"It is now understood that patients who went undiagnosed for many years (or who believed they had "outgrown" celiac disease) often suffered from calcium malabsorption starting in childhood. This compromises bone formation and growth at its onset. The lack of necessary calcium may continue through adolescence and young adulthood when bone is forming its hightest density, and into menopause, exacerbating the effects of normal aging when bone normally begins to thin. These patients are at particular risk to develop osteopenia and osteoporosis. They may already have it when the normal decline of bone mass starts in early adulthood." (see Celiac Disease: A Hidden Epidemic, P. 107)
Calcium supplementation is quite important for those of us with celiac disease. ..."Remember that calcium requires vitamin D to be effectively absorbed." (Dr. Green, P. 111)
The following information from the Mayo Clinic is helpful:
Vitamin supplements to combat malnutrition
If your nutritional deficiencies are severe, you may need to take vitamin and mineral supplements recommended by your doctor or dietitian to help correct these deficiencies. Your doctor may recommend supplements to increase your levels of:
- Vitamin B-12
- Vitamin D
- Vitamin K
My sister (who also has celiac disease) has difficulty absorbing vitamins, and most of the supplements she has taken make her feel sick. She has to get her vitamins through an IV.
It is wonderful that we have options for better health.