Getting the best information about gluten sensitivity and intolerance
(and food sensitivities/allergies in general) can be downright
confusing. Here’s some information to get you thinking, give
you some ideas and resources, and hopefully set the record straight
about gluten. Remember to talk to your doctor and call me if you need
additional support (I can also communicate directly with your
doctor).
The most common questions I get about gluten are “what exactly IS
gluten?” and “if it causes problems, should I avoid it too?”
Other times, people are resistant to the idea of gluten causing
problems, and they ask “what’s wrong with gluten if people have
been eating it for hundreds of years?” They might believe gluten
allergy is “junk science”, or be frustrated and resentful because
they have to make accommodations for someone else who has unexplained
symptoms.
For
starters, gluten is a protein. It’s a blend of gliadin (protein)
and glutenin (protein), and is found in a variety of wheat products,
as well as other grains such as barley and rye: it’s also commonly
used in a variety of other products because of its consistency. See a
general list here.
Our immune system can react to various proteins, so when people say
they’re “allergic” to gluten, what they mean is that
their immune system antibodies are responding to one of these
proteins. So you’d think testing would be pretty simple...just
test for the antibodies to confirm there’s an allergy...but
unfortunately, testing for gluten allergy is more complicated than
that (a side note here is that people might also react to bromine
instead or in addition, a chemical halogen which is used as a bleach
to whiten flour). Practitioners might also suggest the possibility of
“leaky gut syndrome” and inflammation in the body which can cause
or worsen many different health conditions (read more about tests for
inflammation here).
Common allergy tests look for an “IgE” antibody response, but
there are other antibodies, such as IgA, IgG, etc. so it’s
important to find a doctor who not only can support you with the
traditional testing if you’re trying to rule out celiac disease
(biopsy, blood test, genetic testing) but who is also aware of these
other types of antibodies. This way, they’ll be able to order
appropriate tests or at the very least, guide you with a properly
designed elimination diet.
If
you want support in the transition to living gluten free, schedule an
appointment by sending me an email. We
can work together to decide on a game plan and get you the support
you need. I can also send you a list of gluten-free snacks: just ask.
For
more information about gluten read my blog entry “Gluten
Sensitivity: When it’s Not Celiac Disease”
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