Comments on: Celiac and Elevated Liver Enzymes http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/ The Paleo Solution book and podcast | Paleo diet, Paleolithic nutrition, intermittent fasting, and fitness Wed, 08 Feb 2012 20:24:43 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: tiffany http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-24856 tiffany Tue, 01 Feb 2011 01:53:46 +0000 http://robbwolf.com/?p=113#comment-24856 Thanks I will stop eating grains for a while a see what happens. You mention to others to stop eating dairy as well, should I do the same? Thanks I will stop eating grains for a while a see what happens. You mention to others to stop eating dairy as well, should I do the same?

]]> By: Robb Wolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-24851 Robb Wolf Tue, 01 Feb 2011 01:46:25 +0000 http://robbwolf.com/?p=113#comment-24851 Tiff- You may or may not be "celiac", I'll guarantee you have grain intolerance. You need to ask soem hard questions about why you are vegetarian, but at the very least eat yams, sweet potatoes etc instead of grains. Tiff-
You may or may not be “celiac”, I’ll guarantee you have grain intolerance. You need to ask soem hard questions about why you are vegetarian, but at the very least eat yams, sweet potatoes etc instead of grains.

]]> By: Tiffany http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-24850 Tiffany Tue, 01 Feb 2011 01:31:10 +0000 http://robbwolf.com/?p=113#comment-24850 Hi, Just reading all these replies and its making me think I have gluten issues. Ive been having diarrhea once a day usually at night for over a month, I just got results saying I have high liver enzymes and I have always been about 30 pounds overweight. Does this sound like celiac? and if so, I am a vegetarien, how should I eat? thanks, Tiffany Hi,

Just reading all these replies and its making me think I have gluten issues. Ive been having diarrhea once a day usually at night for over a month, I just got results saying I have high liver enzymes and I have always been about 30 pounds overweight. Does this sound like celiac? and if so, I am a vegetarien, how should I eat?
thanks,
Tiffany

]]> By: Robb Wolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-20368 Robb Wolf Fri, 19 Nov 2010 16:45:33 +0000 http://robbwolf.com/?p=113#comment-20368 Joann- the blood test Rx for celiac is a joke. It;s pretty obvious she has the problem...it just boils down to compliance. Joann-
the blood test Rx for celiac is a joke. It;s pretty obvious she has the problem…it just boils down to compliance.

]]> By: JoAnn http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-20314 JoAnn Fri, 19 Nov 2010 02:51:46 +0000 http://robbwolf.com/?p=113#comment-20314 My16 yr old daughter has had a larger waist since birth. She is athletic and eats a very healthy pure, non processed diet though when she was younger ate a lot of white and whole wheat products. Constipation has troubled her from infancy. Though she blood tested negative for celiac disease, practically removing wheat has solved the constipation issue, though when she cheats it comes back. She is very active but is still about 30 lbs. overweight. A recent blood test came back with elevated liver enzymes. Help! My16 yr old daughter has had a larger waist since birth. She is athletic and eats a very healthy pure, non processed diet though when she was younger ate a lot of white and whole wheat products. Constipation has troubled her from infancy. Though she blood tested negative for celiac disease, practically removing wheat has solved the constipation issue, though when she cheats it comes back. She is very active but is still about 30 lbs. overweight. A recent blood test came back with elevated liver enzymes. Help!

]]> By: Robb Wolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2205 Robb Wolf Tue, 13 Apr 2010 22:21:07 +0000 http://robbwolf.com/?p=113#comment-2205 Alex- 1-Gluten free, dairy free paleo diet. Lowish carb, high in veggies. 2-Little bit of sun every day. 3-1-2 grams of r-alpha lipoic acid. 2 divided doses before 2pm, with meal. Let me know how that goes, I"ve worked with a few other folks with similar issues. Alex-
1-Gluten free, dairy free paleo diet. Lowish carb, high in veggies.
2-Little bit of sun every day.
3-1-2 grams of r-alpha lipoic acid. 2 divided doses before 2pm, with meal.

Let me know how that goes, I”ve worked with a few other folks with similar issues.

]]> By: Alex http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2204 Alex Mon, 12 Apr 2010 19:54:30 +0000 http://robbwolf.com/?p=113#comment-2204 Hi Rob, I'm a 40 yo male with peripheral neuropathy of unknown cause in all extremities for about 6 months now. My medical history is that of elevated bilirubin (both direct and indirect, but mostly indirect) for years now as well as horrible GI complaints. The only link I can associate with the neuropathy is digestive, including the liver. Any ideas, dietary recommendations? Thanks Hi Rob, I’m a 40 yo male with peripheral neuropathy of unknown cause in all extremities for about 6 months now. My medical history is that of elevated bilirubin (both direct and indirect, but mostly indirect) for years now as well as horrible GI complaints. The only link I can associate with the neuropathy is digestive, including the liver. Any ideas, dietary recommendations? Thanks

]]> By: Robb Wolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2203 Robb Wolf Thu, 11 Mar 2010 22:10:13 +0000 http://robbwolf.com/?p=113#comment-2203 sandi: yep http://www.celiac.com/articles/119/1/Gall-Bladder-Disease-and-Celiac-Disease---By-Ronald-Hoggan/Page1.html sandi:
yep
http://www.celiac.com/articles/119/1/Gall-Bladder-Disease-and-Celiac-Disease—By-Ronald-Hoggan/Page1.html

]]> By: sandi http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2202 sandi Wed, 10 Mar 2010 20:03:56 +0000 http://robbwolf.com/?p=113#comment-2202 I also forget to mention that I had my gallbladder removed and the doctor said I have "gallbladder disease" without the gallbladder. Could this all be interlinked? I also forget to mention that I had my gallbladder removed and the doctor said I have “gallbladder disease” without the gallbladder. Could this all be interlinked?

]]> By: sandi http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2201 sandi Wed, 10 Mar 2010 20:01:51 +0000 http://robbwolf.com/?p=113#comment-2201 About a year ago after years of problems found out I had Celiac disease. Eight months before that I had slightly elevated liver enzymes. The doctor said celiac would not affect them. After 6 weeks of gluten they were normal, but are on the high normal. Any input on this. About a year ago after years of problems found out I had Celiac disease. Eight months before that I had slightly elevated liver enzymes. The doctor said celiac would not affect them. After 6 weeks of gluten they were normal, but are on the high normal. Any input on this.

]]> By: Robb Wolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2200 Robb Wolf Sat, 06 Feb 2010 17:02:43 +0000 http://robbwolf.com/?p=113#comment-2200 Lynn- run of the mill diabetes is more common for increased thirst. Celiac testing is wickedly inconclusive...If it was me, I'd eliminate all grains, legumes and dairy for a month, see how you feel, then reintroduce. Lynn-
run of the mill diabetes is more common for increased thirst.

Celiac testing is wickedly inconclusive…If it was me, I’d eliminate all grains, legumes and dairy for a month, see how you feel, then reintroduce.

]]> By: lynn http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2199 lynn Sat, 06 Feb 2010 16:29:23 +0000 http://robbwolf.com/?p=113#comment-2199 Recently went for routine physical and labs showed elevated AST. This promptly more labs,which revealed borderline mitochondria antibody. Labs repeated and now elevated AST and ALT.Gi NP visit is now testing for celeac,no physical s/s. and negative Hepatitis labs. Is increased thirst at night possible sign of celeac disease? Recently went for routine physical and labs showed elevated AST. This promptly more labs,which revealed borderline mitochondria antibody. Labs repeated and now elevated AST and ALT.Gi NP visit is now testing for celeac,no physical s/s. and negative Hepatitis labs. Is increased thirst at night possible sign of celeac disease?

]]> By: robbwolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2198 robbwolf Sun, 18 Oct 2009 14:15:30 +0000 http://robbwolf.com/?p=113#comment-2198 Susan- The gold standard is really just removing the most problematic foods, and see if she gets better. Grains, legumes and dairy being the main offenders. Keep us posted. Susan-
The gold standard is really just removing the most problematic foods, and see if she gets better. Grains, legumes and dairy being the main offenders. Keep us posted.

]]> By: susan http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2197 susan Fri, 16 Oct 2009 22:40:44 +0000 http://robbwolf.com/?p=113#comment-2197 my 26 year old daughter has had chronic diarrhea for 1 1/2 years with elevated liver enzymes. she'd drink 30 oz of water during the night. after one week off all gluten the diarrhea is gone and she sleeps through the night. last week a liver specialist sent in test for hepatitis even though prelim test are normal and spoke of a liver biopsy. he would not even entertain the possibility of celiac. any thoughts from anyone! my 26 year old daughter has had chronic diarrhea for 1 1/2 years with elevated liver enzymes. she’d drink 30 oz of water during the night.
after one week off all gluten the diarrhea is gone and she sleeps through the night.
last week a liver specialist sent in test for hepatitis even though prelim test are normal and spoke of a liver biopsy. he would not even entertain the possibility of celiac. any thoughts from anyone!

]]> By: Susie http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2196 Susie Wed, 27 May 2009 00:57:31 +0000 http://robbwolf.com/?p=113#comment-2196 Thank you, I will let you know what transpires :-) Take care, Susie Thank you, I will let you know what transpires :-) Take care, Susie

]]> By: robbwolf http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2195 robbwolf Tue, 26 May 2009 20:22:34 +0000 http://robbwolf.com/?p=113#comment-2195 Susie- I;d just go right to the issue and assume a gluten problem. Go grain. legume dairy free for a montha nd then you will know. I;d be shocked if you do not see improvements. Susie-
I;d just go right to the issue and assume a gluten problem. Go grain. legume dairy free for a montha nd then you will know. I;d be shocked if you do not see improvements.

]]> By: Susie http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2194 Susie Tue, 26 May 2009 07:19:28 +0000 http://robbwolf.com/?p=113#comment-2194 Hi, I may be clutching at straws but am trying to clutch at something as I am desperately worried about my LFTs. In early April my Gamma GT was 140 and ALT 60. GP advised no alcohol for 6 weeks (I only drink 14 units a week if that) and repeat tests last week having had not a single drop of alcohol. I work in medicine so got the tests done through my consultants. Gamma GT now 167 and ALT 65. Don't have Hep B, Hep C, have previous Hep A (I think I had Hep A vacc in 97 before India) and liver ultrasound was clear with no sign of fatty liver, stones, gallbladder clear, kidneys and spleen clear. Going back to see my GP tomorrow and want more bloods. Had a colonoscopy in 2002 due to ongoing bloated, diarrhoea etc and this was clear. My friend the Gastroenterologist put it down to IBS. Still have bloating, diarrhoea etc after some foods. Do you think it is worthwhile testing for coeliac? Will also ask re diabetes. Many thanks :-) Susie Hi, I may be clutching at straws but am trying to clutch at something as I am desperately worried about my LFTs. In early April my Gamma GT was 140 and ALT 60. GP advised no alcohol for 6 weeks (I only drink 14 units a week if that) and repeat tests last week having had not a single drop of alcohol. I work in medicine so got the tests done through my consultants. Gamma GT now 167 and ALT 65. Don’t have Hep B, Hep C, have previous Hep A (I think I had Hep A vacc in 97 before India) and liver ultrasound was clear with no sign of fatty liver, stones, gallbladder clear, kidneys and spleen clear. Going back to see my GP tomorrow and want more bloods. Had a colonoscopy in 2002 due to ongoing bloated, diarrhoea etc and this was clear. My friend the Gastroenterologist put it down to IBS. Still have bloating, diarrhoea etc after some foods. Do you think it is worthwhile testing for coeliac? Will also ask re diabetes. Many thanks :-) Susie

]]> By: Shelley Blackwell http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2193 Shelley Blackwell Sat, 31 Jan 2009 23:13:39 +0000 http://robbwolf.com/?p=113#comment-2193 I wanted to give a big thanks to Rob who suggested through a mutual friend that my son likely has celiac, he's almost 4 and has hardly gained a pound in the last year. He had a super bloated stomach and a handful of other symptoms that led me to think something wasn't quite right with his digestive system. We've had him off of gluten now for about a month and he's already put on a couple of pounds, his bloated stomach is virtually gone and his pale almost greyish complexion is now gone, replaced with filled out rosy cheeks. Thanks Rob! We are so grateful to be on the right track now with getting our little guy healthy again. <strong>My pleasure Shelly, Glad I could help.</strong> I wanted to give a big thanks to Rob who suggested through a mutual friend that my son likely has celiac, he’s almost 4 and has hardly gained a pound in the last year. He had a super bloated stomach and a handful of other symptoms that led me to think something wasn’t quite right with his digestive system. We’ve had him off of gluten now for about a month and he’s already put on a couple of pounds, his bloated stomach is virtually gone and his pale almost greyish complexion is now gone, replaced with filled out rosy cheeks. Thanks Rob! We are so grateful to be on the right track now with getting our little guy healthy again.

My pleasure Shelly, Glad I could help.

]]> By: jacci http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2192 jacci Thu, 04 Dec 2008 22:01:48 +0000 http://robbwolf.com/?p=113#comment-2192 i was just wondering if i was told that my liver enzyme was somewhat high like 113 what does this mean? what are the normal values. anybody help thank you <strong>There are several enzymes...Alkphos is normally ~32-130. We have seen numbers as high as 500 in folks with un-diagnosed gluten issues. One month after a paleo diet the number dropped to 45. This was a 48 year old pharmacist. </strong> i was just wondering if i was told that my liver enzyme was somewhat high like 113 what does this mean? what are the normal values. anybody help thank you

There are several enzymes…Alkphos is normally ~32-130. We have seen numbers as high as 500 in folks with un-diagnosed gluten issues. One month after a paleo diet the number dropped to 45. This was a 48 year old pharmacist.

]]> By: Gonzalo Gandia http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2191 Gonzalo Gandia Mon, 18 Aug 2008 11:14:56 +0000 http://robbwolf.com/?p=113#comment-2191 It's funny you should mention bilirubin. I was diagnosed with Gilbert Syndrome at the age of 12, which basically means that my liver overproduces bilirubin at a ridiculous amount. In turn, this overproduction causes my skin and the white of my eyes to have a yellow tint to it, and on some days it's really off the charts! I've been doing Paleo for 6 months now and on a recent trip back home, everyone (and I mean everyone!) noticed how white my eyes were and how they never saw them like that before. I'm wondering after reading your article if my diet has something to with that...I hope so, it would be a great "side effect"!! It’s funny you should mention bilirubin. I was diagnosed with Gilbert Syndrome at the age of 12, which basically means that my liver overproduces bilirubin at a ridiculous amount. In turn, this overproduction causes my skin and the white of my eyes to have a yellow tint to it, and on some days it’s really off the charts!

I’ve been doing Paleo for 6 months now and on a recent trip back home, everyone (and I mean everyone!) noticed how white my eyes were and how they never saw them like that before. I’m wondering after reading your article if my diet has something to with that…I hope so, it would be a great “side effect”!!

]]> By: Craig http://www.robbwolf.com/2008/08/13/celiac-and-elevated-liver-enzymes/#comment-2190 Craig Fri, 15 Aug 2008 14:10:08 +0000 http://robbwolf.com/?p=113#comment-2190 Robb, I work in transplant, specifically I am now the director of a procurement organization (the group that works with patients who become brain dead and end up to ultimately be organ donors). I was talking to a liver transplant surgeon recently and he said in the near future the predominant reason for liver failure will be NASH (Non-Alcoholic Steato-Hepatitis). This is (IMO, a diet related condition) where the liver becomes so congested with fat that it completely fails. The funny thing is he said while it is strongly associated with obesity some obese people don't develop this condition while others do. I have a strong personal feeling it has to do with diet and hyperinsulinemia. He is even seeing this condition in pediatric patients. He told me this is a new phenomenon. To have a physician say that diet does not affect liver function seems, uhm par for the course. <strong>Craig- That is creepily interesting! It is telling that some obese individuals develop fatty liver and others do not. This seems typical of Syndrome X/metabolic syndrome at large. It seems to affect everyone a bit differently and in enough wacky combinations it's hard to zero-in on the root cause.</strong> Robb,
I work in transplant, specifically I am now the director of a procurement organization (the group that works with patients who become brain dead and end up to ultimately be organ donors). I was talking to a liver transplant surgeon recently and he said in the near future the predominant reason for liver failure will be NASH (Non-Alcoholic Steato-Hepatitis).

This is (IMO, a diet related condition) where the liver becomes so congested with fat that it completely fails. The funny thing is he said while it is strongly associated with obesity some obese people don’t develop this condition while others do. I have a strong personal feeling it has to do with diet and hyperinsulinemia. He is even seeing this condition in pediatric patients. He told me this is a new phenomenon. To have a physician say that diet does not affect liver function seems, uhm par for the course.

Craig-
That is creepily interesting! It is telling that some obese individuals develop fatty liver and others do not. This seems typical of Syndrome X/metabolic syndrome at large. It seems to affect everyone a bit differently and in enough wacky combinations it’s hard to zero-in on the root cause.

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