Validation for Non-Celiac Gluten Allergy Symptoms Sensitivity

non-celiac gluten sensitivity is this a legitimate concept hi this is dr. Russo and I wanted to take a moment to review a recent study published on the issue of non-celiac gluten sensitivity now if you’ve been toying around with going gluten-free you’ve probably heard two opposing views on the one side that gluten-free can help every health condition under the Sun and at the other side that gluten-free is a fad and usually with most things the truth lies somewhere in the middle there is a recent study done that I think helps shed some light on this issue now I’m putting the the abstract up here on the screen the name of the study is small amounts of gluten in subjects with suspected non-celiac gluten sensitivity a randomized double-blind placebo-controlled crossover trial so this is the the gold standard in science and on this next slide I’m putting up a few of kind of the the key notes of the study 59 patients finish the trial again I’ve highlighted in gold to emphasize the gold standard nature of the trial the randomized double-blind placebo-controlled trial intake of gluten was significantly or indigo gluten significantly increased overall symptoms and these symptoms were correlated with abdominal bloating and pain among other intestinal symptoms and also foggy mind depression and Aptus stomatitis or canker sores among other extra intestinal symptoms and this led the authors to conclude in a crossover trial of subjects with suspected non-celiac gluten sensitivity the severity of overall symptoms increased significantly during one week of intake of small amounts of gluten compared with placebo now essentially what the design of the study looked like in brief wise people continued on a gluten-free diet and then they were given either a pill containing about four grams of placebo in the form of rice starch or four grams of gluten and as we just covered there was a significant increase in symptoms in those receiving the pill containing the gluten so we have very high-level scientific evidence substantiating the fact that non-celiac gluten sensitivity is is an issue now the one criticism one could make to this could be the fodmap content fodmap are our FODMAPs our fermentable carbohydrates found in a number of different foods that have been shown to propagate symptoms of IBS or irritable bowel syndrome and some studies have shown that it may be the fodmap and not the gluten now the placebo in this case was a loaf of M so the rice being low fodmap so this was kind of a gluten and gluten has some fodmap compared to a low fat lower fodmap which is rice but the amount is so small that I have a hard time thinking that that small amount of FODMAPs would really contribute significantly at the end of the day it doesn’t really matter because here’s what I think the take-home of all this is try cutting something out of your diet see if you feel better then bring it back into your diet see if you feel worse if you do this a few times and notice a consistent relationship then you have an issue with that food do we need to get overly obsessed with the mechanism in my opinion not necessarily the you know the the patients that I see that get the most obsessed with these things actually end up creating more stress in their life because they’re trying to they’re obsessing over these things rather than just saying this works for me this doesn’t work for me I’m gonna eat accordingly and focus on enjoying my life that’s a shoe a issue B as your gut health improves for example it’s been shown that bifida bacteria species can help with the degradation of gluten you should see your tolerability or tolerance of gluten increase also when people go on a low fodmap diet for four to six weeks the studies have shown that their tolerability to higher fodmap foods increases in the future likely because it it deprives the overgrowth of small intestinal bacteria that can cause some of the symptoms that can be provocated by eating large amounts of five maps so I guess the two main points here are one I don’t think we need to get overly particular about saying gluten is an issue or is not an issue or is an issue because of this or it’s not an issue because of that because we want to bring this down to the practical what can you do how can you use this information to get healthier so it seems like there’s certainly evidence that gluten came an issue for some you should take gluten out see how you feel bring it back in see how you feel if you notice it consists in negative regression when you bring gluten back in for whatever the reason then you probably want to be careful in the amount of gluten that you eat some people will be able to tolerate small amounts some people will not you’ll have to experiment and figure out where you fall on that spectrum and then secondary to that if you take steps to improve your gut health by eliminating inflammatory foods eating foods that may be anti-inflammatory maybe using a probiotic to help with these transient anti inflammatory species like Bifidobacterium that can also help with breaking down gluten then your tolerability may increase and finally if you need to seek out a skill from so medicine clinician and treat something like a caseta like a small intestinal bacterial overgrowth that should further yet still improve your tolerability to some of these foods that may be questionable and may cause irritation in some so gold gold standard evidence that gluten can be a problem for some does this mean we have to become gluten zealots and everyone needs to be gluten free no and does it mean that people who are trying to claim gluten as a fad all right I wouldn’t think so either I think there’s the middle ground hopefully this narrative helps you kind navigate how to use this information to get healthier in your own life so this is dr. Russo and I hope this helps

10 Signs and Symptoms Of Gluten Allergy Intolerance that Most People Don’t Know

10 signs and symptoms of gluten intolerance that most people don’t know is a type of protein found in wheat rye and barley if a person has gluten intolerance or sensitivity this protein can cause several symptoms that improve when gluten is eliminated from the diet gluten intolerance is sometimes confused with celiac disease and … Continue reading