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Balance And Falling


Songbird1976

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Songbird1976 Rookie

Hi Everyone....

Was wondering if anyone knew about this issue since I have been reading that many people with celiac disease seem to have this issue in common. I have been teased (lovingly) thank goodness for many years by my girls about being clumsy and tripping, falling, etc. One daughter even asked once if it was genetic and at the time I found it to be hilarious! :blink:

After yesterday, falling off a bicycle (again) and riding a bike has been a passion since I was young. I used to ride 25 miles a day for quite some time. This fall was really a disappointment because it's one of several over a couple of years that's made me realize it's not stopping. Not going away this tendency... and must be part of this whole celiac disease picture... I just hadn't put all the pieces together until now. :huh:

... SO, my question is, now that I'm gluten-free only since March, and healing and doing much better, do I dare hope that my balance issues will go away???? Does anyone have experience with this???? I also have balance issues just standing and sometimes with just doing regular things. Walking I'm fine just seems to be if I'm trying to do something and it involves using one foot or leaning. Of course, the bike riding seems ok for a bit while straight on a path but any deviation I'm over like a trike on "Rowan and Martin's Laugh In" (Ugh) :lol: My depth perception isn't so hot either and doesn't help the situation but isn't the main issue. Input and advice is greatly appreciated!!! Thank you! :D


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RiceGuy Collaborator

The first thing which comes to mind is nutritional deficiencies. I'd focus on vitamin B12, B vitamins in general, vitamin D, and vitamin E. Some minerals may also play a role. While you may improve without supplementation on a gluten-free diet, my suggestion would be to get a methylcobalamin (B12) sublingual tablet - 5mg, and take one daily. Also a co-enzyme B-complex, vitamin D3, and vitamin E. A multivitamin/mineral at the same time may also be a good idea.

Some foods can impair balance, such as nightshades. So you may find it beneficial to avoid those too. If you use cooking oils such as canola, make certain it is 100% expeller pressed. Most canola is extracted with hexane, which is highly toxic. And although manufacturers claim they remove the hexane, I wouldn't doubt a person's sensitivities.

HTH

Jestgar Rising Star

It took about a year for me to stop compulsively gripping the handrail whenever I went down stairs. I took that as a sign that my body was back to feeling in control of balance.

Songbird1976 Rookie

The first thing which comes to mind is nutritional deficiencies. I'd focus on vitamin B12, B vitamins in general, vitamin D, and vitamin E. Some minerals may also play a role. While you may improve without supplementation on a gluten-free diet, my suggestion would be to get a methylcobalamin (B12) sublingual tablet - 5mg, and take one daily. Also a co-enzyme B-complex, vitamin D3, and vitamin E. A multivitamin/mineral at the same time may also be a good idea.

Some foods can impair balance, such as nightshades. So you may find it beneficial to avoid those too. If you use cooking oils such as canola, make certain it is 100% expeller pressed. Most canola is extracted with hexane, which is highly toxic. And although manufacturers claim they remove the hexane, I wouldn't doubt a person's sensitivities.

HTH

Thank you RiceGuy... I have started on B12 so far and D3 (am looking for supplements I am not sensitive to) and will add these to the list. Very much appreciate your suggestions. I only use olive oil at this point... I had no idea that these issues could stem from nutritional deficiencies. I have a lot to learn it seems. Glad to have this information. :)

IrishHeart Veteran

Another Klutz right here. :huh:

I had similar problems, walking "sideways" as if drunk sometimes, (that was scary). I was always tripping on stairs or curbs and banging into walls as I negotiated a corner. I broke a few toes and I had bruises everywhere! My whole life, I had bruises somewhere! I was a dancer, and my knees and legs looked like a train wreck. By the time the "gluten head" was in full gear, my depth perception was bad and I had to stop driving because my reflexes were shot.

Various neurological symptoms made my life hell, yet an MRI of my brain showed...nothing in there! (go ahead and laugh, I said that on purpose).

What was not so funny was I felt as if I were walking in a dream, feeling so spaced out that I did not know how I got from point A to point B. I had to pull off the road once and call my husband because I felt so out of it and was not sure why. (that big wheat bread sandwich I had at lunch was probably involved)

I told him--and any doctor who I saw--I feel "peculiar--and that something is wrong!"

No one knew why.

Burning nerves, horrid parasthesia--which was body-wide--and even 9 months after being gluten-free, my hands, arms, trunk, legs and feet were still burning and tingling.

I burned like mad for 3+ years.

I stood up one day last September, my foot dragged and did not work properly because it was numb, and I went down. I heard Crack, crack, crack :blink: luckily, I had "only" sprained all the ligaments in my ankle. It took months --and some PT rehab--for it to heal. :blink: ..there's more, but you get the idea.

The good news is, :) almost all of those issues have resolved, but I do still find myself misjudging things and getting a bruise here and there. I still have some burning and some tingling, but not as bad as it was! Not at all. I am gluten-free for 16 months now.

..and No more falling on the stairs(hmm, should not have jinxed myself by proclaiming that so soon....). I do still hang onto the handrails and I find escalators pretty daunting.

Hubs gets nervous when I have a knife in my hand while preparing dinner...I have a lot of nice scars. :huh: but mostly, I am not lost in "gluten head" anymore.

You may have to give it more time, Gail. It may be a question for a neurologist if you do not improve. (I saw 3 of them.) I had EMGs done too--nothing "abnormal".

Hang tough, hon.

You may be interested in this article.

Open Original Shared Link

Songbird1976 Rookie

IrishHeart... I can't thank you enough for your entire reply. I cried, I laughed. I'm so grateful. Was like re-living my life through your experience almost. Thank you so much for sharing, and caring. This has meant so much to me. Know that I am smiling with all my heart! :D

IrishHeart Veteran

G,

Everyone has different experiences and healing times, as we have discussed via our PM chats, but I want you to know that many of us had these issues and they resolve. :)

It's hard to believe they will go away, but they do.

Some people have continuing problems--as that article explains--and you may wish to consult a neurologist if they persist.

You want to rule out any neurological impairment or lesions.

See how it goes.

Take care!

My best, IH


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ravenwoodglass Mentor

Doctors thought I had MS for a while. I had gotten to the point where I needed Canadian Canes or a wall to be able to walk and when I fell I had a lot of trouble getting back up. About 6 months after diagnosis I caught myself running up the stairs without even thinking about it. I sat at the top and cryed.

I still had some balance issues for a while after that but by the 2 year point I had regained reflexes in my legs and could actually dance again.

Do be patient as it takes time for the nerves to heal. Some will heal more fully than others. I found I had to be VERY strict as the least CC would send me back to careening off of walls again for a couple weeks at least.

I am going on 10 years gluten-free now. I do still have a small amount of residual damage to my right side and figure that will always be with me but for the most part I have fully healed. I just have to watch my typing because my left hand moves faster than my right and have gotten used to my 'crooked' smile.

USF1970 Apprentice

I haven't had time to read all of the replies posted but wanted to add my experience. I fell three times in one year - once b/c my shoes were too big (I think), and another b/c I missed the curb but the third was a doozy. I was taking a walk on NYE (certainly alcohol wasn't involved), I had good shoes on, it was daylight and not for a minute did i feel dizzy but the next thing I knew, I was kissing the concrete and broke my elbow. I fell HARD. I had an MRI to make sure there was nothing going on and of course, saw a neurologist. Nothing could be determined but exactly a year after my fall, an endoscope revealed that I am somehow getting gluten = my villa is blunted and/or flattened (can they be both?). It's been over a year since I fell but I am now afraid to walk alone - afraid to walk period. I exercise only in the gym on a treadmill that I can hang onto. However, I have had no signs of dizziness or any of the other symptoms described. Just my experience......

IrishHeart Veteran

Before DX, I was "encouraged to exercise" by doctors, PTs and chiropractors who felt that "being out shape" was part of my problem. :blink: so I dutifully walked (dragged myself) on a treadmill at the gym 3X a week for 3 months. I would have to stop because I was dizzy --or because I had to use the bathroom AGAIN, ---but I held on for dear life on that thing. My head swam with tinnitis and what I call gluten buzz. My legs and back hurt and I could barely breathe without difficulty, but because I had "nothing wrong with me", I tried valiantly to get well by following their advice. Had to stop finally when I told hubs I could not feel my feet and the parasthesia and burning in my spine was getting worse. I did not even sweat in the dry sauna. :blink: Everyone was dripping wet, but my skin was only bright red and burning...that's it. Everything was malfunctioning.

The truth is, when you are malnourished, you simply cannot do what other people do.

Songbird1976 Rookie

Doctors thought I had MS for a while. I had gotten to the point where I needed Canadian Canes or a wall to be able to walk and when I fell I had a lot of trouble getting back up. About 6 months after diagnosis I caught myself running up the stairs without even thinking about it. I sat at the top and cryed.

I still had some balance issues for a while after that but by the 2 year point I had regained reflexes in my legs and could actually dance again.

Do be patient as it takes time for the nerves to heal. Some will heal more fully than others. I found I had to be VERY strict as the least CC would send me back to careening off of walls again for a couple weeks at least.

I am going on 10 years gluten-free now. I do still have a small amount of residual damage to my right side and figure that will always be with me but for the most part I have fully healed. I just have to watch my typing because my left hand moves faster than my right and have gotten used to my 'crooked' smile.

Thank you so much for sharing such a heartwarming story Ravenwoodglass. So much you have been through and such triumph too!! :) I can only imagine your excitement at running up those stairs and it gives me such hope... Much appreciated!! :D From one grateful crooked smile to another!

Songbird1976 Rookie

Before DX, I was "encouraged to exercise" by doctors, PTs and chiropractors who felt that "being out shape" was part of my problem. :blink: so I dutifully walked (dragged myself) on a treadmill at the gym 3X a week for 3 months. I would have to stop because I was dizzy --or because I had to use the bathroom AGAIN, ---but I held on for dear life on that thing. My head swam with tinnitis and what I call gluten buzz. My legs and back hurt and I could barely breathe without difficulty, but because I had "nothing wrong with me", I tried valiantly to get well by following their advice. Had to stop finally when I told hubs I could not feel my feet and the parasthesia and burning in my spine was getting worse. I did not even sweat in the dry sauna. :blink: Everyone was dripping wet, but my skin was only bright red and burning...that's it. Everything was malfunctioning.

The truth is, when you are malnourished, you simply cannot do what other people do.

IH it is totally amazing to me what you have experienced and endured. Means so much to me to be able to read and share your experience. Thank you very much for sharing. You are truly helping me before I do some very similar things and it's more than appreciated. I would have gone out and been a crazy person on my bicycle, falling only knows how many more times and possibly causing injuries. Now I know to walk and swim and WAIT :blink: and be patient and heal. Then take it one day at a time. That kind of insight is so invaluable. The peace of mind it brings, a true gift. My safety? well that is immeasurable. Thanks with all my Irish Heart :D I'm so thrilled you are doing so much better!!!

Songbird1976 Rookie

Just a little note... I am fortunate in that because of my migraines having been so severe for so long that I was able to see a very prominent specialist and did have scans CT and MRI and many things were ruled out... and yes "IrishHeart" they found nothing up there too!!! :lol: I will look to some new doctors to shed some light just to cover all the bases as recommended. I sure do feel lucky to have found out so many answers to so many questions so far, thank you to everyone who has responded thus far. The difference it has made is amazing. :)

ravenwoodglass Mentor

Just a little note... I am fortunate in that because of my migraines having been so severe for so long that I was able to see a very prominent specialist and did have scans CT and MRI and many things were ruled out... and yes "IrishHeart" they found nothing up there too!!! :lol: I will look to some new doctors to shed some light just to cover all the bases as recommended. I sure do feel lucky to have found out so many answers to so many questions so far, thank you to everyone who has responded thus far. The difference it has made is amazing. :)

You might want to check and see if the MRI showed any UBOs, Unidentified Bright Objects). Some doctors think these are normal. My neuro did and it cost me a few years. The UBOs are diagnostic of celiac autoimmune action in the brain but many doctors don't know that.

You mentioned in another post not being dizzy. I thought I should mention that I never was dizzy either. I was just always off balance with that progressing over a long time. Something that helped me a lot as I was healing was seeing a physical therapist. He watched me walk and did a few other tests and I went 2 to 3 times a week for a while. Don't know if that would be helpful for you.

IrishHeart Veteran

Like Raven, I have been in PT and MT for over a year now, regaining lost muscle mass and strength. Oddly, despite being very stiff (my muscles felt like wood back then, my MT says) and burning and sore, I was flexible, so I pushed myself to do things I probably shouldn't have. It got so bad I could not lift my arms, open a jar or turn my neck. One rheumy told me I could have ankylosing spondyloarthropy and had me take methotrexate (which I promptly threw up) and I told him after trying it for 2 weeks, Look, I do not have the markers for that, I am not taking that drug just to "see if it helps"!I never went back to him, and of course, like all the specialists I saw, he was wrong. :angry:

My legs seemed useless. I worried I had MS, like my cousin and dear friend.

EMGs and MRIs were normal, but small fiber neuoropathy is found in 16% of celiacs (but is NOT seen on regular EMGs) and as Raven also points out, lesions and UBOs (which several members have posted about on here) that may well be on those MRIs are, inexplicably ignored? :blink:

Sometimes, I felt as if I were walking on one of those walking sidewalks, like in airports? I said to my sister at one point, I feel like someone is slowly poisoning me with a neurotoxin. Like I was living in a bad dream. How crazy is that? yet, pretty close to the truth!

Essentially, the whole thing was just surreal. If I had not met other celiacs with the same neuro symptoms, I would have thought myself bonkers. When I met a woman last month who confessed she had hallucinated while on gluten, I filled up with tears. I hadn't told anyone (except my hubs--and that was well after the fact) about that, for fear the doctor would not take me seriously.

This thing screwed with my brain so much and when I think back on it, I am filled with dread that it would ever happen again. This is why I am so relentless (read that as a "pain in the arse" :lol: ) in making sure others are informed about the toxicity of gluten.

IrishHeart Veteran

I would have gone out and been a crazy person on my bicycle, falling only knows how many more times and possibly causing injuries. Now I know to walk and swim and WAIT :blink: and be patient and heal. Then take it one day at a time.

I know we talked about this on PMs, but hon---TIME is your ally.

Today and tomorrow are enough to focus on right now.

Take it slowly. Your body is "rebooting" itself. :) No one hates the thought of being patient more than I do. I lost so much time being sick and incapacitated and now, I just want go, go, go! and DO things, but my body is not entirely well, so I have to take it one day at a time. My vacation last month was a victory for me, but I spent 2 weeks recovering from it. :)

Ravenwoodglass, Gemini, and others who are 7 years or more gluten-free-- these are the people who will tell you it gets better each year and to just try and be patient. Your body will respond.

They are so right! ;)

Songbird1976 Rookie

I know we talked about this on PMs, but hon---TIME is your ally.

Today and tomorrow are enough to focus on right now.

Take it slowly. Your body is "rebooting" itself. :) No one hates the thought of being patient more than I do. I lost so much time being sick and incapacitated and now, I just want go, go, go! and DO things, but my body is not entirely well, so I have to take it one day at a time. My vacation last month was a victory for me, but I spent 2 weeks recovering from it. :)

Ravenwoodglass, Gemini, and others who are 7 years or more gluten-free-- these are the people who will tell you it gets better each year and to just try and be patient. Your body will respond.

They are so right! ;)

Oh I couldn't agree with you more. I was so good to myself this weekend. Instead of pushing it I went on one motorcycle ride (I was on the back) and no more bike riding but will swim and spa tomorrow. I like that idea of our body "rebooting" itself. I took to day and decided not to go on the 2nd lengthy motorcycle ride and just went for a nice car ride, then a walk and had a nice afternoon and enjoyed some garden veggies and time with a friend. I'm feeling very very lucky today. Your support is really great and helping me tremendously. Thank you IrishHeart!

I look forward to hearing from everyone of course! Such amazing people here it's very humbling and very heartwarming! :)

JoeBlow Rookie

Oh I couldn't agree with you more. I was so good to myself this weekend. Instead of pushing it I went on one motorcycle ride (I was on the back) and no more bike riding but will swim and spa tomorrow. I like that idea of our body "rebooting" itself. I took to day and decided not to go on the 2nd lengthy motorcycle ride and just went for a nice car ride, then a walk and had a nice afternoon and enjoyed some garden veggies and time with a friend. I'm feeling very very lucky today. Your support is really great and helping me tremendously. Thank you IrishHeart!

I look forward to hearing from everyone of course! Such amazing people here it's very humbling and very heartwarming! :)

The falling down is probably gluten ataxia. It goes along with peripheral neuropathy. 24% of celiacs make antibodies to their neurons. This means your central and peripheral nervous systems. Purkinje cells in your cerebellum are needed for balance and coordination, and can get killed by your immune system. There is information on the web that these cells do not regenerate. However, my doctor says they can regenerate. I am in a small online support group called "Celiac Brains", started by a woman who got on Social Security Disability. She had the dragging leg problem, and needs a wheelchair sometimes. Celiacs whose immune systems attack their brains are especially sensitive to gluten. I myself get the neuro symptoms even when I breathe too much where I can smell gluten. The woman who is disabled goes along with her husband and kids to eat in restaurants, and gets CC, and then is disabled for long periods. Her doctors do not know if she will get better this time. Pleased be careful! I really recommend that you never eat in restaurants unless they are totally gluten-free. Joking about nothing being in there on a brain scan is no joke. People with this problem have their brains shrink. If you want more information, I can provide links, or you can search for "gluten ataxia" or "Dr. Marios Hadjivassiliou". See the article at

Open Original Shared Link

pricklypear1971 Community Regular

I can't say anything new, but yes....I was a klutz that would walk into door frames. And the door frames weren't moving.

I noticed when I got glutened in Dec the clumsiness came back quickly. Especially in my fingers.

Vitams help me alot. I was low on d3, iron, b's. Still on supplaments.

Songbird1976 Rookie

I can't say anything new, but yes....I was a klutz that would walk into door frames. And the door frames weren't moving.

I noticed when I got glutened in Dec the clumsiness came back quickly. Especially in my fingers.

Vitams help me alot. I was low on d3, iron, b's. Still on supplaments.

Thanks PricklyPear... wow me too with the door frames. :unsure: Thanks for sharing and for letting me know it came back fast when glutened. I sure don't plan on that happening but I'm sure none of us does either. Hope you are feeling better now. :)

Songbird1976 Rookie

The falling down is probably gluten ataxia. It goes along with peripheral neuropathy. 24% of celiacs make antibodies to their neurons. This means your central and peripheral nervous systems. Purkinje cells in your cerebellum are needed for balance and coordination, and can get killed by your immune system. There is information on the web that these cells do not regenerate. However, my doctor says they can regenerate. I am in a small online support group called "Celiac Brains", started by a woman who got on Social Security Disability. She had the dragging leg problem, and needs a wheelchair sometimes. Celiacs whose immune systems attack their brains are especially sensitive to gluten. I myself get the neuro symptoms even when I breathe too much where I can smell gluten. The woman who is disabled goes along with her husband and kids to eat in restaurants, and gets CC, and then is disabled for long periods. Her doctors do not know if she will get better this time. Pleased be careful! I really recommend that you never eat in restaurants unless they are totally gluten-free. Joking about nothing being in there on a brain scan is no joke. People with this problem have their brains shrink. If you want more information, I can provide links, or you can search for "gluten ataxia" or "Dr. Marios Hadjivassiliou". See the article at

Open Original Shared Link

Thank you for sharing this article very much. I sure have a lot to think about and a lot to take in. :)

Songbird1976 Rookie

I haven't had time to read all of the replies posted but wanted to add my experience. I fell three times in one year - once b/c my shoes were too big (I think), and another b/c I missed the curb but the third was a doozy. I was taking a walk on NYE (certainly alcohol wasn't involved), I had good shoes on, it was daylight and not for a minute did i feel dizzy but the next thing I knew, I was kissing the concrete and broke my elbow. I fell HARD. I had an MRI to make sure there was nothing going on and of course, saw a neurologist. Nothing could be determined but exactly a year after my fall, an endoscope revealed that I am somehow getting gluten = my villa is blunted and/or flattened (can they be both?). It's been over a year since I fell but I am now afraid to walk alone - afraid to walk period. I exercise only in the gym on a treadmill that I can hang onto. However, I have had no signs of dizziness or any of the other symptoms described. Just my experience......

Very much appreciate you adding your experience USF1970. Have you found the source of your glutening?

IrishHeart Veteran

I really recommend that you never eat in restaurants unless they are totally gluten-free. Joking about nothing being in there on a brain scan is no joke. People with this problem have their brains shrink. If you want more information, I can provide links, or you can search for "gluten ataxia" or "Dr. Marios Hadjivassiliou". See the article at

Open Original Shared Link

No one is joking about other people's brains, or making light of ataxia, I assure you. We had it ourselves and recovered for the most part and we are trying to be encouraging, that's all.

Of course, NONE of what happened to us is funny. That's not what we meant at all.

I have provided the OP with all of these links to gluten ataxia on PM conversations, including this one. But it is very good of you to post it again!

There are many to be found here as well

Open Original Shared Link

Most notably, "Early diagnosis and treatment with a gluten free diet can improve ataxia and prevent its progression"

The OP has been to a neurologist.

Finding a totally gluten free restaurant--an entire restaurant that has never had ANY gluten products in it?-- is impossible, except for one. As far as I know, it's Sherry Lynn's in Latham, NY.

Are there others? Please let us know!!! :) We are grateful for any information!

Best wishes, IH

JoeBlow Rookie

Finding a totally gluten free restaurant--an entire restaurant that has never had ANY gluten products in it?-- is impossible, except for one. As far as I know, it's Sherry Lynn's in Latham, NY.

Are there others? Please let us know!!! :) We are grateful for any information!

Best wishes, IH

IrishHeart,

Thanks for the links, organization is not my forte.

As for totally gluten free restaurants, the ones I have been to probably don't compare to Sherry Lynn's.

In the Chicago area, there are:

Rose's Wheatfree Bakery and Cafe Open Original Shared Link

OMG It's Gluten Free Bakery and Cafe Open Original Shared Link

In the future, there will be Senza: Open Original Shared Link being established by the widow of the owner of Fatoush, which was sold.

Apparently the Great Taste Cafe closed, as have several other dedicated gluten-free restaurants around the country. Dedicated gluten-free Bakeries do better, such as Sweet Ali's www.sweetalis.com.

JoeBlow Rookie

OK, more dedicated gluten-free restaurants, which I have not been to,

in Colorado there is Coquettes Bistro and Bakery:

Open Original Shared Link

in Massachusetts there is Idgy's:

Open Original Shared Link

Get out and support these places, or they will be gone, like the others.

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      Hi @Charlie1946 I am so sorry to hear you are suffering with this problem.   Just a few other thoughts.  I had debilitating anxiety prior to my diagnosis.  I was never admitted to a hospital but thankfully had a lot of support from friends and family, and found a couple of publications contained really helpful advice:  for depression, The Depression Cure: The Six-Step Programme to Beat Depression Without Drugs by Dr Steve Llardi, and for debilitating anxiety, At Last A Life by Paul David.  Both can be ordered online, there is also a website for the latter.  If you are deficient in or have low iron or B12 this can cause or worsen mental health issues.  I am sure my own issues were caused by long-term deficiencies.   If you can get your blood tested, it would be useful.  In the case of iron, make sure you only supplement if you have a deficiency, and levels can be monitored, as too much iron can be dangerous. If you have burning mouth issues, very bad TMJ or neuralgia,  I understand the pain can be managed by the use of a certain class of medication like amitriptyline, which is also used to treat depression.  But there again, it is possible with the correct diet and supplementation these issues might improve? I do hope that you find relief soon. Cristiana
    • trents
      @Charlie1946, as an alternative to milk-based protein shakes, let me suggest whey protein. Whey and casein are the two main proteins found in milk but whey doesn't cause issues like casein can for celiacs. Concerning your question about celiac safe mental health facilities, unfortunately, healthcare facilities in general do not have good reputations for being celiac safe. Most celiacs find that they need to depend on family members to advocate for them diligently or bring in food from the outside. Training of staff is inconsistent and there is the issue of turnover and also cross contamination.
    • Charlie1946
      @knitty kitty are you kidding?  I had no idea about the casein!! No one ever mentioned that to me at all!! I basically live off that milk! I have also wondered if I have Sjorgen's , but I haven't been to the doctor yet. Can you get the TTFD over the counter? I do have dysphasia and I have lysine I just haven't been good about taking it. I am so glad I found this group and all of you with all this helpful information!! I thought I was going crazy!!  I have sebaceous hyperplasia too- is that related to Celiac?  OH , and I wanted to ask if there is a site where I could find information on mental health issues , with celiac safe facilities??
    • Charlie1946
      @trents, Hi, thank you for the reply, I used to be pretty good at taking my vitamins and supplements, because I also have PCOS, I have Barrett's esophagus, it's just too expensive to have it stretched all the time, and I also get kinda panicked when trying to swallow pills because of getting choked a lot before.  I think maybe the thrush made it worse, I just can't figure out why I can't get it to go away 
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