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I Want Them To Be Wrong!


MartialArtist

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shayesmom Rookie

The bottom line I want to know is whether there is ANY other problem I could be having that might cause the results (detailed below) that led them to label my problem as celiac. Based on what I've read, all signs point to celiac, but I don't want it to be that!! (And I'd suspect that most of you won't have expertise to declare it possibly something else, but any direction to search would be appreciated.

Villous atrophy confirmed by biopsy is the "gold standard" when it comes to a diagnosis of Celiac Disease. And as someone else already mentioned, the only other thing that could cause it would be dairy, soy or corn intolerance. Lack of improvement on a gluten-free diet would only point to the need to remove more foods from your diet.

I also agree that normal Vitamin B-12 and Vitamin D levels are not a contradiction of the diagnosis. Vitamin D is mainly obtained through sunlight. Intestinal absorption has nothing to do with it. And Vitamin B-12 is readily available through meat and many other foods.

The fact that all other tests confirm the diagnosis pretty much negates the need for further testing. There really are no "zebras" to continue looking for. Or rather, you have a positive dx of Celiac. Any other diagnosis would be IN ADDITION to Celiac.

And I am unsure as to what you mean when you say you "don't feel sick like other people do". Exactly what prompted all of the testing? Was it screening prompted by someone else in the family being diagnosed? (In which case, a genetic predisposition would already be established). It is very rare that doctors test for Celiac without an initial visit and symptoms to indicate the tests are warranted. The diagnosis of Celiac usually takes a patient seeing 5-6 different doctors and about 9-11 YEARS of testing. You're actually one of the lucky ones.

Celiac is a clinical chameleon. Symptoms are widely varied (200+ possible symptoms). Some people have diarrhea, others are chronically constipated. And I believe that over half do not have the GI issues at all.

Reflux can be a symptom of celiac disease, but it can also be an indicator of other food intolerances or of too much/little stomach acid. The persistance of reflux just indicates that you need to continue investigating this portion of your symptoms outside of the celiac disease diagnosis. It by no means nullifies the diagnosis. You have Celiac Disease.

One of the best resources that can help you in figuring out the reflux portion would probably be the Related Disorders section on this site.

I am sorry that you are in denial. And I do understand the denial you are in. This diet is very difficult to get behind in the beginning. It will take about a year before it becomes second nature. There are many here who would love to have the positive dx you have received to reaffirm their decision to be gluten-free. It can be even harder to be on this diet when the tests don't point to the dx, but the resolution of symptoms on the diet do.

I think that in this instance, you just need to take it a day at a time. Life without gluten is challenging...but it does get easier. And keep in mind that some folks are asymptomatic...until they get diagnosed with stage IV cancer induced by undiagnosed/uncompliant celiac disease. And then, it is often too late to do anything about it. I've yet to meet a pancake that was worth that. :)


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Kathy59 Rookie

Just wanted to add: General Mills is coming out with gluten-free Bisquick....so looks like you'll get those Bisquick pancakes back...also agree to not try gluten-free products until you have gone without originals for awhile

I kept reading some people did not like Redbridge Beer and gluten-free pasta...I went 3 mos before trying either....they were both wonderful! It takes awhile for our taste buds to readjust. I have actually found that without all the gluten I am actually tasting the natural flavors of meat, veggies, and fruit like it is meant to be! It seems to all taste better now!

Good Luck! This site is the 'bomb'!

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    • Mmoc
      Thank you kindly for your response. I have since gotten the other type of bloods done and am awaiting results. 
    • Aretaeus Cappadocia
      I wanted to respond to your post as much for other people who read this later on (I'm not trying to contradict your experience or decisions) > Kirkland Signature Super Extra-Large Peanuts, 2.5 lbs, are labeled "gluten free" in the Calif Costcos I've been in. If they are selling non-gluten-free in your store, I suggest talking to customer service to see if they can get you the gluten-free version (they are tasty) > This past week I bought "Sliced Raw Almonds, Baking Nuts, 5 lbs Item 1495072 Best if used by Jun-10-26 W-261-6-L1A 12:47" at Costco. The package has the standard warning that it was made on machinery that <may> have processed wheat. Based on that alone, I would not eat these. However, I contacted customer service and asked them "are Costco's Sliced Almonds gluten free?" Within a day I got this response:  "This is [xyz] with the Costco Member Service Resolutions Team. I am happy to let you know we got a reply back from our Kirkland Signature team. Here is their response:  This item does not have a risk of cross contamination with gluten, barley or rye." Based on this, I will eat them. Based on experience, I believe they will be fine. Sometimes, for other products, the answer has been "they really do have cross-contamination risk" (eg, Kirkland Signature Dry Roasted Macadamia Nuts, Salted, 1.5 lbs Item 1195303). When they give me that answer I return them for cash. You might reasonably ask, "Why would Costco use that label if they actually are safe?" I can't speak for Costco but I've worked in Corporate America and I've seen this kind of thing first hand and up close. (1) This kind of regulatory label represents risk/cost to the company. What if they are mistaken? In one direction, the cost is loss of maybe 1% of sales (if celiacs don't buy when they would have). In the other direction, the risk is reputational damage and open-ended litigation (bad reviews and celiacs suing them). Expect them to play it safe. (2) There is a team tasked with getting each product out to market quickly and cheaply, and there is also a committee tasked with reviewing the packaging before it is released. If the team chooses the simplest, safest, pre-approved label, this becomes a quick check box. On the other hand, if they choose something else, it has to be carefully scrutinized through a long process. It's more efficient for the team to say there <could> be risk. (3) There is probably some plug and play in production. Some lots of the very same product could be made in a safe facility while others are made in an unsafe facility. Uniform packaging (saying there is risk) for all packages regardless of gluten risk is easier, cheaper, and safer (for Costco). Everything I wrote here is about my Costco experience, but the principles will be true at other vendors, particularly if they have extensive quality control infrastructure. The first hurdle of gluten-free diet is to remove/replace all the labeled gluten ingredients. The second, more difficult hurdle is to remove/replace all the hidden gluten. Each of us have to assess gray zones and make judgement calls knowing there is a penalty for being wrong. One penalty would be getting glutened but the other penalty could be eating an unnecessarily boring or malnourishing diet.
    • trents
      Thanks for the thoughtful reply and links, Wheatwacked. Definitely some food for thought. However, I would point out that your linked articles refer to gliadin in human breast milk, not cow's milk. And although it might seem reasonable to conclude it would work the same way in cows, that is not necessarily the case. Studies seem to indicate otherwise. Studies also indicate the amount of gliadin in human breast milk is miniscule and unlikely to cause reactions:  https://www.glutenfreewatchdog.org/news/gluten-peptides-in-human-breast-milk-implications-for-cows-milk/ I would also point out that Dr. Peter Osborne's doctorate is in chiropractic medicine, though he also has studied and, I believe, holds some sort of certifications in nutritional science. To put it plainly, he is considered by many qualified medical and nutritional professionals to be on the fringe of quackery. But he has a dedicated and rabid following, nonetheless.
    • Scott Adams
      I'd be very cautious about accepting these claims without robust evidence. The hypothesis requires a chain of biologically unlikely events: Gluten/gliadin survives the cow's rumen and entire digestive system intact. It is then absorbed whole into the cow's bloodstream. It bypasses the cow's immune system and liver. It is then secreted, still intact and immunogenic, into the milk. The cow's digestive system is designed to break down proteins, not transfer them whole into milk. This is not a recognized pathway in veterinary science. The provided backup shifts from cow's milk to human breastmilk, which is a classic bait-and-switch. While the transfer of food proteins in human breastmilk is a valid area of study, it doesn't validate the initial claim about commercial dairy. The use of a Dr. Osborne video is a major red flag. His entire platform is based on the idea that all grains are toxic, a view that far exceeds the established science on Celiac Disease and non-celiac gluten sensitivity. Extraordinary claims require extraordinary evidence, and a YouTube video from a known ideological source is not that evidence."  
    • Wheatwacked
      Some backup to my statement about gluten and milk. Some background.  When my son was born in 1976 he was colicky from the beginning.  When he transitioned to formula it got really bad.  That's when we found the only pediactric gastroenterologist (in a population of 6 million that dealt with Celiac Disease (and he only had 14 patients with celiac disease), who dianosed by biopsy and started him on Nutramegen.  Recovery was quick. The portion of gluten that passes through to breastmilk is called gliadin. It is the component of gluten that causes celiac disease or gluten intolerance. What are the Effects of Gluten in Breastmilk? Gliaden, a component of gluten which is typically responsible for the intestinal reaction of gluten, DOES pass through breast milk.  This is because gliaden (as one of many food proteins) passes through the lining of your small intestine into your blood. Can gluten transmit through breast milk?  
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