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Newly diagnosed


Martin VeganTrailRunr

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Martin VeganTrailRunr Newbie

Hi, I've recently been diagnosed with Coeliac Disease (I'm a Brit so we spell it differently here). It's come as sort of a surprise at 52 years old. I had some minor stomach issues but I thought I just ate too much bread. The diagnosis came as a result of trying to find out why I have such a relentess fatigue. One that has all but ended my running for the time being.  All of my bloods were good bar the anti-ttg and that lead to me getting diagnosed.

That was 10 days ago. I've cut out all gluten obviously. Still getting stomach issues though. I had hoped they'd vanish overnight. I wonder if I also have an onion allergy or is it the case that some foods do upset the Coeliac stomach before it heals?

I'm a Vegan (since 2009) and a runner as already stated so if we have those things in common please say hi. Thank you for reading.


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Scott Adams Grand Master

Many people with celiac disease, especially those who are in the 0-2 year range of their recovery, have additional food intolerance issues which could be temporary. To figure this out you may need to keep a food diary and do an elimination diet over a few months.

Some common food intolerance issues are dairy/casein, eggs, corn, oats, and soy. The good news is that after your gut heals (for most people who are 100% gluten-free this will take several months to two years) you may be able to slowly add some these items back into your diet after the damaged villi heal.

This article may be helpful:

 

 

Martin VeganTrailRunr Newbie

Thank you Scott. A food diary is a great idea. I already try to eat as little onion as possible but it's in so much food. Fingers crossed that these symptoms vanish as I heal.

trents Grand Master

You probably also have vitamin and mineral deficiencies because of malabsorption from the blunted villi of the small bowel after years of celiac going undiagnosed. This would be very difficult to address apart from supplements for a vegan, especially in the B vitamin range and particularly B12.

Martin VeganTrailRunr Newbie

Thank you Trents. Oddly all my vitamin and mineral tests came back fine. I do take a supplement but also try to consume a balanced diet. It baffled my GP.

knitty kitty Grand Master

@Martin VeganTrailRunr,

Taking that supplement has probably masked any actual deficiencies you might have.  

Blood tests for vitamin and mineral deficiencies are not accurate.  They can reflect what one has consumed and absorbed from food or supplements in the previous twenty-four to forty-eight hours.  Blood tests do not accurately reflect how well the vitamins and minerals are being utilized inside cells.  

One should not take supplements for eight weeks prior to testing.  

One can have deficiency symptoms prior to changes in blood levels.  Stores of vitamins within cells can be depleted while blood levels remain constant to supply essential organs like the brain and heart.

Thiamine deficiency can produce symptoms of fatigue such as you talk about.  What was your Vitamin D level?

Sof Apprentice

Hi Martin!

Sofia from Spain here, also a vegan and rollerskater instead of runner ;)

I discovered my intolerance to gluten not so long ago, I was in denial for too much time and only definitely quit gluten in September 2020, when I was 44. I’ve had some slips due to eating out, about 5 or them. 

The big problem for me is addressing my other intolerances. One of them is oats, they give me random reactions and even worse than gluten. They give me much worse bloating and even extreme fatigue, headache and swelling in the face sometimes. I’ve had to quit having gluten free vegan desserts in restaurants since most of them contain oats. I have also problems with chocolate, it gives me acne (gluten gives me the worst cystic acne). As they suggested above, keeping a food diary and being vigilant is the best way to discover what triggers you.

I’m very looking forward to having my intestines finally in shape and be able to introduce chocolate again in my diet, I think it might be taking longer for me since I’ve been testing chocolate and oats every 3 months, the last time I tried I had a super strong reaction so I decided to completely quit for 2 years. Hope I can stick to it .

I wish you the best of luck!


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trents Grand Master
On 8/27/2023 at 2:39 PM, Martin VeganTrailRunr said:

Thank you Trents. Oddly all my vitamin and mineral tests came back fine. I do take a supplement but also try to consume a balanced diet. It baffled my GP.

Are you sure all your supplements are gluten free? Wheat starch can be used as a filler in pills.

Martin VeganTrailRunr Newbie

I only take one multivitamin and I'm as sure as I can be based on their website. 

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    • trents
      Welcome to the forum, @ABP! We can't comment on the test numbers you give as you didn't include the range for negative. Different labs use different units and different ranges. There are no industry standards for this so we need more information. If your daughter doesn't have celiac disease she still could have NCGS (Non Celiac Gluten Sensitivity) which some experts believe can be a precursor to celiac disease and is 10x more common than celiac disease. However, there is no test for it yet but it does share many of the same symptoms with celiac disease. Both require complete abstinence from gluten.  It is seldom the case during testing where all tests are positive, even for those who do have celiac disease. This is no different than when diagnosing other medical conditions and that is why it is typical to run numbers of tests that come at things from different angles when seeking to arrive at a diagnosis. It seems like you are at the point, since you have had both blood antibody testing and endoscopy/biopsy done, that you need to trial the gluten free diet. If her symptoms improve then you know all you need to know, whatever you label you want to give it. But given that apparently at least one celiac antibody blood test is positive and she has classic celiac symptoms such as slow growth, constipation and bloating, my money would be on celiac disease as opposed to NCGS.
    • ABP
      My nine-year-old daughter has suffered with severe constipation and bloating for years as well as frequent mouth sores, and keratosis Polaris on her arms. She also has recently decreased on her growth curve her % going down gradually.  After seeing a gastroenterologist, her IgG GLIADIN (DEAMIDATED) AB (IGG) was 22.4 while her IGA was normal. Her TISSUE TRANSGLUTAMINASE AB, IGA was 11.9.  Most recently her genetic test for celiac was positive.  After an endoscopy her tissue showed inflammation of the tissue as well as , increased intraepithelial lymphocytes (IELs) but there was no blunting of the change in the villi.    It seems that every result that we get one out of two things positive rather than all leading to an inconclusive diagnosis. While we do have another appointment with the doctor to go over the results. I'm curious based on this information what others think.    I would hate to have her eliminate gluten if not necessary- but also don't want to not remove if it is necessary.    Signed Confused and Concerned Mama
    • Scott Adams
      I guess using "GF" instead of "PL" would have been too easy! 😉
    • trents
      I was wrong, however, about there being no particular health concerns associated with high total IGA: https://www.inspire.com/resources/chronic-disease/understanding-high-iga-levels-causes-impacts/ So maybe the physician's "borderline" remark is relevant to that.
    • trents
      Sometimes that is the case but what is curious to me is the remark by your physician about being "borderline". I assume he was referring to the total IGA score but it just seems like an irrelevant remark when it is on the high side rather than being deficient.
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