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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Vitamin Supplements For Stomach Pain, Nausea And Hair Loss With Malabsorption

I am 45, have intolerance to gluten and get regular B12 shots for malabsorption. I have been gluten-free for a year and was doing fine and a few weeks ago started to have stomach pain, nausea and bloating after eating and hairloss like when I had pernicious anemia and ate gluten. Is there any sort of vitamin supplement or other treatment I should be doing?.
Thu, 9 Oct 2014
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Dietitian & Nutritionist 's  Response
First of all, you need to stave off completely from gluten -containing foods. Only when you completely avoid gluten, will your intestines heal and absorption of nutrients will increase.



Hairloss usually stems from deficiency of protein and vitamins and minerals in the diet which is common for people suffering from celiac or gluten sensitivity due to malabsorption.



You need to include protein-rich foods such as milk and milk products like cheese, yogurt/curd and if non-vegetarian, eggs, meat, fish and chicken in your daily diet. Non vegetarian foods will also take care of anaemia as they are rich in easily absorbable iron. You can take B complex vitamins which will include B12, folic acid and Vitamin C.



Calcium deficiency is also likely in celiac cases which increases the risk of osteoporosis. Increase intake of calcium through dairy products mentioned above. Get a bone density scan done to check for any risk of osteoporosis. You can take calcium supplements also but remember calcium is best absorbed through natural foods.



Limit intake of tea/coffee as they will further reduce absorption of important minerals like calcium and iron. Avoid these beverages just before or after meals as they reduce absorption of minerals from food.



Hope this answers your query. I will be glad to guide you if you need more advice regarding celiac disease.

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Suggest Vitamin Supplements For Stomach Pain, Nausea And Hair Loss With Malabsorption

First of all, you need to stave off completely from gluten -containing foods. Only when you completely avoid gluten, will your intestines heal and absorption of nutrients will increase. Hairloss usually stems from deficiency of protein and vitamins and minerals in the diet which is common for people suffering from celiac or gluten sensitivity due to malabsorption. You need to include protein-rich foods such as milk and milk products like cheese, yogurt/curd and if non-vegetarian, eggs, meat, fish and chicken in your daily diet. Non vegetarian foods will also take care of anaemia as they are rich in easily absorbable iron. You can take B complex vitamins which will include B12, folic acid and Vitamin C. Calcium deficiency is also likely in celiac cases which increases the risk of osteoporosis. Increase intake of calcium through dairy products mentioned above. Get a bone density scan done to check for any risk of osteoporosis. You can take calcium supplements also but remember calcium is best absorbed through natural foods. Limit intake of tea/coffee as they will further reduce absorption of important minerals like calcium and iron. Avoid these beverages just before or after meals as they reduce absorption of minerals from food. Hope this answers your query. I will be glad to guide you if you need more advice regarding celiac disease.