Celiac Disease & Gluten Sensitivity

How did gluten, a naturally-occurring protein found in wheat, barley and rye – sources of nutrition for people over thousands of years, become so unhealthy?

Many scientists attribute the increase in Celiac Disease (CD) and non-Celiac Gluten Sensitivity (GS) to alternations in wheat’s biological structure, the result of modern farming and bread-making practices and the chemicals used today. The result: wheat crops that are biochemically different from the virgin wheat of agrarian society. Because our bodies have not adapted to these chemically treated crops, we’re unable to digest them properly.

Modern bread-making has gone from being a simple four-ingredient wholesome loaf of sustenance to being a less-nutrient dense squishy loaf of preservatives. Old-fashioned baking involved giving flour time to absorb as much water as possible, and waiting for yeast and bacteria to activate the dough (fermentation). Today, industrialized baking replaces natural hydration, fermentation and kneading with artificial additives and massive mixers to accelerate dough formation. To endure commercial processing and increase shelf life, additional concentrated vital wheat gluten and preservatives are stuffed into bread products.

Celiac Disease

One in 133 adults and children have CD, a genetic, autoimmune disorder that occurs in response to ingesting gluten, triggering the immune system to attack the delicate lining of the small intestine. This creates inflammation and can lead to nutrient malabsorption and secondary health problems. There are over 200 symptoms for CD, including:

  • extreme abdominal pain
  • nausea, vomiting
  • gas, constipation, diarrhea
  • joint pain, anemia, fatigue
  • stunted growth, skin rashes
  • behavior disorders, mood disturbances

Symptoms can begin immediately and last from a few hours to several days. The primary treatment for CD is a life-long gluten-free diet.

Non-celiac Gluten Sensitivity (Gluten Intolerance)

Non-celiac Gluten Sensitivity (GS) affects 6-7% of the U.S. population. It’s an adverse food-induced reaction that seems to have an immune component. Gluten activates an inflammatory response that can affect tissues anywhere in the body. Symptoms vary based upon individual and environmental factors. Determining if you have GS requires testing to rule out CD. Blood/genetic tests are not available for directly assessing GS. Currently, holistic doctors use a Food Sensitivity Panel to identify reactions to wheat. Also, an elimination diet with symptom monitoring can assess GS.

Testing for CD

genetic test (Celiac HLA) indicates your risk for developing CD. If a first-degree family member has CD, a negative gene test excludes you from the possibility of developing it.

Blood tests require that you continue eating gluten products in order to get an accurate result. (Abstaining from gluten will skew the results.) A naturopathic doctor can inform you on the appropriate amount of time required to eat gluten prior to testing. The tTg-IgA (Tissue Transglutaminase Antibodies) test looks for antibodies toward gluten. Your La Mesa Naturopathic Doctor may order a panel of antibody tests to assess if you are deficient in antibodies the body needs, or if the body is creating antibodies against its own tissues.

Your naturopathic doctor may decide to order an endoscopic biopsy to obtain a definitive diagnosis of CD. In this procedure, performed by an M.D. who specializes in digestive disorders, a part of the small intestine is removed and examined for damage.

Based on your symptoms and test results, your La Mesa Naturopathic Doctor can determine the type of testing you need and design an appropriate, personalized treatment plan.

References
Contact our office for more information

Journey of Health Medical Clinic

619-772-1164

Essential Fatty Acids for Brain Health

The omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) are classified as “essential” nutrients for the human because they cannot be made by the body. Hence the term, Essential Fatty Acids (EFAs). Since the body cannot make EFAs, we have to acquire what we need from food and nutritional supplements. While EFAs are important to overall health, in this article we highlight their importance to brain health. Fatty acids nourish and protect brain cells and help reduce inflammation. Scientists are actively investigating the role EFAs play in preventing and managing age-related cognitive decline.

When we consume EFAs, the body will use what it needs and then stores the rest for future use. Brain tissue is especially rich in EFAs where it is important for protecting connections between nerve cells. So, a diet deficient in these fats deprives the brain and nervous system of a crucial nutritional substance. Scientists believe DHA protects against Alzheimer’s Disease (AD) and dementia. Adults with insufficient intake of DHA show poor performance on cognitive tests as well as increased risk for age-related cognitive decline. In studies using an EFA supplement, there have been positive changes in memory related functions for individuals with very mild AD.

Because we must get EFAs from food or nutritional supplements, it’s important to understand what our bodies need. Most Americans get a daily average of only 130 mg EPA + DHA – far below the 1000-2000 mg recommended for optimal health and cognitive function. We also need the proper ratio of omega-3 to omega-6 fatty acid. Too little omega-3 and too much omega-6 can result in increased inflammation. Eating a variety of EFA rich foods plus a supplement is a good option for many people.

People who have a high intake of fish consumption show a decreased risk for dementia and AD. Foods abundant in EFAs include salmon, chunk light tuna, halibut, sardines, and krill, as well as flaxseed, chia seeds, and walnuts. Be mindful of the source of your fish, since some are high in mercury. Look for organic, wild caught options. Your La Mesa naturopathic doctor can help you with dietary options and EFA supplements that best meets your needs.

References
Contact our office for more information

Journey of Health Medical Clinic

619-772-1164

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