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wondering

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wondering Newbie

I have been recently doing much research into different health issues and was led here. I was hoping someone could help to steer me a little bit. My health story, as brief as I can make it is: started noticing symptoms like chronic and debilitating fatigue, joint pain and brain fog after the birth of my first baby almost six years ago. I thought it was just being a new mom but it never went away. My first doctor visit was one year later and found out shortly after that I was expecting, so I chalked it up to being pg again. After birth of baby #2, symptoms remained and I went to three differnt drs about 6x over the last 4 yrs. Symptoms now include bloating, cramping, gas, pain in my wrist bones and knees, and easy bruising. Also I am having a hard time losing some extra weight and we have been having a hard time getting pg again. (It ususally takes me about 3 months to get pregnant, and we've been trying for almost a year now). I have always had to direct my doctors in suggesting what might be wrong with me. I have been tested for lyme, arthritis, anemia, thyroid and gluten intolerance (twice). My test results for that were as follows:

1st test 1 1/2 years ago - Gliadin IgG was 14.9 (<25 = neg) and Gliadin IgA was 5.0 (<25 = neg)

2nd test in Nov 04 - Gliadin IgG was 22.9 (<25 = neg), Gliadin IgA was 4.9 (<25 = neg), and endomysial IgA was neg.

Both times these test were done I had been gluten free for at least two weeks. I was wondering if that could affect the results, and if the tests I had done are reliable. I notice that when I go gluten free, my symptoms go away - but my doctors have told me it's basically all in my head. I'm getting very frustrated and sad, because my fatigue is so extreme that there are days I can only lay on the couch while my children entertain themselves.

Autoimmune diseases (rheumatoid arthritis, diabetes, and thyroid disease) are abundant in my immediate family and I just recently found out I am allergic to rice, dairy, nuts and some grains (as is my dad). Is celiac an actual allergy? The allergy test I had done measures whether my body is producing histamine in response to a certain food by measuring IgG antibody production. If I had a gluten intolerance would it have registered on this test? I'm trying to make sense of my symptoms. It's really hard to be commited to eliminating gluten (it's in everything!) when my doctors have said that is not my problem, even though I notice positive dietary results. I wonder if it's something else I am reacting to, and not the gluten. I don't trust myself anymore because the doctors have proved me wrong with every idea I come up with in terms of what is affecting me. They have told me it's either depression (I love my life and only feel depressed when I imagine feeling this horrible for the rest of my life), not enough exercise ( I work out 5x a week), or a sleep disorder (does that really cause cramps, bloating and gas?).

Any direction or help would be greatly appreciated. I'm learning to rely less on my doctors and more on what I know to be true with my own body, and the experiences of others. Thanks in advance!

Sorry, I tried to make this short but see how long it is now!


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jenvan Collaborator

Wondering--

Well, you definitely have a lot in common with other Celiacs! For one, you noticed your symptoms (which can be from Celiac), after a pregnancy, which is when some women notice their Celiac being triggered initally. All of your more recent symptoms are common for Celiacs too...the only one I haven't heard mentioned myself is bruising. (Do you have swelling of the ankles too ? Random question...)

Being gluten-free before receiving your blood test can definitely affect your results. For the most accurate results you need to be consuming gluten for several weeks. (Someone else can maybe give more info on how long is needed to eat gluten before rcving a test...)

Don't let your doctors discourage you by saying its all in your head--whether you have Celiac or something else--your symptoms are definitely not in your head ! Some doctors use that kind-of response when they are stumped. Try a new doctor if need be. If you let us know your area, someone might be able to recommend a doc for you.

Autoimmune illness (especially thyroid) and other food allergies are common for Celiacs. Celiac is not classified as an allergy however. It is an autoimmune disease where your immune system damages your small intestine when you consume the protein gluten, found in wheat, barley, rye and "oats". Go here to read about exactly what Celiac Disease is: Open Original Shared Link

Glad you have joined us here and that you are taking your health into your own hands. As you will soon find, that is what many of us here have had to do! I'm sure others will respond to you soon. But I suggest, finding a new doc if you need to, and get tested again after consuming gluten for a period of time. There are other labs that will test you also, besides using your doc. There are also several things you need to be tested for. I'll let Kaiti post those specifics, b/c she's good at it :)

Good luck to you, and keep us updated on your process !

KaitiUSA Enthusiast

Looking at the tests you had done you did not get the full panel you should have received. You do need to be on gluten during testing or it will affect your test results.

This is the panel you should get and the tTG is the most specific and sensitive test for celiac.

Anti-Gliadin (AGA) IgA

Anti-Gliadin (AGA) IgG

Anti-Endomysial (EMA) IgA

Anti-Tissue Transglutaminase (tTG) IgA

Total Serum IgA

If all of your testing you get done shows negative then it's possible that you a gluten intolerance and just not full blown celiac yet.

The symptoms are definitely not in your head so as Jen said, do not let the doctor tell you otherwise. You may in fact want to consider another doctor who may be a bit more informed about celiac. You'll find that alot of doctors don't know what they should about it. Also, pregnancy and childbirth can trigger celiac to activate.

Have you had your thyroid checked? I have graves disease (hyperthyroid) and thyroid issues are common among celiacs. In fact, my endocrinologist told me that she rarely sees celiacs with just celiac.

tarnalberry Community Regular

regardless of what your (likely not-well-educated on celiac) doctors say, the dietary challenge is a test in and of itself. if you know what makes you feel better, stick with it!

frenchiemama Collaborator

"I'm learning to rely less on my doctors and more on what I know to be true with my own body, and the experiences of others."

Same here. I don't have a whole lot of faith in doctors since I was told that my DH was "all in my head". Please.

If you feel better on the gluten-free diet, by all means continue it no matter what the doctors say. Many doctors aren't willing to accept that food intolerances can cause serious health problems.

LKelly8 Rookie

Vitamin K deficiency can cause easy bruising. I use an injectable medication so, needless to say, I noticed it right away! :blink:

plantime Contributor
regardless of what your (likely not-well-educated on celiac) doctors say, the dietary challenge is a test in and of itself. if you know what makes you feel better, stick with it!

Ditto Tiffany!!


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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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