Conversation: The conversation between human and AI assistant.
[|Human|] I have sjogrens,glossodynia and celiac. I have been gluten free 4 months but still have constant nausea, fatigue and am always hungry feeling. The celiac was not clinicall thur blood work or biopsy. I figured it out myself after 2 years of pain and every test coming back neg. Any suggestions? No abd pain since going gluten free
[|AI|]  I will start with the problem of celiac disease which as I understand from your description is a self diagnosis. My advice would be to get this diagnosis confirmed with a biopsy and consulted with a gastroenterologist, because a diagnosis of celiac disease requires a lifelong nutritional modification which means being completely gluten-free. Patients who consume diets that are gluten-free require good nutritional advice from a physician/nutritionist in order to prevent nutritional deficiencies. One of the reasons for exhaustion/fatigue etc. is a nutritional deficiency which may be subtle to begin with.  Anemia (low hemoglobin in the blood)may occur due to nutritional causes, or it may be associated with the Progress that you have stated. Anemia is one of the causes of feeling fatigued. Therefore, I suggest that you should first consult a gastroenterologist regarding your diagnosis of celiac disease. You should also have a complete blood count done which is a blood test. Please check your hemoglobin values first. You may also review your medication and symptoms with your health care provider about the Progress. Nutritional advice from a nutritionist is essential if you are advised to be gluten-free.