{"id":614,"date":"2015-06-04T21:54:51","date_gmt":"2015-06-05T01:54:51","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=614"},"modified":"2020-07-11T10:39:21","modified_gmt":"2020-07-11T14:39:21","slug":"muscle-weakness-3","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/muscle-weakness-3\/","title":{"rendered":"Muscle Weakness\u00a0"},"content":{"rendered":"<div id=\"attachment_6228\" style=\"width: 310px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/larger-muscle-fiber.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-6228\" class=\"size-medium wp-image-6228 \" style=\"margin-left: 3px;margin-right: 3px\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/larger-muscle-fiber-300x272.jpg\" alt=\"Muscle fiber anatomy. Courtesy NIH.\" width=\"300\" height=\"272\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/larger-muscle-fiber-300x272.jpg 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/larger-muscle-fiber.jpg 416w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-6228\" class=\"wp-caption-text\">Muscle Fiber Anatomy. <em>Courtesy NIH.<\/em><\/p><\/div>\n<h2>What Is Muscle Weakness?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">M<\/span>uscle weakness is the impaired status of muscle function characterized by decreased or low muscle strength and inability to perform normal work such as lifting a pot off the stove.<\/p>\n<p style=\"text-align: justify\"><strong>Q:<\/strong> How do muscles work?<\/p>\n<p style=\"text-align: justify\"><strong>A:<\/strong> Muscles do their work by contracting or shortening.\u00a0For example,\u00a0to move the foot up and down at the ankle, muscles\u00a0attached to the foot by tendons must contract to shorten or relax to\u00a0return to their resting length.\u00a0Calf muscles contract to\u00a0point the foot down (flexion) while the shin muscles relax (extension). \u00a0For the foot to point up, calf muscles relax while\u00a0the opposing shin muscles contract.<\/p>\n<p style=\"text-align: justify\">Each muscle is made up of individual muscle fibers. A muscle fiber is a long cylindrical cell that contains many nuclei, mitochondria, and sarcomeres. Each muscle fiber is surrounded by a thin layer of connective tissue called the endomysium.<\/p>\n<p style=\"text-align: justify\">Approximately 20\u201380 of these muscle fibers are grouped together in a parallel arrangement called a muscle fascicle or fiber bundle that is encapsulated by a perimysium. A distinct muscle is formed by enveloping a large number of muscle fascicles in a thick collagenous external sheath extending from the tendons called the epimysium.<a href=\"#footnote_1_614\" id=\"identifier_1_614\" class=\"footnote-link footnote-identifier-link\" title=\"http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK57140\/\">1<\/a><\/p>\n<p style=\"text-align: justify\">Muscles fall into three types:<\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong>Voluntary muscles<\/strong>.\u00a0\u00a0These muscles, also called skeletal,\u00a0we can control by will.\u00a0Voluntary muscles function by contracting their fibers to draw one part of the body toward another in flexion while opposing muscles that extend or pull a body part away from another.\u00a0They move our bones to perform activities such as walking to get\u00a0somewhere, chewing to eat food, lifting to do work, and moving the eyeball to look at something.<\/li>\n<li style=\"text-align: justify\"><strong>Involuntary muscles<\/strong>. These muscles work independently of our conscious control. They are needed for internal organs, sphincters, and other parts to do their work, such as peristalsis in the gut that must function at all times to digest and move food, the squirting of bile juice into the duodenum by the Sphincter of Odi in the presence of fat eaten, and action of the pupil to see.<\/li>\n<li style=\"text-align: justify\"><strong>Cardiac muscles<\/strong>. These muscles are specialized to keep the heart functioning at all times.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\u00a0 Muscle weakness can involve all types of muscles.<\/p>\n<h2>What Is Muscle Weakness In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<p style=\"text-align: justify\"><strong>Relationship between muscle weakness and celiac disease.\u00a0<\/strong>Muscle weakness is a well-recognized feature of multiple nutritional deficiencies due to malabsorption in celiac disease. These include:<\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Carbohydrate, protein, fat, vitamins B1 (thiamin), B2 (riboflavin), B3 (niacin), \u00a0B6 (pyridoxine), vitamin C, zinc, and phosphorus deficiencies which result in generalized weakness or low strength due to their essential activities in energy metabolism.<\/li>\n<li style=\"text-align: justify\">Calcium\u00a0deficiency causes generalized weakness due to poor muscle contraction.<\/li>\n<li style=\"text-align: justify\">Potassium\u00a0deficiency causes generalized weakness due to poor muscle conduction.<\/li>\n<li style=\"text-align: justify\">Magnesium deficiency limits the ability of muscles to relax normally thereby causing weakness.<\/li>\n<li style=\"text-align: justify\">Vitamin D deficiency leads to proximal muscle weakness involving upper arms and thighs.\u00a0<strong>\u00a0<\/strong>Regarding newborn infants, an\u00a0epigenetic study showed conclusively that deficient vitamin D status of the mother changes the way muscle cells develop in her offspring. The vitamin D deficiency directly altered genes that controlled muscle development which resulted in smaller muscles.<a href=\"#footnote_2_614\" id=\"identifier_2_614\" class=\"footnote-link footnote-identifier-link\" title=\"Max D, Brandsch C, Schumann S, K&uuml;hne H, Frommhagen M, Schutkowski A, Hirche F, Staege MS, Stangl GI. Maternal vitamin D deficiency causes smaller muscle fibers and altered transcript levels of genes involved in protein degradation, myogenesis, and cytoskeleton organization in the newborn rat. Mol Nutr Food Res. 2014 Feb;58(2):343-52. doi: 10.1002\/mnfr.201300360.\">2<\/a><\/li>\n<li style=\"text-align: justify\">Vitamin B12 deficiency causes generalized weakness in the legs.<\/li>\n<li style=\"text-align: justify\">Selenium deficiency causes generalized weakness by a metabolic effect involving thyroid hormone.<\/li>\n<li style=\"text-align: justify\">Co-Q 10 enzyme which is used by cardiac muscle for fuel.<\/li>\n<\/ul>\n<h2>How Prevalent Is Muscle Weakness In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p>Muscle weakness is common in untreated celiac disease.<\/p>\n<h2>What Are The Symptoms Of Muscle Weakness?<\/h2>\n<p style=\"text-align: justify\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/canstockphoto6718654.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-12994\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/canstockphoto6718654-300x300.jpg\" alt=\"canstockphoto6718654\" width=\"251\" height=\"251\" srcset=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/canstockphoto6718654-300x300.jpg 300w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/canstockphoto6718654-150x150.jpg 150w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/canstockphoto6718654-70x70.jpg 70w, https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/canstockphoto6718654.jpg 800w\" sizes=\"auto, (max-width: 251px) 100vw, 251px\" \/><\/a>Muscle weakness symptoms are specific to nutritional deficits that have developed.<\/p>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\">Magnesium deficiency is a cause of constipation due to inability of gut muscles to fully relax before the next contraction thus causing spasms that do not move the food mass along in a timely manner. At the same time, magnesium deficiency can result in tight shoulder muscles and spasms in other such voluntary muscles that limit the strength of muscles because they cannot properly relax before contracting.<\/li>\n<li style=\"text-align: justify\">Calcium and potassium deficiencies cause generalized weakness due to impaired muscle conduction making it difficult to initiate or perform simple work such as standing.<\/li>\n<li style=\"text-align: justify\">Carbohydrate, protein, fat, vitamins B1 (thiamin), B2 (riboflavin), B3 (niacin), \u00a0B6 (pyridoxine), folic acid, vitamin C, zinc, \u00a0and\u00a0phosphorus deficiencies impair\u00a0energy production needed for muscle function.<\/li>\n<\/ul>\n<h2>How Does Muscle Weakness In Celiac Disease and\/or Gluten Sensitivity Develop?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Muscle weakness results from nutritional deficiencies due to malabsorption in celiac disease.<a href=\"#footnote_3_614\" id=\"identifier_3_614\" class=\"footnote-link footnote-identifier-link\" title=\"Krause&rsquo;s Food, Nutrition, &amp; Diet Therapy. 10th Edition. Kathleen Mahan, Sylvia Escott-Stump. 2000. W.B. Saunders Company.\">3<\/a><\/li>\n<li style=\"text-align: justify\">Nutritional deficiencies that cause muscle weakness include any or all of the following which explains why muscle weakness is a major symptom of celiac disease:<\/li>\n<\/ul>\n<ul class=\"cp_bullet black\">\n<ul>\n<li style=\"text-align: justify\"><strong>The macronutrients needed to supply energy to muscles<\/strong>. These nutrients include carbohydrate, protein, and fat that contain energy.<\/li>\n<li style=\"text-align: justify\"><strong>The micronutrients needed to use energy<\/strong>. These nutrients include vitamins B1 (thiamin), B2 (riboflavin), B3 (niacin), \u00a0B6 (pyridoxine), vitamin C, zinc, and phosphorus.<\/li>\n<li style=\"text-align: justify\"><strong>The micronutrients needed to produce thyroxine which controls metabolism of energy.<\/strong>\u00a0These nutrients include selenium and magnesium.<\/li>\n<li style=\"text-align: justify\"><strong>The micronutrients needed for muscles to function properly.\u00a0<\/strong>These nutrients include\u00a0calcium, magnesium, vitamin D, \u00a0and potassium.<\/li>\n<li style=\"text-align: justify\"><strong>The micronutrients needed to form healthy red blood cells that carry oxygen to muscles.<\/strong> These nutrients include folic acid, vitamin B12, riboflavin, vitamin C, copper and iron.<\/li>\n<\/ul>\n<\/ul>\n<h2>Does Muscle Weakness Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">Yes.\u00a0Adherence to a strict gluten-free diet was associated with a significant reduction of weakness.<a href=\"#footnote_4_614\" id=\"identifier_4_614\" class=\"footnote-link footnote-identifier-link\" title=\"Cicarelli G, Della Rocca G, Amboni M, Ciacci C, Mazzacca G, Filla A, Barone P. Clinical and neurological abnormalities in adult celiac disease.&nbsp;Neurol Sci. 2003 Dec;24(5):311-7.\">4<\/a><\/p>\n<h2>6 Steps To Improve Muscle Weakness In Celiac Disease and\/or Gluten Sensitivity:<\/h2>\n<ul class=\"cp_check green\">\n<li style=\"text-align: justify\"><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 muscle 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\" style=\"text-align: justify\">\n<li>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>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_5_614\" id=\"identifier_5_614\" 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.\">5<\/a><\/li>\n<li>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\" style=\"text-align: justify\">\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 style=\"text-align: justify\">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).<\/p>\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>Here Are Major Inflammatory Food Types That Reduce Healing<\/strong>:<\/p>\n<ul class=\"cp_bullet red\" style=\"text-align: justify\">\n<li><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_6_614\" id=\"identifier_6_614\" 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.\">6<\/a><\/li>\n<li><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><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_6_614\" id=\"identifier_7_614\" 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.\">6<\/a><\/li>\n<li><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_6_614\" id=\"identifier_8_614\" 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.\">6<\/a>.<\/li>\n<li><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_6_614\" id=\"identifier_9_614\" 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.\">6<\/a><\/li>\n<li><strong>Refined Sugars.\u00a0<\/strong>\u00a0Includes white sugar, corn fructose and high fructose corn syrup.<\/li>\n<li><strong>Certain Spices<\/strong>. Includes paprika and cayenne pepper which disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_614\" id=\"identifier_10_614\" 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.\">6<\/a><\/li>\n<li><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_6_614\" id=\"identifier_11_614\" 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.\">6<\/a>\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>Here Are Important Anti-Inflammatory Food Types to Promote Health<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li><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><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><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><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><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><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><strong>Prebiotics\/ High Fiber Foods<\/strong>. \u00a0Food with fiber keeps our population of colonic microbes healthy.<\/li>\n<li><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\" style=\"text-align: justify\">\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 style=\"text-align: justify\">Click here.<\/p>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><strong><em><span class=\"dropcap\">4<\/span>\u00a0Manage Your Medications\u00a0Safely<\/em>:<\/strong><\/span><\/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\n<p style=\"text-align: justify\">Certain medications deplete these nutrients:\u00a0vitamins B1 (thiamin), B2 (riboflavin), B3 (niacin), \u00a0B6 (pyridoxine), folic acid, vitamin B12, vitamin C, zinc, calcium, magnesium, selenium, phosphorus, potassium, protein, and coenzyme Q10\u00a0deficiencies\u00a0that cause muscle weakness either directly or indirectly.<\/p>\n<p style=\"text-align: justify\">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 style=\"text-align: justify\"><strong>ANTACIDS \/ ULCER MEDICATIONS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Pepcid\u00ae, Tagamet\u00ae, Zantac\u00ae deplete Calcium, Folic Acid, Iron, Vitamin B12, Vitamin D, Zinc, Magnesium, Copper, Potassium.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae) deplete\u00a0Calcium, Folic Acid, Iron, Vitamin B12, Vitamin D, Zinc, Magnesium, Copper, Potassium.<\/li>\n<li>Prevacid\u00ae, Prilosec\u00ae\u00a0deplete Vitamin B12.<\/li>\n<li>Alka Seltzer\u00ae, Baking Soda deplete\u00a0Folic Acid, Magnesium, Potassium, and protein.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTI-DEPRESSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Adapin\u00ae, Aventyl\u00ae, Elavil\u00ae, Pamelor\u00ae, and others\u00a0deplete Coenzyme Q10,Vitamin B12, Riboflavin.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTIBIOTICS\u00a0<\/strong>disrupt intestinal permeability which complicates celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Gentomycin, Neomycin, Streptomycin, Cephalosporins, Penicillins\u00a0deplete\u00a0B Vitamins, Vitamin C.<\/li>\n<li>\u00a0Tetracyclines deplete Calcium, Magnesium, Iron, Vitamin B6, Zinc, Riboflavin.<\/li>\n<li>Cipro depletes Zinc.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTI-INFLAMMATORIES<\/strong>\u00a0disrupt intestinal permeability which complicates celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Corticosteroids (Prednisone, Medrol\u00ae, Aristocort\u00ae, Decadron) deplete Calcium, Vitamin D, Magnesium, Zinc, Vitamin C, Vitamin B6, Vitamin B12, Folic Acid, Selenium.<\/li>\n<li>NSAIDS (Motrin\u00ae, Aleve\u00ae, Advil\u00ae, Anaprox\u00ae, Dolobid\u00ae, Feldene\u00ae, Naprosyn\u00ae and others) deplete\u00a0Folic acid.<\/li>\n<li>Aspirin and Salicylates deplete\u00a0Calcium, Folic acid, Vitamin C, Iron.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTICONVULSANTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Phenobarbital and Barbituates; and Dilantin\u00ae, Tegretol\u00ae, Mysoline\u00ae, Depakane\/Depacon\u00ae deplete\u00a0Calcium, Vitamin D, Folic Acid, Vitamin B12, Vitamin B1, Copper, Selenium, Zinc, and Carnitine (amino acid).<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>ANTIVIRAL AGENTS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Zidovudine (Retrovir\u00ae, AZT and other related drugs) deplete Copper, Zinc, Vitamin B12, and Carnitine (amino acid).<\/li>\n<li>Foscanet depletes Calcium, Magnesium, Potassium.<strong>\u00a0<\/strong><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>CARDIOVASCULAR DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Antihypertensives (Catapres\u00ae, Aldomet) deplete Vitamin B6, Vitamin B1, Zinc.<\/li>\n<li>ACE Inhibitors\u00a0<em>(Capoten<em>\u00ae<\/em>, Vasotec\u00ae, Monopril\u00ae and others) <\/em>deplete Zinc.<\/li>\n<li>Beta blockers\u00a0<em>(Inderol\u00ae, Lopressor\u00ae, Corgard\u00ae, Atenolol\u00ae)<\/em>\u00a0deplete Coenzyme Q10.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>CHOLESTEROL DRUGS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Lipitor\u00ae, Crestor\u00ae, Zoco\u00aer, and others deplete Coenzyme Q10.<\/li>\n<li>Colestid\u00ae and Questran\u00ae deplete Vitamin B12, Vitamin D, Folic Acid, Iron.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>DIABETIC DRUGS\u00a0<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Metformin\u00ae depletes\u00a0Folic acid, Vitamin B12.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>DIURETICS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Thiazide Diuretics (Hydrochlorothiazide, Enduron\u00ae, Diuril\u00ae, Lozol\u00ae, Zaroxolyn\u00ae, Hygroton\u00ae and others) deplete Potassium, Magnesium, Zinc.<\/li>\n<li>Loop Diuretics (Lasix\u00ae, Bumex\u00ae, Edecrin\u00ae) depletes\u00a0Calcium, Magnesium, Vitamin B1, Vitamin B6, Vitamin C, Coenzyme Q10, Potassium, Zinc.<\/li>\n<li>Potassium Sparing Diuretics (Midamor\u00ae, Aldactone\u00ae, Dyrenium\u00ae and others) deplete\u00a0Calcium, Folic Acid, Zinc.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>FEMALE HORMONES<\/strong>\u00a0disrupt intestinal permeability which complicate celiac disease.<\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Oral Contraceptives (Norinyl\u00ae, Ortho-Novum\u00ae, Triphasil\u00ae, and others) deplete Vitamin B2, Vitamin B3, Vitamin B6, Vitamin B12, Vitamin C, Folic Acid, Magnesium, Selenium, Zinc.<\/li>\n<li>Oral Estrogen\/Hormone Replacement (Evista\u00ae, Prempro\u00ae, Premarin\u00ae, Estratab\u00ae and others) deplete\u00a0Vitamin B2, Vitamin B6, Vitamin B12, Vitamin C, Folic Acid, Magnesium, Zinc.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>MAJOR TRANQUILIZERS<\/strong>\u00a0<strong>\u00a0<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Thorazine\u00ae, Mellaril\u00ae, Prolixin\u00ae, Serentil\u00ae and others\u00a0deplete\u00a0Coenzyme Q10, Vitamin B12.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">\n\t\t\t<\/div><\/div>\n<ul class=\"cp_check green\" style=\"text-align: justify\">\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<p style=\"text-align: justify\"><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\" style=\"text-align: justify\">\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>B-Vitamin Complex to supply Vitamins B1, B2, B3, B6, B12, and folic acid as prescribed.<\/li>\n<li>Calcium citrate is the best absorbed of calcium supplements. Calcium carbonate is a poor choice.<\/li>\n<li>Vitamin D3 as prescribed following blood test for status.<\/li>\n<li>Chelated magnesium\u00a0\u00a0as prescribed but do not take at same time as calcium because they compete for absorption.<\/li>\n<li>Chelated zinc as prescribed but do not take at same time as calcium because they compete for absorption.<\/li>\n<li>Vitamin B12 sublingually if unable to absorb tablets\u00a0as prescribed following blood test for status.<\/li>\n<li>Coenzyme Q10\u00a0as prescribed.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><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\" style=\"text-align: justify\">\n<li><span style=\"color: #800000\"><em><strong><span class=\"dropcap\">6<\/span>Manage Natural Remedies:\u00a0<\/strong><\/em><\/span><\/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>Hydration<\/strong>:<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\n<li>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>If you are thirsty, drink water. Add fresh, squeezed lemon to water. Lemon is anti-inflammatory, alkalizing and provides vitamin C.<\/li>\n<li>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>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 should be aimed at improving flexibility so you can, for example, bend over to pick up a box, and improving strength so you can properly lift the box, according to advice from the American Physical Therapy Association. Overall, everyday exercise is important to improve circulation and rid 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. Other aerobic exercises include running, jumping rope, swimming, hiking and bicycling. Read more about<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">\u00a0Exercise and Fitness<\/a>.<\/li>\n<li>Weight training builds muscle and strength.\u00a0Read more about\u00a0<a href=\"https:\/\/glutenfreeworks.com\/health\/2014\/07\/08\/fitness-guide\/\">Exercise and Fitness<\/a>.<\/li>\n<li>Stretching improves muscle 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 Muscle Weakness\u00a0In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cRelationships between 25-hydroxyvitamin D and nocturnal enuresis in five- to seven-year-old children.\u201d<\/strong> This study investigating whether there is a relationship between serum 25-hydroxyvitamin D [25(OH)D] concentrations in five- to seven-year-old children \u00a0with nocturnal enuresis (NE) found that low 25(OH)D was associated with an increased risk of NE (bedwetting) in children aged five to seven years.<\/p>\n<p style=\"text-align: justify\">Two hundred forty-seven five- to seven-year-old children were recruited from Taizhou, Zhejiang Province, China. Serum 25(OH)D concentrations were measured, and the structured questionnaire was administered to the parents of all children. Low 25(OH)D was defined as serum 25(OH)D concentrations below 20 ng\/ml.<\/p>\n<p style=\"text-align: justify\">The prevalence of NE was 7.3% in the group of children with 25(OH)D concentrations that exceeded 20 ng\/ml; this prevalence was much lower than the 17.5% observed in the group of children with 25(OH)D concentrations below 20 ng\/ml. After adjusting for potential confounders, serum 25(OH)D (\u226520 ng\/ml) was significantly associated with NE and represented a protective factor against NE. A nonlinear relationship between 25(OH)D and NE was observed. The prevalence of NE decreased with increasing 25(OH)D concentrations above 19 ng\/ml. Additionally, children exhibiting higher frequencies of bedwetting had lower 25(OH)D concentrations [5-7 times\/week: 18.3 ng\/ml plus or minus 4.8; 2-4 times\/week: 20.9 ng\/ml\u00a0plus or minus 4.1; 0-1 times\/week: 23.6 ng\/ml\u00a0plus or minus 6.4].<a href=\"#footnote_7_614\" id=\"identifier_12_614\" class=\"footnote-link footnote-identifier-link\" title=\"Li L, Zhou H, Yang X, Zhao L, Yu X. Relationships between 25-hydroxyvitamin D and nocturnal enuresis in five- to seven-year-old children. PLoS One. 2014 Jun 9;9(6):e99316. doi: 10.1371\/journal.pone.0099316. eCollection 2014.\">7<\/a><\/p>\n<p style=\"text-align: justify\"><b>\u201cClinical and neurological abnormalities in adult celiac disease.\u201d<\/b> This study investigating the occurrence of neurological signs and symptoms in adult patients with\u00a0celiac disease\u00a0and the correlation between neurological features and diet found that muscle weakness is associated with\u00a0celiac disease\u00a0and can be ameliorated by a gluten-free diet.<\/p>\n<p style=\"text-align: justify\">A total of 176 patients and 52 age-matched controls underwent a semistructural interview and a neurologic examination. The effect of gluten-free diet was evaluated by comparing the prevalence of signs and symptoms among patients adhering to a gluten-free diet and patients on an unrestricted diet. The occurrence of headache, dysthymia (depression)\u00a0and signs of peripheral neuropathy was significantly higher in patients with\u00a0celiac disease\u00a0than in control subjects. Adherence to a strict gluten-free diet was associated with a significant reduction of headache, dysthymia, cramps and\u00a0weakness, but did not modify the occurrence of paresthesia or hyporeflexia. Neurological signs and symptoms are associated with\u00a0celiac disease\u00a0and can be ameliorated by a gluten-free diet.<a href=\"#footnote_8_614\" id=\"identifier_13_614\" class=\"footnote-link footnote-identifier-link\" title=\"Cicarelli G, Della Rocca G, Amboni M, Ciacci C, Mazzacca G, Filla A, Barone P. Clinical and neurological abnormalities in adult celiac disease. Neurol Sci. 2003 Dec;24(5):311-7.\">8<\/a><\/p>\n<h4 style=\"text-align: justify\"><strong>CASE REPORT SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>&#8220;Quadriplegia due to celiac crisis with hypokalemia as initial presentation of celiac disease: a case report.&#8221;<\/strong>\u00a0 \u00a0This case report describes diagnosing celiac disease in an 8-year-old girl with previously undiagnosed\u00a0celiac disease\u00a0who presented with flaccid quadriparesis secondary to severe hypokalemia associated with\u00a0celiac\u00a0crisis. Celiac\u00a0crisis is a rare, life-threatening complication of\u00a0celiac disease\u00a0characterized by worsening of clinical symptoms, multiple metabolic derangements and shock.<\/p>\n<p style=\"text-align: justify\">Diagnosis was expedited by an elevated anti-tissue transglutaminase antibody titer. The patient improved with correction of hypokalemia, corticosteroids and gluten-free diet. In tropical countries such as India, where both acute flaccidparesis\u00a0and diarrhea are usually of infective etiologies, this rare clinical condition should also be considered in the differential diagnosis of both.<a href=\"#footnote_9_614\" id=\"identifier_14_614\" class=\"footnote-link footnote-identifier-link\" title=\"Bhattacharya M, Kapoor S. Quadriplegia due to celiac crisis with hypokalemia as initial presentation of celiac disease: a case report. J Trop Pediatr. 2012 Feb;58(1):74-6. doi: 10.1093\/tropej\/fmr034. Epub 2011 Apr 27.\">9<\/a><\/p>\n<p style=\"text-align: justify\"><strong>&#8220;Celiac disease causing symptomatic hypocalcaemia, osteomalacia and coagulapathy.&#8221;<\/strong> This case report describes diagnosing celiac disease in a 36-year-old gentleman who presented with 6 months of poor energy, tingling in fingers and weight loss with a change in bowel habit. He appeared cachectic and had clubbing, demineralisation of teeth, pectus carinatus, kyphosis, spinal tenderness, proximal muscle weakness and generalised muscle atrophy.<\/p>\n<p style=\"text-align: justify\">Chvostek&#8217;s and Trosseau&#8217;s signs were positive. His hemoglobin (Hb) was 8.7 g\/dl, MCV 64.7 fl with low iron. Calcium corrected was 1.30 nmol\/l, parathyroid hormone 440.4 ng\/l, vitamin D &lt;12.5 nmol\/l; INR was 2.7 with coagulation inhibitor studies negative. Radiographs of spine and pelvis commented on osteopenia with thoracic kyphosis and mild anterior wedging of thoracic vertebrae. Antitissue transglutaminase was 145 U\/ml, and antiendomysial antibodies were positive. An esophagogastroduodenoscopy was consistent with celiac disease. A diagnosis of osteomalacia and coagulopathy secondary to celiac disease was made.<\/p>\n<p style=\"text-align: justify\">The hypocalcaemia was treated with calcium gluconate infusions with symptomatic relief. Coagulopathy was treated with vitamin K intravenously with normalization of INR (international normalised ratio), a lab measurement to determine coagulation.<a href=\"#footnote_10_614\" id=\"identifier_15_614\" class=\"footnote-link footnote-identifier-link\" title=\"McNicholas BA, Bell M. Coeliac disease causing symptomatic hypocalcaemia, osteomalacia and coagulapathy. BMJ Case Rep. 2010 Dec 1;2010. pii: bcr0920092262. doi: 10.1136\/bcr.09.2009.2262.\">10<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_614\" class=\"footnote\"><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK57140\/\">http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK57140\/<\/a><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_614\" class=\"footnote\">Max D, Brandsch C, Schumann S, K\u00fchne H, Frommhagen M, Schutkowski A, Hirche F, Staege MS, Stangl GI. Maternal vitamin D deficiency causes smaller muscle fibers and altered transcript levels of genes involved in protein degradation, myogenesis, and cytoskeleton organization in the newborn rat. <em>Mol Nutr Food Res.<\/em> 2014 Feb;58(2):343-52. doi: 10.1002\/mnfr.201300360.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_614\" class=\"footnote\">Krause&#8217;s Food, Nutrition, &amp; Diet Therapy. 10th Edition. Kathleen Mahan, Sylvia Escott-Stump. 2000. W.B. Saunders Company.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_614\" class=\"footnote\">Cicarelli G, Della Rocca G, Amboni M, Ciacci C, Mazzacca G, Filla A, Barone P. Clinical and neurological abnormalities in adult celiac disease.\u00a0<i>Neurol Sci<\/i>. 2003 Dec;24(5):311-7.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_614\" 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_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_614\" 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_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_614\" class=\"footnote\">Li L, Zhou H, Yang X, Zhao L, Yu X. 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Epub 2011 Apr 27.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_10_614\" class=\"footnote\">McNicholas BA, Bell M. Coeliac disease causing symptomatic hypocalcaemia, osteomalacia and coagulapathy. <em>BMJ Case Rep<\/em>. 2010 Dec 1;2010. pii: bcr0920092262. doi: 10.1136\/bcr.09.2009.2262.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_614\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Muscle Weakness? Muscle weakness is the impaired status of muscle function characterized by decreased or low muscle strength and inability to perform normal work such as lifting a pot off the stove. Q: How do muscles work? A: Muscles do their work by contracting or shortening.\u00a0For example,\u00a0to move the foot up and down &#8230;<\/p>\n","protected":false},"author":29,"featured_media":6228,"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":[4,1682,191,974,127,126],"tags":[300,1187,1744,280,1188,776,277,303,319,1956,326,316,298,682,720,1919,100,681,981,1925,1920,323,278],"class_list":["post-614","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-malabsorption-disorders","category-muscles","category-symptoms","category-thiamin","category-vitamin-c","tag-anemia","tag-carbohydrate-deficiency","tag-co-q-10-enzyme","tag-copper-deficiency","tag-fat-deficiency","tag-health-conditions","tag-iron-deficiency","tag-magnesium-deficiency","tag-malabsorption","tag-muscles","tag-muscle-weakness","tag-phosphorus-deficiency","tag-protein-deficiency","tag-pyridoxine-deficiency-b6","tag-riboflavin-deficiency-b2","tag-selenium","tag-symptom","tag-thiamin-deficiency-b1","tag-vitamin-b1-thiamin","tag-niacin","tag-vitamin-c","tag-vitamin-d-deficiency","tag-zinc-deficiency"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/614","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=614"}],"version-history":[{"count":33,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/614\/revisions"}],"predecessor-version":[{"id":5203,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/614\/revisions\/5203"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/6228"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=614"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=614"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}