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Dear Joe Murray:
Since celiac disease is immune related could not the sufferer also be
suffering from some form of chronic fatigue syndrome?
Also, I read the following in a medical book description of celiac:
1)"Gluten and the related substance gliaden are high-molecular-weight
proteins found especially in wheat."
Q: Could other high-molecular-weight proteins be bothering a celiac?
2) "It has been demonstrated that patients with sprue in remission will
develope steatorreah and typical mucosal changes when they are given gluten.
Similar results will occur with the administration of peptide
hydrolysates containing at least eight amino acids with a terminal
glutamine residue."
Q: Does this mean that certain foods or amino acid combinations could be
harmful in the same way as gluten?
Thank you for your thoughtful posts and your reply.
                                -Portia
 On Wed, 21 Dec 1994, J. Murray wrote:

> I am wondering if members of the list have had significant muscle
> weakness associated with CD that has not responded to the GFD. I realise
> that most patients with untreated CD have fatigue I am presently seeing a
> small number of individuals who have severe muscle fatigue that has not
> repsonded to a GFD even though the GUT has healed. An exhaustive search
> for autoimmune diseases is negative exept in one case ANA antibody
> positive.  There are no apparent nutritional defeciencies.  has anyone
> out there had a good response of severe fatigue symptoms to either
> dietary or other therapy, conventional or unconventional?