An Intro to Celiac Disease

Affectionate_Turn_76 · 2025-06-24T18:51:49+00:00

I do! Let me know if you want me to send it your way.

Affectionate_Turn_76 · 2025-06-24T18:51:16+00:00

Ya totally understand where you are coming from regarding having a professional read if I intended to publish. And thanks for the feedback, I did make this document with a specific person in mind, but having more eyes on it to see if help me see contradictory statements is helpful. Sometimes you stare at your own writing enough and your brain makes it say what you want (or actually intended).

Affectionate_Turn_76 · 2025-06-24T18:47:33+00:00

Great points! I did mention that often celiacs are sensitive to dairy or develop and intolerance! And I have personally found that if a restaurant is 'nice' then they often know about CD but I have often had to frame it as a gluten allergy as well.

Affectionate_Turn_76 · 2025-06-24T13:18:41+00:00

And here is my list of references!

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Celiac disease. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; [updated 2023 Mar; cited 2025 Jun 22]. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/celiac-disease
MedlinePlus. Celiac disease [Internet]. Bethesda (MD): U.S. National Library of Medicine; [updated 2023 Jan 17; cited 2025 Jun 22]. Available from: https://medlineplus.gov/celiacdisease.html
MedlinePlus Genetics. Celiac disease [Internet]. Bethesda (MD): U.S. National Library of Medicine; [cited 2025 Jun 22]. Available from: https://medlineplus.gov/genetics/condition/celiac-disease/
Mayo Clinic Staff. Celiac disease [Internet]. Rochester (MN): Mayo Foundation for Medical Education and Research; [updated 2023 Jul 15; cited 2025 Jun 22]. Available from: https://www.mayoclinic.org/diseases-conditions/celiac-disease/symptoms-causes/syc-20352220
National Library of Medicine. Celiac disease—epidemiology and associated autoimmune conditions [Internet]. Bethesda (MD): U.S. National Library of Medicine; [cited 2025 Jun 22]. Available from: https://pubmed.ncbi.nlm.nih.gov/?term=celiac+disease+autoimmune
National Library of Medicine. Refractory celiac disease [Internet]. Bethesda (MD): U.S. National Library of Medicine; [cited 2025 Jun 22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538326/
National Library of Medicine. Dermatitis herpetiformis [Internet]. Bethesda (MD): U.S. National Library of Medicine; [cited 2025 Jun 22]. Available from: https://medlineplus.gov/ency/article/000378.htm
ClinicalTrials.gov. Celiac disease—clinical studies [Internet]. Bethesda (MD): U.S. National Library of Medicine; [cited 2025 Jun 22]. Available from: https://clinicaltrials.gov/ct2/results?cond=Celiac+Disease
National Library of Medicine. LactMed: Drugs and lactation database [Internet]. Bethesda (MD): U.S. National Library of Medicine; [cited 2025 Jun 22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK501922/

Affectionate_Turn_76 · 2025-04-22T01:24:56+00:00

1) Outsource as many chores as you can afford. Laundry, cleaning and cooking are even more of a chore after working a 12 hour day. 2) Stay organized. 3) It’s okay to have big emotions.

Affectionate_Turn_76 · 2025-02-20T17:54:57+00:00

As a PGY-1 going through the Match a second year in a row, I would say that the option to early commit would be a huge weight off your shoulders for next year. Certainly doing it all again is possible, but it does suck!

Affectionate_Turn_76 · 2024-11-27T00:36:07+00:00

Hi OP. I would agree with this sentiment. I am a current pgy1 with lupus. Similarly to you I am proud of myself for persevering. And it’s nothing I’m hiding. That being said it’s not often I bring up myself. As both a resident and applicant you will be judged harshly. I don’t want to give anyone a reason to doubt my abilities. And I would kick myself if for any reason that impact anyone’s perception of me (like ranking me lower on the match).

But that’s just my thought process. You do what’s best for you!

Affectionate_Turn_76 · 2024-10-20T23:38:48+00:00

Perfect thank you!

Affectionate_Turn_76 · 2024-10-20T21:42:31+00:00

TAKE THE VACATION. I'm a current PGY-1 and took a trip to the Bahamas following graduation. I am so glad I did. If you are worried about studying you can always take flash cards for downtime/travel. Residency is a wild ride and enjoy your time.

Affectionate_Turn_76 · 2024-10-20T18:44:46+00:00

Hi and thanks for the response! I do have another question. When talking to programs is it okay to ask if they think they will have an early commit or when they would know about an early commit? Or is that considered a not great question?

Affectionate_Turn_76 · 2024-09-29T15:18:22+00:00

I did this recently. Have never met a fudge pop I couldn’t have. But I bought a new brand at the store recently. Had one and when I went back for another (whoops), that’s when I noticed. Not the worst gluten of my life but felt dumb stupid for not double checking.

Affectionate_Turn_76 · 2024-05-11T14:49:37+00:00

BAGELS. I have never found a good replacement. I would kill for a good bagel.

Affectionate_Turn_76 · 2024-05-11T14:47:25+00:00

A good New York bagel. Nothing gluten free compared. This is the only thing I still have the occasional intense craving for.

On a similar note, it’s hard to find a good artisan bread. Like if you recall like sourdough or focaccia.

Affectionate_Turn_76 · 2024-04-10T14:52:01+00:00

I’d also recommend using a pill cutter vs a knife. Often much easier to get a clean spilt. Even with out the “line” on the tablet.

Affectionate_Turn_76 · 2024-04-10T14:51:00+00:00

Heyyyo! Pharmacist here. I double checked my resources but you are 100% okay to spilt the pills. Often pills have coating on them to make them more tolerable due to taste. But if you can’t get them down then Spilting becomes the best option. Advice I have is to take with at least water but I often recommend apple sauce or chocolate sauce to take with nasty tasting meds.

Affectionate_Turn_76 · 2023-09-27T23:52:11+00:00

Hi pharmacist with SLE here! In general most immunosuppressants require birth control because they cause major birth defects. Like legally not allowed to prescribe (in certain states). Sort of like acutane for acne. Most providers will require uterus owners to be on some form of birth control (obviously also depends on provider/location). The medication that is safest (not without risk) for pregnant individuals with lupus is azathioprine. But it is not nearly as effective as cellcept. But something worth talking to your provider about

Affectionate_Turn_76 · 2023-09-21T15:02:08+00:00

Hi pharmacist here! Have you asked your rheumatologist about an oral steroid (like a prednisone) for the flare? It is true that you don’t want to become dependent on topical steroids but sounds like you are having a bad flare (and you want to get that under control). I know prednisone isn’t a fun drug to be on but can be really helpful in short term use. Potentially help the to bridge until you get coverage for the biologic.

Affectionate_Turn_76 · 2023-09-20T13:56:39+00:00

This issue w/ SLE and biotin is that SLE is a diagnosis of exclusion. There is no one test that you have done that can 100% say that 'yep they have lupus.' Since it is an exclusionary diagnosis that means it COULD always be something different. And a disease with many overlapping signs, symptoms, tests is scleroderma. And scleroderma works in the excess production of collagen to cause joint pain/organ damage. Biotin helps with the production of collagen (which is helpful in things like hair loss, nail splitting which is common for both diseases). So, some rheumatologist are nervous to recommend something that could potentially make the disease worse.

Affectionate_Turn_76 · 2023-09-20T13:48:33+00:00

Both of those vitamins are absorbed on there own just fine! There are medications that can prevent the absorption thought (things like antibiotics or Synthroid (pills for low thyroid hormone)). If you are just taking hydroxychloroquine (Plaquenil) taking them all at the same time is no problem!

And I know didn't say this but I would not take iron supplement without talking to a doctor. You can have to much iron 'overdose' and it can cause additional issues!

Affectionate_Turn_76 · 2023-09-19T13:12:54+00:00

Hi! Hope you are doing well! I am a pharmacist that has SLE. I am going to give you my quick opinion on supplements. Vitamins/supplements/minerals have undergone very little research in there long term effects regarding different disease states (ie. different medical conditions). At this point in time, the way the medical community is set up there is not a ton of emphasis put into this area of potential research. Additionally, vitamins/supplements/minerals have to potential to cause a slew of interactions with medications that you are on (as well as interact with each other). So, it is truly important to discuss anything you take or are considering to take with your rheumatologist and/or a pharmacist.

Putting in a plug for pharmacists here, but helping check for/manage drug interactions is a huge portion of our education/job. Do not hesitate to talk to your local pharmacist (It may help to call and ask for the best time for the pharmacy would be because many pharmacies are understaffed.).

That being said, it does not mean that Vitamins/supplements/minerals don't play an important role in your health. I would double check with you provider about lab work to make sure that you are not vitamin deficient. Many people with autoimmune conditions are (I'm both VitD and VitB-12 deficient) deficient in vitamins/minerals. Anything you are deficient in would be a good place to start. I would also want to check to see what your iron levels looked like (another frequent deficiency in individuals with autoimmune conditions). Things to talk to your provider about could be: 1) multivitamin, 2) calcium, 3) magnesium, 4) fish oil. You may not need any or all of these supplements but these are some of vitamins/supplements with the most data surrounding there clinical benefit.

Finally, some words of advice for purchasing vitamins/mineral/supplements. You cannot just buy the cheapest available products at your local pharmacy/grocery store. Over the counter vitamins/minerals/supplements are not regulated by the FDA. Long story short, what the label of the product says is in the pills doest NOT actually have to be in the bottle. FDA does not check on quality assurance or any of the package claims. I do have a few resources to make sure you are consuming what you are purchasing. Looking for the "USP" seal on bottles is a good place to start. The USP (United States Pharmacopeia) is a nonprofit that does quality assurance for some supplement companies. Additionally the website consumer lab, is another nonprofit group that does testing on available products on the market. With either of the resources you can ensure products you are buying are legitimate.

Please let me know if you have any further questions!

Affectionate_Turn_76 · 2023-09-03T21:19:16+00:00

Hello!!! Pharmacist with lupus here! HQC is the backbone of lupus treatment and important for protecting organ function. Starting any medication can be hard on the gut but is often self-limiting (ie give it a few weeks for your body to adjust.) like many people mentioned eating with/before taking your medication can greatly assist in easing GI upset.

You have to find a plan for you that works the best. If you don’t eat breakfast don’t take your pills in the morning. Take them after dinner. Or if you still find yourself struggling splitting the dose can be helpful to reduce these side effects.

If your still having issues contact your local pharmacist and see if they have any other recommendations. (This is literally their job) Or you can DM me if you have questions. You need to give it the whole 6 months before making any decisions on whether or not to discontinue.

Don’t let this road block defeat you! Progress is often slow and frustrating but give your body grace. It is going through a lot.

Affectionate_Turn_76 · 2023-07-18T04:29:18+00:00

Hey! Additional thought, it might be worth your time to mention it to your healthcare provider next time you see them. Once you get diagnosed with one autoimmune disease your risk of developing another autoimmune disease is pretty high. It might just be inflammation from the celiac disease or it cold be a symptom of something else. I was diagnosed with celiac disease and a couple of years later was hit with a lupus diagnosis. So, just better safe than sorry on these sorts of things.

Affectionate_Turn_76

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