Malabsorption - Thoughts? Experiences? in Related Issues & Disorders Posted November 13, 2009 · Report to Admin Hi, I know this post is quite old, but wanted to mention the article I wrote a few months ago for celiac.com called "For Persistent Fatigue on a Gluten Free Diet, Consider Adrenal Fatigue". Also, you should know that guar gum is a good bulk forming laxative, although it's not a bowel stimulant. There's a difference. It definitely will promote regular bowel patterns. You can use guar gum in replacement of xanthan gum in all your baked goods. Guar gum is also cheaper. I also wrote an article that talks more about this, called "Xanthan Sensitivity May be Complicating Your Recovery" last year on celiac.com. I'm not writing to promote myself, but I honestly think these two articles have important information that may aid in your recovery. I've suffered from malabsorption, adrenal fatigue, and constipation, although for some reason I'm rarely anemic. It sounds like you're doing much better now. I hope you're able to keep up the running... Wendy Cohan, RN So I just went back to the doctor because I feel like hell. I just had a really bad glutening, but I was feeling really tired and lethargic for a month before that anyway. First, she ran some tests, including testing my vitamin D level. Does anyone else have problems with this? I looked into it, and it turns out that using any kind of laxative is bad for this. She told me I could use docusate sodium every day and that it was safe, since it isn't like exlax or fiber/gluten based. Still, is this worse than I thought? She gave me the prescription because I'm taking and eating a lot of iron, which really backs me up. I can't stop taking/eating iron, and I can't eat enough vegies to counteract the amount of iron I'm taking. She also ran other tests like blood count and B vitamins, but these have all been normal in the last two years so I don't expect those to be different. ------- Rant: I had to twist her arm to get tests for other fatigue issues like autoimmune problems. This woman still thinks I'm imagining things. If I'm willing to pay for it and I have a strong family history, why the heck shouldn't she test for it? I'm having trouble making it up the stairs without muscle fatigue even though I've been a runner for 10 years, and she just tells me to "try swimming because it uses different muscles," "try walking 15 minutes a day and working up," and "get back on the Prozac for energy." What. The. @#$&. I'm not even 30. Prozac? Yeah. I made an appointment with a doctor at Stanford as soon as I finished getting my labs done, when I was still in the parking lot.