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Reduced iron and the lack of vitamins folate, B 6, B 12 and malabsorption of essential fatty acids can cause depression and chronic fatigue. [91] Anti-gliadin antibodies correlate with higher risk for chronic-fatique when no clinical finding of CD is present. [92] While fatigue is reduced on gluten-free diet, bouts of depression can become ...
Non-celiac gluten sensitivity (NCGS) or gluten sensitivity [14] is a controversial disorder which can cause both gastrointestinal and other problems. NCGS is included in the spectrum of gluten-related disorders. [3] [4] The definition and diagnostic criteria of non-celiac gluten sensitivity were debated and established by three consensus ...
Sensitivity may also present with extraintestinal symptoms, including headache, "brain fog", tingling and/or numbness in hands and feet, fatigue, as well as muscular disturbances and bone or joint pain; [53] [54] [55] also neuropsychiatric manifestations ("gluten-sensitive idiopathic neuropathies") have been reported on.
The alternative diagnosis of non-coeliac gluten sensitivity may be made where there is only symptomatic evidence of gluten sensitivity. [106] Gastrointestinal and extraintestinal symptoms of people with non-coeliac gluten sensitivity can be similar to those of coeliac disease, [ 16 ] and improve when gluten is removed from the diet, [ 107 ...
For instance, it may be difficult to stop weight gain due to exercise intolerance. [29]: 52 Bowel issues are a common symptom of ME/CFS. For some, eliminating specific foods, such as caffeine, alcohol, gluten, or dairy, can alleviate symptoms. [12] Those with orthostatic intolerance can benefit from increased salt and fluid intake. [12]
The CPET test measures exercise capacity and help determine whether the cause of exercise intolerance is due to heart disease or to other causes. [3] People who experience significant fatigue before reaching the anaerobic threshold usually have a non-cardiac cause for exercise intolerance. [3]
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The diagnosis of underlying gluten sensitivity is complicated and delayed when there are no digestive symptoms. People who do experience gastrointestinal problems are more likely to receive a correct diagnosis and treatment. A strict gluten-free diet is the first-line treatment, which should be started as soon as possible. It is effective in ...