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Morgan925

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Morgan925 Newbie

Hey Everyone~

Believe it or not, this is my first forum post ever. I wanted to see if any or all had any insights into what I might be going through. I moved to the San Francisco area 4yrs ago from Hawaii. I started a new job and as the new job got underway, I began noticing I was having a lot of fatigue. I waved it off at first, just thinking this is probably related to the stress and anxiety of the job. 4yrs later I still have the fatigue, just significantly worse. I've taken all the necessary steps and tests due to having a healthcare background. First started with the good old sleep study, which of course showed sleep apnea...I'm a big guy~250lb...not obese, athletic. I started the CPAP at night which at first seemed to help, but after a short week or two, same fatigue setting back in. Next, was regular lab tests at PCP..Vitamin D was low...started taking 2000U VitD daily. Fatigue still present...now to the endocrinologist...thyroid all normal...but, testosterone on low normal side and I'm young (30yrs old). Start on testosterone replacement therapy. Began the injectables because I have a young child I don't want to get into the gel as many would understand. Fatigue is still there, not as bad, but there. I started a gluten-free regimen about 1week ago b/c the more I read, the more I feel there is one common denominator to all this fatigue. I've really never had to many GI problems, friends and family would say I go a lot through the day, but never diarrhea or constipation; however, I have had problems with acid reflux now for some time. As you can see, this is becoming a laundry list for me, and up until the last 3-4yrs I have been in great shape, health, and mind.

Does anyone have any insights into this? I like the gluten free regimen so far, and have stuck to it tightly. I actually like the way I'm eating much more now. I stick to raw foods and cook them with light seasoning. Oh and for the caffeine and alcohol question...gave those up when I started gluten free. Hopefully things improve, but in the meantime...any suggestions or advice are very welcome.


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    • trents
      knitty kitty asks a very relevant question. So many people make the mistake of experimenting with the gluten free diet or even a reduced gluten diet soon before getting formally tested.
    • trents
      Another great fiber option is dried apricots. Four of them give you 3g of fiber and I find they don't produce all the gas that some other high fiber options do. They taste good too. Costco sells a large bag of them that are labeled gluten-free so you don't have to worry about cross contamination issues like you might in bulk grocery settings.
    • Trish G
      Wow, that's alot of info, Thanks!!!! I had my intake with Nutrionist where we went over basics and then will have follow up where we will talk about all the questions I've come up with (including the fiber question and so many more). I'll talk to her about the info you provided as well.  Thanks again (newbie here 😀)
    • Hmart
      Hello again. Thank you for the responses to date. I have had several follow-ups and wanted to share what I’ve learned. About a month after my initial blood test and going gluten free, my TtG went from 8.1 to 1.8. I have learned that my copper is low and my B6 is high. My other vitamins and nutrients are more or less in range. After I glutened myself on 10/24, I have been strict about being gluten free - so about a month. I have been eating dairy free and low FODMAP as well because it’s what my stomach allows. Baked fish, potatoes, rice, etc. Whole foods and limited Whole foods. I have continued to lose weight but it has slowed down, but a total of about 15 pounds since I went gluten free. Along with stomach pain, my symptoms included nausea, body and joint pain, a burning sensation throughout my body and heart rate spikes. I still have them but I have them less now. These are the symptoms that led to my doctor appointments and subsequent diagnosis. I also did the DNA screening and was positive. So, at this point, the answer is yes, I have celiac. I have two questions for this group. Any ideas on why my enteropathy was so severe (marsh 3B) and my TtG was so minimal? Is that common? Or are there other things to consider with that combo? And this recovery, still having pain and other symptoms a month later (7 weeks gluten free and 4 weeks after the glutening) normal? I’m going to continue down this path of bland foods and trying to heal but would love to understand the reasons for the long journey. I read so much about people who stop eating gluten and feel amazing. I wish that was my experience but it certainly hasn’t been. Thank you again!
    • knitty kitty
      @Trish G,  I like dates, they have lots if fiber as well.  But what I found helped most was taking Thiamine (in the form Benfotiamine which helps promote intestinal healing), Pyridoxine B 6, Riboflavin B 2, and magnesium, and Omega Three fats. The absorption of nutrients is affected by Celiac disease which damages the intestinal lining of the small intestines where our nutrients are absorbed.  If you have constipation, where your body is rather pushing your food away and not interacting with it, the nutrients in the food are not being released and absorbed.  You can develop deficiencies in all the vitamins and minerals necessary for the body to function properly.   The B vitamins cannot be stored for long, so they must be replenished daily.  Thiamine B 1 stores can run out in as little as three days.  Constipation (or diarrhea or alternating) is one of the first symptoms of thiamine deficiency.  Thiamine needs magnesium, Pyridoxine B 6, and Riboflavin B 2 to make the intestinal tract function.  Thiamine and Niacin make digestive enzymes.  Thiamine provides the energy for nerve impulses to carry messages to the brain and back about digestion.  Thiamine provides the energy for the muscle contractions which move your food through the digestive tract. High calorie meals containing lots of starches and sugars can deplete thiamine stores quickly because more thiamine is required to turn them into energy.   Are you taking any vitamin and mineral supplements?  Correction of malnutrition is very important in Celiac disease.  Thiamine, the other B vitamins and magnesium will help with constipation better than adding more fiber.  What did your nutritionist recommend you take, besides just the fiber? The association between dietary vitamin B1 intake and constipation: a population-based study https://pmc.ncbi.nlm.nih.gov/articles/PMC11100033/ Thiamine, gastrointestinal beriberi and acetylcholine signaling https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Association between dietary vitamin B6 intake and constipation: a population-based study https://pmc.ncbi.nlm.nih.gov/articles/PMC11584952/
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