In Crohn's disease, damage to the digestive tract, and sometimes the surgery and medication used to treat it, can make it hard for the body to absorb nutrients.
Iron
Crohn's disease can cause bleeding in the intestines, which can result in loss of hemoglobin, the iron-laden protein in red blood cells, and anemia, a red-blood-cell deficiency.
Vitamin B12
Crohn's disease can damage the ileum, the lower part of the intestine necessary for vitamin B12 absorption. Sometimes portions of the ileum have to be surgically removed.
Folic acid
Folic acid is another B vitamin and it's essential for forming new cells.
Magnesium
Diarrhea is a common symptom of Crohn's disease and people with excessive, watery diarrhea can find their bodies deprived of magnesium and potassium, says Nirmal Kaur, MD, medical director of the Inflammatory Bowel Disease Center at Henry Ford Health System in Detroit.
Zinc
Prolonged diarrhea can also deplete zinc reserves. And a zinc deficiency can lead to more diarrhea, creating a "vicious cycle," says Dr. DeCross.
Vitamin A
People whose lower intestines have been damaged or removed due to Crohn's disease may have difficulty absorbing vitamin A.
Vitamin D
As many as 68% of people with Crohn's may have vitamin D deficiencies, according to the CCFA, which can result in bone pain and weak muscles.
Vitamin E
Another casualty of damage to the ileum is vitamin E, known for its anti-oxidant properties. Symptoms can include tingling and numbness in the fingers and toes (known as peripheral neuropathy) and muscle weakness.
Vitamin K
Like vitamins A, D, and E, vitamin K is a fat-soluble vitamin meaning it is less easily absorbed than water-soluble vitamins such as B and C. That makes people with Crohn's disease especially vulnerable to vitamin K (along with A, D, and E) deficiencies.
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