In part 1, we explored what gluten (or more correctly gliadin) is and the many ways big processed food companies use this as a common filler. We also looked at why people are seemingly more sensitive to gluten than in previous decades. Finally, we looked at the two aspects of gluten intolerance: celiac disease and gluten sensitivity. In part 2 we begin with the symptoms of gluten sensitivity and explore testing options. (more…)
Gluten Sensitivity: Why Has It Become Such a Problem? - Part 1
Dr. Shawn Soszka, Naturopathic Physician
Gluten sensitivity is a common condition with symptoms seen every day in my clinic. Its most commonly associated with Celiac disease. This autoimmune disease inflames the intestines when exposed to gluten. This inflammation limits nutrient absorption in the small intestine. Deficiencies of vitamin and minerals are common. Diarrhea, bloating, gas and weight loss occur with celiac disease. Celiac disease is a genetic condition and will often run in families.
Non-celiac gluten sensitivity is not related to genetics and often occurs as a result of intestinal permeability. Those with celiac disease or other forms of gluten reactivity see improvement in digestive symptoms with gluten avoidance. Because of this, an entire industry of gluten-free products has grown in the past few years.
So what’s the big deal with gluten? Is it the scourge of the 21st century, or is it yet another health fad? Celiac disease is definitely on the rise, but is a disease that is increasing or better detected? Also, are there other health conditions that improve with being gluten-free? Let’s take a closer look gluten sensitivity, and if it’s wise for you to avoid gluten.
What is Gluten?
Gluten is a protein found in wheat, but also present in some other common grains such as barley, rye, and spelt. It increases both the elasticity and strength of wheat flour as a baking ingredient. Gluten also holds the bread together and makes the bread softer. For this reason, it is popular with bakers.
The use of gluten as a binder, thickener, and filler in prepared foods is commonplace. It is in everything from ice cream to candy, chewing gum to non-dairy creamer, and fruit filling to root beer. Many fast foods chains combine gluten with meat as a filler to cut costs.
Food additives are another source of gluten. This is especially tricky when trying to avoid this protein. Common ingredients include brewer’s yeast, hydrolyzed vegetable protein, modified food starch, and monosodium glutamate (MSG).
Gluten is in many foods, condiments, and seasonings because of its versatility. It takes a keen eye and research to find products that are truly gluten-free. As a rule, the cheaper the food, the more likely it is to contain gluten.
Many who are gluten sensitive are able to eat gluten in Europe without problems. Many of my patients report enjoying bread and pasta while on vacation. Why is that? Since the 1960s the U.S. agriculture industry has bred grains to contain more glutinous. This, in part, is a reason for the higher incidence of gluten sensitivity in the U.S. than in other parts of the world.
So, are people becoming sensitized to gluten? The answer is yes! The screening for celiac disease has become more sensitive. More health care providers are recognizing the symptoms of celiac disease. Yet, research has shown in an increase in both celiac disease and gluten sensitivity.
One study tested stored blood samples taken by military members during the 1950s. The researchers took blood from modern gender-matched subjects for comparison. They found a startling increase the rate of celiac disease in the modern group. The findings revealed that celiac disease went from 1 in 700 people to 1 in 100! The researchers made a more alarming discovery. They tracked down the celiac positive from the 1950s group and studied their health. They found those who tested positive had a 4-fold increase in the risk of death by stroke or heart attack!
“Gluten sensitivity is on the rise. You are seven times more likely to have gluten sensitivity or celiac disease than your grandparents.”
Gluten-Related Health Conditions
So far, I’ve thrown around a few gluten-related conditions. Let’s discuss them in greater detail. There are two main health conditions associated with gluten intolerance. They are celiac disease and gluten sensitivity. Both of which can have mild to severe symptoms and can result in increased risk of disease and even death.
Celiac disease is an autoimmune condition associated with genetic variants to the HLA-DQ2 or DQ8 genes. A good practitioner will test any patients with severe diarrhea for celiac disease. A positive test confirms the diagnosis.
It may surprise you that all who are celiac positive have digestive problems. Research has found only 12.5% of celiac positive have classic digestive symptoms associated with celiac disease. The other 87.5% testing positive had non-GI symptoms and conditions. This includes chronic pain and migraine headaches. Autoimmune conditions such as rheumatoid arthritis, thyroid disorders, and type-1 diabetes were common. Also, they found ADHD in children and mental illness in adults.
Gluten sensitivity is of as an immune reaction to gluten. It is not as severe as celiac disease. There are two reactive proteins within gluten called gliadin and glutenin. These proteins are problematic for people with either gluten sensitivity or celiac disease. Ongoing research suggests that gluten sensitivity is a much bigger health issue than we realize.
Choosing the right lab test can be challenging. As an example, a patient of mine who was having unexplained tongue sores. He had seen several doctors without any answers and little relief. After reviewing his medical history I had a strong suspicion that gluten was the cause.
I tested him for celiac disease, wheat allergies, and gliadin. The patient was resistant to the idea that gluten was the trigger. So when the first two lab results came back negative he was both relieved and still confused. It took another week for the gliadin results to come back. He had a very strong positive reaction to gliadin. He eliminated gluten and his symptoms resolved.
It’s essential to order the correct tests to make sure that gluten isn’t the problem. Anyone who has tested negative for gluten sensitivity should consider more comprehensive testing.
Research has found strong evidence that other components of wheat that can reactions. Not gluten and gliadin alone. These other reactive proteins found in wheat fall aren’t included in celiac tests. Because of this, practitioners fail to recognize these reactions as being wheat related.
In Part 2
I hope you enjoyed this article and found it useful. In part 2 we will continue to explore gluten reactivity. Our focus will shift to the symptoms of gluten sensitivity. Likewise, we’ll review the different types of gluten intolerance testing available. Finally, I will provide more information about how gluten affects your health.
MEDICAL DISCLAIMER: The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Soszka, who encourages you to make your own health care decisions based upon your research and in partnership with a qualified healthcare professional.
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Dr. Soszka is a naturopathic physician, functional medicine practitioner, and licensed acupuncturist who has used a holistic approach to treat thyroid and digestive conditions effectively for nearly 20 years. He has helped thousands of patients restore their health and improve quality of life. Dr. Soszka’s new book, The Thyroid Fix is now available on Amazon.com in kindle and paperback. He is currently accepting new patients at his clinic, Beeson Wellness Center, in southeast Portland, Oregon.
Dr. Soszka is now in network with United Healthcare
Dr. Soszka is pleased to announce that he is now accepting new patients with alternative benefits within United Healthcare insurance plans. He joined the preferred provider panel in February 2012. If you are seeking a Naturopathic physician and/or licensed acupuncturist in Portland, Oregon covered by United Healthcare please call our clinic for an appointment or consultation today!
Please note, it’s important to check your alternative care benefits to determine eligibility, limitations, and co-pay/co-insurance obligations. The office staff at Blue Sky Wellness Studio will gladly check your United Healthcare benefits for you before your first visit by either calling (503) 238-7025 during clinic hours. We are able to confirm benefits within 24 hours in most cases.
Dr. Soszka practices at the Beeson Wellness Clinic in the Sellwood Neighborhood in Southeast Portland. He uses a combination of Naturopathic and Chinese medicine to find both relief and resolution of many health issues: abdominal pain to varicose veins, auto injury to irritable bowel syndrome, and fatigue to weight loss, to name just a few.
Dr. Soszka is also a preferred provider with Regence Blue Cross/Blue Shield, Premera Blue Cross/Blue Shield, HealthNet, Providence, PacificSource, Kaiser Permanente (The CHP Group), Cigna, Lifewise, American Specialty Health, Oregon Workers Compensation, and all active auto injury cases. We will gladly check your benefits should you have coverage with any of these carriers as well.
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