Fifty Shades of Gluten Sensitivity…. Ive said it before and I will say it again: There is more than one way to be sensitive to gluten. Just because you do not have Celiac disease… A) Does not mean that you dont have it. Rates of false negatives - where you are told you dont have something but you actually do - are very high with this disease. Misdiagnosis is common, and it takes on AVERAGE 9 years to obtain an appropriate diagnosis. There are more UNDIAGNOSED people with Celiac disease walking this Earth than those who have been diagnosed. It is estimated that up to one in a hundred people have Celiac disease, the genetic, autoimmune condition whereby the immune system destroys the lining of the small intestine upon exposure to gluten. B) Does not mean that you do not have a sensitivity to gluten. If someone tells you that, because you dont have Celiac disease, you can eat all of the gluten you want, run screaming from them, because they have no idea what they are talking about (Ok, maybe dont scream). Beyond Celiac disease, there are four additional ways one can be sensitive to gluten: 1. There IS something called Non-Celiac Gluten Sensitivity (NCGS). This is well documented in the literature, both scientific and medical, including in the tres conservative Journal of Gastroenterology. This is where symptoms improve upon removal of gluten from the diet, and return with the reintroduction of gluten. Testing for this is tricky, with the only gold-standard test being an elimination-challenege diet. There MAY or MAY NOT be antibodies against gluten (in Celiac disease, a few different antibodies may be present). But…. 2. There can be an IgG sensitivity to gluten. Your immune system reacts to gluten, but doesnt destroy the lining of the small intestine in response. This is a form of NCGS. When I see this type, I *always* do an elimination of gluten PLUS gut restoration, followed by a challenge of gluten to determine if the sensitivity is true, or if it was an artifact from a permeable gut and provoked immune system. There is a difference there. 3. A person could have another autoimmune disease. Here is the kicker about autoimmune disease - they love to run in packs. If you have any autoimmune disease at all, your likelihood for developing another goes up multiple-fold, making you much more at risk than the person without autoimmune disease. The work of Dr. Alessio Fasano has clearly established that gluten is a HUGE problem in all autoimmune disease, making any with one of these conditions wise to avoid gluten. 4. Those who are sensitive to FODMAPs, such as those with SIBO, dysbiosis, or IBS do well to avoid gluten, which is chock-full of irritating FODMAPs. Indeed, it was a FODMAP/IBS study that started the wave of speculation that NCGS did not exist. That speculation was incorrect, as anyone capable of reading medical literature can deduce. In the meantime, those who are struggling with dysbiosis, SIBO, IBS, or those who thrive on a low-FODMAP diet, would do quite well to avoid gluten. As you may or may not know, I have put together a comprehensive, 6-month long Gluten Free Lifestyle (GFL) program, covering all of the basics to the nitty gritty details, about how to live the gluten-free life…tools and tricks Ive been using personally and with my clients for years to leave you feeling empowered, educated and confident in your life choices, comfortable in any situation. The juicy details are here. Im proud of this one, guys ----> bit.ly/1zIp6qI #glutenfree #glutenfreelifestyle
Posted on: Tue, 30 Dec 2014 20:48:00 +0000
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