Wheat free /Gluten free diet

FunkyTobias

Advances in research are showing that gluten-sensitivity is a spectrum-disorder. At one end of the spectrum are people with mild intolerance (now referred to as 'Non-celiac gluten intolerance' - which evidence suggests may be degenerative) and at the other end people with advanced Celiac disease (which can include GI damage, irritable bowel syndrome, etc.)

Except that the most well-controlled study to date suggests that non-celiac gluten intolerance does not exist.


Analyzing the data, Gibson found that each treatment diet, whether it included gluten or not, prompted subjects to report a worsening of gastrointestinal symptoms to similar degrees. Reported pain, bloating, nausea, and gas all increased over the baseline low-FODMAP diet. Even in the second experiment, when the placebo diet was identical to the baseline diet, subjects reported a worsening of symptoms! The data clearly indicated that a nocebo effect, the same reaction that prompts some people to get sick from wind turbines and wireless internet, was at work here.


http://www.realclearscience.com/blog/2014/05/gluten_sensitivity_may_not_exist.html

http://www.ncbi.nlm.nih.gov/pubmed/23648697

nm212

Thank you so much... I love your eloquent post. I do not use any substitutes and I just eat whole foods. I dont really think of it as low carb either because my veges and fruits have carbs. I just do not eat grains, sugar or processed foods. It has been the best decision I have ever made health wise and I will NEVER go back.

:flowerforyou:

albertabeefy

Advances in research are showing that gluten-sensitivity is a spectrum-disorder. At one end of the spectrum are people with mild intolerance (now referred to as 'Non-celiac gluten intolerance' - which evidence suggests may be degenerative) and at the other end people with advanced Celiac disease (which can include GI damage, irritable bowel syndrome, etc.)

Except that the most well-controlled study to date suggests that non-celiac gluten intolerance does not exist.


Analyzing the data, Gibson found that each treatment diet, whether it included gluten or not, prompted subjects to report a worsening of gastrointestinal symptoms to similar degrees. Reported pain, bloating, nausea, and gas all increased over the baseline low-FODMAP diet. Even in the second experiment, when the placebo diet was identical to the baseline diet, subjects reported a worsening of symptoms! The data clearly indicated that a nocebo effect, the same reaction that prompts some people to get sick from wind turbines and wireless internet, was at work here.

http://www.realclearscience.com/blog/2014/05/gluten_sensitivity_may_not_exist.html

http://www.ncbi.nlm.nih.gov/pubmed/23648697

As I posted in the other thread:

It's important to keep in mind this is ONE study only, and of a fairly small number of participants. Granted, it casts doubt on the existence of NCGS, but doesn't confirm that it DOESN'T exist. There are multiple studies which support the idea of NCGS - so it's no 'nail in the coffin' at this point.

What people seem to forget is that we know that celiac is a spectrum disease - from "sensitivity" to "RCD" (refractory celiac disease). RCD is so severe that even with eliminating gluten from the diet these patients fail to improve clinically or histologically.

The idea that a non-celiac gluten sensitivity may exist is supported by the fact that it *IS* a spectrum disease - and it could be a precursor to a diagnosis of celiac if not treated. We don't know this for sure, and it will take further studies - but from a scientific standpoint it's most certainly NOT a stretch at all, and a very valid hypothesis that needs to be researched further.

It's both premature and belittling to tell someone at this point in time their sensitivity is all in their head.