GI issues

29F, 5’3”, 15lb weight loss over 4 weeks, never smoker, no alcohol use

Health: Epilepsy, migraines, celiac disease, significant food/environmental allergies Allergies: Soy, nuts, dairy/lactose, pea protein, Meds: Depakote, amitriptyline, Allegra, vitamin D, Multivitamin

Follows gluten-free and low-tyramine diet. Experiences oral allergy-type reactions (itching, hives, rash) to many foods. It has been expanding along with these symptoms.

Eating so low has caused significant weakness, fatigue, worsening headaches, and affected my ability to do daily living, getting chills, lightheadness and worsening out of breath

Since December: worsening GI symptoms causing intake limited to ~500 calories and ~30g protein daily for 3 months. Eating more causes early satiety, abdominal distension, pain, nausea, and vomiting severe bloating

My PCP has me measure my food intake on a scale to see how much I’ve been able to tolerate.

Endoscopy: Showed chronic active gastritis

What do I do?