Elimination diet

Elimination Dieting and Progressive Thiamine Deficiency

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My issues began after the birth of my second child 21 years ago. I would get extreme indigestion for a couple days each month and my skin broke out. This continued for years until I ended up having several rounds of antibiotics. Months later, I developed severe and never ending acid reflux. After struggling for a year, my local health food store owner mentioned the blood type diet and recommended I avoid dairy. The result was magic. Unfortunately, this started a cascade of elimination diets that would set the tone for the next fifteen years.

After eliminating dairy and seeing a resolution of symptoms, at least temporarily, I decided to eliminate gluten too. As with the dairy, the indigestion disappeared temporarily when I eliminated gluten, but other symptoms eventually crept in, including hypothyroidism and bile reflux. I read about a vegetarian diet and decided to give it a try. Again amazing results from removing meat. The bile reflux disappeared.  I thought things were going pretty well, but in these years I started to have other issues: ataxia, fatigue, heat intolerance, numbness and tingling, gait and bladder issues. In addition, I was always starving. I ate a tremendous amount of food each day, but at the same time I was losing weight.

My naturopath had mentioned possible problems with my gallbladder, but I didn’t think too much about it until I had constant pain. It was eventually discovered that I had a non-functioning gallbladder and I reluctantly had it removed, hoping it would solve my problems. I had tried changing my diet to the autoimmune paleo several times, but would always crash after a couple weeks. After surgery, I could eat meat without major issues, but nothing seemed to digest well. I felt like I never really recovered and other issues started to creep in.

My calf muscles would spasm upon standing and I was so weak I was having difficulty walking a block. A year after surgery, I was diagnosed with primary progressive multiple sclerosis, as it matched my symptoms and lesions were seen on my cerebellum and down my spine. The hallmark of PPMS is neurodegeneration without inflammation. The next three and a half years were a quick decline. I quickly became unable to walk unaided, mainly because I was too fatigued and my muscles too weak. PPMS used to be called creeping paralysis and that is exactly what was happening; I was unable to move my arms or legs, my equilibrium was so off that I couldn’t stand without tipping over and I couldn’t look down to even zip up my jacket.

I had really bad edema in my lower legs and feet and they were a nice shade of purple. My brain was easily overwhelmed and not committing things to memory, which left me going in circles. I lost my appetite, but blamed it on my ever changing diet and my fear of eating the wrong food. I would alternate between diets, cutting various food groups with very limited success.

I visited multiple naturopaths, a functional medical doctor, a NUCCA chiropractor and a MS specialist. I have researched endlessly and have a cupboard full of supplements. I had tried B vitamins before but had not noticed a difference. I joined a Facebook group called Understanding Mitochondrial Nutrients and did not think much about the vitamin I needed most, thiamine, until a post by a desperate husband came up in my feed. I began to research thiamine and found I was able to piece together a timeline of my life based on a progressing thiamine deficiency. I am only three weeks into dosing with thiamine (I take 200mg thiamine HCL and 240mg benfotiamine) and a B complex, but it has made such a difference in my balance, fatigue, edema and mental energy. My appetite is back and I can zip up my coat! I am cautiously optimistic, only because I have suffered so much disappointment in the past. I am hopeful that I can make a recovery.

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  1. I wonder if the changes in diets have any effect on thiamine depletion? Maybe the lack regularity is confusing to our metabolism? Not quite sure but could make some sort of sense. I myself have been on a 12 month elimination diet and it seems that no matter what I eat, my insomnia, fatigue, cognition, lightheadedness, and mild neuropathy seems to slowly but surely get worse. And all of that with losing 50 pounds and curing Gout in the same time frame. I feel great physically but mentally just the opposite. Something just isn’t adding up. Of course, the reason I’m here at all is because my symptoms line up with B vitamin deficiencies, specifically Thiamine.

    • Hello Brian,
      I believe the diet had a major impact on thiamine depletion, as I ended up cutting out most of the major sources of thiamine. Cutting wheat, gluten containing grains, fortified foods, then meat, left me in a deficit. I have spent a lot of time researching and I would say your symptoms definitely fit thiamine deficiency. I recommend trying supplementation, you have everything to gain and really nothing to lose.

      • Sounds very similar to me. I can’t eat legumes, grains, most vegetables, or added sugars because they give me stomach pain, bloating, gas, and just general discomfort. Of course i discovered this through trial and error. I eat a very raw, single ingredient, whole food based diet, and as i said before on a primal, basic level, my body is physically in the best shape its ever been! I eat beef, fish, eggs, fruit, and dairy. And I am able to avoid bloating and overeating with high fat and high protein and I can feel satiated and nourished with a normal amount of daily calories. But I avoid nuts, seeds, legumes, grains, seed oils, and added sugar. This comes with a price, as you say. With my past unhealthy life, coupled with the diet experimentation and cutting out fortified foods, its easy to see how we can have issues with vitamin deficiencies.

        I am definently on board with supplementation. I have been taking magnesium glycinate for about 6 months, and as my different ailments began to get worse, I got TTFD and tried it for a month. I titrated up too quickly and got a nasty 4 week long paradox; even a full dose of methylated B complex did absolutely nothing to mitigate it. So i stopped taking everything but the magnesium and im going to reset my brain and body and start fresh. In about a week im going to start taking the B complex again and at some point when i feel comfortable i’ll start with HCL and go slow with it. Thanks for the encouragement, advice, and information! I believe I am on the right track.

        • Sounds great, hopefully you can catch it before it becomes a major issue. Best of luck in your health journey.

    • I react to egg white with neuropathic pain and memory lapses. To gluten I react with panick attacks. I cut these out some years ago. Now I got stomac aches in addition to neuropathic pain.
      If this is just a deviciency then why do I have violent reactions only to certain foods? Are food intolerances causing vitamin deficiency or vice versa, or both?

      • I understand your frustration and I don’t have an answer for you. I dealt with issues for years but have now come to realize that the foods I was reacting to were ones that are difficult to digest and ones that are known to cause reactions, which eggs are known to be. Thiamine deficiency is known to cause food sensitivities but I do agree that it could go either way, as food intolerances also cause vitamin deficiencies.

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