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Anyone Take Years To Heal Brain Fog And Fatigue?


Twizzel

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Twizzel Rookie

I've been gluten free for roughly 9 months.

Within 48 hours of going gluten free I noticed I stopped having diaherea and indigestion/acid reflux.

After 3 months I realized my asthma was getting slightly better, that was an unexpected surprise.

After 7 months. I didn't have asthma anymore. I can actually run without and inhaler. I had a very enlarged heart and occasionally get an ultra sound from a cardiologist. He told me my heart was starting to reduce back to a normal size.

Now its been 9 months. Instead of sleeping 12 hours a night I am at about 9-10. I can go slightly longer periods without getting cranky if I happen to miss a meal. I think my memory is getting slightly better.

Its great stuff right? Well, here's my problem. My main reason for going gluten free is that I feel like I am in a brain fog 24 hours a day since I was 13 or so. I am age 32. I've spend more than half my life looking for a cure for this foggyness.

I can't even tell you how hard my life has been trying to explain this mystery illness and having doctors tell me i'm thinking too much. even my family isn't really supportive lately. as much as i try to live normally , this fog is always plaguing me. I've had so many diagnoses of mental illness and put on so many medications only to come to the conclusion that positive thinking, diet and exercise is the best remedy. If I am depressed, its just because I have this illness I can't communicate to anyone easily or seems to not be cured, but makes it really hard to percieve reality. And considering reality is the basic of which we all interact, that pretty important.

Has anyone else experienced something similar to this and had brain fog that taken years to heal after going gluten free? I really hope so. I feel so upset and frustrated and like i've burned all my bridges to my friends and family as far as talking about this. My poor wife has to hear my complain, and I really try to be positive when I can. I am just in a rut lately.

I also can't sleep properly. I feel half awake for most of the night even though I'm sleeping, or I have vivid dreams. And while I do have some increased energy. Trying not to come of as lame, but I feel so hopeless. I feel like maybe I don't even have celiac disease and its all in my head.

See, I was never officially diagnosed with celiac disease. my blood tests came back negative. i asked a gi doc for a biopsy but she told me that I have such an obvious reaction to gluten that I should continue my diet either way, so she wasn't going to do something that invasive.

I feel like I can't trust any doctor anymore. All of my true progress and diagnoses have come from my research, not really any doctor I've seen. and i am so sick of hearing about medications and surgeries that seem unnecessary. Its freaky.

I guess I just am asking someone to give me a story that can give me some hope. Thanks so much for any response.

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YoloGx Rookie

I've been gluten free for roughly 9 months.

Within 48 hours of going gluten free I noticed I stopped having diaherea and indigestion/acid reflux.

After 3 months I realized my asthma was getting slightly better, that was an unexpected surprise.

After 7 months. I didn't have asthma anymore. I can actually run without and inhaler. I had a very enlarged heart and occasionally get an ultra sound from a cardiologist. He told me my heart was starting to reduce back to a normal size.

Now its been 9 months. Instead of sleeping 12 hours a night I am at about 9-10. I can go slightly longer periods without getting cranky if I happen to miss a meal. I think my memory is getting slightly better.

Its great stuff right? Well, here's my problem. My main reason for going gluten free is that I feel like I am in a brain fog 24 hours a day since I was 13 or so. I am age 32. I've spend more than half my life looking for a cure for this foggyness.

Hi Twizzel,

I suggest you don't give up hope. Your doctor seems to be correct, especially given all the improvements you have been experiencing being off gluten.

However I can also understand your frustration. You are still healing. The villi can take a long time to get better. Taking probiotics to provide a better intestinal environment and nattokinase to counteract the scar tissue can help immensely.

If that is not enough, (assuming you are not getting CC'd with trace amounts of gluten) you may also have other sensitivities at work in addition to the gluten. Many here are sensitive to milk, corn, fructose, nuts, potatoes/tomatoes/peppers or even other grains etc.

For myself I am very sensitive to high and medium salicylates found in many vegetables, fruits, nuts, herbs and spices--which do bother my sleep and can easily cause brain fog. One sign is a white tongue that h as nothing to do with overdoing sugar consumption (although maple syrup is infinitely better than cane sugar, and cane sugar is far better than beet sugar for someone with this condition--since beets are high in salicylates).

In addition, brain fog can be the result of rampant candida overgrowth or bacterial intestinal dysbiosis. This might be worth checking out if your other investigations don't help. Its especially likely if your tummy is bloated--especially after eating sweets and/or excessive carbs. It too can cause a white tongue in the morning. And definitely brain fog galore and sleep disturbance. Plus often some very offensive gas.

Good luck!

----Bea

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Skylark Collaborator

Don't give up hope. I get fogged when I'm slightly hypothyroid. Everything else will be fine, my TSH will test OK, but I'll be cloudy and unable to think well. Get me on a bit more thyroid and I'm much better.

It did take my mind a year and some high-powered chelated supplements to heal from gluten-caused bipolar. My story is in my profile.

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gigifree Rookie

I am in the same boat you are. The gluten-free diet has made most of my problems go away, except for a few. I am still fatigued. I am taking an Iron/B12 for this (called Floravital) and probably need to take something else to help me, though doctors are no help. Maybe it just takes time? Hang in there. I am thinking that your hormones may be out of wack. This is what is wrong ith me. YOu might want to get your testerorone and others checked out.

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cahill Collaborator

I agree that thyroid issues can cause brain fog and fatigue.Having your doc check your thyroid levels may be in order.

Another cause of brain fog for me is my intolerance of soy.

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Katie B Apprentice

Hi Twizzel,

Many of us have residual effects after going gluten-free. While it is sometimes an instant cure lots of people have to investigate further medical conditions, dietary sensitivities and vitamin deficiencies. From what I've heard and experienced, fructose malabsorption can cause the same type of brain fog and while I can't supply you with the link there's definitely a medical study done on this. Other things to look into are vitamin deficiencies like B12 and Iron and as others have mentioned thyroid issues. You can also look into the low FODMAP diet which lets you know what fruits are excessively high in fructose. The good news is that you've made some progress and that you've seen improvement. Just hang in there and take it one day at a time!

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Bubba's Mom Enthusiast

If you are really gluten-free and still experiencing these issues you may have a secindary food intollerance? Also, neurological symptoms seem to take longer to heal so it really could be that you've not fully healed yet.

I recommend keeping a food log. Write down what you eat and any times you are feeling your symptoms more strongly. Remember that it can take a day or two after ingestion to get symptoms. It will take some detective work.

Eating gluten-free versions of gluten foods can expose you to low doses of gluten. Just because a package says gluten-free, doesn't mean it truly is. Having up to 20ppm is allowable and they can still claim gluten-free. If you eat several of these foods a day it will add up.

For me, I found that soy causes those symptoms. A lot of us find there are other foods that we don't tollerate well once going gluten-free. Try eating more whole foods(fruits, veggies, unprocessed meats, dairy if you tolerate it well)and add in one new food every 3or4 days.

Likely suspects are the main allergens, but fructose and salicylates, and things from the nightshade family (tomatoes, peppers, egg plant)can be causes too.

It stinks that we have to do so much of our own detective work, but they just don't have good accurate tests for finding these things.

Best luck to you!

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cahill Collaborator

One of the first replies I received when I first started posting in these forums was

"" we have to be our own best detectives""

I have found this to be ones of the truest statements ever written

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Twizzel Rookie

Thanks for the reponses.

I have pretty much just been eating meat and produce for awhile now. I also only drink water for the most part.

I took out dairy for a few weeks, maybe even a month. I took out soy for a few weeks, but i feel like I don't even eat that many things with soy anyways. I also tried a candida diet for a few weeks.

After really messing with my diet the past 9 months, I have trained myself to pretty much only buy meat and veggies at the grocery store. I'll eat brown rice occasionally, but then I feel like my stomach feels slightly off...but then I think its in my head.

I used to get some cross contamination from pots at my mother's, but I moved and that isn't an issue. My wife love to go out to eat, thats really the only problem. but I usually get a salad with some sort of meat on it.

Aside from the obvoius gluten reaction. All i really learned is that when I over-do it with dairy or whey, that I feel a little worse. But I feel like I'm ok just eating small amounts of it. I think its just as simple as I am eating really healthy and I feel better when I'm eating healthy.

I've had my thyroid checked many times as well as my testosterone. I had low vitamin D at one point. I don't know how extensively the doc checked my vitamin levels. But I am taking an isotonic, high absorbtion vitamin and getting a lot of sun lately.

I was checked for diabetes and hypoglycemia. I had to take my blood sugar everyday and keep a food diary for awhile. But it all checked out.

I do have sleep apnea, but I got a cpap machine (a pressure mask you put on at night) for a few years now and it works great. Its odd because I am young and skinny and have sleep apnea. But I think its because I am somewhat tongue tied, the skin on my tongue connects where it shouldn't and I can't stick my toungue out very far. I think this makes my tongue go too far in the back of my throat when I sleep and bock the airway. The cpap is great for me though.

I don't really belive in vitamins or medications, haha. I feel like consistently putting lab chemicals in your body just can't be good for you. I just try to be diverse with my selection of veggies and meats and hope thats good enough for my body to heal itself. I mean, thats what was here on earth before we made processed foods.

Thank for your responses. I feel pretty good today. I just had a super low point when I wrote this post. I am getting better...sssslllooowwwlly.

I am starting to think that people that get better instantly either [A]-haven't head celiac triggered in their body for that long so they have minimal damage, -aren't celiac, but gluten intolerant so they get better immediately when gluten is out of their body or [C]-their symptoms are caused by antibodies attacking their body, not malabsorbtion...so removing gluten has quick results.

I think nearly all my symptoms are malabsorption related. If I think about my life... they slowly got worse and worse, and now they are slowly getting better that I've taken gluten out. It would be great if I got better and got really fat, haha. I never get fat no matter how much I eat. I would love to be somewhat plump and not shake and freak out when I miss meals. Of course people with weight always envy skinny people. The grass is always greener I guess. Anyways, thanks guys. I'll wait it out. I am slowly having improvements. I just wish I could instantly rid myself of this problem.

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Twizzel Rookie

I also forgot to mention that I did take supposed anti-candida probiotics when I was on the anti-candida diet. Its a product called "symbion" which I guess is similar to "three-lac". After buying the symbion, I realized I was a total victim of marketing, so I don't know if it was a good product or not. But I think it might have help me digest things a little better.

I've also never noticed white on my tongue, but I guess I dont' look at my tongue too much either. That vegetable reaction you have Yolo is odd, what the heck do you eat if you can't eat those veggies, grains, soy, dairy, gluten...whats left?

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thleensd Enthusiast

One of the first replies I received when I first started posting in these forums was

"" we have to be our own best detectives""

I have found this to be ones of the truest statements ever written

^^^^ This. Yes.

Hang in there. It's been 2.5 years for me, and I'm definitely still recovering. The latest puzzle piece for me was to go completely grain-free. It has helped tremendously. *Almost* grain-free and *almost* processed foods free wasn't helping. Now I'm starting to have longer and longer moments of clarity and energy. It started with 5 or 10 minutes, now I've had hours in a row, and I'm getting better. Finally.

Keep trying adjustments. Keep searching for improvements. You're not alone.

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dilettantesteph Collaborator

Does your wife eat gluten at home? You may be getting cc. Even if she doesn't eat it at home, you can get cc from kissing. You may need a gluten free house, I did. You may need to give up eating out. I did. Since you are at the meat and produce only stage, I would suspect that would be an issue for you.

I couldn't get rid of all my symptoms until I went super gluten free. The brain fog did take awhile to go away, but I think that 9 months would be long enough if gluten free enough, based on my healing. I was 49 and super sick at diagnosis. There are a lot of ups and downs though, which for me had a lot to do with figuring out this diet.

Glad to hear that you were doing better in your update.

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GlutenFreeManna Rising Star

Your story in your first post could have been written by me, except I'm 31 and 19 months gluten free now. Without vitamins your recovery will be much slower than you want. The damage did not happen overnight so it won't be reversed in just a few months, especially since you body is absorbing fewer vitamins and minerals from your food if it's damaged. Keep on doing what you are doing-tryign to eat healthy and be strictly gluten-free and also keep an eye on your thyroid and vitamin levels. If you suspect that you are still getting gluten somehow or you suspect another food intolerances, a food and symptoms journal can be really helpful to figure out what's going on.

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healinginprogress Enthusiast

I am almost 8months gluten free and JUST had my biopsy done, with only 7-10days on the gluten challenge (supposed to be 6-8WEEKS), and my biopsies were very positive. This tells me...STILL HEALING. And, as I even type, I have brain fog, headache, yesterday I was so bloated, which later turned into foul gas. I feel like I shouldn't still be having symptoms on a daily basis (although the damage has actual caused me to have a rectal prolapse and an intussusception, so it must be pretty extensive damage, as I require surgery). But still...I hate it. I'm SO careful! The ONLY gluten in my new household is fish food, and I'm going to be getting gloves to deal with that :P I'm still investigating my makeup, but what I put on my lips is gluten free. I've tried investigating other things, and I'm going to start again...soy seemed to come up as a possibility.

What I'm getting at, is that if I'm showing damage after 8 months gluten-free, then I think you're symptoms are normal. It's really tough not knowing whether it's gluten damage or something else, though, isn't it?

Also, with regards to grain-free, which a couple of you mentioned. I was really shocked when I went to a dietitian and she had me work with the Canadian Food Guide...wtf? I had completely forgot that we are "supposed" to have 5-7 servings of grains per day. I have started logging my food with myfitnesspal.com (great app and site), and I STILL struggle to get enough carbs, even though I eat lots of veg and some fruits. Grains give us energy, so it MIGHT be worth a shot adding some more grains to boost your energy. I haven't noticed a big difference, but I never thought of things that way. I had practically cut out an entire food group, and regardless of carb content, grains contain nutrients/vitamins that other foods don't...that's why there are different food groups!

Anyways, it's just "food for thought", if you will. I'm still not sold on it, I've never been a huge fan of the food guide, I usually just try to eat carbs, protein, and healthy fats with each meal/snack. But when I looked at it in a different way...the nutritional content...it sort of makes sense!

(PS: when corn is used as a grain, it is part of the grain group, ie. gluten-free corn tortillas)

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YoloGx Rookie

Also, with regards to grain-free, which a couple of you mentioned. I was really shocked when I went to a dietitian and she had me work with the Canadian Food Guide...wtf? I had completely forgot that we are "supposed" to have 5-7 servings of grains per day. I have started logging my food with myfitnesspal.com (great app and site), and I STILL struggle to get enough carbs, even though I eat lots of veg and some fruits. Grains give us energy, so it MIGHT be worth a shot adding some more grains to boost your energy. I haven't noticed a big difference, but I never thought of things that way. I had practically cut out an entire food group, and regardless of carb content, grains contain nutrients/vitamins that other foods don't...that's why there are different food groups!

Anyways, it's just "food for thought", if you will. I'm still not sold on it, I've never been a huge fan of the food guide, I usually just try to eat carbs, protein, and healthy fats with each meal/snack. But when I looked at it in a different way...the nutritional content...it sort of makes sense!

(PS: when corn is used as a grain, it is part of the grain group, ie. gluten-free corn tortillas)

I agree--for many of us grains are an important source of vitamins and fibre. However they aren't for everyone. One can get by just fine with root vegetables and squash. Grains were not a major part of the human diet until 15 thousand years ago. Most of our pre-history was without grains.

I agree about taking the extra vitamins. With damage to the villi, it takes a long while before (and if) it heals--so it often is difficult to absorb basic vitamins and minerals.

In addition, This is why fibronylitic enzymes are often needed--to counteract the scar tissue. Pro-biotics are also important to establish better flora as is L-glutamine for healing and soothing the lining of the gut.

Many find digestive enzymes helpful also.

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AVR1962 Collaborator

You have received some wonderful advise here. I cannot emphasize enough the importance of proper nutrients and if you cannot get it all thru food I am a full believer in supplements. Sounds like you need more nutrients.

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healinginprogress Enthusiast

I agree--for many of us grains are an important source of vitamins and fibre. However they aren't for everyone. One can get by just fine with root vegetables and squash. Grains were not a major part of the human diet until 15 thousand years ago. Most of our pre-history was without grains.

This is very true, one just has to ensure they're still getting all the proper carb-fat-protein ratios, vitamins, and minerals...logging your foods can really help with this, and, if necessary, as most have said..supplementation and probiotics.

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Twizzel Rookie

my wife does eat gluten, but not in our house. we just moved and made the pact to not cook anything with gluten in our pots and pans. i know i shouldn't eat out and, believe me I really try not to, but my wife loves to go out and i can't deny her that. we are in a new city and don't have any friend yet, so how fun is life if all we do is stay home at night?

i am sure the occasional eating out doesn't help, but hey. i do what i can. because I get hungry all the time (and really really b%$@#y and out of sorts when i miss a meal) that I am forced to eat at least a salad when we go out.

i actually ate something we cooked tonight and got sicker than i have been in months. i am still experimenting with grocery stores around here and the brands they offer. I am trying to figure out what got me so violently ill. The culprits are mrs leepers corn pasta that claims its gluten free, classico creamy alfredo sauce, or new york style company basil and garlic sausage (which I think may have been the culprit, but I ate it this morning and had no symptoms..). The rest was just vegetables. but man, after i ate...i got nauscious, bloaty, the big D, anxiety, a runny nose and even a few sneezes. My body was doing its best to reject whatever i ate. Even though it was minor, I have never had runny nose and sneezes with a gluten reaction.

I think I may download a nutrition app and keep on those vitamins. I haven't been taking them faithfully. That nattokinase looks interesting, but I will have to study it before adding something like that to my body. Its a relatively new find which always scares me. But it would be interesting. I wish I knew if there was scar tissue on my intestines or not.

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Twizzel Rookie

I try to eat just meat and veggies and unproccessed food, but sometimes I get cravings. Tonight blew up in my face though. I'd rather be craving foods than dreadin that I set myself weeks back in healing.

I guess I'll just have to try harder and keep to my guns about avoiding processed foods. I'll have to find some way to prepare foods for when I travel too. Isn't the gluten free lifestyle fun!

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YoloGx Rookie

my wife does eat gluten, but not in our house. we just moved and made the pact to not cook anything with gluten in our pots and pans. i know i shouldn't eat out and, believe me I really try not to, but my wife loves to go out and i can't deny her that. we are in a new city and don't have any friend yet, so how fun is life if all we do is stay home at night?

i am sure the occasional eating out doesn't help, but hey. i do what i can. because I get hungry all the time (and really really b%$@#y and out of sorts when i miss a meal) that I am forced to eat at least a salad when we go out.

i actually ate something we cooked tonight and got sicker than i have been in months. i am still experimenting with grocery stores around here and the brands they offer. I am trying to figure out what got me so violently ill. The culprits are mrs leepers corn pasta that claims its gluten free, classico creamy alfredo sauce, or new york style company basil and garlic sausage (which I think may have been the culprit, but I ate it this morning and had no symptoms..). The rest was just vegetables. but man, after i ate...i got nauscious, bloaty, the big D, anxiety, a runny nose and even a few sneezes. My body was doing its best to reject whatever i ate. Even though it was minor, I have never had runny nose and sneezes with a gluten reaction.

I think I may download a nutrition app and keep on those vitamins. I haven't been taking them faithfully. That nattokinase looks interesting, but I will have to study it before adding something like that to my body. Its a relatively new find which always scares me. But it would be interesting. I wish I knew if there was scar tissue on my intestines or not.

Better to pack your own food to take with you when your wife eats out. Honestly. Eating salad can be a big problem from cross contamination just from the cutting board not to speak of everything else. Also given how sensitive you seem to be, eating prepackaged foods is often like playing Russian roulette--even if they do say they are gluten free.

About the scar tissue--if you have had severe gluten intolerance for a long time, the likelihood you have it is very high. If you have celiac, its a given.

One does and can heal, however its almost impossible if you are continuously exposing yourself to CC from gluten. Given you are still having the brain fog etc., I highly suggest you start being more careful.

I speak from hard experience. I thought I was avoiding gluten for years, but did not realize the trace gluten from CC was killing me. The difference of before and after has been huge. After a couple of years I got way better even though I also have the salicylate sensitivity. Then it really got bad again this last year in January/February when I helped take care of my aged mother after she was reintroduced to gluten. She didn't get sick, however I did. After a month of that I got really bad. I am still recovering from that 7 months later... Due to scar tissue having gotten worse again no doubt I just don't have the same resilience that I did and now find myself becoming far more sensitive.

I think the nattokinase, L-glutamine, probiotics and vitamins etc. will gradually help heal me again. However its a lot better not to expose oneself needlessly for social or other reasons, if you get my drift. Taking risks like that makes one needlessly weak, and then no one is the winner.

And yes by the way, some people are sensitive to many veggies and most spices--especially things like tomatoes and basil. You asked before and I didn't comment--there are lists of salicylate containing foods online, which are high and which low. Hope you don't have that problem, but if you do, its good to know about it.

Bea

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  • 4 months later...
Tow Newbie

Hey Twizzel,

I know this post is a few months old, but your story about the foggy brain could have been written by me. I'm coming

into my 4th week on a gluten free diet and still have the same brain fog issues.

I was just wondering how you are getting on now? Did your brain fog disappear?

If so, did you do anything in particular to help the process along?

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BarryC Collaborator

Hi Bea

can you tell me more about the nattokinase? I have had no luck with enzymes or probiotics. Thanks

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GFPup Newbie

I also can't sleep properly. I feel half awake for most of the night even though I'm sleeping, or I have vivid dreams. And while I do have some increased energy. Trying not to come of as lame, but I feel so hopeless. I feel like maybe I don't even have celiac disease and its all in my head.

My story is almost exactly the same as yours. I have been gluten free for over 10 years. Even so, I have found for absolutely no reason, I would sometimes stay awake all night long. I have finally figured out what is triggering it - certain foods I have been eating that are supposed to be gluten free.

1.) Quaker Rice Cakes - they have "gluten free" on the wrapper, but I eat one of these things and I'm up the entire night.

2.) Hersey's Dark Chocolate - again, supposed to be gluten free - keeps me up. I also got a nice bloom of rash all over my arms!

Read this article titled "What You Need to Know About False Gluten Free Labeling."

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      Nacina, Knitty Kitty has given you good advice. But I would say/add find a Fat Soluble B-1 like Benfotiamine for best results.  The kind found in most Multivitamins have a very low absorption rate. This article shows how taking a Fat Soluble B-1 can effectively help absorption by 6x to7x times. https://www.naturalmedicinejournal.com/journal/thiamine-deficiency-and-diabetic-polyneuropathy quoting from the article.... "The group ingesting benfotiamine had maximum plasma thiamine levels that were 6.7 times higher than the group ingesting thiamine mononitrate.32" Also, frequency is much more important than amount when it comes to B-Vitamin. These are best taken with meals because they provide the fat for better absorption. You will know your B-Vitamin is working properly when your urine becomes bright yellow all the time. This may take two or three months to achieve this.......maybe even longer depending on how low he/you are. The Yellow color is from excess Riboflavin bypassing the Kidneys....... Don't stop them until when 2x a day with meals they start producing a bright yellow urine with in 2 or 3 hours after the ingesting the B-Complex...... You will be able to see the color of your urine change as the hours go by and bounce back up after you take them in the evening. When this happens quickly......you are now bypassing all the Riboflavin that is in the supplement. The body won't absorb more than it needs! This can be taken as a "proxy" for your other B-Vitamin levels (if taken a B-Complex) ...... at least at a quick and dirty level......this will only be so for the B-1 Thiamine levels if you are taking the Fat Soluble forms with the Magnesium as Knitty Kitty mentioned. Magnesium is a Co-Factor is a Co-factor for both Thiamine and Vitamin D and your sons levels won't improve unless he also takes Magnesium with his Thiamine and B-Complex. You will notice his energy levels really pick up.  His sleeping will improve and his muscle cramps will get better from the Magnesium! Here is nice blog post that can help you Thiamine and it's many benefits. I hope this is helpful but it is not medical advice God speed on your son's continued journey I used to be him. There is hope! 2 Tim 2:7 “Consider what I say; and the Lord give thee understanding in all things” this included. Posterboy by the grace of God,  
    • trents
      I'll answer your second question first. The single best antibody test for monitoring celiac blood antibody levels is the tTG-IGA and it is very cost effective. For this reason, it is the most popular and often the only test ordered by physicians when checking for celiac disease. There are some people who actually do have celiac disease who will score negatives on this test anyway because of anomalies in their immune system but your wife is not one of them. So for her, the tTG-IGA should be sufficient. It is highly sensitive and highly specific for celiac disease. If your wife gets serious about eating gluten free and stays on a gluten free diet for the duration, she should experience healing in her villous lining, normalization in her antibody numbers and avoid reaching a celiac health crisis tipping point. I am attaching an article that will provide guidance for getting serious about gluten free living. It really is an advantage if all wheat products are taken out of the house and other household members adopt gluten free eating in order to avoid cross contamination and mistakes.  
    • Anmol
      Thanks this is helpful. Couple of follow -ups- that critical point till it stays silent is age dependent or dependent on continuing to eat gluten. In other words if she is on gluten-free diet can she stay on silent celiac disease forever?    what are the most cost effective yet efficient test to track the inflammation/antibodies and see if gluten-free is working . 
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