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Gluten Intolerance Help?


BME21

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BME21 Apprentice

Hi All! 

A little lengthy story here, so I will cut it short. 

Last year I started getting symptoms resembling celiac disease. I did the gluten challenge and my tests came back "negative." However, I don't think I was told the right amount of gluten to be eating for this challenge. I had an upper endoscopy done that showed "negative" as well. 

I started eating gluten again for a couple of months & then went to a holistic doctor since my GI sent me out the door with a low fodmap food paper haha even though I felt like something was really wrong with me. 

Symptoms:

unintentional weight loss

fatigue

joint pain/inflammation in body

Dry skin/scalp

Stomach/bladder just feeling inflamed/irritated 

rash on upper stomach 

loose stools 

neuropathy type feeling in my legs and feet (tingling)

I went to this holistic doctor who did a GI map test on me and an intestinal permeability test which showed I had a high wheat sensitivity and intestinal permeability was pretty bad. 

I then started doing a gluten free diet, however, I started to reacting to even most gluten free foods. (Tapioca starch, etc.)

My food list is pretty limited and healthy today. I am trying to heal my gut & gut lining to see if I can get any weight back. 

Does this sound like anything that anyone on this forum has experienced? It has been a pretty bad year for me. I am taking a bunch of supplements and also taking L Glutamine to help try and heal my gut. Although, I know this can take some time? Any feedback is appreciated. :) Thank you! 


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Wheatwacked Veteran

 

Supplements: B12;B complex;B5 1000 mg;Phosphotidyl Choline 840 mg;Lithium 5 mg;Dhea 100 mg;vitamin C 1000 mg;Calcium 1000 mg;vitamin D3 250 mcg (10,000 IU); 7.5mg Nori (for iodine); 20 ml Cod Liver Oil (vitamin A and omega 3); 2 ounces of almonds (for vitamin E); 10 mg fresh parsley (vitamin K). Goal of 4700mg potassium a day from food. I chose them after tracking my nutrient intake every day for almost two years. While healing you need more than just the minimum recommended vitamins and minerals. Beans are an excellant source for potassium, folate and phosphorus.

My diet: http://nutrientlog.doodlesnotes.net/

My list is like yours but I had 18 different symptoms that cleared up with GFD  including lifelong mouth breathing, sleep apnea and prostate hypertrophy. My prostate was diagnosed in 1971 and is no longer a problem.

Scott Adams Grand Master

Welcome to the forum @BME21

It does sound possible that you were not eating enough gluten before your celiac disease screening for it to allow for a positive test, but it's not clear how much gluten you were eating before the tests, and for how long. Normally you would eat 2 slices of wheat bread for 6-8 weeks before a blood screening, and for 2 weeks before an endoscopy.

Also, there is a condition called non-celiac gluten sensitivity (NCGS) which around 10x more people have than have celiac disease, but unfortunately there isn't yet a test for this, however if you have this you still need to be on a gluten-free diet.

To me it sounds like you likely are in the NCGS category, and to get a diagnosis of celiac disease you might need to do a gluten challenge and get re-tested:

 

BME21 Apprentice
1 hour ago, Scott Adams said:

Welcome to the forum @BME21

It does sound possible that you were not eating enough gluten before your celiac disease screening for it to allow for a positive test, but it's not clear how much gluten you were eating before the tests, and for how long. Normally you would eat 2 slices of wheat bread for 6-8 weeks before a blood screening, and for 2 weeks before an endoscopy.

Also, there is a condition called non-celiac gluten sensitivity (NCGS) which around 10x more people have than have celiac disease, but unfortunately there isn't yet a test for this, however if you have this you still need to be on a gluten-free diet.

To me it sounds like you likely are in the NCGS category, and to get a diagnosis of celiac disease you might need to do a gluten challenge and get re-tested:

 

Hey - Thank you so much for your response! That was all so helpful. I don't feel like I was eating the correct amount for the length of time at all then. 

I also feel like I might be one of those that fall into that NCGS category. I will have to look at either doing the gluten challenge again and retesting or just staying away from gluten moving forward. 

I appreciate your help. :)

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    • trents
      I would ask for a total IGA test (aka, Immunoglobulin A (IgA) and other names as well) to check for IGA deficiency. That test should always be ordered along with the TTG IGA. If someone is IGA deficient, their individual celiac IGA test scores will be artificially low which can result in false negatives. Make sure you are eating generous amounts of gluten leading up to any testing or diagnostic procedure for celiac disease to ensure validity of the results. 10g of gluten daily for a period of at least 2 weeks is what current guidelines are recommending. That's the amount of gluten found in about 4-6 slices of wheat bread.
    • jlp1999
      There was not a total IGA test done, those were the only two ordered. I would say I was consuming a normal amount of gluten, I am not a huge bread or baked goods eater
    • trents
      Were you consuming generous amounts of gluten in the weeks leading up to the blood draw for the antibody testing? And was there a Total IGA test done to test for IGA deficiency?
    • jlp1999
      Thank you for the reply. It was the TTG IGA that was within normal limits
    • trents
      Welcome to the forum, @jlp1999! Which IGA test do you refer to as being normal? TTG-IGA? Total IGA? DGP-IGA? Yes, any positive on an IGA or an IGG test can be due to something other than celiac disease and this is especially true of weak positives. Villous atrophy can also be cause by other things besides celiac disease such as some medications, parasitic infections and even some foods (especially dairy from an intolerance to the dairy protein casein). But the likelihood of that being the case is much less than it being caused by celiac disease.
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