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Celiac Disease And Lymphoma


stellar

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stellar Newbie

I have been having pain in my left groin and armpit, and a low grade fever/night sweats off and on. I am paranoid because I recently read an article about how Celiacs have an increased risk of developing lymphoma. I had a CT scan last week of my pelvic area and they "didn't find anything significant", but that was coming from the medical assistant since the doctor was out over the holidays. Also, not sure they can diagnose lymphoma by a CT scan anyway. At the onset of my symptoms I was told I had a slightly elevated white blood cell count... probably due to stress they said. But the same doctor sent me to therapy because they couldn't find anything wrong with me and thought I had generalized anxiety disorder :rolleyes: . Has anyone else had these symptoms or heard of the connection between the 2 diseases (celiac and lymphoma?)


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dilettantesteph Collaborator

There is a link. My mother died of lymphomia at 47, and I didn't figure out I had celiac till I was 48, so I freak out too. In her case she went to doctors for years with lymph problems. They kept telling her it was just a viral infection when they were probably missing signs of early lymphomia. I don't know if it can be easily diagnosed early or not. Once a doctor told me it could be with a blood test and tested me, but I think he was lying to put my mind at ease. Her early symptoms were swollen lymph nodes which are present in any infection so it was easily missed. I suggest you be insistent and ask lots of questions. Good luck. Hopefully it is just an infection.

Mother of Jibril Enthusiast

There is a connection between celiac disease and lymphoma:

https://www.celiac.com/articles/1007/1/Celi...homa/Page1.html

Sjogren's Syndrome (an autoimmune disorder that clusters with celiac) also increases your risk of lymphoma. I've been reading about this lately because I've had a painless, swollen lymph node in my neck for more than two months... I have an appointment with an ENT on Tuesday. I'm hopeful that it's just an infection. I have good reasons to think that it is just an infection, but I'm also a bit worried because my platelets have been dropping lately.

There is a LOT of scary stuff on the Internet :( I think it's important to keep in mind that the symptoms of lymphoma can be caused by other things. For example...

Night sweats: could be a hormonal imbalance (early menopause)

Elevated WBC: bacterial infection

Low grade fever: lupus (which can also cause enlarged lymph nodes)

Enlarged lymph nodes: benign tumor, infection

Falling platelets: ITP (but you have to rule out scary stuff like lymphoma and leukemia)

I think you're smart not to assume this is just "stress." Try not to panic. :ph34r: (I'm telling myself this too). Lymphoma really is a rare disorder.

jerseyangel Proficient

My gastroenterologist told me that there was an increased risk of intestinal lymphoma with Celiac Disease. The test to ask for would be an Upper GI.

ravenwoodglass Mentor

There is an increased risk when we have not been diagnosed. One thing to help ease your mind a bit is that that risk drops for every year that you are gluten free. After I think it is 5 years with the gluten issues under control the risk is very close to the regular populations. They can biopsy the glands if needed to tell if lymphoma is present if the blood tests and other clinical signs point to it. Also once glands get swollen it can take a long time for them to go down. When I had active DH my glands in my neck and groin were always swollen and they were that way for many years. It took about a year for them to reduce. Try not to stress out too much about the risk but do be sure to get things checked.

YoloGx Rookie

I agree--don't freak out. Do have it checked further.

But for the time being also consider natural remedies to turn things around like taking detox herbs for the liver, intestines and lymphs. That means dandelion or milk thistle (dandelion etc. for the liver--best to alternate these, one week on and then use the other herb the next, similar to the next "or's" I 'll list ahead), yellow dock or Oregon Grape Root (systemically good plus excellent for the intestines and helps out with the liver; both also have antimicrobial characteristics); and echinacea or cleavers (cleavers is the best lymphatic drain around; you might want to start with echinacea since its more gentle). Eating lots of parsley, broccoli and cabbage etc and other greens is excellent (necessary) too.

Barberry root taken now and then for a few days is excellent against both yeast and generalized microbial infections like in the lymphs. Oregano oil caps and enterically coated garlic are good too for this last. Oregano and garlic usually can be taken more regularly than the barberry.

Marshmallow root and slippery elm caps will help soothe and heal the villi, which may be the initial culprit in this matter.

Plus sauna, bentonite mud (Indian healing clay etc.) packs on hands and feet made mixed with a little apple cider vinegar in the water helps too.

And plenty of water...no alcohol and very little if any sugar. Use stevia as a sweetner whenever possible. NO artificial sweetners.

Also use digestive enzymes such as pancreatin and bromelain/papain, B complex, Vit. D and A preferably from fish oil.

Exercise regularly! Walk...! Etc. Work up a sweat daily!

Hope this helps! You don't have to be a passive victim and just wait for what may or may not happen. All the above is good for anyone, and it just might be necessary for you now. Think of it as a blessing, part of your spiritual path. You will probably end up healthier and more vibrant than most everyone else around you...

Bea

Mother of Jibril Enthusiast
Hope this helps! You don't have to be a passive victim and just wait for what may or may not happen. All the above is good for anyone, and it just might be necessary for you now. Think of it as a blessing, part of your spiritual path. You will probably end up healthier and more vibrant than most everyone else around you...

This is good advice :)

I'm already doing some of the things you mentioned... vitamin D (4000iu per day), fish oil, digestive enzymes (plus Betaine HCl)... I'm adding more garlic and dark green vegetables to my diet and I've cut way, WAY back on all processed foods and sugars. I love the sauna... I wish I had time to go more often.

What I'm wondering about is the herbs... are they safe to take while breastfeeding? I had a bad reaction to caprylic acid (chills, headache, swollen lymph nodes, achy feeling all over). After reading about how candida absorbs mercury, I'm a little worried to go messing around with the balance of flora in my body in any dramatic way :(


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WestyPDX Newbie
Also, not sure they can diagnose lymphoma by a CT scan anyway.

I've been told recently that they can't, but they can see abnormalities which might be a lymphoma, then investigate further. In my case, the radiologist saw a few things that didn't look quite normal in an abdominal CT scan, so my doctor consulted with Dr. Green in the Celiac Center at Columbia on how to proceed. What I was told was that they could use the biopsies preserved from my endoscopy + colonoscopy I had in November, and count the lymphocytes by type. Having a wide array of them is an indication that the body's natural defense mechanism is working normally. Having predominantly one type of the T-cell variety is an indication that it is running wild attacking the body, which is lymphoma, or cancer. (I'm not a doctor, this is simply what my notes say.)

Happily, I checked out okay, but they want to review things again after the inflammation in my jejunum has receded.

veggienft Rookie

Cancer can only survive on sugar. Humans can survive on other things.

.......your choice.

..

Mother of Jibril Enthusiast
Cancer can only survive on sugar. Humans can survive on other things.

I know this is your particular drumbeat...

http://junkfoodscience.blogspot.com/2008/0...use-cancer.html

I think yolo's suggestions are generally very healthy and consider the well-being of the whole person... physically, mentally, and spiritually.

Stress causes autoimmune disorders to flare... freaking out could really set me back :)

veggienft Rookie
I know this is your particular drumbeat...

http://junkfoodscience.blogspot.com/2008/0...use-cancer.html

I think yolo's suggestions are generally very healthy and consider the well-being of the whole person... physically, mentally, and spiritually.

Stress causes autoimmune disorders to flare... freaking out could really set me back :)

Your website says the idea that sugar ingestion feeds cancer is just a baseless hoax, and offers as evidence an unrelated baseless hoax. This is not one of the other baseless hoaxes.

Your website claims there is no scientific evidence supporting the claim that sugar causes cancer.

Incorrect.

It's known as the Warburg effect, named after a Germany doctor who discovered it in the early 20th century. The reason it has had little (not "no") scientific study is that western governments refuse to approve any study which withholds sugar from cancer patients. .........as if withholding sugar from someone's diet would harm them. The only recent such study is:

http://www.time.com/time/health/article/0,...1662484,00.html

It withheld sugar from patients with cancer so advanced that they had no hope of living. They replaced sugar with protein and oils. The result? Something like 80 percent of the participants' cancers stayed unchanged or their cancers went into remission. However, the study noted a very high dropout rate from people who could not adhere to a no-sugar diet.

Lessee .......I wonder what the source of resistance to this concept could be?

It's not like western oncologists don't know about this. The gold-standard method of finding cancer is a PET scan. The cancer patient is placed on a no-carb diet for 12 hours. Then a tech injects radioactive glucose, and takes an x-ray image. The glucose radiates in the places where the cancer consumes it.

I'd like to say this is all western medicine's fault, but it's not. Western medicine "treats" cancer only in ways demanded by its patients.

And your link is incorrect in stating that the body's sole method of feeding cells in the absence of ingested sugar is to manufacture sugar from other food. The body is quite happy converting fats and oils into ketones for consumption. In the absence of ingested sugar, the liver mitochondria convert amino acids into glucose for the few brain cells which have no mitochondrial capacity for consuming ketones. The process is regulated so that the blood contains only the amount of sugar needed by those cells.

..

Mother of Jibril Enthusiast

OK... so your "evidence" is a TIME magazine article about a scientific study that has not yet been peer-reviewed or published. Only seven people were willing to stick with the sugar-free diet and two of them still died. Have the other five people gone into remission? It's probably too early to tell. I'm no statistician, but I have to tell you that this study has some flaws...

1. The sample size is WAY too small to get any valuable data. Seven people is meaningless (when it comes to science... nothing against them personally)

2. It's not a random sample... you can't force people to stop eating sugar. I realize it might not be the end of the world (gluten-free is not... corn-free is not...), but if I knew I only had a few months left on earth I would NOT spend that time being somebody's guinea pig. This is a common problem with scientific studies involving people. The Nazis found a way around it... but that is not a model of research we should be emulating!!

As someone who has a PhD, I have to tell you that it takes a lot of intelligence, passion, and a bit of luck to finish a graduate degree... especially in the hard sciences. My guess is that a lot of oncologists and people who do cancer research have been personally affected by it. Don't you think they would do just about anything to find some answers?

Clearly, food affects our health. Not all doctors are good doctors. I have plenty of reasons not to trust them. BUT... I still trust the basic idea of medical research. Apparently, you do too if you're concerned about sources of evidence.

veggienft Rookie
Don't you think they would do just about anything to find some answers?

Do junkies choose life, or the next fix?

As evidenced by the Wurzberg study, against all logic, sadly the answer is "no". A very large percentage of people, especially people who's bodies produce cancer, choose death over sugar abstinance. For the medical establishment, the motives are acceptibility and profit motive ......because, for onlookers the motive is social paradigm .......food is what our mothers said food is ........well, our tasty selections from that list.

Historically, agricultural carbohydrates are the prime reason for social and political upheaval in expanding societies. As those societies age, agricultural carbohydrates weaken populations into ineffectiveness. Finally agricultural carbohydrates become responsible for the decline of those cultures.

I'm sorry your science won't stand up without starting a credentials challenge.

..

stellar Newbie

Thanks to all for your advice. I must say I was surprised on the amount of feedback I received! I'm so glad I found a place to vent and "talk" to people who understand what I'm going through.

Stellar :)

YoloGx Rookie
This is good advice :)

I'm already doing some of the things you mentioned... vitamin D (4000iu per day), fish oil, digestive enzymes (plus Betaine HCl)... I'm adding more garlic and dark green vegetables to my diet and I've cut way, WAY back on all processed foods and sugars. I love the sauna... I wish I had time to go more often.

What I'm wondering about is the herbs... are they safe to take while breastfeeding? I had a bad reaction to caprylic acid (chills, headache, swollen lymph nodes, achy feeling all over). After reading about how candida absorbs mercury, I'm a little worried to go messing around with the balance of flora in my body in any dramatic way :(

I'll look up the safety of dandelion and other of the heavy duty herbs as far as safety with breastfeeding. Wasn't thinking about that. However peppermint, chamomile are completely safe, as is marshmallow root and slippery elm.

If you have had a bad reaction to capryllic acid, it really would indicate to me you probably have a yeast/fungal/candida overgrowth or some such infection. One way to really check this is to go off all sugars and quickly digestible carbohydrates plus reduce carbs in general. If you go into withdrawal (become b%$@#y and upset etc. can't seem to function clearly etc.) then its very likely you have some kind of fungal/yeast thing. In this case you need to reduce your carbs and sugars drastically if you want to get rid of the inflammation in your nodes. You should expect some reaction to the die off for at least a week (maybe longer--esp,. if you can't take regular anti yeast products) but it will be worth it. Saunas and exercise can really help. Garlic yes: I don't know about oregano oil and breastfeeding. Enterically coated acidophilus should really help too... I used to use pao de arco but discovered its an immune stimulant, not the best thing for us with celiac.

And by the way, once you get a yeast infection, it often returns. It often requires a lifelong vigilance... Sorry!!

I forget, how old is your infant -- did you say?

Bea

Mother of Jibril Enthusiast
I'll look up the safety of dandelion and other of the heavy duty herbs as far as safety with breastfeeding. Wasn't thinking about that. However peppermint, chamomile are completely safe, as is marshmallow root and slippery elm.

If you have had a bad reaction to capryllic acid, it really would indicate to me you probably have a yeast/fungal/candida overgrowth or some such infection. One way to really check this is to go off all sugars and quickly digestible carbohydrates plus reduce carbs in general. If you go into withdrawal (become b%$@#y and upset etc. can't seem to function clearly etc.) then its very likely you have some kind of fungal/yeast thing. In this case you need to reduce your carbs and sugars drastically if you want to get rid of the inflammation in your nodes. You should expect some reaction to the die off for at least a week (maybe longer--esp,. if you can't take regular anti yeast products) but it will be worth it. Saunas and exercise can really help. Garlic yes: I don't know about oregano oil and breastfeeding. Enterically coated acidophilus should really help too... I used to use pao de arco but discovered its an immune stimulant, not the best thing for us with celiac.

And by the way, once you get a yeast infection, it often returns. It often requires a lifelong vigilance... Sorry!!

I forget, how old is your infant -- did you say?

Bea

Thanks for getting back to me!

My son is ten months old... I suspect he'll be breastfeeding for at least another year.

Last month I had a biopsy for an itchy (gluten-enhanced) rash that I thought was DH, but the results came back as "acute dermatitis"... I found a definition that said it's "a rash caused by inflammation somewhere else in the body, often in the presence of a fungal infection." I also have yeast overgrowth on my scalp... my dermatologist gave me a prescription shampoo for it. <_< I've been SUPER cautious about gluten and corn for the last month, which has helped. Now that the holidays are over I've sharply reduced the amount of processed (and moldy/yeasty/sugary) foods in my diet, although my birthday is on Tuesday and I'm planning to have a little dark chocolate :P

Should I be taking something to kill off the yeast/infection? :unsure: I was only taking two capsules of caprylic acid per day and the reaction was BAD. I don't think I can handle a week of feeling like I have the flu. Not with a new semester starting, food to cook, two small children to take care of, and a husband who means well but is not always helpful.

I actually feel pretty good... the swollen lymph node scares me a little (and I am getting it checked out), but as long as I'm not endangering my health I would prefer to take a slow and steady approach :)

lovegrov Collaborator

Cancer can only survive on sugar. Humans can survive on other things.

.......your choice.

Even in the highly dubious "evidence" you present, there's nothing that claims cancer can survive ONLY on sugar. And even the researchers who seem to think they're on to something admit that getting off sugar is no miracle cure.

richard

veggienft Rookie
Even in the highly dubious "evidence" you present, there's nothing that claims cancer can survive ONLY on sugar.

Incorrect.

http://www.time.com/time/health/article/0,...1662484,00.html

From the article I linked:

---------------------------------------------------------------------------------

........In 1924, the German Nobel laureate Otto Warburg first published his observations of a common feature he saw in fast-growing tumors: unlike healthy cells, which generate energy by metabolizing sugar in their mitochondria, cancer cells appeared to fuel themselves exclusively through glycolysis, a less-efficient means of creating energy through the fermentation of sugar in the cytoplasm........

.........The theory is simple: If most aggressive cancers rely on the fermentation of sugar for growing and dividing, then take away the sugar and they should stop spreading. Meanwhile, normal body and brain cells should be able to handle the sugar starvation; they can switch to generating energy from fatty molecules called ketone bodies

YoloGx Rookie
Thanks for getting back to me!

My son is ten months old... I suspect he'll be breastfeeding for at least another year.

Last month I had a biopsy for an itchy (gluten-enhanced) rash that I thought was DH, but the results came back as "acute dermatitis"... I found a definition that said it's "a rash caused by inflammation somewhere else in the body, often in the presence of a fungal infection." I also have yeast overgrowth on my scalp... my dermatologist gave me a prescription shampoo for it. <_< I've been SUPER cautious about gluten and corn for the last month, which has helped. Now that the holidays are over I've sharply reduced the amount of processed (and moldy/yeasty/sugary) foods in my diet, although my birthday is on Tuesday and I'm planning to have a little dark chocolate :P

Should I be taking something to kill off the yeast/infection? :unsure: I was only taking two capsules of caprylic acid per day and the reaction was BAD. I don't think I can handle a week of feeling like I have the flu. Not with a new semester starting, food to cook, two small children to take care of, and a husband who means well but is not always helpful.

I actually feel pretty good... the swollen lymph node scares me a little (and I am getting it checked out), but as long as I'm not endangering my health I would prefer to take a slow and steady approach :)

You can go real slow to get rid of the fungal infection. I totally understand. It can make you crazy going through that die quick off. It may take forever but eventually you will get there. Just do the enterically coated acidophilus and enterically coated garlic perhaps and maybe oregano or thyme oil that you rub on your wrists and lymph points (those things!!) now an then (though again we need to check on the infant thing on this too...). And just do the no sugar, low or no quick carb. diet.

I honestly think the lymph problems you are having are a result of the yeast/fungal infection. To help your system along, eat lots of fresh parsley and coriander as well as lots of fresh greens in general. Celery is great too. The saunas are a good idea...plus exercise! And lots and lots of water...

Still haven't had a chance to look up the liver and lymph herbs and babies yet. But will do so soon. Just have been swamped of late...

Bea

Mother of Jibril Enthusiast

A little update...

On Thursday I had a biopsy of that lymph node. It's not lymphoma! :D :D :D It's not any kind of malignancy at all. They did see some macrophages... so it looks like some kind of infection. Hopefully it will go away on the broad-spectrum antibiotic I'm taking. Not thrilled about antibiotics... but I'm taking probiotics in between doses and going VERY easy on the sugars/fruits (plus no yeasty/moldy foods).

What a HUGE relief. :ph34r:

digmom1014 Enthusiast

Mother of Jibril---

I am so happy for you! I was thinking about you a lot. I know that must have be scary for you to have to make that wait. Waiting is the hardest part!

I didn't want to write before since you weren't sure and didn't have a clear diagnosis. I was nervous when you mentioned the elevated white count. A CBC w/platelet differencial is a blood test that my drs used in the past with me.

I am a leukemia/lymphoma survivor and I do believe that the link with our disease is there. I do not have any scientific evidence to offer, only that each person in my family that display's gluten symptoms has also had some form of cancer.

So glad for your good news-

jerseyangel Proficient
A little update...

What good news!! Thank goodness :D

Mother of Jibril Enthusiast
Mother of Jibril---

I am so happy for you! I was thinking about you a lot. I know that must have be scary for you to have to make that wait. Waiting is the hardest part!

I didn't want to write before since you weren't sure and didn't have a clear diagnosis. I was nervous when you mentioned the elevated white count. A CBC w/platelet differencial is a blood test that my drs used in the past with me.

I am a leukemia/lymphoma survivor and I do believe that the link with our disease is there. I do not have any scientific evidence to offer, only that each person in my family that display's gluten symptoms has also had some form of cancer.

So glad for your good news-

Thank you for thinking of me! Thanks to Patti too :)

I agree with you about the general link to cancer. My dad's family has been plagued with it. Two siblings (out of eight) have died from breast cancer, one when she was only 29. Her two kids were just a little bit older than mine are right now. I've been thinking about her a lot. I also think about her daughter, who was a year younger than me and committed suicide in her 20s. Depression and alcoholism run in the family too... more signs of gluten intolerance, I imagine.

Last week it occured to me that I could get past records of CBCs from my OB's office. It turns out that my WBC and platelets have been all over the place the last few years... sometimes up (out of range), sometimes down. It will be interesting to see what happens now that I'm not constantly inflamed from eating gluten and corn.

Congratulations on your own survival!!!

YoloGx Rookie

It is great news! What a relief!

Do you know what kind of infection, bacterial or yeast?

Also, if bacterial, be certain to do anticandida stuff afterwards to counteract the effect of the antibiotics. Candida is opportunistic and will likely flourish with the antibiotics. A good enteric coated acidophilus is de riguer.

Bea

Bobs Wife Newbie

OMG - YES Lymphoma and Celiac can be related.

Please stay on the gluten free diet if you have Celiac. My husband was diagnosed with Celiac in Dec. 2002, in Feb. 2003 he was diagnosed with lymphoma after a bowel perforation and died in March 2003 - only 11 days later.

My husband saw many doctors for over a year and no one found out that he had Celiac or lymphoma until it was too late. Also my DH - Bob had just turned 41 years old.

My DS was diagnosed at age 9, having Celiac

My DD was diagnosed at age 4, Having Celiac.

My kids are now 15 and 9 and doing very well. They are well Aware that they should not CHEAT.

Good luck to all.

Dawn

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      It’s great that you were finally able to see a gastroenterologist—and even luckier to get in the same day as your referral! It sounds like your GI is taking a very thorough approach, which is reassuring given your complex symptoms and history. The confusion around your different tissue transglutaminase (tTG) antibody results is understandable. The variation between your December and June labs may be due to multiple factors, including differences in the lab performing the test (Quest vs. Mayo Clinic), the specific assay used, and the amount of gluten you had been consuming before each test. Antibody levels can drop significantly when gluten is reduced or eliminated from the diet, even partially, which might explain why your recent tTG IgA was now negative and your tTG IgG was borderline high. That’s likely why your GI mentioned it was “usually the reverse”—typically, tTG IgA is more commonly elevated in confirmed celiac, not IgG alone, especially when IgA levels are sufficient, as yours are. Your gene testing confirms that you carry HLA types (DQ2.2 most likely) that are permissive for celiac disease, meaning you can develop it, but not everyone with these genes will. These genes don’t explain why your symptoms are milder or different from others with celiac—many people have so-called "silent" or atypical presentations like yours, with issues like long-term heartburn, loose stools, nutrient intolerances, or just gradually adapting to symptoms over time. It’s not uncommon to assume these symptoms are just aging, medication side effects, or lifestyle-related until someone finally connects the dots. It’s a good thing your daughter advocated for you to be tested—many cases are missed for years because they don’t follow the “textbook” presentation. As for the immunoglobulin tests, your doctor likely ordered those to ensure your immune system is functioning normally, particularly your IgA level, since a deficiency can cause false-negative celiac blood tests. Since your IgA level is normal, your tTG IgA test should be reliable (assuming adequate gluten intake), but again, if you weren't eating enough gluten, that could explain the lower antibody levels now. The comprehensive metabolic panel and negative stool parasite results are additional pieces ruling out other causes of your symptoms, like infections or organ dysfunction. The upcoming endoscopy and colonoscopy should provide more definitive answers, especially with biopsies looking for celiac disease, eosinophilic esophagitis, and microscopic colitis. It’s completely valid to feel unsure about what you’re experiencing, especially when your symptoms have been lifelong or gradually worsening without being severe. You’re not alone—many adults with celiac or gluten-related disorders report subtle or chronic symptoms they’ve normalized. You’re doing the right thing by staying on gluten now through your procedure date in August. Try not to stress about reaching the full 6-slice equivalent each day, but do increase your gluten intake as much as tolerable (e.g., a couple of pieces of bread, pasta, crackers, etc.) to give the biopsy the best chance of detecting any damage. Good luck with your upcoming procedures—you’re closer than ever to answers and a clearer direction forward.
    • Scott Adams
      I don't believe that site is updated regularly, and it may be unreliable.  You can search this site for prescriptions medications, but will need to know the manufacturer/maker if there is more than one, especially if you use a generic version of the medication: To see the ingredients you will need to click on the correct version of the medication and maker in the results, then scroll down to "Ingredients and Appearance" and click it, and then look at "Inactive Ingredients," as any gluten ingredients would likely appear there, rather than in the Active Ingredients area. https://dailymed.nlm.nih.gov/dailymed/   
    • KimMS
      Hello! I did a brief search on this and couldn't find recent posts, but feel free to direct me to something if I missed it! I have had a difficult time confirming which thyroid medications (specifically generic forms of Levothyroxine) are gluten-free and safe for celiacs. I am pretty confident the generic manufacturer Mylan is safe, and I have been taking this for almost two years. Recently (I think b/c of a recall), Mylan has not been available at my local pharmacies. The list I typically use for gluten-free drugs (http://glutenfreedrugs.com/newlist.htm) does not list any of the other manufacturers offered by pharmacies in my area (Accord and Macleod). When I do a search, sites tend to say these brands are gluten-free but I can't fully confirm, and other sites say that only Lannett and Mylan generic brands are safely gluten free. I have called manufacturers and they say "there are no gluten ingredients" but they don't have information regarding manufacturing/cross contact. In particlar, Accord said there is gluten present in the manufacturing facilities so they can't guarantee no cross contact. What recommendations do you have for finding levothyroxine that I can mostly be assured is safe for celiacs? It is tricky b/c I found one I was confident in but now I can't seem to get that manufacturer at any pharmacy near me. I don't want to be unnecessarily overly concerned about this, but since it is a medicine I take daily, I want to be pretty certain it is safe (I have both celiac and gluten ataxia so I need to be very careful with any gluten intake and cross contact.)      
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