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g***r 发帖数: 285 | 2
desease
i think you meant the level of 25 hydroxy vit D level is low,
level between 20 to 30 is insufficiency, below 20 is deficiency, don't ask
me the difference, i think it's purely nomenclature,
it is a disease state, and can be treated,
does your family member lives in cold climate with long winters? or he/she
doesn't have much vit D intake? or maybe has underlying absorption problems
like crohn's disease, celiac disease? more details would be helpful, |
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l**x 发帖数: 296 | 3 Based on AJCC gastric cancer staging:
pT2 N0 Mx
侵及肌层,无淋巴结转移, 远端转移未知
It would be nice to have PET/CT scan to evaluate distant metastasis
if there is no distant metastasis, the final stage would be Stage IB
still considered fairly early.
There are a few ongoing clinical trials. The optimal
regimen for postoperative chemoradiotherapy has not yet been established.
The common chemotherapy drugs includes:
5-FU, VBL, CTX, MeCCNU, Ara-C
FYI:
Primary tumor (T)
TX: Primary tumor cannot be assessed
T0: No... 阅读全帖 |
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A*****a 发帖数: 52743 | 4 面筋过敏亚洲人鲜见。父母中有白人?
[在 dsisland (Bao) 的大作中提到:]
:小孩今年才三岁,最近几个星期老叫肚子疼。带他去看医生,医生给查了血,发现
:celiac 抗体有点高(TTG Ab, IgA 15, TTG Ab, IgG 23)。医生没有发现别的问题,
:........... |
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g*********s 发帖数: 194 | 5 我的情况是这样的. 断断续续好几年了. 原来是偶尔的腹部涨痛, 躺躺休息下就过去了
. 最近这段时间厉害了, 两个多星期前腹部涨痛特别频繁, 原来医生给的Hyoscyamine
tablet吃了好些 (doctor think i have irritable bowel syndrome), 但是第二天,
尤其是下午4,5点又开始了腹部涨痛. 揉肚子感觉很多气, 可是出不来. 现在吃晚饭都
有压力了, 吃了后感觉更厉害, 侧身休息会缓解.
两星期前做colonoscopy, 当时医生说所有结果都是正常. 昨天拿到biopsy result.
The tissue biopsies I took of your stomach showed irritation or inflammation
. There is also some changes seen which we should follow with another
endoscopy in 1 year where we take biopsies of the stomach portions. In
certai... 阅读全帖 |
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g***g 发帖数: 200 | 6 跟我家的一样,15个月检查掉到了4%;6个月时是80%。也是抽血做了一大堆检查,就
是排除一下有没有其他的疾病。具体好像是化验肝功能,甲状腺功能,还有一个抗体是
检查是否有celiac disease,做这个是因为我说小孩吃得多就拉的多,所以吸收不好,
所以医生做这个检查排除一下。最后化验结果一切正常,医生说回家多喂吧。从那以后
3个月,我们变着花样的给宝宝做吃的,费尽心力终于在3个月后,18个月体检是体重提
到了15%。我们觉得原因有:1。自从6个月开始上daycare老师喂得不精心,爱吃不吃
。2、自从上幼儿园,总是生病,生病时是不可能长体重的。3、确实吸收不是很好,但
是不是病态的吸收不好,不攒肚。4、孩子大了,活动量大了,自然不攒膘。5、随他爸
,胳膊腿细,骨头轻,不压称。5、这别的指标不知道怎么订的,有亲戚从德国来,说
我家宝宝看起来没那么瘦啊,然后用他们的标准算了一下,说在正常范围内。所以如果
你家的宝宝检查结果都正常的话,就不用太担心,慢慢喂吧。 |
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v******s 发帖数: 6949 | 7 绝对没关系和没有证明有关系是两个意思。
很多celiac偏头痛,不吃面筋以后好了,现在也无法证明面筋和头疼有关联,但是绝对
没关系就需要更多的排除证明。
研究牛奶里面casein之前大家不知道这个诱发癌症,后来证实牛奶中whey可以negate
effects。
还有些人基因里缺乏amylase所以不善于消化淀粉,但是没这个缺陷的人吃大米饭就很
happy。做父母的谨慎甚至迷信一点没什么不好,科学也是进步中的,我们不了解的太
多了。 |
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m**********r 发帖数: 30 | 8 首先要搞明白是IBD还是IBS。检测方法是测lactoferrin或者calprotectin。我个人认
为lactoferrin可信度更高。IBD和IBS的治疗手段完全不同。
Probiotic可能有用,酸奶里的含量几乎可以忽略不计,一定要几个billion以上的才可
能管点用,还有就是菌种的组合也很重要,光有Lactobacillus的不够,
bifidobacterium也很重要。
要看菌落是不是真的失衡,也可以用NGS测一把,现在已经有commercial的,比如http://ubiome.com/。
celiac disease也有可能,也有很多检测方法。
总之是要对症下药,知道原因就好治了。 |
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M********8 发帖数: 3837 | 10 celiac, 对不起,我给孩子哭搞得满脑子都是colic |
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m*******1 发帖数: 2194 | 11 有没有查过celiac disease或者类似消化系统问题? |
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f**r 发帖数: 865 | 12 爬上来说几句…… 其实ADHD孩子的家长可能比我更清楚,所以也只是以防万一会有一
点帮助。:-)
1)近年来被确诊ADHD的孩子在急剧增多。按照网上的数据,2003年有7.8%的孩子被确
诊有ADHD,到2007年涨到了9.5%,在2011年,变成了11%,其中美国高中男孩被确诊
ADHD的比率达到了1:5。按照医生的说法,ADHD作为疾病是真实存在的,但是它和自闭
症一样是一个spectrum,也有轻微和严重之分。
2)治疗ADHD的药物的有效成分是Methylphenidate和Amphetamines,翻成中文是冰毒,
是一种毒品。作为FDA批准给小孩子吃的药,我猜测用的剂量应该是很小心。但是确实
有副作用,失眠,失去食欲,头痛,头晕恶心,暴躁等等。我记得看过一篇文,里面的
医生让家长不要害怕用药,说,你只要让孩子好好吃药,同时保证早上摄入足够的蛋白
质,孩子的行为就会好转。但是我觉得这是自相矛盾的,吃药会失去食欲,你如何保证
一个没有胃口,不舒服,而且暴躁的孩子摄入足够的蛋白质?
3)目前被确诊ADHD的孩子大部分都在用药,甚至在2011-2012年造成了药品脱销。
4)据说关... 阅读全帖 |
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G***Y 发帖数: 9698 | 13 FDA推新營養標籤 規管「無麩質」產品
2014-08-17 16:31
CO140817003
越來越多年輕華裔追捧的「無麩質飲食」已正式受到FDA規管,任何標榜「無麩質
」的產品都需要符合新例才可印上標簽。
本報記者李子瑩紐約報道:近年來風靡全美的「無麩質飲食」(Gluten-Free)風潮日
前正式受到美國食品及藥物管理局(FDA)立例規管,所有標榜「不含麩質」的產品都
必須符合新例才能印上相關標籤,廣大食品商與餐飲業東主需留意。有華人營養師昨(
16日)提醒,並非所有人都適合無麩質食品,因此在選購時要仔細辨別。
食藥局日前發出公告,提醒所有生產商和商戶出售的「無麩質」產品必須符合當局標準
,才能打上「無麩質」標籤,否則將被列作違例。此舉將會幫助全美超過300萬患有乳
糜瀉(Celiac Disease)的人,避免誤食含麩質食物而出現腹瀉、腹痛、胃痛或貧血等
症狀。
食藥局指出,凡是麩質含量在百萬分之二十個單位(20 ppm)以下的食物,包括完全不
含有麩質的食物;不含有麩質原料的食品,如斯卑爾脫小麥(Spelt Wheat);不含有
由含麩質原料加工材料製作的食物,如小... 阅读全帖 |
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A***a 发帖数: 3603 | 15 嗯。我把celiac disease和gluten sensitivity搞混了。
前者可以diagnose.后面这个好像一般都是self diagnosed的吧? |
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m***g 发帖数: 1633 | 17 I had a friend who has celiac disease. She said it was hard to diagnose.
In her case... it took the doctors a few years to find out. |
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p*********8 发帖数: 501 | 18 看了诺诺的贴子,貌似没那个celiac disease的吃烤麸没啥问题是吧? |
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G***a 发帖数: 27294 | 19 Health Benefits of Teff:
Teff is packed with nutrition. It is higher in protein than wheat and has a
high concentration of a wide variety of nutrients, including calcium,
thiamin and iron. The iron from teff is easily absorbed by the body.
Since the grains are so small, the bulk of the grain is germ and brand. It
is very high in fiber and is thought to benefit people with diabetes as it
helps control blood sugar levels. Teff contains no gluten which makes it a
suitable grain for celiacs or peopl... 阅读全帖 |
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j****z 发帖数: 67 | 20 gluten没有什么不好的, 就是有些人(主要是白人)对它不耐受而已, 也就是Celiac
disease. |
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x*****b 发帖数: 271 | 21 That's my understanding too, but maybe others have different reasons.
Celiac |
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t*********t 发帖数: 4766 | 22 Brown rice.
Some theory says gluten and grains are bad -- causes body not functioning as
well. So more illness.
低沉。原来以为只有少数人群对小麦蛋白过敏得celiac disease。
和胃。。。 |
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c*********n 发帖数: 2120 | 23 我前一段吃那种5min or 1min oats也是胃不舒服,虽然好像有减肥功效
最近开始吃steel cut oats,就没有问题了
低沉。原来以为只有少数人群对小麦蛋白过敏得celiac disease。
和胃。。。 |
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yo 发帖数: 2534 | 24 只有对面筋过敏的人才会有这些问题吧,不过西方国家各种奇怪的过敏病例的确是越来
越多。。。如果想要避免小麦,可以吃那种发芽过的杂粮面包,土豆面包,杂粮:
couscous, quinoa, 小米,一般Whole Foods或者Trader Joes这样的店都会标的很清楚
。。。
低沉。原来以为只有少数人群对小麦蛋白过敏得celiac disease。
和胃。。。 |
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g*2 发帖数: 658 | 25 你有没有以前的验血报告可以比较一下啊?还有如果要确定是缺铁性贫血最好查一下
iron profile, ferritin level
我感觉不太像缺铁性贫血。因为
1)从报告来看,是小细胞贫血没错,但RDW正常,一般如果是缺铁性贫血,血细胞大大
小小,RDW会变大
2)血红蛋白13.2, 正常情况下红细胞是13.2x0.3=3.9,但你的是5.8,所以有点像地中
海贫血的样子, 如果你有以前的验血报告可以比较一下。地中海贫血应该从小到大都
是如此。
3)能引起小细胞贫血的,主要有4类,除了缺铁性贫血,地中海贫血,还可以是铅中毒
(小孩子多见),或慢性疾病引起的
4)如果是女性,我就会怀疑是月经丢失引起的。但像你这样的成年男性,如果是缺铁
性贫血,除了摄入不足(一般正常饮食是不会缺乏的,除非你是vegan, 有十二指肠的
问题,那里是vit C帮助吸收铁的地方,或其他小肠的问题,慢性腹泻,比如celiac
sprue),那就是丢失过多,比如从消化道,或尿道(如结石)。 可以查个尿常规,看
看有没有血细胞,做个大便潜血试验。
贫血还有正常细胞性贫血,还大细胞贫血。 如果来医院,我们还会查v... 阅读全帖 |
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l****z 发帖数: 29846 | 26 By TOM PERROTTA
How did Novak Djokovic conquer the tennis world?
Maybe the answer is as simple as this: Since last year, he's swearing off
pasta, pizza, beer, French bread, Corn Flakes, pretzels, empanadas,
Mallomars and Twizzlers—anything with gluten.
It's no secret that Djokovic has had a breakout season, or that he has been,
by any reasonable standard, the world's best athlete of 2011. On Sunday, he
beat Rafael Nadal in the Rome Masters, his fourth-straight win over the
Spaniard. It was his s... 阅读全帖 |
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U******u 发帖数: 5829 | 27
very simple, just gluten which is the only stuff the ppl w/ celiac dz are
sensitive to.
Many rye,oat wheat grains contains it, and should be strictly avoided by ppl
who have this disease or sensitive to it.
Many shop sale these grains and processed food w/ instruction like "gluten
free stuff"......
someone sensitive to a specific protein, can go to see and concult a
specialist called allery/immuno disease physician who is specific to
diagnose and treat this kind of problems. He can do some test... 阅读全帖 |
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k***r 发帖数: 13724 | 29 你这个是真有病的反应,现在鼓吹的是“non-celiac gluten sensitivity (NCGS)”
这个的症状可以五花八门海阔天空的。 |
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p********f 发帖数: 5148 | 30 This is a good read:
http://www.puristat.com/glutenintolerance/default.aspx
Excerpt:
Symptoms of Gluten Intolerance
There are dozens, possibly hundreds, of gluten intolerance symptoms.
Unfortunately, no one symptom is specifically characteristic of this common
ailment. The majority of people with gluten intolerance (and celiac disease)
have intestinal symptoms as well as many others. Common manifestations
include4:
Bone, joint, muscle pain
Delayed/disrupted menstrual cycles (amenorrhea/d... 阅读全帖 |
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b**********y 发帖数: 163 | 31 which of the following arteries is not derived from the celiac trunk or its
branches?
A. left gastric
B. short gastric
C. gastroduodenal
D. left gastroepiploic.
E. inferior pancreaticoduodenal
在board里面遇到的题目,查了一下资料,似乎所有的都是腹主干的分支啊?
迷惑不解中 |
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I****a 发帖数: 407 | 32 Left gastric or left gastroepiploic. I am not very sure (a remote memory)
You are right, everything come from Abodiminal aorta and it has three major
branches: celiac trunk, superior and inferior Chang2Xi4Mo2 A.
Anyone corrects me? |
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b**********y 发帖数: 163 | 33 我查了, 很多图都显示left gastroepiploic & short gastric 都是celiac trunk的
一级分支, 我用的google搜的. 木有教材了 |
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c******r 发帖数: 889 | 34 严重顽固湿疹是celiac disease的一个症状. |
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q*****g 发帖数: 166 | 35 小儿疳积“ 肚大筋青 疚臀无肉” : 鸡内金, 炒2芽,山药,等建脾中药。
西医上是 bloated stomach,always compnay with celiac disease and some foods
sensitivity ( like gluten / milk/egg sensitive). there are some optional
nutritional approaches: digestive enzyme/ essential fatty acides( fish oil
with falx and borage oil);/probiotics/ mutivitamin ( esp B-complex) mineral
( esp calcium and zinc)
my baby has the same problems and I use both TCm and nutritional supplemnts . |
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e****0 发帖数: 678 | 36 • leukemia
ALL AML CLL
child adult elderly
BM lymphoblasts 25%myeloblasts
lab Lymphocyte 5000, mature-appearing cells
• Osgood-schlatters disease
Adolescent male athletes
Traction apophysitis—quadriceps tendon put the traction on the
apophysis of the tibial tubercle where patellar tendon inserts.
A firm mass =heterotopic bone formation
Pain can be reproduced by extending the kne... 阅读全帖 |
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d***g 发帖数: 9 | 37 很多年轻人到美国都想要申请大学的护士专业,也就是英文所说的Nursing,因为几乎
每个人都说护士可以在美国申请到绿卡,可以赚年薪起薪6万,那为什么有人说简单,
有人说复杂,这其中究竟有什么诀窍呢?
那么下面整个介绍一下在美国做护士的步骤,以及申请绿卡的条件。
这篇文章会介绍几个部分的内容,
包括:
1 申请护士职业移民最基本的条件和优点。
2国内护士专业毕业,人在美国,或人不在美国,如何申请美国大学的护士专业或申请
护士执照考试和如何进行职业规划。
3国内高中毕业,有高中毕业文凭,人在美国,如何申请美国大学的护士专业。
4国内大专或本科毕业(非护士专业),有高中和大学文凭,如何申请美国大学的护士
专业。
5 已经有身份(有绿卡或是美国公民),但是想申请护士专业,如何申请美国大学的护
士专业。
6 通过考试后,取得美国护士执照,通过托福考试后,如何找医院面试谈判,如何找律
师递交移民申请,如何关注职业移民配额,最终申请绿卡。
7 注册护士考试的英文名称和考试内容,那里可以买参考书,网上有哪些资源。
8 申请过程中常见的困难和困扰有那些
9 托福考试的复习与报考准备
10 附录 护士注册... 阅读全帖 |
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m*********e 发帖数: 40 | 38 不知道合不合适发在这个版,实在是为宝宝肠胃的问题黔驴技穷了,望版主通融。
宝宝月子里的时候就milk protein intolerance,表现症状为便秘以及大便带血丝,从
普通奶粉改similac alimentum后症状缓解。一直到6个月左右我们慢慢给她改回普通奶
粉,适应良好。可是从开始上辅食之后便秘就又重新开始,而且越是大家觉得fiber多
的粗粮,她越是便秘。她可以吃rice cereal,但不能吃oatmeal, whole grain 的
cereal,不能吃brown rice,一吃肯定便秘。另外吃yogurt, cheese也是绝对便秘。
banana,pea,chicken soup也不行。而且比较奇怪的是她可以吃 baby stage 2 红薯
puree,但是吃了我们自己蒸的新鲜红薯就会便秘。粥可以喝汤,加点菜叶子她也不行
。好像凡是纤维粗些的她都不行。而且便秘还有渐渐加重的趋势。一直靠Miralax,可
不是长久之计啊。现在13个月了,吃得还几乎都是fomula,担心宝宝肠胃发育会有影响。
宝宝一直断断续续有eczema,除此之外其他都很健康。症状看起来也不... 阅读全帖 |
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m*********e 发帖数: 40 | 39 不知道合不合适发在这个版,实在是为宝宝肠胃的问题黔驴技穷了,望版主通融。
宝宝月子里的时候就milk protein intolerance,表现症状为便秘以及大便带血丝,从
普通奶粉改similac alimentum后症状缓解。一直到6个月左右我们慢慢给她改回普通奶
粉,适应良好。可是从开始上辅食之后便秘就又重新开始,而且越是大家觉得fiber多
的粗粮,她越是便秘。她可以吃rice cereal,但不能吃oatmeal, whole grain 的
cereal,不能吃brown rice,一吃肯定便秘。另外吃yogurt, cheese也是绝对便秘。
banana,pea,chicken soup也不行。而且比较奇怪的是她可以吃 baby stage 2 红薯
puree,但是吃了我们自己蒸的新鲜红薯就会便秘。粥可以喝汤,加点菜叶子她也不行
。好像凡是纤维粗些的她都不行。而且便秘还有渐渐加重的趋势。一直靠Miralax,可
不是长久之计啊。现在13个月了,吃得还几乎都是fomula,担心宝宝肠胃发育会有影响。
宝宝一直断断续续有eczema,除此之外其他都很健康。症状看起来也不... 阅读全帖 |
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V*****G 发帖数: 337 | 40 Amyloidosis
Hypothyroidism
Parasite infection, e.g. schistosomiasis
Celiac sprue, tropic sprue
Polyglandular autoimmune syndrome
Other autimmune diseases: e.g. Systemic sclerosis
Binecar SE?
How long has she been having hypokalemia?
Hypokalemia:
if started same time as hypertension = primary aldosteronism
if started after HCTZ = SE
if started after diarrhea = due to GI loss
Raynaud syndrome:
if on beta blocker for HTZ, could be SE
systemic sclerosis
Will modify based on day to day update...... |
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S******9 发帖数: 2837 | 42 small intestinal biopsy can tell the difference among celiac disease ,
whipple's disease and tropical sprue
home |
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g**1 发帖数: 733 | 43 your triglycerides is high, possible reasons are as follows:
* Obesity.
* Poorly controlled diabetes.
* An underactive thyroid (hypothyroidism).
* Kidney disease.
* Regularly eating more calories than you burn.
* Drinking a lot of alcohol.
Certain medicines may also raise triglycerides. These medicines include:
* Tamoxifen.
* Steroids.
* Beta-blockers.
* Diuretics.
* Estrogen.
* Birth control pills.
what medicines are you taking now? more informat... 阅读全帖 |
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g**1 发帖数: 733 | 44 your triglycerides is high, possible reasons are as follows:
* Obesity.
* Poorly controlled diabetes.
* An underactive thyroid (hypothyroidism).
* Kidney disease.
* Regularly eating more calories than you burn.
* Drinking a lot of alcohol.
Certain medicines may also raise triglycerides. These medicines include:
* Tamoxifen.
* Steroids.
* Beta-blockers.
* Diuretics.
* Estrogen.
* Birth control pills.
what medicines are you taking now? more informat... 阅读全帖 |
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n****a 发帖数: 2525 | 45 Thanks everyone for replying.
It's been 12 days into her hospital stay, she is still in pain. Her IgG4 to
look for autoimmune pancreatitis was negative, lab ordered for possible
Celiac (which leads to poor absorption of Levothyroxine and pancreatitis
link) also negative. GI still thinks pancreatitis, might have been
exacerbated by cold meds she was taking that has some ETOH content. EGD was
done by GI only showing gastritis. CT ab showed nothing but cysts, no
pancreatic cyst or pseudocyst or oth... 阅读全帖 |
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y***u 发帖数: 1467 | 46 GI 吧。原因太多,需要排查吧,禁食后回好点吗?是不是对东西过敏,比如面筋啥的
?看看像不像celiac disease? |
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A*******s 发帖数: 9638 | 47 Here is the comments from the club:
Author:
Thank to very much for your valuable input!!
I have to be honest, XXXX, I find it shocking that a well nourished, person
living in the USA who never drinks alcohol and supposedly eats a well-
balanced diet includining processed foods can be thiamine and folate
deficient in 2014. Homeless, alcoholic, malnourished, poor...I get that.
Anyway, I learned a lot from this patient and also from my colleagues on
XXXX. This is what keeps medicine interesting and... 阅读全帖 |
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w*******y 发帖数: 60932 | 48 Zojirushi OMKTG010 Gluten Free Baking Classic for Bread Machine Cookbook
Link:
http://www.jr.com/zojirushi/pe/ZOJ_OMKTG010/
Gluten free baking classic for the bread machine cookbook / Publisher: Agate
Surrey / 59 Pages
For celiacs and others unable to eat wheat, it's not just the dessert tray
that's forbidden: hearty staples like bread and pizza are also off limits.
Now, this exciting cookbook allows allergy sufferers to indulge in a wide
variety of baked goods, all delicious and all gluten-free... 阅读全帖 |
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p**********o 发帖数: 83 | 49 停药第十天。一切都很好。就是对这个迟迟不走的冬天太有意见。愿意用我的灵魂换取
一生好的天气。
多谢jianye5。我开始跟外界有互动了。感觉很正常,对将来很向往。今天虽然很冷,
还是坚持穿着短袖在外面晒了十分钟的太阳。但愿我的vd提高上去。
昨天查为什么我会缺d,觉得自己很象有celiac disease。从今天起只吃gluten free的
食物,看看对自己的d 有没有帮助,看看对自己所有的关节都疼有没有缓解。 |
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p**********o 发帖数: 83 | 50 停药第十天。一切都很好。就是对这个迟迟不走的冬天太有意见。愿意用我的灵魂换取
一生好的天气。
多谢jianye5。我开始跟外界有互动了。感觉很正常,对将来很向往。今天虽然很冷,
还是坚持穿着短袖在外面晒了十分钟的太阳。但愿我的vd提高上去。
昨天查为什么我会缺d,觉得自己很象有celiac disease。从今天起只吃gluten free的
食物,看看对自己的d 有没有帮助,看看对自己所有的关节都疼有没有缓解。 |
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