Supplement & Elimination Stack

Context

Addressing interconnected issues: suspected celiac disease (confirmed by dermatitis herpetiformis), kidney damage/stones, uremic neuropathy affecting vision (diplopia progressing to accommodation loss), orthostatic hypotension, autonomic dysfunction, chronic inflammatory loading from diet.

Eliminations (Priority — as important as additions)

• Gluten — primary autoimmune trigger; even occasional pastry exposure maintains

inflammatory cascade

• Sucralose & Acesulfame K — directly damage gut barrier tight junctions, disrupt

microbiome

• Maltodextrin — carrier for artificial sweeteners, triggers salivary gland colic
• Energy drinks (Hell Focus etc.) — combines caffeine, fructose/HFCS, sucralose,

maltodextrin; L-carnitine + caffeine causes jaw clenching

• Seed oil chips / high omega-6 foods — linoleic acid loads inflammatory

prostaglandin cascade; tissue half-life ~2 years

• Excess fructose — metabolized like alcohol in liver, produces uric acid damaging

renal tubules, depletes ATP, loosens gut tight junctions, depletes magnesium

• Alcohol — directly neurotoxic, worsens neuropathy, dehydrates, suppresses thirst,

stresses kidneys

• Caffeine — taper gradually; disrupts sleep, suppresses thirst long-term, masks

fatigue with rebound; short-term helps convergence but net negative

Nicotine — special case

Serves genuine self-regulation function (acetylcholine modulation for impulse control). Taper during period of lower social/workplace stress, not during high-friction periods.

Supplement Stack

Priority 1 — Gut barrier repair

Supplement	Dose	Notes
L-Glutamine	5-10g daily	Empty stomach; primary fuel for enterocytes
Collagen peptides	10-15g daily	Proline + glycine for mucosal membrane synthesis

Priority 2 — Correct malabsorption deficits

Supplement	Dose	Notes
Magnesium glycinate	200-400mg elemental	NOT oxide or citrate (osmotic/laxative); glycinate absorbs well without motility issues
Vitamin D3	4000-5000 IU daily	Likely severely depleted from malabsorption; regulates Th17 differentiation
Vitamin K2 (MK-7)	100-200mcg daily	Directs calcium to bones, not kidneys — critical alongside D3
B12 (methylcobalamin)	1000mcg sublingual	Bypasses compromised gut absorption; nerve repair
B1 (benfotiamine)	100-300mg daily	Fat-soluble thiamine form; nerve repair, better bioavailability

Priority 3 — Anti-inflammatory rebalance

Supplement	Dose	Notes
Omega-3 (EPA/DHA)	2-3g combined EPA+DHA	Fish oil or sardine-based; displaces omega-6 from cell membranes

Hydration & kidney support

• Lemon/lime juice in water — citrate prevents kidney stone formation, dissolves

calcium deposits, sour taste stimulates thirst

• Pinch of salt in water — triggers osmoreceptor thirst response without BP spike

at low dose

• Increase plain water intake — foundation for renal clearance

Note on potassium

Potassium citrate would normally be indicated for kidney stones but worsens existing orthostatic hypotension from autonomic neuropathy. Avoid supplemental potassium until autonomic function improves from B vitamin/gut repair.

Convergence / Vision exercises

• Pencil push-ups — hold pencil at arm's length, slowly bring toward nose while

maintaining single image, repeat

• Brock string — string with beads at intervals, focus on each bead to train

convergence

These retrain the vergence system while underlying nerve function recovers from B vitamin repletion.

Sources (EU, ship to Croatia)

Best overall: iHerb

• URL: iherb.com
• Croatia shipping page: iherb.com/shipping/hr
• Ships to Croatia via Overseas Express, Croatia Post, DHL, FedEx, UPS
• Free shipping over EUR 40
• All duties/taxes pre-collected at checkout (no surprise fees on delivery)
• Carries ALL items in this stack
• Significantly cheaper than Croatian pharmacies (often ~50% less)
• Key brands: Thorne (L-glutamine powder), Doctor's Best (magnesium glycinate),

NOW Foods (benfotiamine, D3+K2), California Gold Nutrition (collagen peptides, omega-3)

Alternatives

Store	URL	Notes
Life Extension Europe	lifeextensioneurope.com	EU-based; 500+ supplements; mag glycinate EUR 26.50, D3+K2 EUR 22.50, omega-3 EUR 53.23; may not carry all items
VitalAbo	vitalabo.com	EU-based; free delivery from EUR 42.90
Greatlife.eu	greatlife.eu	EU-based; ships all over Europe; check L-glutamine availability
HSN Store	hsnstore.eu	Own manufacturing facilities; 3-5 day delivery
Biovea Europe	biovea.com/eu	Large EU retailer
Mass-Zone	mass-zone.eu	Carries Thorne, NOW Foods, Seeking Health; worldwide 24h shipping

Recommendation

Order from iHerb as primary source — widest selection, all items available, cheapest, confirmed Croatia shipping with pre-paid customs. Use EU-based stores as backup for items that may be restricted or out of stock on iHerb.

Mechanism summary

The core upstream problem is likely celiac disease (evidenced by dermatitis herpetiformis) causing chronic gut barrier damage and malabsorption. This produces:

1. Nutrient depletion (B12, B1, D3, magnesium, calcium) -> neuropathy, poor nerve

repair, autonomic dysfunction

1. Kidney stones from oxalate malabsorption (unabsorbed fat binds calcium, leaving

oxalate free to concentrate in kidneys) + fructose-derived uric acid

1. Chronic systemic inflammation from gut permeability + omega-6 prostaglandin

loading + autoimmune activation

1. Vision problems from cranial nerve neuropathy (B vitamin depletion) affecting

convergence and accommodation

1. Orthostatic hypotension from autonomic neuropathy
2. Salivary gland colic from dehydration-related duct obstruction, triggered by

sugars/maltodextrin

The strategy: repair the gut barrier, remove triggers, correct deficiencies, let the immune system recalibrate without suppression.

Compiled 2026-02-16