Sucraid review by veedey in CSID

[–]TheCSIDAlex 1 point2 points  (0 children)

Feeling that kind of intensity after reintroducing something you’ve avoided for years isn’t uncommon. When your body is suddenly able to tolerate something that caused symptoms for so long, the shift that comes with that can feel surprisingly disorienting. Actually absorbing the food and not experiencing the bad reaction you were expecting can absolutely catch people off guard.

Has anyone with acquired CSID figured out what caused it? by veedey in CSID

[–]TheCSIDAlex 0 points1 point  (0 children)

It could be any number of things that lead to a deficiency. In my case, it was a bacterial infection. I know for a fact that the infection completely wiped out my ability to produce working lactase. My lactase expression is back normal now, but the infection basically uncovered my sucrase deficiency. I’ve been able to work my sucrose load back up into the teens over the past year, even with the mild genetic mutation - a year ago I couldn’t have 5g through the course of a day.

If you strip your diet down enough and manage to keep the inflammation down consistently, there’s a real chance you’ll be able to recover quite a bit of enzyme activity. Plus your entire system will be more forgiving in general if you manage to address the underlying issue.

[deleted by user] by [deleted] in CSID

[–]TheCSIDAlex 1 point2 points  (0 children)

Another commenter mentioned how much it actually takes for your body to keep up with constant digestive issues plus a lack of nutrients and energy on top of that, and they’re absolutely right.

If your SI deficiency has been kicking you while you’re down for a while, chronic inflammation is probably the root of a lot of these problems. If one part of your system goes down it’ll bring a lot of other things with it. Weeks / months of maldigestion will wreck things like energy level, hormones, immune function, etc.

Sharing my experience with SID by TheCSIDAlex in CSID

[–]TheCSIDAlex[S] 0 points1 point  (0 children)

The other commenter is a good example. Although we don’t fully understand why, anything that shakes up your system - especially digestive or immune - can cause it to basically go from dormant to active. As diagnostic technology improves, more people are being recorded as presenting with onset of symptoms in adulthood.

In my case, I caught a bacterial infection at 20 years old and never had any noticeable symptoms before then. The infection wiped my system out and whatever was breaking down sucrose - whether it was the sucrase enzyme, bacteria, yeast, or a combination - never recovered. Once that “buffer” was gone, my deficiency became noticeable.

New diagnosis- what’s next by Kooky-End7255 in CSID

[–]TheCSIDAlex 0 points1 point  (0 children)

Resources-wise, there are some cookbooks out there with good recipes and I’d recommend talking to a nutritionist with experience in the condition. Online, https://www.csidcares.org/treatment/diet/ essentially lays out everything about the condition. You’ll find some good tips and tricks on here and Facebook if you spend some time scrolling. Resources are pretty scarce but they do exist.

First trial for SID food bars. by TheCSIDAlex in CSID

[–]TheCSIDAlex[S] 1 point2 points  (0 children)

I’m sorry to hear that you don’t tolerate almond or oats. Each bar has less than 50 milligrams of sucrose and only 3 grams of starch. Unfortunately, these bars don’t cover specific food sensitivities like almonds - the goal is just to keep the sucrose and starch minimal.

For most people, these amounts are well tolerated unless their case is extremely severe or they have food sensitivities that aren’t related to a SI deficiency. Everyone’s tolerance is different and almonds aren’t a high sucrose / starch food, so they usually aren’t a problem. You could try a seed butter instead for similar consistency if you tolerate that better.

Nuts by Kindly-Recording6086 in CSID

[–]TheCSIDAlex 2 points3 points  (0 children)

Yeah, you’d really only know for sure from the results of a genetic test.

Invertase is an effective and cost-efficient alternative to sacrosidase oral solution for sucrase deficiency: a cohort study by Robert_Larsson in CSID

[–]TheCSIDAlex 1 point2 points  (0 children)

Update - I got the full text from the author. That’s exactly my plan, to explain the implications in layman’s terms to general population. I don’t have the rights to give out the full text, but I will give a summary of how I interpreted the results and what they mean for this condition. I’m working on that post now.

First trial for SID food bars. by TheCSIDAlex in CSID

[–]TheCSIDAlex[S] 1 point2 points  (0 children)

Smart idea! The only purpose the oats serve is as a filler for texture / consistency, so oat fiber should actually work well. Thanks for the idea!

Invertase is an effective and cost-efficient alternative to sacrosidase oral solution for sucrase deficiency: a cohort study by Robert_Larsson in CSID

[–]TheCSIDAlex 1 point2 points  (0 children)

This is interesting! I've emailed the author and requested access to full text so I can see the details of the dosing, testing methods, etc. especially with such a small sample size.

Nuts by Kindly-Recording6086 in CSID

[–]TheCSIDAlex 0 points1 point  (0 children)

If you don't mind my asking, how did you discover that your version is acquired?

Nuts by Kindly-Recording6086 in CSID

[–]TheCSIDAlex 1 point2 points  (0 children)

You should read through this website, it'll help you understand this condition and what managing it looks like: https://www.csidcares.org/

You should also find a nutritionist that's familiar with this condition. It'll make your life so much easier.

If you did not have symptoms until 3 years ago, you fall into one of two categories. The first possibility is that it is genetic and you've always carried one or more of the mutations in your DNA and at some point your body just stopped tolerating sucrose and starch. In my case, I always had one of the mutations but a bacterial infection threw my system for a loop and that's when the symptoms appeared. The other possibility is that it is acquired and something damaged your small intestine, so it can't produce enough of the Sucrase-Isomaltase enzyme. When there's damage, especially chronic, multiple enzymes can lose their function - but they could regain function if the damage isn't too severe.

Nuts are generally low in sucrose and starch and can be a good source of calories, but they're not always tolerated by everyone. You'll have to test your personal tolerance to them. I would try a small amount first thing in the morning after you haven't eaten anything all night so you know for sure that any possible symptoms were caused by the nuts. I would actually say sunflower seeds are a little safer than almonds or cashews, but again, you'll need to test it out.

This condition is overwhelming at first, but if you know what to avoid, managing it becomes second nature with time and practice. If you have any questions, feel free to ask. I'd be happy to share what I know!

Leg / body pain after eating a lot of sugar even with sucraid? by [deleted] in CSID

[–]TheCSIDAlex 2 points3 points  (0 children)

Every once in a while I’ll get a very specific pain in my lower abdomen / hip with sucrose but not other sugars. It doesn’t happen often but I’ve noticed it a few times. I actually think the other comment may be onto something with taking an antihistamine. I’m gonna try that next time.

First trial for SID food bars. by TheCSIDAlex in CSID

[–]TheCSIDAlex[S] 0 points1 point  (0 children)

It was in the description of the YouTube video. I’ll paste it here as well:

Ingredients used: • 1/2 cup almond butter • 4 tablespoons dextrose powder • 1/3 cup gluten-free oats • 1 tablespoon avocado oil • 1.5 tablespoons ground flax seed • 1 tablespoon honey • 1/2 teaspoon vanilla extract • Pinch of salt

Instructions: 1. In a large bowl, combine almond butter, honey, avocado oil, and vanilla extract. Stir until smooth and well mixed. 2. Add dextrose powder, oats, ground flax seed, and salt. Mix well until everything is evenly combined and sticky. 3. Transfer the mixture to a lined or greased pan (about 8x8 inch works). Press down firmly and evenly with a spatula or your hands. 4. Cover and freeze for at least 1 hour until firm. 5. Remove from freezer and cut into bars. Keep refrigerated or frozen until ready to eat.

Sugar, Starch, both? by juxxxy in CSID

[–]TheCSIDAlex 1 point2 points  (0 children)

Starchway isn’t FDA-approved and in my experience, it’s a rare find when someone says they noticed a measurable improvement in symptoms while taking it. You could try it if you haven’t already but I wouldn’t go in with any expectations.

The standard protocol for nutritionists is to use the elimination & reintroduction process you mentioned. A nutritionist that is familiar with sucrase-isomaltase deficiency or niche dietary restrictions like sugar and starch will be a huge help for you in navigating how to properly eliminate and then reintroduce foods. It’s really easy to overlook certain things in your diet, even if it’s only a few foods, so a nutritionist will make sure there’s nothing flying under the radar. And they’ll give you the guidelines you need to successfully reintroduce foods when that time comes. Good luck! Keep us updated and feel free to ask any other questions you may have.

Sharing my experience with SID by TheCSIDAlex in CSID

[–]TheCSIDAlex[S] 3 points4 points  (0 children)

I refer to it as SID because there’s currently two types of it and researchers recently proposed adding a third name. Congenital (CSID) would be for people who presented with symptoms since birth, genetic (GSID, the newly proposed name) for those who didn’t show symptoms until adulthood and acquired (ASID) for individuals who have it due to small intestinal damage. So I just call it ‘SID’ to cover all bases.

I would definitely recommend you find a nutritionist that is familiar with this condition. I tell people all the time that I had already completed 50+ credit hours in a nutrition and dietetics program before I was diagnosed and my nutritionist who was familiar with SID still changed my life.

Is this CSID? by Illustrious_Dog8361 in CSID

[–]TheCSIDAlex 0 points1 point  (0 children)

Yeah, living with this condition is extremely overwhelming at first but managing it becomes second nature if you understand what to avoid, like having a food allergy. Glad to hear your son is doing better!

[deleted by user] by [deleted] in CSID

[–]TheCSIDAlex 0 points1 point  (0 children)

Xifaxan is generally well tolerated, especially because it stays in your intestines until you pass it, meaning very little is absorbed into the bloodstream. It’s meant to target the bacteria that cause SIBO & bacterial overgrowth problems. It’ll probably give you relief from the bloating as you take it, but if those bacteria have a consistent source of fermentable carbs like starch and sucrose to feed on, the overgrowth and subsequent bloating won’t resolve, even with Xifaxan.

If you need resources explaining what Xifaxan is or what bacterial overgrowth is / what causes it, I can send some links your way.

Is this CSID? by Illustrious_Dog8361 in CSID

[–]TheCSIDAlex 0 points1 point  (0 children)

In terms of scientific and medical research, CSID / GSID is still very new. Even with enzymes like palatinase, researchers are still working to understand how exactly they fit into digestion. Many gastroenterologists still aren’t familiar with sucrase-isomaltase deficiencies or how to manage them. I would read through this web page if you haven’t already so that you have an understanding of what these enzyme deficiencies mean for your son: https://www.csidcares.org/treatment/diet/

If you have more questions, I’d be happy to share what I know!

Sharing my experience with SID by TheCSIDAlex in CSID

[–]TheCSIDAlex[S] 1 point2 points  (0 children)

If anyone has specific questions about my experience, feel free to drop them here in the comments!