{"id":485,"date":"2015-01-07T14:30:50","date_gmt":"2015-01-07T19:30:50","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=485"},"modified":"2020-07-11T10:50:16","modified_gmt":"2020-07-11T14:50:16","slug":"diffuse-alopecia-2","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/diffuse-alopecia-2\/","title":{"rendered":"Alopecia,\u00a0Diffuse (Balding Hair Loss)"},"content":{"rendered":"<div id=\"attachment_8292\" style=\"width: 228px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/45n6tKt9UhR79eHzipxOCg_m.png\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8292\" class=\" wp-image-8292 \" style=\"margin-left: 5px;margin-right: 5px\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/45n6tKt9UhR79eHzipxOCg_m.png\" alt=\"Courtesy quizlet.com\" width=\"218\" height=\"240\" \/><\/a><p id=\"caption-attachment-8292\" class=\"wp-caption-text\"><em>Courtesy quizlet.com<\/em><\/p><\/div>\n<h2>What Is Diffuse Alopecia?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">D<\/span>iffuse alopecia is characterized by abnormal hair loss or baldness.<\/p>\n<p style=\"text-align: justify\">Hair loss usually develops gradually and may be patchy or all over (diffuse).\u00a0The average scalp contains about 100,000 hairs.\u00a0Roughly 100 hairs are shed from the head every day.<\/p>\n<p style=\"text-align: justify\">Diffuse baldness not related to male pattern or heredity can be related to aging, nutritional deficiencies, some froms of dermatitis, radiation, endocrine disorders, especially thyroid hormone imbalance and diabetes, and undue stress.<\/p>\n<p style=\"text-align: justify\"><strong>Q<\/strong>: Can sudden stress cause hair loss?<\/p>\n<p style=\"text-align: justify\"><strong>A<\/strong>: A sudden physical or emotional stress may cause one-half to three-quarters of the hair throughout the scalp to shed.\u00a0Other causes that need to be evaluated include use of common medications such as birth control pills, blood thinners, and anti-inflammatory pain drugs, and continued exposure to environmental chemicals such cleaning products.<\/p>\n<h2>What Is Diffuse Alopecia In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Relationship between diffuse alopecia and celiac disease.<\/strong> Diffuse alopecia is now recognized as a manifestation of zinc deficiency in celiac disease.\u00a0Reversal of baldness can go along way to improving self-confidence and morale.<\/li>\n<li style=\"text-align: justify\"><strong>Relationship between diffuse alopecia and zinc deficiency.\u00a0<\/strong>Serum zinc levels should be included in the work-up of patients with diffuse alopecia. In the setting of hypozincemia (low blood zinc levels) with adequate nutritional intake, a malabsorption syndrome should be suspected, and serological testing for celiac disease should be performed.A gluten free diet normalizes zinc levels persistently low on supplementation prior to diagnosis of celiac disease.<\/li>\n<li style=\"text-align: justify\"><strong>Relationship between diffuse alopecia and iron and protein deficiencies.\u00a0<\/strong>Alopecia is also a common dermatological manifestation of iron deficiency and protein deficiency, which may be attributable to undiagnosed celiac disease.<a href=\"#footnote_1_485\" id=\"identifier_1_485\" class=\"footnote-link footnote-identifier-link\" title=\"Poon E, Nixon R. Cutaneous spectrum of coeliac disease. Australasian Journal of Dermatology. May 2001;42(2):136-8.\">1<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Relationship between diffuse alopecia and biotin and vitamin B6 deficiencies.\u00a0<\/strong>Other vitamin deficiencies that\u00a0can contribute to hair loss are biotin and pyridoxine (vitamin B6).<\/li>\n<\/ul>\n<h2>How Prevalent is Diffuse Alopecia In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p>Diffuse alopecia has increased frequency in patients with untreated celiac disease.<a href=\"#footnote_1_485\" id=\"identifier_2_485\" class=\"footnote-link footnote-identifier-link\" title=\"Poon E, Nixon R. Cutaneous spectrum of coeliac disease. Australasian Journal of Dermatology. May 2001;42(2):136-8.\">1<\/a><\/p>\n<h2>What Are The Symptoms Of Diffuse Alopecia?<\/h2>\n<ul class=\"cp_bullet red\">\n<li>Diffuse alopecia is marked by balding throughout the scalp and hairy parts of the body.<\/li>\n<\/ul>\n<h2>How Does Diffuse Alopecia Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<div id=\"attachment_12306\" style=\"width: 302px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/hair-follicle.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-12306\" class=\" wp-image-12306\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/hair-follicle-300x200.jpg\" alt=\"Cross Section of a Hair Follicle. Courtesy Pathguy.com\" width=\"292\" height=\"194\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/hair-follicle-300x200.jpg 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/hair-follicle.jpg 604w\" sizes=\"auto, (max-width: 292px) 100vw, 292px\" \/><\/a><p id=\"caption-attachment-12306\" class=\"wp-caption-text\">Cross Section of a Hair Follicle. <em>Courtesy Pathguy.com<\/em><\/p><\/div>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Diffuse alopecia results from malabsorption in celiac disease, resulting in nutritional deficiencies that include zinc, iron, protein, biotin and vitamin B6 (pyridoxine).<\/li>\n<li style=\"text-align: justify\">Vitamin and mineral deficiencies are common in celiac disease. In a study of 80 consecutively diagnosed patients with celiac disease, 87% had at least one value below the lower limit of reference. Deficiencies observed specific to hair loss were: 14.5% of patients showed deficient levels for vitamin B6, zinc 67%, 46% had decreased iron storage, and 32% had anemia.<a href=\"#footnote_2_485\" id=\"identifier_3_485\" class=\"footnote-link footnote-identifier-link\" title=\"Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.&nbsp;Nutrients.&nbsp;2013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.\">2<\/a><\/li>\n<\/ul>\n<h2>Does Diffuse Alopecia Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">Yes. Celiac disease-related diffuse alopecia responds to gluten free diet.<a href=\"#footnote_1_485\" id=\"identifier_4_485\" class=\"footnote-link footnote-identifier-link\" title=\"Poon E, Nixon R. Cutaneous spectrum of coeliac disease. Australasian Journal of Dermatology. May 2001;42(2):136-8.\">1<\/a> Nutritional supplementation may be required.<\/p>\n<h2>6 Steps To Improve Diffuse Alopecia 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 hair and gut health.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>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>A strict gluten free diet means removing 100% of wheat, barley, rye and oats from the diet.<\/li>\n<li>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_3_485\" id=\"identifier_5_485\" 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.\">3<\/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<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>2<\/strong><\/span><\/span><strong><span style=\"color: #800000\">\u00a0Reduce Inflammation. Foods to Eat and Foods Not to Eat:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<p>Because gluten is inflammatory, eliminate OTHER inflammatory foods from your diet to reduce an additive effect to gluten. At the same time, try to eat foods that reduce inflammation (anti-inflammatory). <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_4_485\" id=\"identifier_6_485\" 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.\">4<\/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_4_485\" id=\"identifier_7_485\" 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.\">4<\/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_4_485\" id=\"identifier_8_485\" 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.\">4<\/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_4_485\" id=\"identifier_9_485\" 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.\">4<\/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_4_485\" id=\"identifier_10_485\" 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.\">4<\/a><\/li>\n<li style=\"text-align: justify\"><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_4_485\" id=\"identifier_11_485\" 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.\">4<\/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 style=\"text-align: justify\"><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<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><strong>4<\/strong><\/span><\/span><\/em><em><strong>\u00a0<span style=\"color: #800000\">Manage Your Medications\u00a0<strong>Safely<\/strong>:<\/span>\u00a0<\/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\tCertain prescription drugs can deplete zinc, iron, biotin, or vitamin B6 (pyridoxine) causing any of these deficiencies.\u00a0Ask your doctor or pharmacist about this possible adverse effect if you have been prescribed them.\u00a0<strong>Do not stop prescribed medications without supervision.<\/strong><\/p>\n<p style=\"text-align: justify\">This is not a complete listing.<\/p>\n<p><strong>FEMALE HORMONES<\/strong>\u00a0 disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Oral Contraceptives (Norinyl\u00ae, Ortho-Novum\u00ae, Triphasil\u00ae, and others) deplete Zinc, Vitamin B6, and others.<\/li>\n<li>Oral Estrogen\/Hormone Replacement (Evista\u00ae, Prempro\u00ae, Premarin\u00ae, Estratab\u00ae and others)\u00a0deplete Zinc, Vitamin B6, and others.<\/li>\n<\/ul>\n<p><strong>CARDIOVASCULAR DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>ACE Inhibitors (Capoten, Vasotec\u00ae, Monopril\u00ae and others) deplete Zinc.<\/li>\n<li>Antihypertensives (Catapres\u00ae, Aldomet)\u00a0deplete Zinc, Vitamin B6, and others.<\/li>\n<\/ul>\n<p><strong>ANTIVIRAL AGENTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Zidovudine (Retrovir\u00ae, AZT and other related drugs) deplete Zinc and others.<\/li>\n<\/ul>\n<p><strong>ANTICONVULSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Phenobarbital and Barbituates; and Dilantin\u00ae, Tegretol\u00ae, Mysoline\u00ae, Depakane\/Depacon\u00ae deplete Zinc, Biotin, and others.<\/li>\n<\/ul>\n<p><strong>ANTIBIOTICS \u00a0<\/strong>disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Tetracyclines deplete Zinc, Iron, Vitamin B6, and others.<\/li>\n<\/ul>\n<p><strong>ANTACIDS \/ ULCER MEDICATIONS<\/strong><\/p>\n<ul class=\"cp_bullet blue\">\n<li>Pepcid\u00ae, Tagamet\u00ae, Zantac\u00ae deplete Zinc, Iron, and others.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Zinc, Iron and others.<\/li>\n<\/ul>\n<p><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0 disrupt intestinal permeability.<\/p>\n<ul class=\"cp_bullet blue\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron)\u00a0deplete Zinc, Vitamin B6\u00a0and others.<\/li>\n<li>Aspirin and Salicylates deplete Iron and others.\n\t\t\t<\/div><\/div><\/li>\n<\/ul>\n<ul class=\"cp_check green\">\n<li><em><span style=\"color: #800000\"><span class=\"dropcap\"><b>5<\/b><\/span><\/span><strong><span style=\"color: #800000\">Nutritional Supplements To Help Correct Deficiencies:<\/span><\/strong><\/em><\/li>\n<\/ul>\n<div class=\"box shadow\"><div class=\"box-inner-block\"><i class=\"tieicon-boxicon\"><\/i>\n\t\t\t\n<ul class=\"cp_bullet orange\">\n<li>Multi-vitamin\/mineral supplement once a day giving 100% (not thousands).<\/li>\n<li>Vitamin B6 alone or as part of a B-Vitamin Complex supplement to restore vitamin B6 as needed.<\/li>\n<li style=\"text-align: justify\">Chelated zinc as prescribed by doctor based on blood studies to determine zinc status. Do not take with other supplements because of interactions. \u00a0Always check with your doctor when taking supplements to avoid interactions with medications.<\/li>\n<li style=\"text-align: justify\">Ferrous fumarate or gluconate\u00a0as prescribed by doctor based on blood studies to determine iron status.<\/li>\n<\/ul>\n<p><strong>Storage Note for Supplements<\/strong>:<em>\u00a0Store container tightly sealed, away from heat, moisture and direct light to avoid loss of potency. That is, in a safe kitchen cabinet \u00a0&#8211; not in the bathroom or on the kitchen table.\n\t\t\t<\/div><\/div><\/em><\/p>\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<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. <strong>Carminative Food Remedies<\/strong>:<\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Raspberry.<\/li>\n<li style=\"text-align: justify\">Carrot is also a cleansing digestive tonic.<\/li>\n<li style=\"text-align: justify\">Grape is also bile stimulating and a cleansing remedy for sluggish digestion and laxative.<\/li>\n<li style=\"text-align: justify\">Redbeets also stimulate and improve digestion and are easily digested.<\/li>\n<li style=\"text-align: justify\">Cabbage also stimulates and improves digestion and is also a liver decongestant.<\/li>\n<li style=\"text-align: justify\">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 style=\"text-align: justify\">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 style=\"text-align: justify\">Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\">\n<li style=\"text-align: justify\">Nutmeg is also useful for indigestion.<\/li>\n<li style=\"text-align: justify\">Cloves are also antispasmodic.<\/li>\n<li style=\"text-align: justify\">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 Diffuse Alopecia In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cVitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.\u201d<\/strong> This study aiming to assess the nutritional and vitamin\/mineral status of current &#8220;early diagnosed&#8221; untreated adult celiac disease patients in the Netherlands found that vitamin\/mineral deficiencies are still common in newly &#8220;early diagnosed&#8221; \u00a0celiac disease patients. Almost all celiac disease patients (87%) had at least one value below the lower limit of reference. Specifically,\u00a0 67% had zinc deficiency, 46% had decreased iron storage, 32% had anemia, and 14.5% of patients showed deficient levels for vitamin B6.<\/p>\n<p style=\"text-align: justify\">Eighty newly diagnosed adult celiac disease patients were included and a comparable sample of 24 healthy Dutch subjects was added to compare vitamin concentrations. Nutritional status and serum concentrations were determined (before prescribing gluten free diet).<\/p>\n<p style=\"text-align: justify\">Overall, 17% were malnourished (&gt;10% undesired weight loss), 22% of the women were underweight (Body Mass Index (BMI) &lt; 18.5), and 29% of the patients were overweight (BMI &gt; 25). Vitamin deficiencies were barely seen in healthy controls, with the exception of vitamin B\u2081\u2082. Vitamin\/mineral deficiencies were counter-intuitively not associated with a (higher) grade of histological intestinal damage or (impaired) nutritional status. &#8220;Extensive nutritional assessments seem warranted to guide nutritional advices and follow-up in celiac disease treatment.&#8221;<a href=\"#footnote_5_485\" id=\"identifier_12_485\" class=\"footnote-link footnote-identifier-link\" title=\"Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients. Nutrients. 2013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.\">5<\/a><b>\u00a0<\/b><\/p>\n<h4 style=\"text-align: justify\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cCeliac disease-associated alopecia in childhood.\u201d<\/strong>\u00a0This case report describes diffuse alopecia that developed in 3 children.\u00a0In one child, alopecia developed after 4 years nonadherance to a Gluten Free Diet; the other 2 children presented (to the physician) with alopecia. Administration of a Gluten Free Diet resulted in partial regrowth of hair in the first child and complete hair growth in the other two children.<a href=\"#footnote_6_485\" id=\"identifier_13_485\" class=\"footnote-link footnote-identifier-link\" title=\"Naveh Y, Rosenthal E, Ben-Arieh Y, Etzioni A. Celiac disease-associated alopecia in childhood. Journal of Pediatrics. Mar 1999;134(3):362-4.\">6<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_485\" class=\"footnote\">Poon E, Nixon R. Cutaneous spectrum of coeliac disease. <em>Australasian Journal of Dermatology<\/em>. May 2001;42(2):136-8.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_485\" class=\"footnote\">Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients.\u00a0<em>Nutrients.<\/em>\u00a02013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_485\" 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_5_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_485\" 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_6_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_485\" class=\"footnote\">Wierdsma NJ, van Bokhorst-de van der Schueren MA, Berkenpas M, Mulder CJ, van Bodegraven AA. Vitamin and mineral deficiencies are highly prevalent in newly diagnosed celiac disease patients. <em>Nutrients.<\/em> 2013 Sep 30;5(10):3975-92. doi: 10.3390\/nu5103975.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_12_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_485\" class=\"footnote\">Naveh Y, Rosenthal E, Ben-Arieh Y, Etzioni A. Celiac disease-associated alopecia in childhood. <em>Journal of Pediatrics<\/em>. Mar 1999;134(3):362-4.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_13_485\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Diffuse Alopecia? Diffuse alopecia is characterized by abnormal hair loss or baldness. Hair loss usually develops gradually and may be patchy or all over (diffuse).\u00a0The average scalp contains about 100,000 hairs.\u00a0Roughly 100 hairs are shed from the head every day. Diffuse baldness not related to male pattern or heredity can be related to &#8230;<\/p>\n","protected":false},"author":29,"featured_media":8292,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[4,178,177,108,1682,112,974,56,122,109],"tags":[1435,1011,1949,1948,1012,776,1906,319,298,100,1893,106,1907],"class_list":["post-485","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-biotin","category-hair","category-iron","category-malabsorption-disorders","category-protein","category-symptoms","category-integumentary-2","category-pyridoxine","category-zinc","tag-alopecia-diffuse","tag-balding","tag-biotin","tag-hair","tag-hair-loss","tag-health-conditions","tag-iron","tag-malabsorption","tag-protein-deficiency","tag-symptom","tag-integumentary-2","tag-vitamin-b6","tag-zinc"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/485","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=485"}],"version-history":[{"count":28,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/485\/revisions"}],"predecessor-version":[{"id":15384,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/485\/revisions\/15384"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/8292"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}