Health Nutrition
Unexplained Health Conditions May Be Caused
by Gluten Sensitivity!
By Sheryl Sanchez, L.Ac., Heavenly Herbs and Acupuncture
Research shows that many serious health conditions can be related to the consumption of gluten in our diet and are due to a sensitivity or allergy to gluten. Gluten is found in wheat, barley, and rye. It is also in most oats, because they are tainted with wheat in processing facilities. It is found in all bread, pastries, and pasta, most cereals, and a large variety of packaged goods (for example, soy sauce contains wheat and is added to many condiments). It has been proposed that the problem of digesting gluten may be a result of the genetic alteration of these grains (to improve bread making) through the millennia.[i]
Until recently, the common medical understanding was that gluten sensitivity, or more specifically, celiac disease (CD), was uncommon[ii] and that it was a gastrointestinal disease presenting primarily with symptoms of diarrhea, gastric distress, and emaciation due to malabsorption of nutrients. Now research shows that celiac disease is actually very common, it is often "silent" (i.e., patients are often asymptomatic of gastrointestinal symptoms), that as much as 1 percent of the population has this condition,[iii] particularly those of European ancestry,[iv] that it is more prevalent in women than men (by three to one), and can present at any age.[v]
Celiac disease is an autoimmune reaction to gluten resulting in a permanent intolerance of gluten, and therefore it is considered an autoimmune disease. It is now known that this inflammatory, autoimmune reaction occurs in many areas of the body. Typically it causes small intestine damage with nutrient malabsorption and also is commonly misdiagnosed as Irritable Bowel Syndrome (59 percent).[vi] It can very commonly cause osteoporosis (also in men)[vii] and it occurs so frequently that anyone with osteoporosis should also be tested for CD.[viii] CD can also commonly causes unexplained muscle pain and weakness[ix] and many neuromuscular disorders.[x] CD is also very common with any other autoimmune disorder such as Type 1 diabetes (especially), lupus, rheumatoid arthritis, and Hashimoto’s disease (the most common type of hypothyroidism), or a familial history of such. And CD itself is genetic, so any time someone is newly diagnosed, other family members should be tested also. The brain is also "particularly vulnerable" to the immunologic response of CD.[xi] It has been recommended that all children with behavior disorders or ADHD-like symptoms be tested for CD.[xii] Neuropsychiatric disorders such as depression, anxiety, and schizophrenia are also common with CD.[xiii] [xiv] Brain changes can mimic multiple sclerosis or amyotrophic lateral sclerosis (a.k.a. Lou Gehrig’s disease). Furthermore, other neurological conditions such as peripheral neuropathy, migraines, dementia, and epilepsy can be caused by CD[xv] and for any unexplained neurological condition, testing for CD should be done.[xvi] And CD could also be a causative agent in Alzheimer’s disease.[xvii] (Note: Most commercially processed baked goods, regardless of grains used, use aluminum-containing baking powder and aluminum is associated with developing this condition).[xviii] Additionally, infertility or recurrent miscarriages can also be due to CD.[xix] CD can also present as an intensely pruritic dermatitis and is often misdiagnosed as eczema.[xx] Also note that intestinal permeability or "leaky gut" caused by Candida albicans or yeast overgrowth can be a trigger for the onset of gluten sensitivity.[xxi]
A diagnosis is made by blood tests. If one is gluten sensitive, it is also highly likely that one will be lactose or dairy intolerant (which can usually be reversed long-term), so this should also be tested for. And because thyroid disorders are so common among true CD patients, thyroid levels should also be tested and monitored. Several natural-medicine practitioners, such as licensed acupuncturists (L.Ac.), naturopathic doctors (ND), and chiropractors (DC), can order and evaluate these lab tests, recommend dietary changes, and prescribe natural, herbal, and homeopathic medicinals for treatment.
One can be only sensitive to gluten or have true CD and its intestinal impairment or impermeability. If CD is diagnosed, the adherence to a very strict "gluten-free" (GF) diet is essential to long-term health. This treatment is curative, although herbal medicinals should be used to completely heal the body. However, this diet can be difficult to do even with the advent of more GF products. Although it may be challenging and will take planning, it can be accomplished—when your health problems are resolved it becomes well worth it too! So for someone sensitive to gluten, a diet of fresh vegetables, especially dark green leafy ones, fruits, legumes, and nongluten whole grains, such as quinoa, brown rice, millet, and buckwheat (yes, this is not a wheat product), and low amounts of animal protein (if not a vegetarian) is the plan. Dairy products should also be avoided. Overall, keep a whole-foods diet in mind versus leaning toward gluten-free processed foods.
Healing intestinal inflammation and impermeability is of utmost importance in treatment. Nutrition, nutritional supplements, and herbal medicinals will heal the inflammation in the small intestine, strengthen the digestive system, and reverse many complications of CD. Folic acid and iron deficiency are the most commonly known absorption difficulties, so these typically need supplementation. In reality, all of the vitamin B complex is needed in higher "stress" dosages. Omega 3s (both EPA and DHA) are one priority to heal inflammation. Fish oil is needed in the dosages of 1,000 mg/day (minimum), but most could use 3,000 mg/day. Resveratrol, an antioxidant from red grape skins, is also needed to stop the inflammatory cascade seen in CD[xxii] and vitamin D3 will help mediate the autoimmune reaction.[xxiii] Adequate levels of vitamin D are necessary, so blood levels should be tested for accurate dosing. Glutathione, a strong antioxidant, and its precursor L-glutamine (please do not confuse these as containing gluten!), an amino acid, are very effective at healing intestinal permeability, along with zinc carnosine.[xxiv] [xxv] Another antioxidant isolate, EGCG (epigallacatehin gallate from green tea), inhibits the inflammatory response seen in CD.[xxvi] L-carnitine, another amino acid, may also be needed (especially for neurological symptoms).[xxvii] Nutraceutical extracts of acacia and hops will also help the inflammatory reactions.[xxviii] Additionally, acupuncture and Chinese herbal medicinals have their own benefits of healing inflammation and the digestive system, including the other complications of CD.
Research material is derived from seminars attended since 2008 taught by Dr. Thomas O’Bryan. Sheryl Sanchez, L.Ac., is affiliated with "Gluten World" on TheDr.com as a gluten coach.
You can contact Sheryl at This e-mail address is being protected from spambots. You need JavaScript enabled to view it.
Baum, James, Dr. A Scientific Explanation of Gluten Intolerance, http://drjamesbaum.com/200, last accessed 12/3/10.
[ii] American Gastroenterological Association Medical Position Statement: Celiac Sprue. Gastroenterology 2001; 120:1522-1525.
[iii] The Liver in Celiac Disease. Hepatology, Vol. 46, No. 5, 2007.
[iv] Catassi, C., et al. Coeliac Disease in Year 2000: Exploring the Iceberg. Lancet 1994; 343:200-203.
[v] Cell. Mol. Life Sci. 62 (2005) 791-799.
[vi] MJA, Volume 183, Number 6, Sept. 19, 2005.
[vii] Celiac Disease in Men Threatens Bone Health, September 19, 2008, Adam Voiland.
[viii] Arch Intern Med, Vol. 165, Feb. 28, 2005, pp. 393-399.
[ix] Clin Rheumatol (2005) 24:76-78.
[x] J Neurol Neurosurg Psychiatry, 1997; 63: 770-775.
[xi] Pediatrics, Vol. 108, No. 2, August 2001.
[xii] A Preliminary Investigation of ADHD Symptoms in Persons with Celiac Disease.. Journal of Attention Disorders, March 2006, 1-5.
[xiii] Regional Cerebral Hypoperfusion in Patients with Celiac Disease. Am J Med, March 1, 2004, 312-317.
[xiv] BMJ, Vol. 328, February 21, 2004.
[xv] J Neurol Neurosurg Psychiatry, 1997; 63:770-775.
[xvi] Postgrad. Med. J, 2002; 78; 393-398.
[xvii] Lancet 358; August 11, 2001:461-467.
[xviii] Howenstine, James A., Dr. How to Heal Alzheimer’s Disease. Townsend Letter, April 2010, 78-84.
[xix] National Institute of Diabetes and Digestive and Kidney Diseases. Sept. 2008. Publication No. 08-4269.
[xx] Nelson, David, Jr., MD. Gluten-Sensitive Enteropathy (Celiac Disease): More Common Than You Think. American Family Physician, Vol 66, Dec 15, 2002.
[xxi] Nieuwenhuizen, W.F., Pieters, R.H., Knippels, L.M., Jansen, M.C., Koppelman, S.J. Is Candida albicans a Trigger in the Onset of Coeliac Disease? Lancet, 2003, June 21; 361(9375):2152-4.
[xxii] Reducing Pain and Inflammation Naturally, etc. Nutritional Perspectives, Vol. 128, No. 3, 1-12.
[xxiii] Ibid.
[xxiv] Ibid.
[xxv] Zinc Carnosine, a Health Food Supplement That Stabilizes Small Bowel Integrity and Stimulates Gut Repair Processes. Gut, 2007. February; 56(2):168-175.
[xxvi] Reducing Pain and Inflammation Naturally, etc. Nutritional Perspectives, Vol. 128, No. 3, 1-12.
[xxvii] Plasma Carnitine Ester Profile in Adult Celiac Disease Patients Maintained on Long-Term Gluten-Free Diet. World J Gastroenterol 2005; 11(42):6671-6675.
[xxviii] O’Bryan, Thomas, D.C., Unlocking the Secrets of Gluten Sensitivity—Implications for Neurological, Musculoskeletal and Immune Health. Metagenics seminar, 2008.
Gluten Free Information
This material is not intended to provide medical advice,
which should be obtained directly from a physician
NOTE: If you want to find out more about “gluten intolerance” you can be tested at:
Chico Area ~ Chico Naturopathic, (530) 332- 9355.
Grass Valley area ~ Whitewater Naturopathic Medical Clinic, (530) 271-7123.
And if you happen to be a pizza lover, no worries, Left Coast Pizza in Chico has you covered.
A gluten-free diet is a diet completely free of ingredients derived from gluten-containing cereals: wheat (including kamut and spelt), barley, rye, Malts and triticale, as well as the use of gluten as a food additive in the form of a flavoring, stabilizing or thickening agent. It is the only medically accepted treatment for coeliac disease, and wheat allergy.
Additionally, a gluten-free diet may exclude oats, however medical practitioners are divided on whether oats are an allergen to coeliac disease sufferers or if they are cross-contaminated in milling facilities by other allergens.
The Oct/Nov/Dec 2010 issue of Lotus Guide has an abundance of information about Gluten so be sure to pick up a copy or read it online at http://lotusguide.com/index.php/articles/by-issues
* If you happen to live in the Chico/Orland area The Portuguese Plaze/City Gates Restaurant is a great place to eat no matter what kind of diet you're on.
What is Celiac Disease
Celiac disease is an autoimmune disorder in which the body mistakenly reacts to gluten, a protein found in wheat, barley and rye, as if it were a poison.
It affects one in 133 people, although most have not been diagnosed.
When someone with celiac disease consumes gluten their immune system reacts by destroying the part of the small intestine that absorbs vital nutrients. This malabsorption can lead to serious illness.
Symptoms of celiac disease can include bloating, gas, diarrhea, weight loss or gain, constant fatigue or weakness, headaches, infertility, depression that does not respond to medication, abdominal pain, bone pain and anemia. For children, symptoms include failure to thrive, short stature, distended abdomen, dental enamel defects, and unusual behavior changes.
Celiac disease is tricky, however, and sometimes has no outward symptoms. Since it is a genetic disease, relatives of those who have been diagnosed have an increased risk.
Diagnosis is made through a series of blood tests, followed by a biopsy of the small bowel to see if the absorbing lining is damaged.
The only treatment for celiac disease is to follow the gluten-free diet. When gluten is taken out of the diet, the small intestine heals and a return to full health can be expected. Long-term complications of undiagnosed celiac disease include malnutrition, lymphoma, osteoporosis, neurological complications and miscarriage.
There is also a skin form of celiac disease called dermatitis herpetiformis (DH) which appears as an itchy, blistering rash. It is diagnosed through a special skin biopsy and is also treated with the gluten-free diet.
Labeling
A food label should contain all the information you need to figure out if that food is safe on the gluten-free diet.
You need to avoid:
Wheat
The Food Allergen and Consumer Protection Act says labels have to list the top eight allergens, including wheat, in plain English whenever they are an ingredient in packaged foods regulated by the FDA.
That means you will never have to guess whether some strange ingredient is made from wheat. If wheat is used, the label will tell you. (Meat, eggs and poultry are regulated by the USDA, which is not covered by the allergen labeling law. However, the USDA has advised food processors that it expects them to declare all sources of allergens on their labels.)
If a food contains wheat, you will find "wheat" in the ingredients list or the phrase "Contains wheat" immediately after the ingredients list. Some food companies do both.
Rye and Barley
Rye and barley are not covered by the allergen label law. However, rye is not used that often in foods, and when it is the label usually says so.
Barley is more common and can be more difficult to recognize on a food label. It can be listed as barley, barley malt or just malt. Although rare, barley malt is sometimes simply listed as "flavoring."
But food companies are becoming more aware of the gluten-free diet. Although they aren't required to, some companies list the source of all gluten-containing ingredients, including barley, on their labels.
Oats
Oats present a different food labeling problem. Studies show oats do not contain gluten protein that is harmful to those who follow the gluten-free diet. However, oats are often contaminated with wheat so if you see them in an ingredient list it is highly likely the product is not gluten free. The gluten-free diet only allows oats specifically grown, processed and labeled for the gluten-free market. Specially processed oats are usually not used as an ingredient in mainstream foods and are sold mainly as gluten-free oatmeal.
Advisory labels
In addition to the ingredients list, you may find advisory labels on a food package. Advisory labels are not regulated and companies use them voluntarily. They give consumers more information about the possibility that a food could be cross-contaminated by an allergen during processing.
Some say "May contain Wheat." Others say "Produced in a plant that also produces products made with wheat" or "Produced on equipment that also produces products that contain wheat." You have to decide whetheryou want to include foods with these labels in your diet.
A final note on label reading - you must always read the label on a packaged food, even if you buy it regularly. Ingredients can change and reading the label is the best way to be sure you know what is in your food.
Gluten in the NEWS
On the VIEW
Information Links for Gluten and Celiac Disease:
http://www.celiac.com/
www.glutenfreemall.com
http://en.wikipedia.org/wiki/Gluten-free_diet (lots of informative information here)
http://www.glutenfreeliving.com/
Credits: Many thanks to the people at Gluten Free Living Magazine for much of the information contained in this web page.




