{"id":900,"date":"2013-04-30T14:07:58","date_gmt":"2013-04-30T18:07:58","guid":{"rendered":"http:\/\/www.mynutriguide.com\/?p=900"},"modified":"2019-12-26T12:43:28","modified_gmt":"2019-12-26T17:43:28","slug":"osteopenia-in-childhood-2","status":"publish","type":"post","link":"https:\/\/glutenfreeworks.com\/health\/osteopenia-in-childhood-2\/","title":{"rendered":"Osteopenia In Childhood\u00a0"},"content":{"rendered":"<div id=\"attachment_7105\" style=\"width: 152px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/usound_scanner.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7105\" class=\"size-full wp-image-7105\" src=\"https:\/\/glutenfreeworks.com\/health\/wp-content\/uploads\/sites\/10\/usound_scanner.jpg\" alt=\"Ultrasound scanner is safe for determininfg bone density in children. Courtesy rah.sa.gov.au\" width=\"142\" height=\"216\" \/><\/a><p id=\"caption-attachment-7105\" class=\"wp-caption-text\">Ultrasound scanner tests bone density in children. <em>Courtesy rah.sa.gov.au<\/em><\/p><\/div>\n<h2>What Is Osteopenia In Childhood?<\/h2>\n<p style=\"text-align: justify\"><span class=\"dropcap\">O<\/span>steopenia is a metabolic bone disorder characterized by diminished bone mass with the retention of normal cell appearance and high bone turnover.<\/p>\n<p style=\"text-align: justify\">That is, bone production does not keep up with bone loss. Bones looks normal on the outside but are thin on the inside, making them more susceptible to easy fractures.<\/p>\n<p style=\"text-align: justify\"><strong>Q<\/strong>: How is osteopenia diagnosed?<\/p>\n<p style=\"text-align: justify\"><strong>A<\/strong>: Bone mineral density (BMD) testing is required for diagnosis of osteopenia.<\/p>\n<h2>What Is Osteopenia In Childhood In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p><!--more--><\/p>\n<p style=\"text-align: justify\">Osteopenia in childhood is a classic finding in celiac disease and\u00a0a common presenting feature of untreated celiac disease.<\/p>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\"><strong style=\"text-align: justify\">Bone metabolism<\/strong><span style=\"text-align: justify\">. The rate of bone metabolism is altered in children with untreated celiac disease, and these alterations may be the cause of osteopathy (bone disease). Serum bone-specific alkaline phosphatase (bone enzyme) concentrations of patients with celiac disease were found significantly lower than controls at the time of diagnosis and increased gradually and significantly during the gluten-free diet.<a href=\"#footnote_1_900\" id=\"identifier_1_900\" class=\"footnote-link footnote-identifier-link\" title=\"Barera G, Beccio S, Proverbio MC, Mora S. Longitudinal changes in bone metabolism and bone&nbsp;mineral content in children with celiac disease during consumption of a gluten-free diet.&nbsp;American Journal of Clinical Nutrition. Jan 2004;79(1):148-54.\">1<\/a><\/span><\/li>\n<li><strong style=\"text-align: justify\">Bone mineral density<\/strong><span style=\"text-align: justify\">.<\/span><\/li>\n<\/ul>\n<ul class=\"cp_bullet red\">\n<li style=\"text-align: justify\"><span style=\"text-align: justify\">Newly diagnosed celiac disease was found to be strongly associated with low bone mineral density (BMD). Low bone mineral density of the total body skeleton has been shown to be a common complication of untreated celiac disease.<a href=\"#footnote_2_900\" id=\"identifier_2_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kalayci AG, Kansu&nbsp;A, Girgin N, Kucuk O, and Aras G.&nbsp;Bone mineral density and importance of a gluten-free diet in Patients With Celiac Disease in Childhood. Pediatrics&nbsp;Vol. 108 No. 5 November 2001, p. e89\">2<\/a><\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"text-align: justify;line-height: 1.5em\">Reduced bone mineral density is frequently found in individuals with untreated celiac disease, possibly due to calcium and vitamin D malabsorption, release of pro-inflammatory cytokines, and misbalanced bone remodeling. A gluten-free diet promotes a rapid increase in bone mineral density that leads to complete recovery of bone mineralization in children. Children may attain normal peak bone mass if the diagnosis is made and treatment is given before puberty, thereby preventing osteoporosis in later life.<\/span><\/li>\n<li style=\"text-align: justify\"><span style=\"text-align: justify\">It is important to correct osteopenia in childhood because a gluten free diet improves, but rarely normalizes, bone mineral density in patients diagnosed with celiac disease in adulthood.<a href=\"#footnote_3_900\" id=\"identifier_3_900\" class=\"footnote-link footnote-identifier-link\" title=\"Capriles VD, Martini LA, Ar&ecirc;as JA. Metabolic osteopathy in celiac disease: importance of a gluten-free diet. Nutr Rev. 2009 Oct;67(10):599-606. doi: 10.1111\/j.1753-4887.2009.00232.x.\">3<\/a><\/span><\/li>\n<\/ul>\n<h2>How Prevalent Is Osteopenia In Childhood In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<p style=\"text-align: justify\">Fifity percent (50%) prevalence of osteopenia was found at diagnosis of celiac disease in children.<a href=\"#footnote_4_900\" id=\"identifier_4_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kalayci AG, Kansu A, Girgin N, Kucuk, O, Aras G. Bone mineral density and importance of a gluten-free diet in patients with celiac disease in childhood. Pediatrics. Nov 2001;108(5):e89.\">4<\/a><\/p>\n<h2>What Are The Symptoms Of Osteopenia In Childhood?<\/h2>\n<ul class=\"cp_bullet red\">\n<li>Osteopenia in childhood is asymptomatic with increased risk of fractures.<\/li>\n<\/ul>\n<h2>How Does Osteopenia In Childhood Develop In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<ul class=\"cp_check red\">\n<li style=\"text-align: justify\">Osteopenia in childhood results from nutrient deficiencies including calcium, possibly vitamin D, vitamin K, copper, and magnesium due to malabsorption in celiac disease.<\/li>\n<li style=\"text-align: justify\">Reduced bone mineral density, frequently found in individuals with untreated celiac disease, is possibly due to calcium and vitamin D malabsorption, release of pro-inflammatory cytokines, and misbalanced bone remodeling.<a href=\"#footnote_5_900\" id=\"identifier_5_900\" class=\"footnote-link footnote-identifier-link\" title=\"Capriles VD, Martini LA, Ar&ecirc;as JA. Metabolic osteopathy in celiac disease: importance of a gluten-free diet. Nutr Rev. 2009 Oct;67(10):599-606. doi: 10.1111\/j.1753-4887.2009.00232.x.\">5<\/a><\/li>\n<li style=\"text-align: justify\">Children and adolescents with celiac disease are at risk for suboptimal bone health at time of diagnosis and after 1 year on gluten free diet likely due in part to suboptimal vitamin D\/vitamin K status.\u00a0Forty-three percent had suboptimal vitamin D status (25(OH)-vitamin D &lt;75\u2009nmol\/l) at diagnosis. Twenty-five percent had suboptimal vitamin K status at diagnosis.<a href=\"#footnote_6_900\" id=\"identifier_6_900\" class=\"footnote-link footnote-identifier-link\" title=\"Mager DR1, Qiao J, Turner J. Vitamin D and K status influences bone mineral density and bone accrual in children and adolescents with celiac disease. Eur J Clin Nutr. 2012 Apr;66(4):488-95. doi: 10.1038\/ejcn.2011.176.\">6<\/a><\/li>\n<\/ul>\n<h2>Does Osteopenia In Childhood Respond To Gluten-Free Diet?<\/h2>\n<p style=\"text-align: justify\">Yes. Gluten free diet results in rapid improvement of bone mineral density (BMD).<a href=\"#footnote_4_900\" id=\"identifier_7_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kalayci AG, Kansu A, Girgin N, Kucuk, O, Aras G. Bone mineral density and importance of a gluten-free diet in patients with celiac disease in childhood. Pediatrics. Nov 2001;108(5):e89.\">4<\/a>,<a href=\"#footnote_7_900\" id=\"identifier_8_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kavak US, Yuce A, Kocak N, et al. Bone mineral density in children with untreated and treated celiac disease. Journal of Pediatric Gastroenterology and Nutrition. Oct 2003;37(4):434-6.\">7<\/a>,<a href=\"#footnote_8_900\" id=\"identifier_9_900\" class=\"footnote-link footnote-identifier-link\" title=\"Barera G, Beccio S, Proverbio MC, Mora S. Longitudinal changes in bone metabolism and bone&nbsp;mineral content in children with celiac disease during consumption of a gluten-free diet. American Journal of Clinical Nutrition. Jan 2004;79(1):148-54.\">8<\/a><\/p>\n<p style=\"text-align: justify\">A strict gluten free diet improves bone mineralization, even at 1 year. Early diagnosis and treatment will protect the patient from osteoporosis.<a href=\"#footnote_9_900\" id=\"identifier_10_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kavak US, Yuce A, Kocak N, et al. Bone mineral density in children with untreated and treated celiac disease.&nbsp;Journal of Pediatric Gastroenterology and Nutrition. Oct 2003;37(4):434-6.\">9<\/a>,<a href=\"#footnote_10_900\" id=\"identifier_11_900\" class=\"footnote-link footnote-identifier-link\" title=\"Gajewska J, Ambroszkiewicz J, Hozyasz KK. Biochemical markers of bone turnover in children with celiac disease on gluten-free diet. Med Wieku Rozwoj. 2005 Oct-Dec;9(4):675-83.\">10<\/a>,\u00a0((Mager DR, Qiao J, Turner J. Vitamin D and K status influences bone mineral density and bone accrual in children and adolescents with celiac disease. <em>Eur J Clin Nutr<\/em>.2012 Apr;66(4):488-95. doi: 10.1038\/ejcn.2011.176))<\/p>\n<h2>6 Steps To Improve Osteopenia In Childhood\u00a0In 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 osteopenia in childhood\u00a0and 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_11_900\" id=\"identifier_12_900\" 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.\">11<\/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_12_900\" id=\"identifier_13_900\" 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.\">12<\/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_12_900\" id=\"identifier_14_900\" 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.\">12<\/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_12_900\" id=\"identifier_15_900\" 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.\">12<\/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_12_900\" id=\"identifier_16_900\" 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.\">12<\/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_12_900\" id=\"identifier_17_900\" 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.\">12<\/a><\/li>\n<li><strong>Alcohol and Caffeine<\/strong>. Disrupt intestinal permeability causing leaky gut.<a href=\"#footnote_12_900\" id=\"identifier_18_900\" 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.\">12<\/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 green leafy vegetables such as lettuce and kale, also 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 cause deficiencies of \u00a0calcium, vitamin D, and vitamin K that contribute to osteopenia in childhood. Ask your doctor or pharmacist about this possible adverse effect if taking any of the drugs listed below.\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 style=\"text-align: justify\"><strong>DIURETICS<\/strong><\/p>\n<ul class=\"cp_bullet blue\" style=\"text-align: justify\">\n<li>Loop Diuretics (Lasix\u00ae, Bumex\u00ae, Edecrin\u00ae) deplete Calcium.<\/li>\n<li>Potassium Sparing Diuretics (Midamor\u00ae, Aldactone\u00ae, Dyrenium\u00ae and others) deplete\u00a0Calcium.<\/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>Foscanet depletes Calcium.<\/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>\u00a0Tetracyclines deplete Calcium.<\/li>\n<\/ul>\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\u00a0Vitamin D, Calcium.<\/li>\n<li>Magnesium and Aluminum Antacid preparations (Gaviscon\u00ae, Maalox\u00ae, Mylanta\u00ae)\u00a0Vitamin D, Calcium.<\/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\u00a0Vitamin D, Calcium.<\/li>\n<li>Aspirin and Salicylates deplete\u00a0Calcium.<\/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\u00a0Vitamin D, Calcium, Vitamin K.\u00a0\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\">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>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>Vitamin K as prescribed following blood test for status.<\/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\" style=\"text-align: justify\">\n<li>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>Chamomile, lemon balm, and fennel, (as a tea) also help relieve nervous tension.<\/li>\n<li>Parsley also relieves indigestion.<\/li>\n<li>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>Thyme is also soothing remedy useful for stimulating digestion of rich, fatty foods.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Carminative Spice Remedies:<\/strong><\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\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<p style=\"text-align: justify\"><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 style=\"text-align: justify\">Exercise improves circulation and rids the body of toxins.<\/p>\n<ul class=\"cp_bullet green\" style=\"text-align: justify\">\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 style=\"text-align: justify\"><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 style=\"text-align: justify\">What Do Medical Research Studies Tell About Osteopenia In Childhood In Celiac Disease and\/or Gluten Sensitivity?<\/h2>\n<h4><strong>RESEARCH STUDY SUMMARIES<\/strong><\/h4>\n<p style=\"text-align: justify\"><strong>\u201cBone health in children with celiac disease assessed by dual x-ray absorptiometry: effect of gluten-free diet and predictive value of serum biochemical indices.&#8221;<\/strong>\u00a0This study aimed to assess bone status and the effect of gluten free diet in children with celiac disease, and to evaluate the predictive value of standard serum biochemical indices in the diagnosis of bone mineral density (BMD) disturbances.\u00a0Results show that gluten free diet has a beneficial effect on bone health. Two years receiving diet do not ensure normalization. Biochemical markers are not indicative of BMD disturbances. Dual x-ray absorptiometry should be included in the standard management of children with celiac disease.<\/p>\n<p style=\"text-align: justify\">In this study, 45 children at the time of diagnosis of celiac disease (group A, 77.8% girls) and 36 children receiving gluten free diet for more than 2 years (group B, 75% girls) were included. Sixteen children in group A were reexamined 12 months after initiation of gluten free diet. Serum measurements of biochemical bone health indices and BMD, assessed by dual x-ray absorptiometry, were obtained.\u00a0Patients after 1 year of receiving gluten free diet had higher BMD z scores compared with baseline. BMD z scores were significantly lower than expected for the normal population, after 1 \u00a0or at least 2 \u00a0years of receiving gluten free diet. In group B, BMD z score was positively correlated with 25-hydroxy vitamin D levels. In the repeated measurements group, 25-hydroxy vitamin D differed between pre- and post-gluten free diet. No biochemical index was capable of predicting an abnormal BMD z.<a href=\"#footnote_13_900\" id=\"identifier_19_900\" class=\"footnote-link footnote-identifier-link\" title=\"Margoni D, Chouliaras G, Duscas G, Voskaki I, Voutsas N, Papadopoulou A, Panayiotou J, Roma E. Bone health in children with celiac disease assessed by dual x-ray absorptiometry: effect of gluten-free diet and predictive value of serum biochemical indices. J Pediatr Gastroenterol Nutr. 2012 May;54(5):680-4. doi: 10.1097\/MPG.0b013e31823f5fc5.\">13<\/a><\/p>\n<p style=\"text-align: justify\"><strong>&#8220;Vitamin D and K status influences bone mineral density and bone accrual in children and adolescents with celiac disease.&#8221;<\/strong> This study investigating the interrelationships between vitamin K\/vitamin D status and lifestyle variables on bone mineral density (BMD) in children and adolescents with celiac disease at diagnosis and after 1 year on the gluten-free diet found that children and adolescents with celiac disease are at risk for suboptimal bone health at time of diagnosis and after 1 year on GFD likely due in part to suboptimal vitamin D\/vitamin K status. \u201cTherapeutic strategies aimed at optimizing these vitamin intakes may contribute to improved BMD in children with celiac disease.\u201d<\/p>\n<p style=\"text-align: justify\">Children and adolescents aged 3-17 years with biopsy proven CD at diagnosis and after 1 year on the GFD were studied. BMD was measured using dual-energy X-ray absorptiometry. Relevant variables included: anthropometrics, vitamin D\/K status, diet, physical activity and sunlight exposure.<\/p>\n<p style=\"text-align: justify\">Whole-body and lumbar-spine BMD-z scores were low (&lt; or = -1) at diagnosis (10-20%) and after 1 year (30-32%) in the children, independent of symptoms. Whole-body BMD-z scores (-0.55\u00b10.7 versus 0.72\u00b11.5) and serum levels of 25(OH) vitamin D (90.3\u00b124.8 versus 70.5\u00b119.8\u2009nmol\/l) were significantly lower in older children (&gt;10 years) when compared with younger children (&lt; or =10 years) (P&lt;0.001). Forty-three percent had suboptimal vitamin D status (25(OH)-vitamin D &lt;75\u2009nmol\/l) at diagnosis; resolving in nearly half after 1 year on the GFD. Twenty-five percent had suboptimal vitamin K status at diagnosis; all resolved after 1 year.<a href=\"#footnote_6_900\" id=\"identifier_20_900\" class=\"footnote-link footnote-identifier-link\" title=\"Mager DR1, Qiao J, Turner J. Vitamin D and K status influences bone mineral density and bone accrual in children and adolescents with celiac disease. Eur J Clin Nutr. 2012 Apr;66(4):488-95. doi: 10.1038\/ejcn.2011.176.\">6<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cLongitudinal changes in bone metabolism and bone\u00a0mineral content in children with celiac disease during consumption of a gluten-free diet.\u201d<\/strong> This study investigating the changes in bone metabolism of children during consumption of a Gluten Free Diet demonstrated that the rate of bone metabolism is altered in children with untreated Celiac Disease, and these alterations may be the cause of osteopathy. Serum bone-specific alkaline phosphatase concentrations of patients were significantly lower than controls at the time of diagnosis and increased gradually and significantly during the Gluten Free Diet. Remarkable changes occur after the start of a Gluten Free Diet, and they result in a more balanced equilibrium.<a href=\"#footnote_14_900\" id=\"identifier_21_900\" class=\"footnote-link footnote-identifier-link\" title=\"Barera G, Beccio S, Proverbio MC, Mora S. Longitudinal changes in bone metabolism and bone&nbsp;mineral content in children with celiac disease during consumption of a gluten-free diet. American Journal of Clinical Nutrition. Jan 2004;79(1):148-54.\">14<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cCeliac disease under treatment: evaluation of bone mineral density.&#8221;<\/strong> This study comparing the BMD of children and adolescents with Celiac Disease on a Gluten Free Diet to BMD of controls demonstrated the BMD of adolescents was lower than controls; whereas no difference was found between the BMD of children with Celiac Disease and controls.<a href=\"#footnote_15_900\" id=\"identifier_22_900\" class=\"footnote-link footnote-identifier-link\" title=\"Carvalho CN, Sdepanian VL, De Morais MB, Fagundes Neto U. Celiac disease under treatment: evaluation of bone mineral density. Jornal de Pediatria. Jul-Aug 2003;79(4):303-8.\">15<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cBone mineral density in children with untreated and treated celiac disease.\u201d<\/strong> This study investigating BMD in children with Celiac Disease at diagnosis and in patients after one year demonstrated children with Celiac Disease are at risk for reduced BMD. Untreated patients had significantly lower serum calcium and significantly higher parathyroid hormone levels than did treated patients. A strict Gluten Free Diet improves bone mineralization, even at 1 year. Early diagnosis and treatment will protect the patient from osteoporosis.<a href=\"#footnote_7_900\" id=\"identifier_23_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kavak US, Yuce A, Kocak N, et al. Bone mineral density in children with untreated and treated celiac disease. Journal of Pediatric Gastroenterology and Nutrition. Oct 2003;37(4):434-6.\">7<\/a><\/p>\n<p style=\"text-align: justify\"><strong>\u201cBone mineral density and importance of a gluten-free diet in patients with celiac disease in childhood.&#8221;<\/strong>\u00a0This study investigating the prevalence of osteopenia, the relationship between bone mineral density (BMD), serum calcium, and parathyroid hormone levels, and the effect of a gluten free diet on BMD in children with celiac disease, demonstrated BMD and bone mineral content values in newly diagnosed patients were significantly lower than controls. The BMD values were significantly increased after a year on gluten free diet. At one year osteopenia was not resolved with the gluten free diet, and this was especially true in patients without GI manifestation. At least 4 years of gluten free diet are required for a complete recovery of bone mineralization in some patients. The mean calcium level was lower in the patients who did not follow their diet strictly. There was a positive correlation between calcium level and BMD and bone mineral content. BMD evaluation recommended.<a href=\"#footnote_4_900\" id=\"identifier_24_900\" class=\"footnote-link footnote-identifier-link\" title=\"Kalayci AG, Kansu A, Girgin N, Kucuk, O, Aras G. Bone mineral density and importance of a gluten-free diet in patients with celiac disease in childhood. Pediatrics. Nov 2001;108(5):e89.\">4<\/a><\/p>\n<ol class=\"footnotes\"><li id=\"footnote_1_900\" class=\"footnote\">Barera G, Beccio S, Proverbio MC, Mora S. Longitudinal changes in bone metabolism and bone\u00a0mineral content in children with celiac disease during consumption of a gluten-free diet.\u00a0<\/span><em style=\"color: #000000\">American Journal of Clinical Nutrition<\/em><span style=\"text-align: justify\">. Jan 2004;79(1):148-54.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_1_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_2_900\" class=\"footnote\">Kalayci AG, Kansu\u00a0A, Girgin N, Kucuk O, and Aras G.\u00a0Bone mineral density and importance of a gluten-free diet in Patients With Celiac Disease in Childhood. <\/span><em style=\"color: #000000\">Pediatrics\u00a0<\/em><span style=\"text-align: justify\">Vol. 108 No. 5 November 2001, p. e89<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_2_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_3_900\" class=\"footnote\">Capriles VD, Martini LA, Ar\u00eaas JA. M<\/span><span style=\"line-height: 1.5em;text-align: justify\">etabolic osteopathy in celiac disease: importance of a gluten-free diet. <\/span><em style=\"color: #000000\">Nutr Rev<\/em><span style=\"line-height: 1.5em;text-align: justify\">. 2009 Oct;67(10):599-606. doi: 10.1111\/j.1753-4887.2009.00232.x.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_3_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_4_900\" class=\"footnote\">Kalayci AG, Kansu A, Girgin N, Kucuk, O, Aras G. Bone mineral density and importance of a gluten-free diet in patients with celiac disease in childhood. <em>Pediatrics<\/em>. Nov 2001;108(5):e89.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_4_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_7_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_24_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_5_900\" class=\"footnote\">Capriles VD, Martini LA, Ar\u00eaas JA. Metabolic osteopathy in celiac disease: importance of a gluten-free diet. Nutr Rev. 2009 Oct;67(10):599-606. doi: 10.1111\/j.1753-4887.2009.00232.x.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_5_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_6_900\" class=\"footnote\">Mager DR1, Qiao J, Turner J. Vitamin D and K status influences bone mineral density and bone accrual in children and adolescents with celiac disease. <em>Eur J Clin Nutr<\/em>. 2012 Apr;66(4):488-95. doi: 10.1038\/ejcn.2011.176.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_6_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_20_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_7_900\" class=\"footnote\">Kavak US, Yuce A, Kocak N, et al. Bone mineral density in children with untreated and treated celiac disease. <em>Journal of Pediatric Gastroenterology and Nutrition<\/em>. Oct 2003;37(4):434-6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_8_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_23_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_8_900\" class=\"footnote\">Barera G, Beccio S, Proverbio MC, Mora S. Longitudinal changes in bone metabolism and bone\u00a0mineral content in children with celiac disease during consumption of a gluten-free diet.<em> American Journal of Clinical Nutrition<\/em>. Jan 2004;79(1):148-54.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_9_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_9_900\" class=\"footnote\">Kavak US, Yuce A, Kocak N, et al. Bone mineral density in children with untreated and treated celiac disease.\u00a0<em>Journal of Pediatric Gastroenterology and Nutrition<\/em>. Oct 2003;37(4):434-6.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_10_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_10_900\" class=\"footnote\">Gajewska J, Ambroszkiewicz J, Hozyasz KK. Biochemical markers of bone turnover in children with celiac disease on gluten-free diet. <em>Med Wieku Rozwoj<\/em>. 2005 Oct-Dec;9(4):675-83.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_11_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_11_900\" 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_12_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_12_900\" 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_13_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_14_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_15_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_16_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_17_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_18_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_13_900\" class=\"footnote\">Margoni D, Chouliaras G, Duscas G, Voskaki I, Voutsas N, Papadopoulou A, Panayiotou J, Roma E. Bone health in children with celiac disease assessed by dual x-ray absorptiometry: effect of gluten-free diet and predictive value of serum biochemical indices. <em>J Pediatr Gastroenterol Nutr<\/em>. 2012 May;54(5):680-4. doi: 10.1097\/MPG.0b013e31823f5fc5.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_19_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_14_900\" class=\"footnote\">Barera G, Beccio S, Proverbio MC, Mora S. Longitudinal changes in bone metabolism and bone\u00a0mineral content in children with celiac disease during consumption of a gluten-free diet. <em>American Journal of Clinical Nutrition<\/em>. Jan 2004;79(1):148-54.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_21_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><li id=\"footnote_15_900\" class=\"footnote\">Carvalho CN, Sdepanian VL, De Morais MB, Fagundes Neto U. Celiac disease under treatment: evaluation of bone mineral density. <em>Jornal de Pediatria<\/em>. Jul-Aug 2003;79(4):303-8.<span class=\"footnote-back-link-wrapper\"> [<a href=\"#identifier_22_900\" class=\"footnote-link footnote-back-link\">&#8617;<\/a>]<\/span><\/li><\/ol>","protected":false},"excerpt":{"rendered":"<p>What Is Osteopenia In Childhood? Osteopenia is a metabolic bone disorder characterized by diminished bone mass with the retention of normal cell appearance and high bone turnover. That is, bone production does not keep up with bone loss. Bones looks normal on the outside but are thin on the inside, making them more susceptible to &#8230;<\/p>\n","protected":false},"author":29,"featured_media":7105,"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":[4,213,102,237,783,113,117,1682,51,111,104],"tags":[1968,1901,1984,116,1910,776,1912,932,1908,1903],"class_list":["post-900","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-conditions-2","category-bones","category-calcium","category-child","category-complications-health-conditions-2","category-copper","category-magnesium","category-malabsorption-disorders","category-skeletal-2","category-vitamin-d","category-vitamin-k","tag-bones","tag-calcium","tag-child","tag-complications","tag-copper","tag-health-conditions","tag-magnesium","tag-osteopenia-in-childhood","tag-vitamin-d","tag-vitamin-k"],"_links":{"self":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/900","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=900"}],"version-history":[{"count":17,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/900\/revisions"}],"predecessor-version":[{"id":15425,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/posts\/900\/revisions\/15425"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media\/7105"}],"wp:attachment":[{"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/media?parent=900"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/categories?post=900"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/glutenfreeworks.com\/health\/wp-json\/wp\/v2\/tags?post=900"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}