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Reply to "Celiac? Lactose intolerance? IBS?"
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[quote=Anonymous]Half my family has celiac disease. To read up on celiac, these are great resources: - celiac.org - beyondceliac.org Some key takeaways: celiac can occur at any age/weight/size, etc.; it can have any combo of like 200 different symptoms (including diarrhea, constipation, both, or almost no symptoms - silent celiac). It can cause lactose intolerance, because the enzymes that help us digest lactose are created in the small intestine villi, which is exactly what is destroyed in the celiac autoimmune process; some people regain the ability to tolerate lactose after going GF and healing, some don't. You have to be consuming gluten for the bloodwork and/or endoscopy (not colonoscopy, which is not used to assess for celiac) to be valid; most people recommend that you get tested first, before trialing an elimination diet, because if celiac *is* your issue, it might be really really hard to go back onto it in order to get tested (because your reactions can get much more severe). The genetics are complicated - most people with celiac have one of a few variants (but something like 30% of the general population has one or more of these without necessarily becoming celiac), but you need a doctor's office to test - 23andme does not check for all of them, and the 23andme results did not show positive genetics or an increased risk of celiac for my family member when her doctor's testing did identify one of the known variants and her celiac bloodwork was definitely conclusively positive. Celiac tends to co-occur with Hashimoto's, so that would be something to put in the "consider celiac" column. IANAD, but in my layperson's understanding, IBS is a diagnosis of exclusion, so if your doctor is suggesting IBS without first doing the bloodwork to rule out testable conditions like celiac, I would consider looking for a different doctor. I hope you're able to find the right diagnosis and get on the path to feeling better soon - good luck! [/quote]
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