• Archives
  • Mar15

    The Ides of March bring not just wind but winnowing.

    This month, a new gluten sensitivity (GS) study by celiac disease pioneer Dr Fasano shows that gluten sensitivity affects about 6% of U.S. adults.

    GS is a different form of immune dysfunction than celiac disease (CD), which affects about 1% of U.S. adults.

    The WSJ gluten piece notes that the higher gluten wheat in production now may trigger GS. There is 4x as much CD in the U.S as 50 years ago.

    GS is something patients have noticed, but clinicians have not had a way to pick up on.  Celiac testing can rule out CD, but can be expensive.

    Many readers are starting with the secure Gluten Free Quiz to identify their symptoms.

    They get their Should You Be Gluten Free Score, and then speak with their doctors and get tested. That’s progress.

    In the last 10 days, over 1800 people have taken Gluten Free Quiz: here are several results from that time:

    • 84% female
    • 68% with abdominal bloating
    • 65% with fatigue (the most common symptom of CD)
    • 20% with irritable bowel syndrome (may be GS in disguise)
    • 14% with a past or present diagnostic rash of CD, dermatitis herpetiformis: these are people who must get tested, now.
    • 8% with a first or second degree relative with CD
    • 26% with high scores, indicating the need for testing

    CD untreated can mean osteoporosis, infertility, neurological conditions, other autoimmune conditions and rarely, intestinal cancer.

    GS symptoms: abdominal pain similar to irritable bowel syndrome, fatigue, headaches, “foggy mind”. Here is a good explanation.

    

     
  • Dec21

    Autism is up 57% in the U.S. since 2002. “Almost one percent of American children have autism,” including “one in 70 boys and one in 315 girls,” according to the CDC.

    In one peer-reviewed autism study 4779 children in Sweden were studied.

    “Five statistically significant variables emerged:
    *(1) maternal smoking;
    (2) male sex;
    (3) economic problems in the family;
    *(4) condensation on windows, a proxy for low ventilation rate in the home;
    *(5) PVC flooring, especially in the parents’ bedroom.”

    *This is within your power to change.

    PVC flooring contains phthalates, which are neurotoxic.

    All phthalates were removed from infant bottle nipples, teethers, and mouthing toys in the U.S. and Canada, but phthalates are ubiquitous and toxic. Survey your environment and dump them as much as you can.

    For treatment, the casein/gluten free diet might be helpful: 2 small studies show minor improvement. The diet will probably help parents to cook more, always good.

    In adults, however, gluten sensitivity and celiac disease are real: take the fun, quick Gluten Free Quiz to see if you need screening. Print it out for your doc.

    Autism is diagnosed at 4.5 years old, on average. Genes plus environmental factors create the condition, and related Asperger’s: probably genes important in inflammation and immunity.

    It is more diagnosed and more inclusively, but that doesn’t explain it all. Genes do not change this quickly.

    Environmental factors, including nutrition and diet; household products and vaccinations are all suspect. What do you think causes autism?

     
  • Sep1

    Terri is a 38 year old who traces her tummy problems back to high school. She has had off and on again fatigue, cramping, gas, bloating and mood swings. She has seen 11 doctors, and been told she is a “diagnostic dilemma” and has “atypical bowel syndrome.”

    No wonder. Terry has celiac disease, one of the few diseases that can absolutely be caused by—and cured by—what you eat.

    The protein called gluten (in wheat, barley, rye and several other grains) is the problem. In over two million Americans – 1 in 133 – gluten results in damage to the lining of the small intestine. That makes it hard for the body to absorb what you eat. Irritable bowel syndrome, Crohn’s disease and depression can mimic and mask celiac disease.

    The medicine? Savory, toothsome, gorgeous gluten-free pasta, nuts, vegetables, meats, seasonings and even beer. They can heal and reverse insomnia, depression and even osteoporosis in people with celiac disease.

    Terri re-discovered cooking and began to cure herself.

    She learned to simmer brown rice and millet in stock, toasting them first for a little nuttiness, and using the pilaf method for full flavors.

    She gave up oatmeal, so often processed on wheat-processing equipment, and discovered quinoa.

    Quinoa is an ancient, quick-cooking, high-protein whole grain with all 9 essential amino acids. You can use it as a side dish, as a bed for roasted vegetables and meats, or as a better-than-oatmeal hot breakfast cereal (see below).

    Terri did find gluten in everything—cosmetics, soy sauce, toothpaste. You’d think she might have just given up. But in fact, she found it empowering to discover what was in what she ate. And that good food, gluten-free, was the only way to heal herself.

    So she did. She filled herself with the best ingredients—for her. Food became a joy and pleasure, because she tasted it fully, and didn’t overeat. And it changed her life.

    Terri felt better than she had in 40 years! She dropped 15 pounds over four months. She learned that her son’s diabetes indicated his risk, so he had the celiac blood tests, which were normal.

    There is four times as much celiac disease in the U.S. as there was 50 years ago. No one knows why. Celiac disease is easy for doctors to miss: no one physician these days can often take the time to hear all of the patient’s symptoms. So nearly all of those who have Celiac Disease have not been diagnosed.

    Terri’s case inspired me to create Gluten Free Quiz (www.glutenfreequiz.com) a free, personalized self-assessment of your risk for celiac disease. The completed quiz and your Gluten Free score can be printed from the Web site for personal use and to discuss with your doctor.

    Could eating gluten-free really reverse Terri’s insomnia, anemia and fatigue? And taste as good as what she loved to eat, before she found food that her body would love?

    Yes it can, including my Warm and Nutty Cinnamon Quinoa Cereal…photo on 101cookbooks.com, and courtesy of Heidi Swanson!

    John La Puma, M.D., practicing physician and founder of The Santa Barbara Institute for Medical Nutrition and Healthy Weight, is a professionally trained chef and has pioneered culinary medicine. Dr. La Puma hosts “What’s Cooking with ChefMD?” every week on “Health Corner” airing Sunday mornings on Lifetime TV. He videoblogs on ChefMD and shares a new, fun, easy, healthful and quick recipe every week. You can follow him on Twitter, become a fan on Warm and Nutty Cinnamon Quinoa Recipe from ChefMD\'s Big Book of Culinary Medicine, and watch his videos on this site.
    Follow John La Puma, MD on Twitter: www.twitter.com/ChefMD

     
  • May28

    About one in 133 people have a potentially fatal, chronic autoimmune reaction to gluten (the protein complex in wheat, rye and barley) and they have celiac disease (CD). But 97% don’t know it. Or that CD—like overweight and obesity—can be cured with what you eat.

    Will going GF help you lose weight, like Elizabeth Hasselbeck (the G-Free Diet)?

    Many doctors still think CD is rare. It is hard to diagnose, and commonly mistaken for irritable bowel. GlutenFreeQuiz is a fun, free screening tool (full disclosure: I wrote it). The longer you have untreated CD, the more problems you develop.

    Some patients with CD eat through it and gain weight with ice cream, chocolate and pop. But more commonly, when finally diagnosed, people with CD gain weight—and tremendous health–when they discover GF pasta, chips and cookies.

    The people who do lose weight going GF are those who like rules. They stop eating X (hamburger buns, pasta, soy sauce), especially processed X (ditto), and finally there is some order in the world. With fewer foods to eat, you eat less.

    Paradoxically, many “weight loss foods” are made with gluten derivatives: e.g., veggie burgers, cold cereals and seasoning blends.

    Common CD symptoms are fatigue and bloating. Many patients who have migraines, osteoporosis, infertility, iron deficiency, arthritis, diarrhea, constipation, depression or dental enamel defects simply struggle on.

    Gluten sensitivity is not the same as CD. It is even more common. Gluten sensitivity is a state of heightened immune response to gluten in genetically predisposed people.

    My advice: choose GF foods which are naturally GF: rice, quinoa, millet, tapioca, sorghum, teff, buckwheat. Look for ingredients in the store, not processed foods. Find great gluten free recipes. Take a multivitamin with enough Bs: GF eaters can become deficient.

    And learn to cook—a little– from scratch. You’ll get more flavor, better food, and know what is in what you eat.