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Malabsorption Issues?


Courtney101

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Courtney101 Rookie

This is probably a stupid question, but I thought I'd ask anyway lol.

I know that part of the celiac thing is malabsorption of food nutrients. But could malabsorption of medication be an issue too? Has anyone started taking vitamin supplements and not noticed a difference? Or the same thing with actual medication?

The reason I ask is that I seem to have a VERY high tolerance for medication. Basic pain killers like paracetamol or ibuprofen do absolutely nothing for me, so I usually don't even bother with them. Also, I have started on the Pill (the only regular medication I take) and have already had to up the dosage twice because my body doesn't seem to be accepting it. My Doctor said this was very strange because I'm very small and she said she would have thought a low dose pill would work.

I'm also on Vitamin D and Calcium supplements and wondering if I'll actually be able to absorb them if I do infact have intestinal damage (still not sure about that).

Anyway, I was just curious. I think WAY too much about things lol.


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ravenwoodglass Mentor

Yes malabsorption can effect the meds we take. When you heal that should change. Until then if you are taking the birth control pill to prevent pregnacy do be sure to use a barrier method with it like condoms or spermicidal foam.

jessicalw28 Apprentice

I have wondered about this too. One of my meds is small white beads inside of a capsule. I know this is gross, but sometimes I see the little beads in my stool (especially if it's loose). I had not ever seen that until a couple of months ago. I can also tell that I am not completely absorbing it. It is an anti-anxiety med with very quick withdrawal symptoms. If I miss a dose, it makes me dizzy. I have been noticing the same dizzy spells when I know for sure that I did not miss a dose.

I am not diagnosed celiac, but have many related symptoms. All of my lab work came back normal. I will be having biopsies soon and will be starting on the gluten-free diet immediately after.

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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).
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    • 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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