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Monday, September 16, 2013
Monday, September 9, 2013
Definition of Celiac Disease
Celiac Disease
Definition
Celiac disease is a disease of the digestive system that damages the small intestine and interferes with the absorption of nutrients from food.
Description
Celiac disease occurs when the body reacts abnormally to gluten, a protein found in wheat, rye, barley, and possibly oats†(see bottom of article). When someone with celiac disease eats foods containing gluten, that person's immune system causes an inflammatory response in the small intestine, which damages the tissues and results in impaired ability to absorb nutrients from foods. The inflammation and malabsorption create wide-ranging problems in many systems of the body. Since the body's own immune system causes the damage, celiac disease is classified as an "autoimmune" disorder. Celiac disease may also be called sprue, nontropical sprue, gluten sensitive enteropathy, celiac sprue, and adult celiac disease.
Celiac disease may be discovered at any age, from infancy through adulthood. The disorder is more commonly found among white Europeans or in people of European descent. It is very unusual to find celiac disease in African or Asian people. The exact incidence of the disease is uncertain. Estimates vary from one in 5000, to as many as one in every 300 individuals with this background. The prevalence of celiac disease seems to be different from one European country to another, and between Europe and the United States. This may be due to differences in diet and/or unrecognized disease. A recent study of random blood samples tested for celiac disease in the US showed one in 250 testing positive. It is clearly under-diagnosed, probably due to the symptoms being attributed to another problem, or lack of knowledge about celiac disease by physicians and laboratories. Because of the known genetic component, relatives of patients with celiac disease are considered at higher risk for the disorder.
Because celiac disease has a hereditary influence, close relatives (especially first degree relatives, such as children, siblings, and parents) have a higher risk of being affected with the condition. The chance that a first degree relative of someone with celiac disease will have the disease is about 10%.
As more is learned about celiac disease, it becomes evident that it has many variations which may not produce typical symptoms. It may even be clinically "silent," where no obvious problems related to the disease are apparent.
Causes and symptoms
Celiac disease can run in families and has a genetic basis, although the pattern of inheritance is complicated. The type of inheritance pattern that celiac disease follows is called multifactorial (caused by many factors, both genetic and environmental). Researchers think that several factors must exist in order for the disease to occur. The patient must have a genetic predisposition to develop the disorder. Then, something in their environment acts as a stimulus, or "trigger," to their immune system, causing the disease to become active for the first time. For conditions with multifactorial inheritance, people without the genetic predisposition are less likely to develop the condition with exposure to the same triggers. Or, they may require more exposure to the stimulus before developing the disease than someone with a genetic predisposition. Some of the things which may provoke a reaction include surgery, especially gastrointestinal surgery; a change to a low fat diet, which has an increased number of wheat-based foods; pregnancy; childbirth; severe emotional stress; or a viral infection. This combination of genetic susceptibility and an outside agent leads to celiac disease.
Each person with celiac disease is affected differently. When food containing gluten reaches the small intestine, the immune system begins to attack a substance called gliadin, which is found in the gluten. The resulting inflammation causes damage to the delicate finger-like structures in the intestine, called villi, where food absorption actually takes place. The patient may experience a number of symptoms related to the inflammation and the chemicals it releases, and/or the lack of ability to absorb nutrients from food, which can cause malnutrition.
The most commonly recognized symptoms of celiac disease relate to the improper absorption of food in the gastrointestinal system. Many patients with gastrointestinal symptoms will have diarrhea and fatty, greasy, unusually foul-smelling stools. The patient may complain of excessive gas (flatulence), distended abdomen, weight loss, and generalized weakness. Not all people have digestive system complications; some people only have irritability or depression. Irritability is one of the most common symptoms in children with celiac disease.
Not all patients have these problems. Unrecognized and therefore untreated celiac disease may cause or contribute to a variety of other conditions. The decreased ability to digest, absorb, and utilize food properly (malabsorption) may cause anemia (low redblood count) from iron deficiency or easy bruising from a lack of vitamin K. Poor mineral absorption may result in osteoporosis, or "brittle bones," which may lead to bone fractures. Vitamin D levels may be insufficient and bring about a "softening" of bones (osteomalacia), which produces pain and bony deformities, such as flattening or bending. Defects in the tooth enamel, characteristic of celiac disease, may be recognized by dentists. Celiac disease may be discovered during medical tests performed to investigate failure to thrive in infants, or lack of proper growth in children and adolescents. People with celiac disease may also experience lactose intolerance because they don't produce enough of the enzyme lactase, which breaks down the sugar in milk into a form the body can absorb. Other symptoms can include muscle cramps, fatigue, delayed growth, tingling or numbness in the legs (from nerve damage), pale sores in the mouth (called aphthus ulcers), tooth discoloration, or missed menstrual periods (due to severe weight loss).
A distinctive, painful skin rash, called dermatitis herpetiformis, may be the first sign of celiac disease. Approximately 10% of patients with celiac disease have this rash, but it is estimated that 85% or more of patients with the rash have the disease.
Many disorders are associated with celiac disease, though the nature of the connection is unclear. One type of epilepsy is linked to celiac disease. Once their celiac disease is successfully treated, a significant number of these patients have fewer or no seizures. Patients with alopecia areata, a condition where hair loss occurs in sharply defined areas, have been shown to have a higher risk of celiac disease than the general population. There appears to be a higher percentage of celiac disease among people with Down syndrome, but the link between the conditions is unknown.
Several conditions attributed to a disorder of the immune system have been associated with celiac disease. People with insulin dependent diabetes (type I) have a much higher incidence of celiac disease. One source estimates that as many as one in 20 insulin-dependent diabetics may have celiac disease. Patients with other conditions where celiac disease may be more commonly found include those with juvenile chronic arthritis, some thyroid diseases, and IgA deficiency.
There is an increased risk of intestinal lymphoma, a type of cancer, in individuals with celiac disease. Successful treatment of the celiac disease seems to decrease the chance of developing lymphoma.
Diagnosis
Because of the variety of ways celiac disease can manifest itself, it is often not discovered promptly. Its symptoms are similar to many other conditions including irritible bowel syndrome, Crohn's disease, ulcerative colitis, diverticulosis, intestinal infections, chronic fatigue syndrome, and depression. The condition may persist without diagnosis for so long that the patient accepts a general feeling of illness as normal. This leads to further delay in identifying and treating the disorder. It is not unusual for the disease to be identified in the course of medical investigations for seemingly unrelated problems. For example, celiac disease has been discovered during testing to find the cause of infertility.
If celiac disease is suspected, a blood test can be ordered. This test looks for the antibodies to gluten (called antigliadin, anti-endomysium, and antireticulin) that the immune system produces in celiac disease. Antibodies are chemicals produced by the immune system in response to substances that the body perceives to be threatening. Some experts advocate not just evaluating patients with symptoms, but using these blood studies as a screening test for high-risk individuals, such as those with relatives (especially first degree relatives) known to have the disorder. An abnormal result points towards celiac disease, but further tests are needed to confirm the diagnosis. Because celiac disease affects the ability of the body to absorb nutrients from food, several tests may be ordered to look for nutritional deficiencies. For example, doctors may order a test of iron levels in the blood because low levels of iron (anemia) may accompany celiac disease. Doctors may also order a test for fat in the stool, since celiac disease prevents the body from absorbing fat from food.
If these tests above are suspicious for celiac disease, the next step is a biopsy (removal of a tiny piece of tissue surgically) of the small intestine. This is usually done by a gastroenterologist, a physician who specializes in diagnosing and treating bowel disorders. It is generally performed in the office, or in a hospital's outpatient department. The patient remains awake, but is sedated. A narrow tube, called an endoscope, is passed through the mouth, down through the stomach, and into the small intestine. A small sample of tissue is taken and sent to the laboratory for analysis. If it shows a pattern of tissue damage characteristic of celiac disease, the diagnosis is established.
The patient is then placed on a gluten-free diet (GFD). The physician will periodically recheck the level of antibody in the patient's blood. After several months, the small intestine is biopsied again. If the diagnosis of celiac disease was correct (and the patient followed the rigorous diet), healing of the intestine will be apparent. Most experts agree that it is necessary to follow these steps in order to be sure of an accurate diagnosis.
Treatment
The only treatment for celiac disease is a gluten-free diet. This may be easy for the doctor to prescribe, but difficult for the patient to follow. For most people, adhering to this diet will stop symptoms and prevent damage to the intestines. Damaged villi can be functional again in three to six months. This diet must be followed for life. For people whose symptoms are cured by the gluten-free diet, this is further evidence that their diagnosis is correct.
Gluten is present in any product that contains wheat, rye, barley, or oats. It helps make bread rise, and gives many foods a smooth, pleasing texture. In addition to the many obvious places gluten can be found in a normal diet, such as breads, cereals, and pasta, there are many hidden sources of gluten. These include ingredients added to foods to improve texture or enhance flavor and products used in food packaging. Gluten may even be present on surfaces used for food preparation or cooking.
Fresh foods that have not been artificially processed, such as fruits, vegetables, and meats, are permitted as part of a GFD. Gluten-free foods can be found in health food stores and in some supermarkets. Mail-order food companies often have a selection of gluten-free products. Help in dietary planning is available from dieticians (healthcare professionals specializing in food and nutrition) or from support groups for individuals with celiac disease. There are many cookbooks on the market specifically for those on a GFD.
Treating celiac disease with a GFD is almost always completely effective. Gastrointestinal complaints and other symptoms are alleviated. Secondary complications, such as anemia and osteoporosis, resolve in almost all patients. People who have experienced lactose intolerance related to their celiac disease usually see those symptoms subside, as well. Although there is no risk and much potential benefit to this treatment, it is clear that avoiding all foods containing gluten can be difficult.
Experts emphasize the need for lifelong adherence to the GFD to avoid the long-term complications of this disorder. They point out that although the disease may have symptom-free periods if the diet is not followed, silent damage continues to occur. Celiac disease cannot be "outgrown" or cured, according to medical authorities.
Key terms
Antibodies — Proteins that provoke the immune system to attack particular substances. In celiac disease, the immune system makes antibodies to a component of gluten.
Gluten — A protein found in wheat, rye, barley, and oats.
Villi — Tiny, finger-like projections that enable the small intestine to absorb nutrients from food.
Prognosis
Patients with celiac disease must adhere to a strict GFD throughout their lifetime. Once the diet has been followed for several years, individuals with celiac disease have similar mortality rates as the general population. However, about 10% of people with celiac disease develop a cancer involving the gastrointestinal tract (both carcinoma and lymphoma).
There are a small number of patients who develop a refractory type of celiac disease, where the GFD no longer seems effective. Once the diet has been thoroughly assessed to ensure no hidden sources of gluten are causing the problem, medications may be prescribed. Steroids or immunosuppressant drugs are often used to try to control the disease. It is unclear whether these efforts meet with much success.
Prevention
There is no way to prevent celiac disease. However, the key to decreasing its impact on overall health is early diagnosis and strict adherence to the prescribed gluten-free diet.
Resources
American Celiac Society. 58 Musano Court, West Orange, NJ 07052. (201) 325-8837.
Celiac Disease Foundation. 13251 Ventura Blvd., Suite 1, Studio City, CA 91604-1838. (818) 990-2354. 〈http://www.cdf@celiac.org〉.
Celiac Sprue Association/United States of America (CSA/USA). PO Box 31700, Omaha, NE 68131-0700. (402) 558-0600.
Gluten Intolerance Group. PO Box 23053, Seattle, WA 98102-0353. (206) 325-6980.
National Center for Nutrition and Dietetics. American Dietetic Association, 216 West Jackson Boulevard, Suite 800, Chicago, IL 60606-6995. (800) 366-1655.
† It's still in question if oats are an irritant to those with gluten sensitivity or celiacs. Although it is from a different genus than wheat, rye and barley, it still contains glutinin which some people can find irritating. Although my patient base and family can tolerate oats, you must make sure they are produced at a Gluten Free facility. Like Mars produces treats at a peanut free facility to avoid contamination, oats can be contaminated by bad farming practices (planting a field of wheat next to or in proximity to oat filed) or contamination through processing, at a facility that also processes wheat, rye and barley. Pending on your sensitivity you should try oats and see how they sit with you. Bob's Red Mill has a Gluten Free facility where they processes all of their Gluten Free products. I would highly recommend this companies products.
Tuesday, September 3, 2013
The problem with wheat
Why Gluten is Bad for You
Gluten is a family of proteins, including gliaden and glutenin (which have been the most widely studied). They are thick, gooey proteins that make things stick together when baked, instead of falling apart.
Gluten causes problems for people who lack the genetic ability to break it down into smaller amino acids that can be absorbed. Because it doesn't get broken down, the immune system recognizes it as a "foreign protein", and attacks it. In the process, the intestinal wall is damaged. That's why gluten acts as an intestinal abrasive.
How Many People are Affected?
How Gluten Creates Problems
Where Gluten is Found
The largest amounts of glutens are found in wheat, rye, and barley, a closely related trio of grains that contain, respectively, gliaden and glutenin.
Gluten's Effects on the Body
Your intestines swell with water as your body fights off the damage done by gluten. That gives you a "pot belly" ot "beer gut" that magnifies the appearance of any fat you have. In reality, it's a lot more water than fat. So regaining the flat stomach of your youth might be as simple as dropping gluten out of your diet.
Obesity and "Hunger Attacks"
Absolutely Avoid
Because dairy is the last food that will come back to your diet, and because healing takes 6 to 12 months, there's no point in testing dairy products until 6 months after you start the healing process. You might then test it once a month, until you find that it no longer gives you problems. At that point, you'll know that you have fully healed.
2013 Update: Modern Wheat is Poisonous
What's Wrong with American Foods? (Obesity and Disease)
http://www.treelight.com/health/nutrition/AmericanFoods.html
Aloe Vera: Ancient Healer
http://www.treelight.com/health/nutrition/AloeVera.html
Coconut Oil: Miracle Medicine and Diet Pill
http://www.treelight.com/health/nutrition/CoconutOil.html
Conquering Allergies
http://www.treelight.com/health/healing/Allergies.html
Healing the Skin
http://www.treelight.com/health/healing/SkinHealing.html
Intestinal Healing
http://www.treelight.com/health/healing/IntestinalHealing.html
The Importance of Fermentation
http://www.treelight.com/health/nutrition/Fermentation.html
What Makes Kimchi so Healthy?
http://www.treelight.com/health/nutrition/KimchiHealthy.html
Health Now Medical
A consortium of doctors, chiropractors, and clinical nutritionists who first alerted me to the dangers of gluten. Their focus on identifying root causes, rather than treating symptoms, provided the key that exposed the hidden cause of a variety of non-optimal symptoms I was experiencing.
Wheat Belly: Lose the Wheat, Lose the Weight and Find Your Path Back to Health
A recent book that reveals the toxic nature of modern wheat.
Dangerous Grains: Why Gluten Cereal Grains May Be Hazardous to Your Health
Good introduction to the subject. Contains a long list of scientific studies and peer-reviewed medical reports in support of its assertions. Much of the information in this report comes from its pages.
Celiac Disease: A Hidden Epidemic
The first two chapters are particularly helpful for understanding the mechanics of the problem. Chapter 1 shows how a healthy digestive system works. Chapter 2 shows the effect of gluten. Both chapters are well-illustrated, so you can see what's happening.
Why You Should Probably Stop Eating Wheat
A Discovery News article that revealed the toxic compound contained in modern, hybridized wheat.
Negative Effects of Gamma Rays
An eHow artcile that nicely summarizes the problems associated with irradiating foods. (It improves profits. It's just not good for people!)
Unlocking the Mystery of Wheat and Gluten Intolerance
Unbelievably informative and authorative exposition of the problems that gluten can cause, most especially with respect to autoimmune diseases.
In the latest study, one in three people were found to be gluten sensitive, even though they were showing no symptoms at all. They were pre-symptomatic. Of people with any kind of digestive disorder (gas, heart burn, diarrhea, consitpation, or what have you) one in two were found to be gluten senstive. And if any blood relative was gluten senstive, the chances were a near certainty that they were, too.
So let's say that half the people in the country have some kind of digestive problem (a very conservative estimate). If the studies are accurate, then half of those folks are gluten sensitive (25%), as are a third of the remainder (17%). That would mean that something like 42% of the population has a problem with gluten.
So as much as half the population could be affected but we don't know how big the problem really is, because doctors don't typically test for it.
In the DVD, Unlocking the Mystery of Wheat and Gluten Intolerance, Dr. O'Bryan gives a lecture that consists entirely of quotes from medical journals. There is no excuse for the fact that doctors are by and large ignornant of this material, and no excuse for failing to test for gluten sensitivity in every medical checkup. If they did that, we would have precise numbers in very short order.
The changes it makes in your body eventually cause sometimes-violent food reactions. Note that I didn't say "food allergies". A true "allergy" doesn't develop slowly, over time. And the severity of the symptoms don't depend on how much you have, or on how long you have been exposed. When you have a true allergy, the smallest amounts create a severe response, immediately.
The gluten grains aren't that dramatic. They immune reactions they incite slowly erode the intestinal wall, creating increasingly severe problems over a long period of time. Because of that immune response, gluten acts as an "intestinal abrasive". It sandpapers the intestinal wall it is so thin that it no longer functions properly. The glutens cause a variety of problems that collectively come under the heading,gluten sensitivity, or when severe, are said to cause a gluten reaction.
The only grains or flour from which gluten proteins are completely absent are rice, corn, potato, buckwheat, and coconut flour, arrowroot, millet, tapioca, teff, amaranth, and quinoa. Those are the only realistic grains for anyone who is gluten sensitive.
You've already seen a fairly lengthy list of harmful effects. This section will dive a little deeper into the mechanisms that cause harm, and add to the list of undesirable effects, including:
Wheat proteins break through the blood brain barrier and attaches at the opiate section of the the brain that incite feelings of euphoria, only to create feelings of misery a few hours later, producing the need for another "fix". It is not surprising, therefore, to find that the hamburgers use a wheat filler, the fries are brushed with wheat to make them crispy. The process by which wheat becomes addictive works like this:
The addictive nature of gluten means that you can't help yourself from eating more and more. Making it even harder is the fact that most people don't even know they're fighting a real addiction.
Of course, it takes a fair amount of gluten before the intestinal walls degrade to the point that the undigested proteins can pass. So it takes a long time. But bread and cereal are such a basic part of the American diet that folks who have a genetic inclination to gluten sensitivity will have begun to reflect those problems by the time they're in their teens.
As the intestinal abrasions accumulate, one very observable effect is the slow accumulation of weight, in addition to a stomach size that seems out of all proportion to the weight you've gained.
There's a good chance you're gluten senstive if you're experiencing a slow weight gain that seems unstoppable from month to month and year to year, regardless of how much you exercise. If it only stops when you starve yourself on some diet or another, only to come charging back with a vengenance when you finally stop, you should definitely get yourself tested for gluten senstivity..
You keep adding fat for two reasons:
If you wake up in the middle of the night because you're hungry, you should be tested for gluten sensitivity. If you slowly gain weight from year to year, you should get tested for gluten sensitivity. If you gain it rapidly from month to month, you may not even need to test. There is a good chance you are suffereing from adrenal exhaustion brought on by gluten intolerance. (More on that subject coming up.)
As the function of the intestinal tract degrades, you can become to susceptible to many other "food allergies", as well. In reality, you are experiencing a food-sensitivity reaction, but it feels just like an allergy. At first, you think it's the flu. You have the aching muscles and massive fatigue you experience when you're sick, and your nose is all stuffed up, too.
After a while, you begin to notice that you're getting "sick" in the middle of summer and in the spring, when the flu season is long over. So you begin to suspect grasses and pollen and every natural thing in the environment, never realizing that as your intestinal lining erodes, you are reacting to more and more of the things you eat.
You may even see a relationship to seasonal pollens, never realizing that main culprit is really gluten--especially if you were never allergic to those pollens before, and are now experiencing a reaction. It could be that they are a minor stress, well within your body's normal capacity, but in the presence of the continuous stress created by gluten, they put you "over the edge". As with obesity, the adrenals come into play here. The same cortico-steriods that are prescribed in nasal sprays are produced naturally by the adrenals. The amount the adrenals can produce determines your capacity for handling allergens. When the adrenals are otherwise preoccupied with dietary stresses, it can't produce as much antihistamine as it otherwise might. So what looks like a seasonal allergy can very well have one or more dietary reactions at its core.
The good news is that once you've restored your intestines to full health, you'll be able to add back many of the things that give you trouble. But until then, you need to avoid the ones that cause problems for a 2-12 months, until the intestinal wall heals.
When the intestinal problems reach critical levels, the diagnosis is Celiac Disease, which just means "disease of the abdominal cavity". (Informative, huh?) But long before that kind of intestinal atrophy is reached (or diagnosed), many other conditions may occur--conditions that may have gluten reactions as their underlying cause:
Much of the population has the wrong genetic makeup to deal with gluten. If you have any of the severe symptoms described above, you should definitely get a gluten test. If you display any of these early warning signs, you may want to get yourself tested, as well:
There is a very simple blood test that will tell you if gluten is the likely cause. (There's also a saliva test.) All they have to do is take a sample of your blood and look for antibodies (markers on your white blood cells). Given that gluten-senstivity is the most prevalent food reaction on the planet, it is absolutely astonishing that this test isn't part of the everone's standard medical checkup. (I can only conclude that agribusiness supplies the funding for medical schools, along with drug companies.)
Gluten can be difficult to avoid, because it turns up in so many places. But if you suffer from gluten sensitivity, once you find out how much energy you have and how much better you feel without it, you'll have no difficulty convincing your self that it is worth the effort.
Remember, gluten is addictive. So for a couple of weeks it will feel like you're giving up the whole world. You may wonder, "What on earth will I eat?" But in a matter of weeks, the addiction will be gone. You'll be less hungry, and you won't go hungry. You especially won't be having those hunger attacks that make you feel like you're starving. After a while, as Dr. Rick Peterson says, "It's just the way I eat". It may not seem possible now, but you'll look at cookies and cakes, bagels and donuts, pancakes and muffins, and find yourself thinking: "Yuch. Who needs it?"
As mentioned earlier, a food elimination diet is the best way to identify the secondary food reactions that result from degraded intestinal operation. If you're dealing with a severe problem that stems from gluten inolerance, that's a good thing to do. But the most important thing is to avoid gluten in all its forms.
Flours made from these foods do not contain gluten:
If you are gluten-sensitive, the bad news is that gluten is everywhere in the American diet. But the good news is that there are many things you can do about it:
Once gluten has been removed from your diet, there are a variety of ways to promote intestinal healing:
While your intestines heal, take supplements to offset the damage and give your body the extra ammunition it needs to function effectively:
The body's fastest growing cells are in the intestinal wall. They replace themselves every 4 months. So much healing can take place in that time, as long as you totally avoid gluten during that time. You also need to avoid triggers of "secondary allergies"--foods that cause problems because the compromised villi (tiny, hair-like projections in the intestines) can't produce the enzymes necessary to digest them.
The restoration of those villi takes additional time. Cell replacement in the intestines only takes 4 months, but cellular growth takes 6 to 12 months. The time you'll need depends on the rate at which you heal--a rate which is affected by age, but which is primarily determined by the overa-all quality of your diet and the degree to which you can successfully avoid the dietary ingredients that trigger intestinal inflammation.
Basically, intestinal healing is a process that can months or years, depending on how long gluten has been in your diet. Most importantly, it is a process which can only occur when gluten has been completely removed from the diet. Even a small amount can cause a major setback in healing, because the body reacts so vigorously to it.
To determine which foods cause you problems, it's a good idea to remove every possible suspect from the diet. Get down to a minimal diet that you know is healthy, and then try new things every three or four days. Give each one 3 days to manifest systems before you decide that it is ok, then either avoid it or add it back to your diet. (This "elimination diet" is best done under the supervision of qualified nutritionist, so you find out everything you should avoid.)
As your intestinal wall regrows, foods that gave you problems before become easily tolerated once again. So every three months or so, you can re-test the foods that are on the not-OK list.
The villi that produce lactase--the enzyme necessary to digest the lactose in milk--are at the very tips of the villi.
Gluten causes problems for people who lack the genetic ability to break it down into smaller amino acids that can be absorbed. Because it doesn't get broken down, the immune system recognizes it as a "foreign protein", and attacks it. In the process, the intestinal wall is damaged. That's why gluten acts as an intestinal abrasive.
How Many People are Affected?
How Gluten Creates Problems
Where Gluten is Found
The largest amounts of glutens are found in wheat, rye, and barley, a closely related trio of grains that contain, respectively, gliaden and glutenin.
Gluten's Effects on the Body
- Gluten addiction
- Pot belly
- Obesity & "Hunger Attacks"
- "Allergies"
- Adrenal Exhaustion
- Celiac Disease
- Depression
- Anxiety
- Eczema
- Psoriasis
- Over time, gluten's erosion of the intestinal wall produces a "leaky gut" which absorbs full proteins that should have been blocked until they're broken down into amino acids.
- Glutens are opioid-like proteins that resist the digestive process, so they don't easily break down into amino acids.
- When the damaged intestinal wall passes them through intact, they cause a "gluten high" that lasts for a few hours, followed by an energy crash and a craving for carbohydrates--your next "fix".
Your intestines swell with water as your body fights off the damage done by gluten. That gives you a "pot belly" ot "beer gut" that magnifies the appearance of any fat you have. In reality, it's a lot more water than fat. So regaining the flat stomach of your youth might be as simple as dropping gluten out of your diet.
Obesity and "Hunger Attacks"
- The addiction caused by gluten and MSG causes "hunger attacks" that cannot be denied with sheer will sheer power. You can try, but you're fighting a survival instinct that goes back a lot longer than you do. So you overeat and add fat.
- The adrenals are too busy dealing with inflammation in the intestines (or too exhausted from doing so) to release the hormone that lets you burn fat (progesterone). So what you gain, you keep.
- dairy
- tomatoes
- corn
- soy
- beef
- pork
- eggs
- shellfish
- peanuts, nuts
- Arthritis
- Cancer
- Depression
- Dermatitis herpetiformis (intensely itchy, blistering hives)
- Lupus
- Manic Depression
- Migraine headaches
- Neurological diseases (multiple sclerosis, epilepsy, ..., others)
- Osteoporosis
- Schizophrenia
- psoriasis (dandruff)
- lactose intolerance ("milk allergy")
- ringing in the ears
- sinusitis
- rhinitis
- slow, constant weight gain
- daily "hunger attacks"
- body chill and drowsiness a couple of hours after arising, and/or a couple of hours after lunch
- light-sensitivity (bright lights hurt your eyes)
- noise sensitivity
- insomnia
- massive fatigue and soreness one or two days after vigorous exercise
- chronic, low-level fatigue all the time
Absolutely Avoid
- Wheat, rye, barleyThese are the major gluten grains, responsible for much dietary mischief.
- Beer, pasta, bread Unless made from rice, nuts, coconut, or a gluten-free grain.
- Gluten-based Additives
- Fu -- dried wheat gluten
- HPP -- hydrolyzed plant protein
- HVP -- hydrolyzed vegetable protein
- MSG -- monosodium glutamate
- TPP -- textured plant protein
- TVP -- textured vegetable protein
- Arrowroot
- Buckwheat
- Coconut
- Corn
- Millet
- Nuts
- Potato
- Rice
- Sorghum
- Soy
- Tapioca
- Coconut flour
- Quinoa
- Chia
- Flax
- Avoid gluten like the plague it is. That means avoiding wheat, rye, and barley. Eat grain-based foods made from rice, breads made with nut flours (pecan and almond are my favorite), and Indian foods made with chickpea and lentil flour.
- Be alert for food sensitivity reactions. Once intestinal function is impaired, a variety of things can cause food reactions, including acidic foods and dairy products. Eliminate foods that cause problems until your intestinal tract has healed enough to deal with them.
- See how well you tolerate oats. If it causes problems, avoid it for a six months and try again. If it still causes problems, consider it a "gluten grain", as far as you're concerned.
- Drink Aloe Vera juice.
- Take L-glutamine, an amino acid supplement that helps to repair intestinal damage.
- Natural Antihistamines (nettle, vit C, quercitin, N-acetyl cysteine, MSM)
- Adrenal Support (B-vitamins, zinc, copper, hesperidin)
- There are also adrenal hormones you can take, like DHEA and pregnenolone. But they should be taken under the guidance of a qualified practitioner. The idea is that you start with a dose that's as large as you need to compensate for impaired adrenal function, and you taper it off gradually during the 3 months or so it takes for healing to occur, so that the adrenals take over the load as they grow stronger.
- Note, too, that healthy intestinal flora create all the B-vitamins you'll ever need--way more than you can take in supplements--so find a dairy-free acidolpholus, practice intestinal cleansing, and eat fermented foods like Kimchi.
Because dairy is the last food that will come back to your diet, and because healing takes 6 to 12 months, there's no point in testing dairy products until 6 months after you start the healing process. You might then test it once a month, until you find that it no longer gives you problems. At that point, you'll know that you have fully healed.
2013 Update: Modern Wheat is Poisonous
- "Today's wheat is a far cry from what it was 50 years ago.
- "Back in the 1950s, scientists began cross-breeding wheat to make it hardier, shorter, and better-growing. This work, which won U.S. plant scientist Norman Borlaug the Nobel Prize, introduced some compounds to wheat that aren't entirely human friendly.
- "As cardiologist Dr. William Davis noted in his book, Wheat Belly: Lose the Wheat, Lose the Weight and Find Your Path Back to Health, today's hybridized wheat contains sodium azide, a known toxin.
- "It also goes through a gamma irradiation process during manufacturing. (Which can produce nasty effects of its own. According to this eHow article, "Gamma rays change the molecular structure of the food, which can produce mutagens such as formaldehyde and benzene, chemicals suspected of causing cancer. Food irradiation also causes nutrients in the food to be destroyed. Vitamins A, C, E, K, the entire B group, amino acids and polyunsaturated fatty acids are all affected by irradiation.")
- "According to Alessio Fasano, the Medical Director for The University of Maryland's Center for Celiac Research, no one can properly digest gluten
- "We do not have the enzymes to break it down," he said in a recent interview with TenderFoodie. "It all depends upon how well our intestinal walls close after we ingest it and how our immune system reacts to it." His concern is that the gluten protein, which is abundant in the endosperm of barley, rye, and wheat kernels, is setting off an aberrant immune response.
- "Grains…create an immunogenic response which increases intestinal permeability, thus triggering systemic inflammation by the immune system, what can lead to any number of autoimmune diseases, including celiac, rheumatoid arthritis, irritable bowel syndrome and so on. And this holds true for people who don't have celiac disease.
- "Davis also believes that gliadin degrades to a morphine-like compound after eating, what creates an appetite for more wheat; his claim, therefore, is that wheat actually has an addictive quality to it.
- "Wheat also raises blood sugar. Two slices of whole wheat bread increases blood sugar levels higher than a single candy bar.
- "Lectins are a class of molecules, can be found in beans, cereal grains, nuts, and potatoes. When consumed in excess, or when not cooked properly, they can be harmful.
- "The problem with the lectins found in whole grains, is that they bind to our insulin receptors and intestinal lining. This increases inflammation and contributes to autoimmune disease and insulin resistance. It also facilitates the symptoms of metabolic syndrome outside of obesity.
- "A common argument in favor of continuing to eat whole grains is that they provide necessary fiber. This is actually a bit of a myth…" (My favorite sources of fiber are peas, lentils, and chickpeas--three ingredients that featured frequently in dishes from India.)
What's Wrong with American Foods? (Obesity and Disease)
http://www.treelight.com/health/nutrition/AmericanFoods.html
Aloe Vera: Ancient Healer
http://www.treelight.com/health/nutrition/AloeVera.html
Coconut Oil: Miracle Medicine and Diet Pill
http://www.treelight.com/health/nutrition/CoconutOil.html
Conquering Allergies
http://www.treelight.com/health/healing/Allergies.html
Healing the Skin
http://www.treelight.com/health/healing/SkinHealing.html
Intestinal Healing
http://www.treelight.com/health/healing/IntestinalHealing.html
The Importance of Fermentation
http://www.treelight.com/health/nutrition/Fermentation.html
What Makes Kimchi so Healthy?
http://www.treelight.com/health/nutrition/KimchiHealthy.html
Health Now Medical
A consortium of doctors, chiropractors, and clinical nutritionists who first alerted me to the dangers of gluten. Their focus on identifying root causes, rather than treating symptoms, provided the key that exposed the hidden cause of a variety of non-optimal symptoms I was experiencing.
Wheat Belly: Lose the Wheat, Lose the Weight and Find Your Path Back to Health
A recent book that reveals the toxic nature of modern wheat.
Dangerous Grains: Why Gluten Cereal Grains May Be Hazardous to Your Health
Good introduction to the subject. Contains a long list of scientific studies and peer-reviewed medical reports in support of its assertions. Much of the information in this report comes from its pages.
Celiac Disease: A Hidden Epidemic
The first two chapters are particularly helpful for understanding the mechanics of the problem. Chapter 1 shows how a healthy digestive system works. Chapter 2 shows the effect of gluten. Both chapters are well-illustrated, so you can see what's happening.
Why You Should Probably Stop Eating Wheat
A Discovery News article that revealed the toxic compound contained in modern, hybridized wheat.
Negative Effects of Gamma Rays
An eHow artcile that nicely summarizes the problems associated with irradiating foods. (It improves profits. It's just not good for people!)
Unlocking the Mystery of Wheat and Gluten Intolerance
Unbelievably informative and authorative exposition of the problems that gluten can cause, most especially with respect to autoimmune diseases.
In the latest study, one in three people were found to be gluten sensitive, even though they were showing no symptoms at all. They were pre-symptomatic. Of people with any kind of digestive disorder (gas, heart burn, diarrhea, consitpation, or what have you) one in two were found to be gluten senstive. And if any blood relative was gluten senstive, the chances were a near certainty that they were, too.
So let's say that half the people in the country have some kind of digestive problem (a very conservative estimate). If the studies are accurate, then half of those folks are gluten sensitive (25%), as are a third of the remainder (17%). That would mean that something like 42% of the population has a problem with gluten.
So as much as half the population could be affected but we don't know how big the problem really is, because doctors don't typically test for it.
In the DVD, Unlocking the Mystery of Wheat and Gluten Intolerance, Dr. O'Bryan gives a lecture that consists entirely of quotes from medical journals. There is no excuse for the fact that doctors are by and large ignornant of this material, and no excuse for failing to test for gluten sensitivity in every medical checkup. If they did that, we would have precise numbers in very short order.
The changes it makes in your body eventually cause sometimes-violent food reactions. Note that I didn't say "food allergies". A true "allergy" doesn't develop slowly, over time. And the severity of the symptoms don't depend on how much you have, or on how long you have been exposed. When you have a true allergy, the smallest amounts create a severe response, immediately.
The gluten grains aren't that dramatic. They immune reactions they incite slowly erode the intestinal wall, creating increasingly severe problems over a long period of time. Because of that immune response, gluten acts as an "intestinal abrasive". It sandpapers the intestinal wall it is so thin that it no longer functions properly. The glutens cause a variety of problems that collectively come under the heading,gluten sensitivity, or when severe, are said to cause a gluten reaction.
• Gliadin is the worst of the offenders. Gliadin does not occur in oats, but other gluten proteins do, such as glutenin. So oats are a "borderline" grain. It may be that they don't cause problems, or it may be that we just haven't studied glutenin enough.Then there is triticale (wheat and rye), kamut (Egyptian wheat) and wheat products like couscous and semolina. Plus spelt, club, durum, bulgur, and einkorn, all wheat or wheat products, and all to be avoided by anyone who is gluten intolerant.
The only grains or flour from which gluten proteins are completely absent are rice, corn, potato, buckwheat, and coconut flour, arrowroot, millet, tapioca, teff, amaranth, and quinoa. Those are the only realistic grains for anyone who is gluten sensitive.
You've already seen a fairly lengthy list of harmful effects. This section will dive a little deeper into the mechanisms that cause harm, and add to the list of undesirable effects, including:
Wheat proteins break through the blood brain barrier and attaches at the opiate section of the the brain that incite feelings of euphoria, only to create feelings of misery a few hours later, producing the need for another "fix". It is not surprising, therefore, to find that the hamburgers use a wheat filler, the fries are brushed with wheat to make them crispy. The process by which wheat becomes addictive works like this:
The addictive nature of gluten means that you can't help yourself from eating more and more. Making it even harder is the fact that most people don't even know they're fighting a real addiction.
Of course, it takes a fair amount of gluten before the intestinal walls degrade to the point that the undigested proteins can pass. So it takes a long time. But bread and cereal are such a basic part of the American diet that folks who have a genetic inclination to gluten sensitivity will have begun to reflect those problems by the time they're in their teens.
As the intestinal abrasions accumulate, one very observable effect is the slow accumulation of weight, in addition to a stomach size that seems out of all proportion to the weight you've gained.
There's a good chance you're gluten senstive if you're experiencing a slow weight gain that seems unstoppable from month to month and year to year, regardless of how much you exercise. If it only stops when you starve yourself on some diet or another, only to come charging back with a vengenance when you finally stop, you should definitely get yourself tested for gluten senstivity..
You keep adding fat for two reasons:
If you wake up in the middle of the night because you're hungry, you should be tested for gluten sensitivity. If you slowly gain weight from year to year, you should get tested for gluten sensitivity. If you gain it rapidly from month to month, you may not even need to test. There is a good chance you are suffereing from adrenal exhaustion brought on by gluten intolerance. (More on that subject coming up.)
As the function of the intestinal tract degrades, you can become to susceptible to many other "food allergies", as well. In reality, you are experiencing a food-sensitivity reaction, but it feels just like an allergy. At first, you think it's the flu. You have the aching muscles and massive fatigue you experience when you're sick, and your nose is all stuffed up, too.
After a while, you begin to notice that you're getting "sick" in the middle of summer and in the spring, when the flu season is long over. So you begin to suspect grasses and pollen and every natural thing in the environment, never realizing that as your intestinal lining erodes, you are reacting to more and more of the things you eat.
You may even see a relationship to seasonal pollens, never realizing that main culprit is really gluten--especially if you were never allergic to those pollens before, and are now experiencing a reaction. It could be that they are a minor stress, well within your body's normal capacity, but in the presence of the continuous stress created by gluten, they put you "over the edge". As with obesity, the adrenals come into play here. The same cortico-steriods that are prescribed in nasal sprays are produced naturally by the adrenals. The amount the adrenals can produce determines your capacity for handling allergens. When the adrenals are otherwise preoccupied with dietary stresses, it can't produce as much antihistamine as it otherwise might. So what looks like a seasonal allergy can very well have one or more dietary reactions at its core.
The good news is that once you've restored your intestines to full health, you'll be able to add back many of the things that give you trouble. But until then, you need to avoid the ones that cause problems for a 2-12 months, until the intestinal wall heals.
When the intestinal problems reach critical levels, the diagnosis is Celiac Disease, which just means "disease of the abdominal cavity". (Informative, huh?) But long before that kind of intestinal atrophy is reached (or diagnosed), many other conditions may occur--conditions that may have gluten reactions as their underlying cause:
Much of the population has the wrong genetic makeup to deal with gluten. If you have any of the severe symptoms described above, you should definitely get a gluten test. If you display any of these early warning signs, you may want to get yourself tested, as well:
There is a very simple blood test that will tell you if gluten is the likely cause. (There's also a saliva test.) All they have to do is take a sample of your blood and look for antibodies (markers on your white blood cells). Given that gluten-senstivity is the most prevalent food reaction on the planet, it is absolutely astonishing that this test isn't part of the everone's standard medical checkup. (I can only conclude that agribusiness supplies the funding for medical schools, along with drug companies.)
Gluten can be difficult to avoid, because it turns up in so many places. But if you suffer from gluten sensitivity, once you find out how much energy you have and how much better you feel without it, you'll have no difficulty convincing your self that it is worth the effort.
Remember, gluten is addictive. So for a couple of weeks it will feel like you're giving up the whole world. You may wonder, "What on earth will I eat?" But in a matter of weeks, the addiction will be gone. You'll be less hungry, and you won't go hungry. You especially won't be having those hunger attacks that make you feel like you're starving. After a while, as Dr. Rick Peterson says, "It's just the way I eat". It may not seem possible now, but you'll look at cookies and cakes, bagels and donuts, pancakes and muffins, and find yourself thinking: "Yuch. Who needs it?"
As mentioned earlier, a food elimination diet is the best way to identify the secondary food reactions that result from degraded intestinal operation. If you're dealing with a severe problem that stems from gluten inolerance, that's a good thing to do. But the most important thing is to avoid gluten in all its forms.
Flours made from these foods do not contain gluten:
If you are gluten-sensitive, the bad news is that gluten is everywhere in the American diet. But the good news is that there are many things you can do about it:
Once gluten has been removed from your diet, there are a variety of ways to promote intestinal healing:
While your intestines heal, take supplements to offset the damage and give your body the extra ammunition it needs to function effectively:
The body's fastest growing cells are in the intestinal wall. They replace themselves every 4 months. So much healing can take place in that time, as long as you totally avoid gluten during that time. You also need to avoid triggers of "secondary allergies"--foods that cause problems because the compromised villi (tiny, hair-like projections in the intestines) can't produce the enzymes necessary to digest them.
The restoration of those villi takes additional time. Cell replacement in the intestines only takes 4 months, but cellular growth takes 6 to 12 months. The time you'll need depends on the rate at which you heal--a rate which is affected by age, but which is primarily determined by the overa-all quality of your diet and the degree to which you can successfully avoid the dietary ingredients that trigger intestinal inflammation.
Basically, intestinal healing is a process that can months or years, depending on how long gluten has been in your diet. Most importantly, it is a process which can only occur when gluten has been completely removed from the diet. Even a small amount can cause a major setback in healing, because the body reacts so vigorously to it.
To determine which foods cause you problems, it's a good idea to remove every possible suspect from the diet. Get down to a minimal diet that you know is healthy, and then try new things every three or four days. Give each one 3 days to manifest systems before you decide that it is ok, then either avoid it or add it back to your diet. (This "elimination diet" is best done under the supervision of qualified nutritionist, so you find out everything you should avoid.)
As your intestinal wall regrows, foods that gave you problems before become easily tolerated once again. So every three months or so, you can re-test the foods that are on the not-OK list.
The villi that produce lactase--the enzyme necessary to digest the lactose in milk--are at the very tips of the villi.
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