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Whats New 2002

 

The problem with gluten

  If you suffer from a longstanding health problem like psoriasis, rheumatoid arthritis, autoimmune thyroid disease, crohn’s disease, low platelet disease, sjogren’s syndrome and diabetes then it is possible that you have gluten intolerance and possibly even coeliac disease.  Gluten is found in wheat, rye, oats and barley and the incidence of coeliac disease, which is associated with a gluten allergy is apparently more extensive than what has been previously postulated.  This is because as Loren Cordain an expert on Palaeolithic nutrition has explained that we are simply not used to eating and digesting grains.  Not so long ago we used to survive on fruits, vegetables and lean game meats and it is only in the last 5, 000 years that we started consuming grains.  Genetically we are not yet adapted to deal with a high consumption of cereal grains. Hence the widespread prevalence of coeliac disease and a host of other diseases that might be related to a gluten allergy or intolerance.

Gluten would be found in breakfast cereals, pasta, breads, biscuits and bagels but there are many hidden forms of gluten such as that which is present in malt, hydrolysed vegetables proteins, soy sauce, modified food starch, grain alcohol and a host of other substances that we consume regularly.  Kamut and spelt also contain gluten.

A naturopath friend of mine has written an excellent book covering this whole area so stay tuned for the imminent release of this extensive treatise.

Autism, attention deficit hyperactivity disorder, chronic fatigue syndrome, gulf war syndrome and fibromyalgia may all be related to a problem with gluten although it is obviously naïve and simplistic to imagine that this is the sole cause of these complicated diseases.

An article in the Lancet one of the three most prestigious medical journals dated April 2000 has demonstrated that coeliac disease is associated with the presence of a protein called Zonulin which compromises the lining of the bowel leading to the entry of foreign substances into the body which trigger the immune system. This process may lead to all those autoimmune disorders mentioned at the beginning of this article.  For those who suffer from rheumatoid arthritis avoiding dairy would also be advisable.

Gluten intolerance is something that I investigate in all my patients, even those who go on the anti-aging programme.  Blood tests, which evaluate anti-gliadin antibodies, are the mot useful and there are also tests, which measure endomysial and transglutaminase antibodies although these latter tests are often negative.  However blood tests might not always be positive and if you have any chronic digestive problem or autoimmune disease it is well worth trying a gluten-free diet and see whether you improve.

 

 



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