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Endurance Issues And Exercise Intolerance


Jen-1984

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Jen-1984 Apprentice

New here and I wanted to just ask if any of you have had issues with exercise, especially those of you who used to be athletic and then "came down" with celiac/gluten intolerance. When I was 21 I was very active, fit, had a great amount of energy and could exercise quite a bit, running for about an hour everyday and lifting weights. Then I came down with feeling fatigued, and feeling worse after exercise, feeling like my body was inflamed. I have been tested for lupus, RA, and several other autoimmune disorders and come out that they are negative. The only test to be positive/elevated ever was the deamidated gliadin peptide IgG. I miss exercising so much, but it seems like when I do, my body reacts negatively. Has anyone ever experienced this? Fatigue after exercise, pain in joints, lack of endurance and feeling like your body gets inflamed afterwards? I am new to the gluten-free diet, only been seriously on it for a day and a half so I haven't seen any major improvements in symptoms yet. Thanks in advance.


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Carebear Apprentice

I definitely had problems like this when I was first diagnosed and when glutened now - even if it was only a small amount. It was AWFUL! I mountaineer, so I went from 20+ mile and crazy elevation gain hiking/climbing trips to barely being able to move around my apartment. Do you have edema? Bad edema days make me feel weighty and sluggish (and I am weighty with edema - I lost 15lbs of water weight within 4 days of going gluten free - seriously not kidding!). Stick to the diet, especially if your IgG level is super elevated. I had a positive biopsy but my only positive blood test was the IgG which was 4x higher than the normal level. IgG's are not specific, meaning they can bind to other similar proteins in addition to gluten. I started out on the SCD diet when I was first diagnosed because I was reacting to all grains and some other proteins that are supposedly similar to gluten, but now that my antibody levels are normalizing I've been able to start eating more. Sorry that was a bit rambly - it's getting late over here!

prizm99 Newbie

Last summer I was able to exercise. I've never had it easy where I could exercise and not feel like my body was inflamed. However, last summer I was able to bike and feel fairly good. Then fall came and I haven't been able to exercise since. January I started a strict gluten free diet. I haven't started back up exercising yet but I feel like I might be able to ease into some walking soon. I have also been tested for RA and lupus which both came back negative. Sorry I can't tell you if it gets better with time but I understand your frustration. I've gained a lot of my weight back since last summer. :(

zamm0 Apprentice

New here and I wanted to just ask if any of you have had issues with exercise, especially those of you who used to be athletic and then "came down" with celiac/gluten intolerance. When I was 21 I was very active, fit, had a great amount of energy and could exercise quite a bit, running for about an hour everyday and lifting weights. Then I came down with feeling fatigued, and feeling worse after exercise, feeling like my body was inflamed. I have been tested for lupus, RA, and several other autoimmune disorders and come out that they are negative. The only test to be positive/elevated ever was the deamidated gliadin peptide IgG. I miss exercising so much, but it seems like when I do, my body reacts negatively. Has anyone ever experienced this? Fatigue after exercise, pain in joints, lack of endurance and feeling like your body gets inflamed afterwards? I am new to the gluten-free diet, only been seriously on it for a day and a half so I haven't seen any major improvements in symptoms yet. Thanks in advance.

I think that's the key point and that you need to give things a few months, possibly even a year or two. I get the impression you are still fairly young? Plenty of time to get fit again and achieve all those goals.

NorthernElf Enthusiast

I have my ups & downs.....and wow, I too have had RA, Lupus, etc. tests. Last April I had an MRI and the rheumy told me it looked like MS (!). I saw a neurologist and he pretty much ruled that out. I have since seen that Celiac can cause simliar brain changes. My symptoms were lots of joint pain - whole body but particularly the hands/wrists/elbows....some knee/ankle.....classic RA symptoms, and the fatigue etc. Fibromyalgia have been suggested too but there isn't a definitive test - & I have no interest in meds. A couple of months ago I had wicked neck spasms that was helped by a massage (ouch) and some muscle relaxants.

These days I work mornings, rest a couple of hours in the afternoon (read/watch my shows), then run & get my kids, make supper, etc. I need my breaks. Having said that, I teach fitness & am very active, it has always been my coping mechanism ! Days I don't do anything are way worse - went away for a hockey tournament with my boys and I was very sore.

I'm not sure how much of this is celiac or fibro or what. Sucks though ! Activity is my medicine - good days I participate more in my classes, bad days I talk more, do yoga, or walk for my own activity....stretch a lot !

  • 1 month later...
Assaf Newbie

About four months ago I started developing quite suddenly severe knee and muscle pains in my quads/hamstrings. I assumed this was due to exercise as I was increasing my workload gradually and was doing about 6 hours of cardio a week at the time. I went to a sports medicine doctor which diagnosed it as IT band syndrome and sent me to physical therapy. The therapy didn’t help, and the symptoms spread to other joints and muscles. Eventually I went to my primary care doctor which tested me for lupus, RA, Lyme and  toxoplasmosis  -  all were negative.

 

I had googled the symptoms and gluten intolerance did fit some of the symptoms, but I had no digestive symptoms so initially I assumed it wasn’t the problem, but eventually I was getting very frustrated with  the constant pain and not being able to exercise that I decided I might as well give the gluten free diet a chance. Within two days I could feel the difference, and four weeks into the gluten free diet I would say I’m about 95% back to normal.

 

It’s a bit disappointing that I was the one to come up with the answer after three months of suffering  and $1500 worth of tests, rather than a doctor, but I guess I’m happy to be back to normal.

 

It’s quite amazing just how widespread and diverse the pain was, I was getting joint pains in basically every joint of my body, ligaments and tendons would hurt, needle prick and some longer lasting burning sensations in muscles, joint clicking in the spine, skin sensitivity, and the most concerning was a feeling of individual muscle fibers tearing when performing routime every day motions. Essentially my whole body was hurting one way or another.

dilettantesteph Collaborator

I was also very active.  I mainly did ballet and skiing, quite hard core.  Then illness set it.  It crept up over many years.  I have a rowing machine, Concept 2, and did their Christmas challenge every year and kept records.  After diagnosis I was able to look back and see how I had gotten worse and worse.  I had thought that it was normal aging.  It took me awhile to learn the diet and heal, but I was able to regain the ability that I had from 15 or so years earlier.  I decided to challenge myself with a mini triathlon to do a year after diagnosis.  When I started training, I couldn't even run all the way around the block.  After a few months of training I did a 5K and was in the middle or so.  I did the mini triathlon and finished respectfully for an aging woman.  

 

Your athletic ability will come back.  Give it time, meanwhile, physical activity helps me handle glutenings.  Keep it up.


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  • 5 weeks later...
taynichaf Contributor

New here and I wanted to just ask if any of you have had issues with exercise, especially those of you who used to be athletic and then "came down" with celiac/gluten intolerance. When I was 21 I was very active, fit, had a great amount of energy and could exercise quite a bit, running for about an hour everyday and lifting weights. Then I came down with feeling fatigued, and feeling worse after exercise, feeling like my body was inflamed. I have been tested for lupus, RA, and several other autoimmune disorders and come out that they are negative. The only test to be positive/elevated ever was the deamidated gliadin peptide IgG. I miss exercising so much, but it seems like when I do, my body reacts negatively. Has anyone ever experienced this? Fatigue after exercise, pain in joints, lack of endurance and feeling like your body gets inflamed afterwards? I am new to the gluten-free diet, only been seriously on it for a day and a half so I haven't seen any major improvements in symptoms yet. Thanks in advance.

I used to be very active when I was younger... As i got older I got more and more tired. I had unexplained weight gain, so I forced myself to exersize and eat healthy(whole wheat bread.....)  tortured myself and finally got to my goal weight.. then i ended up gaining it all back(about 15 pounds) within two weeks! Getting off topic...lol. But anyways, I would force myself to workout despite fatigue, but now I am at the point where even thinking about exercise makes me exhausted! I gave up running awhile ago because I lost my good endurance I guess.. I got into weight lifting, and now I gave that up too because I just cant push myself like i used to :( I can't even get myself to try ONE push-up, because the thought just exhausts me!... And I think I'm afraid to see how week i've become...

 

Good luck on the gluten free diet! I'm sure you'll get all your energy back so you'r able to exercise! :)

Deaminated Marcus Apprentice

When I went gluten free in October 2010, I had so much energy I could exercise and Iost weight.

Not only that, I could do heavy dumbell curls without the reoccuring forearm tendon injuries of the past

.

In my gluten challenge, I'm just dragging myself and in so much pain,

yet I tested negative for the Celiac panel so I don't know anymore.

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
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    • Jack Common
      Hello! I want to share my situation. I had symptoms like some food intolerance, diarrhea, bloating, belching one year ago. I thought I could have celiac disease so I did the blood tests. The results were ambiguous for me so I saw the doctor and he said I needed to do tests to check whether I had any parasites as well. It turned out I had giardiasis. After treating it my symptoms didn't disappear immediately. And I decided to start a gluten free diet despite my doctor said I didn't have it. After some time symptoms disappeared but that time it wasn't unclear whether I'd had them because of eliminating gluten or that parasite. The symptoms for both are very similar. Giardiasis also damages the small intestine. The only way to check this was to start eating bread again as I thought. Now about my results.   These are my first test results (almost a year ago) when I had symptoms: The Tissue Transglutaminase IgA antibody - 0.5 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) The Tissue Transglutaminase IgG antibody - 6.6 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) Immunoglobulin A - 1.91 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) IgA Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) IgG Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) Deamidated gliadin peptide IgA - 0.3 U/ml (for the lab I did the tests 0.0 - 6.0 is normal) Deamidated gliadin peptide IgG - 46.1 U/ml (for the lab I did the tests 0.0 - 6.0 is normal)   Then I didn't eat gluten for six months. Symptoms disappeared. And I started a gluten challenge. Before the challenge I did some tests. My results: The Tissue Transglutaminase IgG antibody - 0.5 U/ml (for the lab I did the tests < 20 U/ml is normal)) Deamidated gliadin peptide IgG - 28 U/ml (for the lab I did the tests < 20 U/ml is normal)   During the challenge I ate 6 slices of wheat bread. After the challenge my results are: The Tissue Transglutaminase IgA antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) The Tissue Transglutaminase IgG antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.31 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgA - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Deamidated gliadin peptide IgG - 2.13 U/ml (for the lab I did the tests < 20 U/ml is normal)   To be sure I continued consuming gluten. I ate a lot each day. Two months after I did the tests again. My results I got today are: The Tissue Transglutaminase IgA antibody - 0.7 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.62 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgG - 25.6 U/ml (for the lab I did the tests < 20 U/ml is normal)   Nowadays I didn't have any symptoms except tiredness but I think it's just work. I think it was this parasite because two years ago, for example, and before I didn't have these symptoms and I always ate gluten food. But I'm still not sure especially because the Deamidated gliadin peptide IgG results are sometimes high. What do you think? @Scott Adams
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