{"id":471,"date":"2013-04-24T14:26:54","date_gmt":"2013-04-24T18:26:54","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=471"},"modified":"2019-12-26T12:45:34","modified_gmt":"2019-12-26T17:45:34","slug":"common-variable-immunodeficiency-3","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/common-variable-immunodeficiency-3\/","title":{"rendered":"Common Variable Immunodeficiency\u00a0"},"content":{"rendered":"<div id=\"attachment_8768\" style=\"width: 196px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/antibody-nih-130-06.gif\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8768\" class=\" wp-image-8768 \" style=\"margin-left: 5px;margin-right: 5px\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/antibody-nih-130-06-207x300.gif\" alt=\"Depiction of an antibody. Courtesy NIH\" width=\"186\" height=\"270\" \/><\/a><p id=\"caption-attachment-8768\" class=\"wp-caption-text\">Depiction of an antibody. <em>Courtesy NIH<\/em><\/p><\/div>\n<h2>What Is Common Variable Immunodeficiency?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">C<\/span>ommon variable immunodeficiency (CVID) is a <span style=\"color: #000000\">primary antibody deficiency<\/span>\u00a0disease characterized by the onset of recurrent bacterial infections resulting from markedly decreased immunoglobulin antibody production and antibody levels.<\/p>\n<p style=\"text-align: justify\"><strong>Q<\/strong>: What causes common variable immunodeficiency?<\/p>\n<p style=\"text-align: justify\"><strong>A<\/strong>:\u00a0Common variable immunodeficiency is\u00a0caused by a defect in any critical stage of B cell development and is characterized by impaired production of normal amounts of antigen-specific antibodies. This is a set up for infection, autoimmune disease, and cancer.<\/p>\n<p style=\"text-align: justify\">One important histologic feature is the absence or paucity of plasma cells in the biopsy that occurs in common variable immunodeficiency. The diagnosis is initially made by measuring quantitative immunoglobulins and then specific immune testing on these cell subsets in the circulation by flow cytometry.<a href=\"#footnote_1_471\" id=\"identifier_1_471\" class=\"footnote-link footnote-identifier-link\" title=\"Murray JA1, Rubio-Tapia A. Diarrhoea due to small bowel diseases. Best Pract Res Clin Gastroenterol. 2012 Oct;26(5):581-600. doi: 10.1016\/j.bpg.2012.11.013.\">1<\/a><\/p>\n<p style=\"text-align: justify\">Early diagnosis and treatment with IgG therapy (immunoglobulin G) can decrease illness and mortality.<a href=\"#footnote_2_471\" id=\"identifier_2_471\" class=\"footnote-link footnote-identifier-link\" title=\"Maarschalk-Ellerbroek LJ, Hoepelman AI, van Montfrans JM, Ellerbroek PM. The spectrum of disease manifestations in patients with common variable immunodeficiency disorders and partial antibody deficiency in a university hospital.&nbsp;J&nbsp;Clin Immunol. 2012 Oct;32(5):907-21. doi: 10.1007\/s10875-012-9671-6.\">2<\/a>\u00a0<\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"color: #000000\">Pulmonary damage is the most frequent complication and may result from recurrent infections and\/or immune dysregulation. Other complications due to the underlying immune dysregulation include lymphoproliferative disease (granulomatous disease, lymphadenopathy and hepatosplenomegaly), autoimmune disease, gastrointestinal disease such as chronic inflammation and an increased risk of cancer.<a href=\"#footnote_3_471\" id=\"identifier_3_471\" class=\"footnote-link footnote-identifier-link\" title=\"Maarschalk-Ellerbroek LJ, Hoepelman AI, van Montfrans JM, Ellerbroek PM. The spectrum of disease manifestations in patients with common variable immunodeficiency disorders and partial antibody deficiency in a university hospital. J Clin Immunol. 2012 Oct;32(5):907-21. doi: 10.1007\/s10875-012-9671-6.\">3<\/a><\/span><\/p>\n<p style=\"text-align: justify\">It is important to recognize that common variable immunodeficiency can occur at any age, but an early onset may be associated with an increased risk of gastric cancers and lymphoma, particularly of the intestine.<a href=\"#footnote_3_471\" id=\"identifier_4_471\" class=\"footnote-link footnote-identifier-link\" title=\"Maarschalk-Ellerbroek LJ, Hoepelman AI, van Montfrans JM, Ellerbroek PM. The spectrum of disease manifestations in patients with common variable immunodeficiency disorders and partial antibody deficiency in a university hospital. J Clin Immunol. 2012 Oct;32(5):907-21. doi: 10.1007\/s10875-012-9671-6.\">3<\/a><\/p>\n<p style=\"text-align: justify\"><span style=\"color: #000000\">Patients with common variable immunodeficiency should be managed by an immunologist with experience in primary immunodeficiency states, given the complications of these patients.<a href=\"#footnote_4_471\" id=\"identifier_5_471\" class=\"footnote-link footnote-identifier-link\" title=\"Murray JA1, Rubio-Tapia A. Diarrhoea due to small bowel diseases. Best Pract Res Clin Gastroenterol. 2012 Oct;26(5):581-600. doi: 10.1016\/j.bpg.2012.11.013.\">4<\/a><\/p>\n<h2>What Is Common Variable Immunodeficiency In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Common variable immunodeficiency (CVID) is an associated immune disorder in celiac disease.<\/li>\n<\/ul>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">CVID patients with associated celiac disease may develop neurological disease including sensory loss, ataxia, and retinitis pigmentosa due to free radical caused neuronal damage induced by vitamin E deficiency.<a href=\"#footnote_5_471\" id=\"identifier_6_471\" class=\"footnote-link footnote-identifier-link\" title=\"Aslam A, Misba SA, Talbot K, Chapel H. Vitamin E deficiency induced neurological disease in common variable immunodeficiency: two&nbsp;cases and a review of the literature of vitamin E deficiency. Clinical Immunology. Jul 2004;112(1):24-9.\">5<\/a><\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">All CVID patients with evidence of enteropathy should be screened for vitamin E deficiency, as early detection and consequent treatment may prevent, halt or reverse the neurological sequelae.<a href=\"#footnote_6_471\" id=\"identifier_7_471\" class=\"footnote-link footnote-identifier-link\" title=\"Aslam A, Misba SA, Talbot K, Chapel H. Vitamin E deficiency induced neurological disease in common variable immunodeficiency: two cases and a review of the literature of vitamin E deficiency. Clinical Immunology. Jul 2004;112(1):24-9.\">6<\/a><\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">Clinicians should be aware of the low sensitivity, or failure to identify celiac disease, of serologic testing in CVID.<a href=\"#footnote_7_471\" id=\"identifier_8_471\" class=\"footnote-link footnote-identifier-link\" title=\"Bechade D, Desrame J, De Fuentes G, Camparo P, Raynaud JJ, Algayres JP. Common variable immunodeficiency and celiac disease. Gatroenterologie Clinique et Biologique. Oct 2004;28(10 Pt 1):909-12.\">7<\/a>\u00a0<\/span><\/li>\n<li style=\"text-align: justify\">The association between celiac disease and other immune disorders may be due to the sharing of a common genetic background, such as HLA antigens. However, in a very large study, involving 909 patients with celiac disease, Ventura and his associates found that the development of immune disorders in celiac disease was clearly related to the duration of exposure to gluten.<a href=\"#footnote_8_471\" id=\"identifier_9_471\" class=\"footnote-link footnote-identifier-link\" title=\"La Villa G, Pantaleo P, Tarquini R, Cirami L, Perfetto F, Mancuso F, Laffi G. Multiple immune disorders in unrecognized celiac disease: a case report. World J Gastroenterol. 2003;9(6):1377-1380, Available at: http:\/\/www.wjgnet.com\/1007-9327\/9\/1377.asp. Accessed Jan 3, 2005.\">8<\/a><\/li>\n<\/ul>\n<h2>How Prevalent Is Common Variable Immunodeficiency In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">Common variable immunodeficiency\u00a0is frequently associated with subtotal villus atrophy of celiac disease and the association should not be considered fortuitous.<a href=\"#footnote_9_471\" id=\"identifier_10_471\" class=\"footnote-link footnote-identifier-link\" title=\"Bechade D, Desrame J, De Fuentes G, Camparo P, Raynaud JJ, Algayres JP. Common variable immunodeficiency and celiac disease. Gatroenterologie Clinique et Biologique. Oct 2004;28(10 Pt 1):909-12.\">9<\/a><\/p>\n<h2>What Are The Symptoms Of Common Variable Immunodeficiency?<\/h2>\n<p style=\"text-align: justify\">Common variable immunodeficiency is marked by these symptoms:<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\">Recurrent infections.\u00a0The most common infection among children was pneumonia (62%); followed by suppurative otitis media in 49% of patients.<a href=\"#footnote_10_471\" id=\"identifier_11_471\" class=\"footnote-link footnote-identifier-link\" title=\"Habahbeh ZM, Abu-Shukair ME, Almutereen MA, Alzyoud RM, Wahadneh AM. Primary antibody deficiencies at Queen Rania Children Hospital in Jordan: single center experience. Iran J Immunol. 2014 Mar;11(1):49-58. doi: IJIv11i1A6.\">10<\/a><\/li>\n<li style=\"text-align: justify\"><span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">Neurological disease including sensory loss, ataxia, and retinitis pigmentosa due to free radical mediated nerve damage (vitamin E deficiency).<\/span><\/li>\n<\/ul>\n<h2>How Does Common Variable Immunodeficiency Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li>Common variable immunodeficiency results from vitamin E deficiency in celiac disease.<\/li>\n<\/ul>\n<h2>Does Common Variable Immunodeficiency Respond To Gluten-Free Diet?<\/h2>\n<p>All CVID patients with evidence of enteropathy should be screened for vitamin E deficiency, as early detection and consequent treatment may prevent, halt or reverse the neurological sequelae.<a href=\"#footnote_11_471\" id=\"identifier_12_471\" class=\"footnote-link footnote-identifier-link\" title=\"Aslam A, Misba SA, Talbot K, Chapel H. Vitamin E deficiency induced neurological disease in common variable immunodeficiency: two cases and a review of the literature of vitamin E deficiency.&nbsp;Clinical Immunology. Jul 2004;112(1):24-9.\">11<\/a><\/p>\n<p style=\"text-align: justify\">Malabsorption of vitamin E due to celiac disease can be corrected by this diet.<\/p>\n<h2>6 Steps To Improve Risk For Common Variable Immunodeficiency In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>1<\/strong><\/span><\/span><strong><span style=\"color: #800000\">Remove the Trigger. Maintain a Strict, Nutritious Gluten Free Diet:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<b>Treatment<\/b>. This condition responds to the complete elimination of gluten, which is the required treatment that improves both immune and gut health.<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Gut health is the foundation to restore ALL health. Restored health will enable you to maintain a strict gluten free diet, just as other life tasks will be easier.<\/li>\n<li style=\"text-align: justify\">A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li style=\"text-align: justify\">Cutting out bread and other obvious sources of gluten is not good enough for recovery. Even 1\/8th teaspoon of flour or bread crumb is enough to sustain the inflammation that is damaging your small intestine, causing increased permeability (leaky gut) and allowing undigested gluten to enter your body where it can damage structures and function, and instigate immune inflammatory responses.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Correct Your Individual Nutritional Needs.<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Eat foods that can replenish missing nutrients. Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<li>Take nutritional supplements as needed.\u00a0Find them under\u00a0NUTRIENT DEFICIENCIES.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Recovery<\/strong>. You should begin to feel better within a week and notice more energy as inflammation subsides and the \u00a0absorbing cells that make up the surface lining of your small intestine are better able to function.<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Intestinal lining cells are replaced every 5 days. The healing process is like sunburn where the damaged surface layer of skin sloughs off and is replaced with new normal cells.<\/li>\n<li style=\"text-align: justify\">Leaky gut normally resolves in two month after starting a gluten free diet and brings about a big improvement in health. Improvement in intestinal permeability precedes morphometric recovery (cell appearance and structure) of the small intestine in celiac disease.<a href=\"#footnote_12_471\" id=\"identifier_13_471\" class=\"footnote-link footnote-identifier-link\" title=\"Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.&nbsp;Clinical Science. Apr 2001;100(4):379-86.\">12<\/a><\/li>\n<li style=\"text-align: justify\">The intestinal lining may take up to a year to heal.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\"><strong>Damaging Foods<\/strong>. In susceptible persons, includes corn, dairy (cow), and soy. Lactose, the sugar in any animal milk disrupts intestinal permeability causing leaky gut.<a href=\"#footnote_13_471\" id=\"identifier_14_471\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">13<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Allergenic Foods<\/strong>. Includes foods that trigger the immune sytem to produce IgE antibodies. Allergy testing is the usual way to discover these offending foods.<\/li>\n<li style=\"text-align: justify\"><strong>Shelf Stable Processed Foods.\u00a0<\/strong>Includes any that contain additives and preservatives. Look for them on the nutrition label of the box or package. Additives and preservatives also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_13_471\" id=\"identifier_15_471\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">13<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Fats.<\/strong>\u00a0Limit deep fried foods, trans-fats, saturated fats (animal fat\/butter), and EXCESSIVE omega-6 fatty acid oils like corn oil. Rancid fats, sodium caprate (a medium chain fat), and sucrose monester fatty acid (a food grade surfactant) induce significant disruption of the intestinal barrier that causes leaky gut.<a href=\"#footnote_13_471\" id=\"identifier_16_471\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">13<\/a>.<\/li>\n<li style=\"text-align: justify\"><strong>Excessive Refined White Flours\u00a0<\/strong>(bran layer removed)<strong>.\u00a0<\/strong>Includes\u00a0products made from them such as cookies, bread, cakes, pies.\u00a0Bran contains the vitamins and minerals that metabolize grains and slows the otherwise rapid entry of sugar from their digestion into the bloodstream.\u00a0Also disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_13_471\" id=\"identifier_17_471\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">13<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li style=\"text-align: justify\"><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_13_471\" id=\"identifier_18_471\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">13<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_13_471\" id=\"identifier_19_471\" class=\"footnote-link footnote-identifier-link\" title=\"Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.&nbsp;Journal of Gastroenterology and Hepatology. 2003;18:479-91.\">13<\/a>\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\"><strong>Fruits<\/strong>.\u00a0Contain ample amounts of vitamins, minerals and phytochemicals which are\u00a0naturally occuring components in plants that detoxify toxins, carcinogens (reducing the risk by 50%) and mutagens.<\/li>\n<li style=\"text-align: justify\"><strong>Non-Starchy Vegetables.<\/strong>\u00a0Support intestinal integrity and provide ample amounts of vitamins, minerals and phytochemicals. Includes lettuce, kale, onion, broccoli, garlic, and others.<\/li>\n<li style=\"text-align: justify\"><strong>High Quality Complex Carbohydrates<\/strong>. Provide vitamins, minerals, and fiber while boosting serotonin levels to help you relax and feel calm. Includes whole grains, legumes, and root vegetables such as carrots, parsnips, sweet potatoes, turnips, red beets, and others.<\/li>\n<li style=\"text-align: justify\"><strong>Antioxidants<\/strong>. Protect the body from inflammatory oxidant molecules that continually occur and\u00a0help us handle stress and reduce irritability. Includes vitamin C-containing foods such as lemon, grapefruit, apricot, Brussels sprouts and strawberries, and others. Also, includes vitamin E-containing foods such as\u00a0nuts, seeds, avocado, olive oil, and others. Cocoa is good, too.<\/li>\n<li style=\"text-align: justify\"><strong>Omega-3 Fatty Acids<\/strong>. Balance opposing omega-6 fatty acids and bad fats. Fish sources includes tuna, salmon, cod, and others. Plants sources include flax, chia seeds, canola oil, and others.<\/li>\n<li style=\"text-align: justify\"><strong>Probiotics.\u00a0<\/strong>Supply normal microbes needed for colon health and health of the body such as these fermented foods: yogurt, kefir, and unpasteurized apple cider vinegar.<\/li>\n<li style=\"text-align: justify\"><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li style=\"text-align: justify\"><strong>Protective Herbs and Spices<\/strong>. \u00a0See below #6 below for examples.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">3<\/span>\u00a0Information Sheet You Can Take to Your Doctor or Other Health Professional:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<p>Click here.<\/p>\n<p>&nbsp;<\/p>\n<ul class=\"cp_check green\">\n<li><span style=\"color: #800000\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify\">Certain prescription drugs deplete vitamin E which promotes common variable immunodeficiency. Ask your doctor or pharmacist about this possible adverse effect if you are taking any of the drugs listed below.\u00a0<strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p>\u00a0This is not a complete listing.<\/p>\n<p><strong>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Colestid\u00ae and Questran\u00ae deplete Vitamin E.<\/li>\n<\/ul>\n<p><strong>WEIGHT LOSS DRUGS THAT BIND FAT\u00a0<\/strong>also interfere with absorption of some nutrients.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Zenicol (Orlistat\u00ae) depletes Vitamin E.<\/li>\n<\/ul>\n\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><strong><span class=\"dropcap\">5<\/span>Nutritional Supplements To Help Correct Deficiencies:<\/strong><\/span><\/em><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<p style=\"text-align: justify\">The type and quantity of nutritional supplements that may be needed depend on which nutrients are deficient.<\/p>\n<ul class=\"cp_bullet orange\">\n<li>Multivitamin\/mineral combination once a day is useful to improve overall nutrient levels. This is a safe dose, but always check with your doctor to avoid interactions with medications.<\/li>\n<li>Vitamin E as prescribed following blood test for status.<\/li>\n<\/ul>\n<p><strong>Storage Note<\/strong>:\u00a0<em>Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet &#8211; not in the bathroom or on the kitchen table<\/em>.\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\">\n<li><span style=\"color: #800000\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Eight glasses of water are recommended per day unless there is a contraindication such as kidney or heart disease. The Institute of Medicine recommends approximately 2.7 liters (91 ounces) of total water, from all beverages and foods, each day for women and 3.7 liters (125 ounces) daily of total water for men.<\/li>\n<li style=\"text-align: justify\">If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li style=\"text-align: justify\">Hydration Test: Urine should be pale yellow. Fingertips should be plump, without pruning but this may not be reliable when fingers are swollen with edema. Lips should be plump, without puckering. The feeling of thirst can be unreliable.<\/li>\n<li style=\"text-align: justify\">What is wrong with soda, coffee, tea, and alcohol? These drinks are dehydrating, increase acid, and deplete nutrients.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Carminatives.\u00a0<\/strong>The following \u00a0anti-inflammatory\u00a0plant sources called carminitives help heal the digestive tract. They also tone the digestive muscles which improves peristalsis, thus aiding in the expulsion of gas from the stomach and intestine to relieve digestive colic and gastric discomfort.<\/p>\n<p style=\"text-align: justify\"><strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>Raspberry.<\/li>\n<li>Carrot is also a cleansing digestive tonic.<\/li>\n<li>Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li>Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li>Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li>Lettuce also stimulates and improves digestion and is also an alterative, meaning it improves the function of organs involved with the digestion and excretion of waste products to bring about a gradual change.<\/li>\n<li>Potatoes are antispasmodic (due to atropine like properties) and a liver remedy.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Herb Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Sage is also a digestive, astringent, bile stimulant and energy tonic that heals the mucosa. \u00a0Drink as tea or use in cooking.<\/li>\n<li style=\"text-align: justify\">Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li style=\"text-align: justify\">Parsley also relieves indigestion.<\/li>\n<li style=\"text-align: justify\">Rosemary as a tea and in cooking also is a nervous system tonic for stress and fatigue, bile stimulant, and can relieve headaches and indigestion.<\/li>\n<li style=\"text-align: justify\">Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li>Cloves are also antispasmodic.<\/li>\n<li>Nutmeg is also useful for indigestion.<\/li>\n<li>Ginger.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t<strong>Exercise Helps<\/strong>:<\/p>\n<p>Exercise improves circulation and rids the body of toxins.<\/p>\n<ul class=\"cp_bullet green\">\n<li>Walking is aerobic exercise that reconditions the whole body to improve stamina.\u00a0Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves flexibilty.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<\/ul>\n<p><strong>Note<\/strong>: Exercise is important, but the amount and type of exercise undertaken depends on your health. Your first priority is to heal. \n\t\t\t<\/div><\/div>\n<h2>What Do Medical Research Studies Tell About Common Variable Immunodeficiency In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\">&#8220;<strong>Primary antibody deficiencies at Queen Rania Children Hospital in Jordan: single center experience<\/strong>.&#8221; This retrospective study investigating the demographic, clinical, immunological features and complications of children diagnosed with primary antibody deficiency at a referral center in Jordan found these autoimmune associations (17%): inflammatory arthritis, discoid lupus, inflammatory bowel disease, vasculitis and celiac disease.<\/p>\n<p style=\"text-align: justify\">The medical records of pediatric patients who were diagnosed as primary antibody deficiency (PAD) during the period from January 2006 to June 2013 were reviewed. Patients were diagnosed as PADs based on the Pan-American Group for Immunodeficiency (PAGID) and the European Society for Immunodeficiency (ESID) diagnostic criteria.<\/p>\n<p style=\"text-align: justify\">A total number of 53 patients with PAD were identified; 37 (70%) males and 16(30%) females, 16(30%) patients with congenital agammaglobulinemia, 16(30%) patients with common variable immunodeficiency, 4(7.5%) patients with IgG subclass deficiency, 10(19%) cases with transient hypogammaglobulinemia of infancy and 7(13.5%) patients as undefined PAD. The most common infection among patients was pneumonia (62%); followed by suppurative otitis media in 49% of patients. Cytopenia was the most noted autoimmune association and was found at prevalence of 22 %, other The prevalence of long-term complications was 58%, the most frequent ones were; stunted growth in 13%, bronchiectasis and lymphoproliferation in 11% for each. The awareness of families, general population as well as primary health physicians is crucial in the establishment of early diagnosis and prompt commencement of appropriate therapy for primary antibody disease.<a href=\"#footnote_14_471\" id=\"identifier_20_471\" class=\"footnote-link footnote-identifier-link\" title=\"Habahbeh ZM, Abu-Shukair ME, Almutereen MA, Alzyoud RM, Wahadneh AM. Primary antibody deficiencies at Queen Rania Children Hospital in Jordan: single center experience. Iran J Immunol. 2014 Mar;11(1):49-58. doi: IJIv11i1A6.\">14<\/a><\/p>\n<h4 style=\"text-align: justify\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cCommon variable immunodeficiency and celiac disease.&#8221;<\/strong>\u00a0This report of two cases of common variable immunodeficiency associated with chronic symptoms of malabsorption due to total villous atrophy describes how symptoms of malabsorption disappeared and histological abnormalities improved after a gluten free diet. The association between celiac disease and common variable immunodeficiency should not be considered as fortuitous. Clinicians should be aware of this association and of the low sensitivity of serologic testing in this setting.<a href=\"#footnote_9_471\" id=\"identifier_21_471\" class=\"footnote-link footnote-identifier-link\" title=\"Bechade D, Desrame J, De Fuentes G, Camparo P, Raynaud JJ, Algayres JP. Common variable immunodeficiency and celiac disease. Gatroenterologie Clinique et Biologique. Oct 2004;28(10 Pt 1):909-12.\">9<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_471\" class=\"footnote\">Murray JA1, Rubio-Tapia A. Diarrhoea due to small bowel diseases. <em>Best Pract Res Clin Gastroenterol<\/em>. 2012 Oct;26(5):581-600. doi: 10.1016\/j.bpg.2012.11.013.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_471\" class=\"footnote\"><span style=\"color: #000000\">Maarschalk-Ellerbroek LJ, Hoepelman AI, van Montfrans JM, Ellerbroek PM. The spectrum of disease manifestations in patients with common variable immunodeficiency disorders and partial antibody deficiency in a university hospital.\u00a0<\/span><em style=\"color: #000000\">J<\/em><span style=\"color: #000000\">\u00a0<\/span><em style=\"color: #000000\">Clin Immunol<\/em><span style=\"color: #000000\">. 2012 Oct;32(5):907-21. doi: 10.1007\/s10875-012-9671-6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_471\" class=\"footnote\">Maarschalk-Ellerbroek LJ, Hoepelman AI, van Montfrans JM, Ellerbroek PM. The spectrum of disease manifestations in patients with common variable immunodeficiency disorders and partial antibody deficiency in a university hospital.<em> J Clin Immunol<\/em>. 2012 Oct;32(5):907-21. doi: 10.1007\/s10875-012-9671-6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_471\" class=\"footnote\"><\/span>Murray JA1, Rubio-Tapia A. Diarrhoea due to small bowel diseases. <em>Best Pract Res Clin Gastroenterol.<\/em> 2012 Oct;26(5):581-600. doi: 10.1016\/j.bpg.2012.11.013.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_471\" class=\"footnote\">Aslam A, Misba SA, Talbot K, Chapel H. Vitamin E deficiency induced neurological disease in common variable immunodeficiency: two\u00a0<span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">cases and a review of the literature of vitamin E deficiency. <\/span><em style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">Clinical Immunology<\/em><span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">. Jul 2004;112(1):24-9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_471\" class=\"footnote\">Aslam A, Misba SA, Talbot K, Chapel H. Vitamin E deficiency induced neurological disease in common variable immunodeficiency: two cases and a review of the literature of vitamin E deficiency. <\/span><em style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">Clinical Immunology<\/em><span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">. Jul 2004;112(1):24-9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_471\" class=\"footnote\">Bechade D, Desrame J, De Fuentes G, Camparo P, Raynaud JJ, Algayres JP. Common variable immunodeficiency and celiac disease. <\/span><em style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">Gatroenterologie Clinique et Biologique<\/em><span style=\"text-align: justify;font-size: 14px;line-height: 1.5em\">. Oct 2004;28(10 Pt 1):909-12.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_471\" class=\"footnote\">La Villa G, Pantaleo P, Tarquini R, Cirami L, Perfetto F, Mancuso F, Laffi G. Multiple immune disorders in unrecognized celiac disease: a case report. <em>World J Gastroenterol<\/em>. 2003;9(6):1377-1380, Available at: http:\/\/www.wjgnet.com\/1007-9327\/9\/1377.asp. Accessed Jan 3, 2005.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_9_471\" class=\"footnote\">Bechade D, Desrame J, De Fuentes G, Camparo P, Raynaud JJ, Algayres JP. Common variable immunodeficiency and celiac disease. <em>Gatroenterologie Clinique et Biologique<\/em>. Oct 2004;28(10 Pt 1):909-12.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_21_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_10_471\" class=\"footnote\">Habahbeh ZM, Abu-Shukair ME, Almutereen MA, Alzyoud RM, Wahadneh AM. Primary antibody deficiencies at Queen Rania Children Hospital in Jordan: single center experience. <em>Iran J Immunol<\/em>. 2014 Mar;11(1):49-58. doi: IJIv11i1A6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_11_471\" class=\"footnote\">Aslam A, Misba SA, Talbot K, Chapel H. Vitamin E deficiency induced neurological disease in common variable immunodeficiency: two cases and a review of the literature of vitamin E deficiency.\u00a0<em>Clinical Immunology<\/em>. Jul 2004;112(1):24-9.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_12_471\" class=\"footnote\">Cummins AG, Thompson FM, Butler RN, et al. Improvement in intestinal permeability precedes morphometric recovery of the small intestine in coeliac disease.\u00a0<em>Clinical Science<\/em>. Apr 2001;100(4):379-86.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_13_471\" class=\"footnote\">Farhadi A, Banan A, Fields J, Keshavarzian A. Intestinal barrier: an interface between health and disease.\u00a0<em>Journal of Gastroenterology and Hepatology<\/em>. 2003;18:479-91.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_17_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_18_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_19_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_14_471\" class=\"footnote\">Habahbeh ZM, Abu-Shukair ME, Almutereen MA, Alzyoud RM, Wahadneh AM. Primary antibody deficiencies at Queen Rania Children Hospital in Jordan: single center experience. <em>Iran J Immunol.<\/em> 2014 Mar;11(1):49-58. doi: IJIv11i1A6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_20_471\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Common Variable Immunodeficiency? Common variable immunodeficiency (CVID) is a primary antibody deficiency\u00a0disease characterized by the onset of recurrent bacterial infections resulting from markedly decreased immunoglobulin antibody production and antibody levels. Q: What causes common variable immunodeficiency? A:\u00a0Common variable immunodeficiency is\u00a0caused by a defect in any critical stage of B cell development and is &#8230;<\/p>\n","protected":false},"author":29,"featured_media":8768,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[4,173,779,1682,55,123],"tags":[1946,101,481,1489,1490,845,1137,776,1488,1042,574,1136,1135,1499,1918],"class_list":["post-471","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-antibodies","category-associated-disorder","category-malabsorption-disorders","category-immune-2","category-vitamin-e","tag-antibodies","tag-associated-disorders","tag-ataxia","tag-autoimmune-risk","tag-cancer-risk","tag-common-variable-immunodeficiency","tag-false-negative-antibody-test-for-celiac-disease","tag-health-conditions","tag-lymphoma-risk","tag-pneumonia","tag-recurrent-infections","tag-retinitis-pigmentosa","tag-sensory-loss","tag-system-immune","tag-vitamin-e"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/comments?post=471"}],"version-history":[{"count":20,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/471\/revisions"}],"predecessor-version":[{"id":15470,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/471\/revisions\/15470"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/8768"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=471"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=471"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}