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Showing results for tags 'vitamin d deficiency'.
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Celiac.com 04/29/2024 - Getting enough calcium in the diet is essential for people of all ages, as this mineral performs many important functions in the body. In addition to bone health, calcium is required for muscle contractions, nerve impulses, normal blood clotting and regulating blood pressure. It may also offer protection from colon cancer. Children and adults with celiac disease need to pay particular attention to calcium and other nutrients as many already have or will develop early bone disease such as osteopenia or osteoporosis. Osteopenia is low bone mineral density and osteoporosis is characterized by a significant decrease in bone mass resulting in brittle, easily broken bones. The hip, spine and wrist are most susceptible to fracture. Early diagnosis and treatment of celiac disease is critical for the prevention of bone disease. To maintain good bone health it is important that all people with celiac disease have routine bone density tests done to assess their overall bone health, and to follow the tips outlined below. Follow a strict gluten-free diet Healthy villi will result in normal absorption of nutrients. Meet your daily calcium requirements Table 1: Dietary Reference Intake for Calcium /* DivTable.com */ .divTable{ display: table; width: 100%; } .divTableRow { display: table-row; } .divTableHeading { background-color: #EEE; display: table-header-group; } .divTableCell, .divTableHead { border: 1px solid #999999; display: table-cell; padding: 3px 10px; } .divTableHeading { background-color: #EEE; display: table-header-group; font-weight: bold; } .divTableFoot { background-color: #EEE; display: table-footer-group; font-weight: bold; } .divTableBody { display: table-row-group; } Age Calcium (mg/day) Infants 0- 6 months 7-12 months 210 270 Children 1-3 years 4-8 years 500 800 Females and Males 9-13 14-18 19-30 31-50 51-70 71 + 1300 1300 1000 1000 1200 1200 Choose calcium-rich foods See Table 2 for a list of gluten-free foods. Remember that not all calcium sources are created equal. Milk (fl uid, powdered or evaporated) and milk products such as cheese and yogurt contain the most readily available source of calcium. Other foods such as salmon and sardines with the bones, calcium-fortifi ed beverages (soy, rice and orange juice), tofu made with calcium sulfate and vegetables (broccoli, collards, kale, mustard greens, turnip greens and bok choy) also contain calcium that is easily absorbed by the body. However, the calcium found in almonds, sesame seeds, dried beans and spinach are absorbed less effi ciently because these foods contain calcium-binding substances called oxalates. Although the calcium content of these foods should not be counted as part of your daily calcium intake; they do provide many other nutrients important for good health. Table 2 Calcium Content of Gluten-Free Dairy Foods /* DivTable.com */ .divTable{ display: table; width: 100%; } .divTableRow { display: table-row; } .divTableHeading { background-color: #EEE; display: table-header-group; } .divTableCell, .divTableHead { border: 1px solid #999999; display: table-cell; padding: 3px 10px; } .divTableHeading { background-color: #EEE; display: table-header-group; font-weight: bold; } .divTableFoot { background-color: #EEE; display: table-footer-group; font-weight: bold; } .divTableBody { display: table-row-group; } Food Serving Calcium (mg) Buttermilk 1 cup (250 ml) 303 Cheddar cheese 2 oz. (50 g) 350 Cottage cheese, creamed ½ cup (125 ml) 76 Feta cheese 2 oz (50 g) 255 Ice cream ½ cup (125 ml) 90 Milk (whole, 2%, 1%, skim) 1 cup (250 ml) 315 Milk (chocolate) 1 cup (250 ml) 301 Milk, powder, dry 3 Tbsp. (45 ml) 308 Mozzarella cheese 2 oz (50 g) 287 Parmesan cheese, grated 3 Tbsp. (45 ml) 261 Processed cheese slices 2 regular (62 g) 384 Swiss cheese 2 oz (50 g) 480 Yogurt, fruit-flavored ¾ cup (175 g) 240 Yogurt, plain ¾ cup (175 g) 296 Table 2: Calcium Content of Other Gluten-Free Foods /* DivTable.com */ .divTable{ display: table; width: 100%; } .divTableRow { display: table-row; } .divTableHeading { background-color: #EEE; display: table-header-group; } .divTableCell, .divTableHead { border: 1px solid #999999; display: table-cell; padding: 3px 10px; } .divTableHeading { background-color: #EEE; display: table-header-group; font-weight: bold; } .divTableFoot { background-color: #EEE; display: table-footer-group; font-weight: bold; } .divTableBody { display: table-row-group; } Food Serving Calcium (mg) Almonds ½ cup (125 ml) 200* Baked beans 1 cup (250 ml) 163* Bok choy, cooked ½ cup (125 ml) 84 Broccoli, cooked ½ cup (125 ml) 38 Collards, cooked ½ cup (125 ml) 81 Orange juice, calcium fortified 1 cup (250 ml) 300-350 Salmon, sockeye, canned with bones Half a 7.5 oz (213 g) can 243 Sardines, canned with bones 6 medium (72 g) 275 Sesame seeds ½ cup (125 ml) 89* Soybeans, cooked ½ cup(125 ml) 93 Soy beverage, fortified 1 cup (250 ml) 312 Tofu, regular, processed with calcium sulfate** 1/3 cup (100 g) 150 * The calcium from these sources is absorbed less efficiently by the body. ** The calcium content of tofu is an approximation based on products available on the market. Calcium content can vary greatly from one brand to another and can be low. Tofu processed with magnesium chloride also contains less calcium. Consider calcium supplementation If you are unable to consume enough dietary calcium you many to need a gluten-free calcium supplement. Look for the amount of “elemental calcium” on the label. Your body can only absorb 500 mg at one time therefore it is best to divide your dose throughout the day. Calcium carbonate is more slowly absorbed and should be consumed with meals. Calcium citrate is well absorbed with meals or an empty stomach. Bone meal or dolomite calcium supplements are not recommended as some products have been found to contain lead and mercury. Limit caffeine intake Studies have shown that caffeine increases calcium loss through the urine. Most experts agree that 2-3 cups of coffee/day is probably not harmful provided that calcium intake is adequate, so limit your coffee and cola intake. Limit sodium intake Sodium also has been shown to increase the loss of calcium through the urine. Therefore it is advisable to limit your intake of processed foods, table salt and salt in cooking. Get enough Vitamin D Vitamin D helps the body use the calcium in food. It can increase calcium absorption by as much as 30-80 %. See Table 3 for the Dietary Reference Intake for vitamin D. The easiest way to get vitamin D is from exposure to sunlight, which causes the body to make its own vitamin D. All you need is 15 minutes per day; however, aging significantly decreases 1) the ability of the skin to produce vitamin D and 2) kidney function that is involved in converting the inactive to active form of vitamin D. Also, sunscreen blocks the production of vitamin D in the skin. Another concern is that between the months of October and March in Canada and the northern USA, vitamin D synthesis in the skin is very limited. To make up for the lack of sunlight look for other sources of vitamin D listed in Table 4, and remember the points below. Table 3: Dietary Reference Intake for Vitamin D /* DivTable.com */ .divTable{ display: table; width: 100%; } .divTableRow { display: table-row; } .divTableHeading { background-color: #EEE; display: table-header-group; } .divTableCell, .divTableHead { border: 1px solid #999999; display: table-cell; padding: 3px 10px; } .divTableHeading { background-color: #EEE; display: table-header-group; font-weight: bold; } .divTableFoot { background-color: #EEE; display: table-footer-group; font-weight: bold; } .divTableBody { display: table-row-group; } Age Vitamin D (IU) Birth – 50 years 200 51- 70 years 400 Over 70 years 600 Milk is fortified with vitamin D but most other dairy products such as cheese, yogurt and ice cream are not fortified. Recently some companies have been adding vitamin D to other dairy products so be sure to read the ingredient label and nutrition panel. Fatty fish (sardines, salmon and herring) and cod liver oil and halibut liver oil are high in vitamin D. Many soy and rice beverages are fortified with vitamin D. Check the ingredient list carefully as some products may contain barley malt extract/flavoring and must be avoided. Nut beverages (e.g. Blue Diamond Almond Breeze) and potato beverages (e.g. Vances DariFree) are fortified with vitamin D. Multivitamin supplements usually contain 200-400 IU of vitamin D. Some calcium supplements may contain vitamin D. Amounts vary so check the label. Table 4: Sources of Vitamin D /* DivTable.com */ .divTable{ display: table; width: 100%; } .divTableRow { display: table-row; } .divTableHeading { background-color: #EEE; display: table-header-group; } .divTableCell, .divTableHead { border: 1px solid #999999; display: table-cell; padding: 3px 10px; } .divTableHeading { background-color: #EEE; display: table-header-group; font-weight: bold; } .divTableFoot { background-color: #EEE; display: table-footer-group; font-weight: bold; } .divTableBody { display: table-row-group; } Food Serving Size Vitamin D (IU) Cod liver oil Cod liver oil capsule 1 tsp. (5 ml) 1 capsule 450 100 Halibut liver oil capsule 1 capsule 400 Sardines, canned 3.5 oz (100 g.) 300 Salmon, canned, with bones 3.5 oz (100 g.) 500 Egg 1 medium 25 Milk 1 cup (250 ml) 90 Soy Beverage (fortified) 1 cup (250 ml) 90 Don’t just sit there…get moving! Regular weight bearing exercises such as walking, stair climbing, dancing and tennis and muscle-strengthening exercises can reduce the risks of falls and fractures. Consult your doctor before beginning a vigorous exercise program. So remember the ABC’s…All Bones Need Calcium, Vitamin D and Exercise!
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Celiac.com 01/19/2022 - A number of researchers have encouraged screening children with celiac disease for vitamin D status, but, so far, studies to support these recommendations have not been definitive. A team of researchers recently set out to assess the vitamin D status in newly diagnosed children with celiac disease and in a non-celiac disease control population and relate them to vitamin D intake. The research team included Rajni Ahlawat; Toba Weinstein; James Markowitz; Nina Kohn; and Michael J. Pettei. They are variously affiliated with the Division of Pediatric Gastroenterology, Hepatology & Nutrition, Steven and Alexandra Cohen Children's Medical Center; and the Department of Biostatistics, Feinstein Institute for Medical Research, NY. For their study, they team assessed levels of serum 25-hydroxyvitamin D (25-OHD) in children with newly diagnosed celiac disease, and compared them against non-celiac children seen for functional abdominal complaints. The team calculated vitamin D intake based on milk and multivitamin ingestion. The researchers studied nearly forty newly diagnosed celiac disease patients ranging from about eight to thirteen years old, and evenly divided between girls and boys, along with just over eighty control subjects. Except for average daily D intake and BMI, both groups were similar. There was no meaningful difference in average 25-OHD levels between celiac disease patients and control subjects. Nearly seventy percent of celiacs and eighty percent of control subjects showed high percentages of suboptimal D status. 25-OHD levels reflected patient age, and estimated vitamin D intake. The data showed no significant difference in 25-OHD levels between newly diagnosed celiac disease and control subjects, with both groups showing inadequate 25-OHD levels. Patient 25-OHD levels correlated strongly with vitamin D intake, indicating similar vitamin D absorption between patients and control subjects. Because celiac disease is associated with low vitamin D levels and with bone disease, the researchers suggest that doctors should work with patients to maintain optimal levels of vitamin D, including screening vitamin D levels upon diagnosis for celiac disease. Read more in the Journal of Pediatric Gastroenterology and Nutrition, October 2019, Volume 69 - Issue 4 - p 449-454
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Iron: 17 mcg/dL (Low) November 11, 2016 Ferritin: 1.8 ng/mL (Low) November 11, 2016 RBC: 4.05x10^6/uL (Low) November 11, 2016 Hemoglobin: 8.5 gm/dL (Low) November 11, 2016 Vitamin D: 25.7 ng/mL (Low) February 22, 2017 ANA Profile : February 27, 2017 FANA: Positive FANA Titer: 1:640 FANA Pattern: Homogenous Gliadin IgA: 2 units June 29, 2017 Gliadin IgG: 3 units June 29,2017 TTG Ab IgA: <1 units/mL June 29, 2017 TTG Ab IgG: <1 units/mL June 29, 2017 Immunoglobulin A: 59.1 mg/Dl (Low) July 10, 2017 Immunoglobulin M: 44.2 mg/Dl (Low) July 10,2017 Immunoglobulin G: 1010.0 mg/Dl (Normal?) July 10, 2017 Immunoglobulin E: 5 KU/L July 10,2017 My RBC and Hemoglobin have come up and are normal. My iron levels will get high (too high) when I take 65 mg elemental iron twice a day for several weeks but my ferritin has never gotten over 42 ng/mL. When I stop taking my iron supplement my iron and ferritin plummet in just a matter of weeks. My hair is falling out, I get rapid heartbeat when I get too low on iron and if I get my iron too high. My whole body hurts especially my finger joints, back , knees and really all of my joints. Going to the bathroom at least 2 times day and sometimes up to 5 times a day. Extreme fatigue, Brain fog, extremely emotional and irritable. I just went gluten free July 1, 2017 and am starting to feel better. Joints feel better, I can sleep better, my mood is better. Celiac or maybe just gluten sensitive? Any thoughts? What do my labs say about me?
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