

thats just what i am afraid of, us working hard to get her gluten free and then her going over there and him not caring and doing what he thinks is fine.

mmcdaniels Apprentice

I would agree that tastes vary a lot for gluten/free products. Most of the ones I've bought, I won't buy again. My son's favorites are Annie's Gluten Free rice pasta and cheddar, Chebe pizza dough, Pamela's pancake mix. We haven't liked any of the Envirokids or Glutino breakfast or snack bars. I have also noticed that some mixes are very easy to prepare and others are fairly complex so you may want to read instructions and decide whether or not you want to mess with it. My son doesn't like any of the specialty gluten-free cereals so we stick to Trix and Fruity Pebbles.

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    • JudyLou
      Thank you so much for the clarification! Yes to these questions: Have you consulted dietician?  Have you been checked for nutritional deficiencies?  Osteoporosis? Thyroid? Anemia?  Do you take any supplements, or vitamins? I’m within healthy range for nutritional tests, thyroid and am not anemic. I do have osteopenia. I don’t take any medications, and the dietician was actually a nutritionist (not sure if that is the same thing) recommended by my physician at the time to better understand gluten free eating.    I almost wish the gluten exposure had triggered something, so at least I’d know what’s going on. So confusing!    Many thanks! 
    • knitty kitty
      @JudyLou,  I have dermatitis herpetiformis, too!  And...big drum roll... Niacin improves dermatitis herpetiformis!   Niacin is very important to skin health and intestinal health.   You're correct.  dermatitis herpetiformis usually occurs on extensor muscles, but dermatitis herpetiformis is also pressure sensitive, so blisters can form where clothing puts pressure on the skin. Elastic waist bands, bulky seams on clothing, watch bands, hats.  Rolled up sleeves or my purse hanging on my arm would make me break out on the insides of my elbows.  I have had a blister on my finger where my pen rested as I write.  Foods high in Iodine can cause an outbreak and exacerbate dermatitis herpetiformis. You've been on the gluten free diet for a long time.  Our gluten free diet can be low in vitamins and minerals, especially if processed gluten free foods are consumed.  Those aren't fortified with vitamins like gluten containing products are.  Have you consulted dietician?  Have you been checked for nutritional deficiencies?  Osteoporosis? Thyroid? Anemia?  Do you take any supplements, medicine, or vitamins? Niacin deficiency is connected to anemia.  Anemia can cause false negatives on tTg IgA tests.  A person can be on that borderline where symptoms wax and wane for years, surviving, but not thriving.  We have a higher metabolic need for more nutrients when we're sick or emotionally stressed which can deplete the small amount of vitamins we can store in our bodies and symptoms reappear.   Exposure to gluten (and casein in those sensitive to it) can cause an increased immune response and inflammation for months afterwards. The immune cells that make tTg IgA antibodies which are triggered today are going to live for about two years. During that time, inflammation is heightened.  Those immune cells only replicate when triggered.  If those immune cells don't get triggered again for about two years, they die without leaving any descendents programmed to trigger on gluten and casein.  The immune system forgets gluten and casein need to be attacked.  The Celiac genes turn off.  This is remission.    Some people in remission report being able to consume gluten again without consequence.   However, another triggering event can turn the Celiac genes on again.   Celiac genes are turned on by a triggering event (physical or emotional stress).  There's some evidence that thiamine insufficiency contributes to the turning on of autoimmune genes.  There is an increased biological need for thiamine when we are physically or emotionally stressed.  Thiamine cannot be stored for more than twenty-one days and may be depleted in as little as three during physical and emotional stresses. Mitochondria without sufficient thiamine become damaged and don't function properly.  This gets relayed to the genes and autoimmune disease genes turn on.  Thiamine and other B vitamins, minerals, and other nutrients are needed to replace the dysfunctional mitochondria and repair the damage to the body.   I recommend getting checked for vitamin and mineral deficiencies.  More than just Vitamin D and B12.  A gluten challenge would definitely be a stressor capable of precipitating further vitamin deficiencies and health consequences.   Best wishes!    
    • trents
      And I agree with Wheatwacked. When a physician tells you that you can't have celiac disease because you're not losing weight, you can be certain that doctor is operating on a dated understanding of celiac disease. I assume you are in the UK by the way you spelled "coeliac". So, I'm not sure what your options are when it comes to healthcare, but I might suggest you look for another physician who is more up to date in this area and is willing to work with you to get an accurate diagnosis. If, in fact, you do not have celiac disease but you know that gluten causes you problems, you might have NCGS (Non Celiac Gluten Sensitivity). There is no test available yet for NCGS. Celiac must first be ruled out. Celiac disease is an autoimmune disorder that damages the lining of the small bowel. NCGS we is not autoimmune and we know less about it's true nature. But we do know it is considerably more common than celiac disease.
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