Appropriate Nutrient Supplementation In Coeliac Disease
The title of this post, is the same as that of this article on PubMed.
I choose this article, as the abstract gave a good list of related problems to coeliac disease.
This is the abstract.
Reduced levels of iron, folate, vitamin B12, vitamin D, zinc, and magnesium are common in untreated celiac disease (CD) patients probably due to loss of brush border proteins and enzymes needed for the absorption of these nutrients. In the majority of patients, removal of gluten from the diet leads to histological recovery and normalization of iron, vitamin, and mineral levels. Iron deficiency anemia is the most common extra-intestinal sign of CD and usually resolves with adherence to a gluten-free diet. However, deficiencies of both folate and vitamin B12 may persist in some patients on a gluten-free diet, thus requiring vitamin supplementation to improve subjective health status. Similarly, exclusion of gluten from the diet does not always normalize bone mineral density; in these cases, supplementation of vitamin D and calcium is recommended. Resolution of mucosal inflammation may not be sufficient to abrogate magnesium deficiency. Since gluten-free cereal products have a lower magnesium content as compared with gluten-containing counterparts, a magnesium-enriched diet should be encouraged in CD patients. In this article we discuss the frequency and clinical relevance of nutrient deficiency in CD and whether and when nutrient supplementation is needed.
I am coeliac and was diagnosed at fifty, by by a mixture of the suspicions of an elderly locum, the very modern genetic test and the classic endoscopic test , in the last few years of the twentieth century.
I have to admit, that being diagnosed was a bit of a surprise.
A Personal Vitamin D Tester
I’ve thought that the ability to purchase one of these over-the-counter in your local Boots, Superdrug or any or the umpteen pharmacies, would be very worthwhile for some time. But I’ve nver found anything on the web.
Tonight I found this article on the Natural News web site, which is entitled Over-the-counter vitamin D tester would be a boon to public health, cancer prevention.
The writer makes some good points and would be very in favour of the sale of such a device.
Read the article and see what you think.
With my engineering hat on, I can only think that no-one has come up with a simple method akin to the one I use to test my INR.
I also believe there are a lot of doctors, who believe patients doing their own testing is a no-no! Possibly becuase it blows a hole in his staff needs and therefor reduces their budget. Nurses doing lots of testing gives the feel-good factor of a busy surgery.
But then the Healthcare Industry all over the World, is the last one to start using Twentieth Century managenment methods. In private medicine, it is a sensible way to inflate the bill and in the NHS, it means you don’t have to make unnecessary staff redundant.
Vitamin D Problems
I found this post in the MedHelp web site.
Under a heading of Huge Problems With Vision, this is said.
Hi at all,
at first sorry for my english. – I´m from Germany and will try my best! I go diagnosesed with a low vitamin D level from 20 and I´m glad to found this forum because I never thought that all theses symptomse could be yust because of a low Vitamin D level. I´m taking 50.000 iU once a week since 3 weeks now. I have most of the symtomse the most of you have like,– tick with the eye,
-consistently feeling dizzy, like I’ve shifted a couple of inches one direction or the other, without really moving at all – short on air.
-Muscle pain in both sides of the rib area,
-Problems swallowing,
-Joints in my feet and legs were very painful, making it very hard to walk up and down stairs
-Constant buzzing sensation on the souls of my feet now
– Cramps in my legs
– not sleeping well
– sweating during the night
– cant concentrate or even thinking
– allmost dizzy all the timeWhat bothered me the most right know is my vision. I can´t drive or do my grocery anymore. I´m allmost at home now for over 2 month. Dos somebody else has problems with their vision too? Do you know how long i takes to get better?
They could be describing my problems.
After my stroke, I had my eyes tested and was banned from driving. As I’d been in hospital for a couple of months, I suspect my vitamin D levels were rock bottom.
Thoughts On My Vitamin D Deficiency
I’m now convinced that the cause of my bad springs and substantial absences from school as a child, and periods of bad health since, is due to a periodic vitamin D deficiency.
I suffer from several of the same symptoms as my father, who was most likely the parent from whom I inherited coeliac disease.
As a child, I didn’t go out in the son much, as I think I found it a bit painful and I burned. My father was the same in those days and was very much a man for his garage or shed. He only ventured out to smoke his pipe.
The problems dropped, when I went to Liverpool University and met my future wife. But then she would drag me out into the sun for a walk, with great regularity.
When I was diagnosed as a coeliac, I thought this would be the end of it all. And it did get a bit better, with the bonus that I could now sunbathe without burning. I also stopped being bitten by mossies.
Since the death of my wife, my stroke and moving to London, the bad springs and a lot of the other symptoms have returned.
But no-one could say the weather in London and it seems much of North and Central Europe has been very sunny over the last few years.
I even took a holiday in Croatia for some sun, but in My Home Run From Dubrobnik, I saw probably a day and a half of sun at most!
I’m now on vitamin D3 tablets and they appear to help.
But I think, what I need is a good scientific book on vitamin D, how it is absorbed by the body and what it actually does.
So much of what I get told seems to only have vague science behind it!
If I could find a top class University, where they were doing serious research into vitamin D, I’d go halfway round the world to talk to them.
The Anonymous Widower 