instruction: hello doctor I have a concern about my cholesterol levels and the possibility of an underlying condition I am a 37 year old female with uncharacteristically low cholesterol I donate blood regularly which gives me the opportunity to have my total cholesterol level tested about a year ago I created an online account with my area local blood bank where I found they keep a record of your past health screenings it was at that time that I realized how low my cholesterol was the lowest being 18 my which was several years ago when I was in my 20 but most recently and over the past year my levels have averaged in the 134 137 my range for my age I have been overweight for close to 10 years I had never dieter or limited my cholesterol intake I began researching online for any information that might explain levels this low while there is an abundance of information regarding high cholesterol regarding its causes and risks there is practically no information available regarding low cholesterol levels or causes outside of the obvious low cholesterol intake vegetarian or vegan diet or use of cholesterol reducing medications such as statins with one exception celiac as I began to read through the signs and symptoms of this disease I could not believe how many I had been experiencing in fact some of these were things I never even realized were symptoms of anything one specific symptom however that each and every article I read seemed to use to define a celiac was weight loss or being severely under weight months later I stumbled across an article about celiac disease going undiagnosed because of the misconception that with celiac you cannot be overweight so I decided to raise the question with my go unfortunately after giving the doctor a rundown of my symptoms and explaining my concerns as soon as the word celiac came out of my mouth he quickly dismissed this as a possibility stressing that because I am not underweight and it was absolutely out of the question that I could have the condition he then dismissed all of my symptoms saying they were nothing to worry about and added that the lower my cholesterol was the better in his words I should be thrilled at how low my cholesterol was and I must have good genes and with that he sent me on my way for close to a year after that appointment I too dismissed all of these symptoms then six months back I was admitted into the hospital for an emergency cholecystectomy due to gallstones that caused me to have a severe gallbladder attack at the time I knew nothing about the gallbladder function or its purpose so there was no argument from me when the doctor explained that some people just get gallstones and the only way to treat gallbladder disease is to remove the gallbladder needless to say my week at home following my surgery I spent a lot of time learning about the gallbladder and almost immediately I found information describing the correlation between gallstones gallbladder disease low cholesterol and yes celiac this past weekend I attempted to donate blood and for the first time in my life I was turned away because my iron was too low I went online thinking my iron counts for previous donations would be noted in my wellness chart and although they were not my cholesterol result from my previous donation just 3 weeks after my surgery was down to 128 my would the fact that I am overweight truly rule out any possibility of celiac if it would what other conditions might explain all of my symptoms are there any others conditions with the same or similar symptoms also present with weight loss or being underweight if celiac should be ruled out due to being overweight what can I do to convince a doctor to test me for it
output: hi I welcome you and want to assure you need not worry as everything is going to be fine if proper care and treatment is opted in for I have thoroughly gone through your case and can well understand your genuine health concerns there are a lot of reasons for this to not being celiac disease diarrhea in celiac is very prolonged and there are watery stool not only pale they are greasy and floating on the pan they are foul smelling too