HI i'm hoping for some advice. my problem is this i'm an ex athelete and have lifted weights and all round trained most of my life. But a few years ago after the birth of my second child i became very ill, i started to become malnurished and eventually developed liver problems. Didnt find out till a year ago i had coeliac disease, which is an auto immune disease that is triggered by wheat and gluten. So anyway i'm now in recovery and have managed to get back to a very strong position, But my body is still very much in athelete mode. I can gain muscle no problem and my body is naturaly happy when im thinner but carrying a fair amount of muscle, you may be asking, so wheres the problem! basically i need to maintain a higher level of fat too! not much, but because of the complex way an auto immune disease works my liver and gall bladder struggle, and struggle more with a healthy diet. Normal carbs like pasta are obviously no good, i eat alot of protien and snack througout the day, but still struggle to gain any weight! my body just burns it and i have to over eat a dramatic amount and cut exercise to make much difference at all.
I'm really not sure where to go from here i've cut back on workouts and am still consuming extra calories, but no effect yet. Maybe i'm just loosing clarity but any advice would be apreciated. thanks.
Coeliac disease (pronounced /ˈsiːli.æk/; spelled celiac disease in North America[1]) is an autoimmune disorder of the small intestine that occurs in genetically predisposed people of all ages from middle infancy onward. Symptoms include chronic diarrhoea, failure to thrive (in children), and fatigue, but these may be absent, and symptoms in other organ systems have been described. A growing portion of diagnoses are being made in asymptomaticscreening,[2] and is thought to affect between 1 in 1,750 to 1 in 105 people in the United States.[3]
Diet
Main article: Gluten-free diet At present, the only effective treatment is a life-long gluten-free diet.[20][65]Dietitian input is generally requested to ensure the patient is aware which foods contain gluten, which foods are safe, and how to have a balanced diet despite the limitations. In many countries, gluten-free products are available on prescription and may be reimbursed by health insurance plans.
No medication exists that will prevent damage or prevent the body from attacking the gut when gluten is present. Strict adherence to the diet allows the intestines to heal, leading to resolution of all symptoms in most cases and, depending on how soon the diet is begun, can also eliminate the heightened risk of osteoporosis and intestinal cancer and in some cases sterility.
The diet can be cumbersome; failure to comply with the diet may cause relapse. The term gluten-free is generally used to indicate a supposed harmless level of gluten rather than a complete absence.[66] The exact level at which gluten is harmless is uncertain and controversial. A recent systematic review tentatively concluded that consumption of less than 10 mg of gluten per day is unlikely to cause histological abnormalities, although it noted that few reliable studies had been done.[66] Regulation of the label gluten-free varies widely by country.
For example, in the United States, the term gluten-free is not yet regulated.[67] The current international Codex Alimentarius standard, established in 1981, allows for 50 mg N/100 g on dry matter,[68] although a proposal for a revised standard of 20 ppm in naturally gluten-free products and 200 ppm in products rendered gluten-free has been accepted.[69] Gluten-free products are usually more expensive and harder to find than common gluten-containing foods.[70] Since ready-made products often contain traces of gluten, some coeliacs may find it necessary to cook from scratch.[69]
Even while on a diet, health-related quality of life (HRQOL) may be lower in people with coeliac disease. Studies in the United States have found that quality of life becomes comparable to the general population after staying on the diet, while studies in Europe have found that quality of life remains lower, although the surveys are not quite the same.[71] Men tend to report more improvement than women.[72] Some have persisting digestive symptoms or dermatitis herpetiformis, mouth ulcers, osteoporosis and resultant fractures. Symptoms suggestive of irritable bowel syndrome may be present, and there is an increased rate of anxiety, fatigue, dyspepsia[73] and musculoskeletal pain.
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