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Isis

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Isis Newbie

Hi:

At 18 y/old I had a very bad episode of intestinal problems and then it disappeared. I tried going gluten-free for a while and felt much better but since I didn't have a celiac disease diagnose I went back to eating everything that I liked.

Fast forward 10 years and I am now 28 y/old and a few months ago I decided I am going to do an Ironman (Triathlete 2.4 mile swim, 112 mile bike ride and 26.2 mile run in a maximum time of 12 hours) in March 2011. So I decided to look for a sports doctor to get me tested for everything she needed so we could make sure I was healthy for my IM race. Turns out she is a sports doctor but also specializes in family medicine. So we started doing a lot of tests, the first that came with an unexpected result was sugar in blood levels and it basically said that for some reason my body didn't recognize when I ate sugar and started producing too much insulin to compensate. Ok, nothing a well balanced nutrition couldn't help or so we thought. Second test comes (functional Intracellular analysis, it measures what actually gets into the cells and you can compare what is in your blood and what you are actually absorbing). It shows that unlike the regular blood tests said, My B-12, Folate, Calcium and all the B vitamins were very low. Again, she said ok we'll handle this and balance everything out. Until the bone density scan came back saying that I have Osteopenia just .01 away of osteoporosis. Yes, at 28 years old. NOT NORMAL at ALL. And it also said it was due to nutritional deficiencies.

Now I got her all my past medical history and she is convinced I have a malabsorption syndrome, possibly celiac disease. We decided to do a gluten-free diet (we didn't know about the fact that a gluten-free diet is not what you need to get tested!) . I started feeling better. I stopped being hungry all the time, I stopped having stomach issues, I started losing weight and I started having some energy...finally I could start training!!!

First she did a blood test ( I can't remember the name but it basically determines if there's a detectable reaction ( I had been gluten-free for more than a month). It came back normal. Then she decided to send me to a GE to have an endoscopy/biopsy. It was the holidays and the dr was on vacation, so by the time I finally got the procedure done I had already been gluten-free for almost three months and was feeling great. Biopsy came negative.

They still decided to keep me on a gluten-free diet until another blood test looking for antibodies came back and if it comes back negative they will start me on a little gluten and see how it goes. Not cool. Two days ago I went to an oriental restaurant with my sports doctor (who has become a very dear friend) and we decided to sit at the Tepanyaki table to be able to actually see what they were putting in my food. I ordered some rice and chicken and beef with veggies... they put soy sauce in everything. After I ate that I felt very bad. Cramps, very bloated, pain, and I felt very very tired and almost dizzy. Haven't felt like that in a long long time. It took two days for me to start feeling better. Right now I am looking at some other details and options as I am not interested in going for a Gluten challenge ( I am very worried about my nutrients being absorbed, I really need them. Specially I don't need my body to feel deprived and try to get whatever it needs and might remain in my poor bones!!!!!!!!)...

Taking a look at my family history my mom and brother were diagnosed with Thyroid disease this year, my dad was diagnosed with diabetes a year ago, my mom has a very old diagnosis of Irritable Bowel Syndrome (Misdiagnosed celiac I think). My sister has been having symptoms of multiple sclerosis and severe nutritional deficiencies. I have the feeling it can be Gluten ataxia, which mimics MS symptoms to such an extent that there is no way of telling if it is Gluten ataxia or MS. I took her to my dr and her blood tests came back with the same nutritional deficiencies I have but more severe. This week her bone density scan will arrive and I am guessing she will have osteoporosis. She was also ordered to go have an endoscopy with biopsy, suspecting celiac disease. The good part is she IS eating gluten right now. If her tests come back positive I guess that will help my doctor see if I might really have celiac disease even when everything comes back negative ? She cannot explain my almost osteoporosis! Anyway I am planning on getting gene testing to see how it goes, because if it comes back negative, then something else is VERY wrong and we need to know what it is and if it comes back positive I will just keep my gluten-free diet and repeat my nutritional and bone density tests. If they show improvement, I will definitely assume it is celiac and NOT go for a guten challenge.

Any advice?


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tarnalberry Community Regular

The gene test is NOT conclusive. But you have done (at least) two dietary tests that are strongly indicative of celiac. If nothing else, why would you continue eating gluten when you know it doesn't agree with you. (You may well want to pursue further testing, but it's hard to predict what will happen.) Those blood tests and biopsies you had were WORTHLESS. I encourage you to pretend the tests never happened.

Isis Newbie

The gene test is NOT conclusive. But you have done (at least) two dietary tests that are strongly indicative of celiac. If nothing else, why would you continue eating gluten when you know it doesn't agree with you. (You may well want to pursue further testing, but it's hard to predict what will happen.) Those blood tests and biopsies you had were WORTHLESS. I encourage you to pretend the tests never happened.

Isis Newbie

Thanks for taking your time to answer :) . I really wanted to be sure because a few reasons:

1. I am really scared of what is going on with my bones. If it is not celiac, what is happening in my body that is destroying my bones?

2. I feel great while not eating gluten so I have no intentions of eating it again. EVER. (obviously as ou know accidents happen and even things you think do not contain it might contain it or be cross contaminated). I am not eating out much bcause I fear what happened @ the chinese rest will happen again.

3. I am really worried about my family developing celiac related diseases. i am trying to get them tested, too.

But anyway, I will just keep my gluten-free diet and see what happens with my sister's tests...she is still eating gluten and I told her not to stop before she gets tested this week. Once again, Thanks ;)

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    • trents
      Yes, it does. And joint pain is another celiac symptom that is now well-recognized. 
    • ThomasA55
      Does my iron loss sound like celiac to you?
    • trents
      Being as how you are largely asymptomatic, I would certainly advise undertaking a gluten challenge in order to get formal testing for celiac disease. We have many forum participants who become violently ill when they undertake a gluten challenge and they therefore can't carry through with it. That doesn't seem to be the case with you. The reason I think it is important for you to get tested is that many or most people who don't have a formal diagnosis find it difficult to be consistent with the gluten-free diet. They find ways to rationalize that their symptoms are due to something other than celiac disease . . . especially when it becomes socially limiting.  The other factor here is by being inconsistent with the gluten free diet, assuming you do have celiac disease, you are likely causing slow, incremental damage to your gut, even though you are largely asymptomatic. It can take years for that damage to get to the point where it results in spinoff health problems. Concerning genetic testing, it can't be used for diagnosis, at least not definitively. Somewhere between 30 and 40% of the general population will have one or both of the two genes known to be associated with the development of active celiac disease. Yet, only about 1% of the general population will develop active celiac disease. But the genetic testing can be used as a rule out for celiac disease if you don't have either gene. But even so, that doesn't eliminate the possibility of having NCGS (Non Celiac Gluten Sensitivity).
    • ThomasA55
    • trents
      Welcome to the celiac.com community, @ThomasA55! Before I give my opinion on your question about whether or not you should undergo a gluten challenge, I would like to know how you react when you get a good dose of gluten? Are you largely asymptomatic or do you experience significant illness such as nausea and diarrhea? You mentioned intermittent joint pain before you began experimenting with a low gluten diet. Anything else?
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