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
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Journey of Health Medical Clinic

619-772-1164

Healing The Gut with Marshmallow Root

There’s much more to that sweet, fluffy treat we enjoy melted in a s’more or sprinkled atop hot cocoa. Marshmallow (Althaea officinalis) is an ancient herb whose Greek name, Althainean, means “to heal.” Ancient Greek and Egyptian healers used Marshmallow flowers and leaves in salads to support healthy digestion. A secretion, known as mucilage, from its roots and stems, was used to soften the skin, treat sore throats, and ease congestion. Naturopathic doctors use Marshmallow Root (aka “mallow”) for these purposes and in treatment preparations for:

  • inflammation of the lining of the stomach
  • digestive issues including diarrhea stomach ulcers, constipation
  • inflammatory bowel disease, leaky gut syndrome and autoimmune disorders
  • skin conditions such as eczema
  • bloating and water retention
  • dry coughs and colds
  • bacterial infections and respiratory infections

A key healing property of Marshmallow Root is the ability to soothe inflammation of the mucous membranes throughout the body. When food sensitivity/allergies, illness, or other factors interfere with healthy digestion, a person can experience upset stomach, heartburn, constipation or diarrhea. Mallow forms a thick protective coating in the digestive tract, which helps reduce the burning and tame other symptoms of digestive distress.

With tall stalks topped by a lovely five-petal white blossom with purple center, Marshmallow Root makes a striking addition to a garden – especially if you enjoy harvesting for herbal tea. Supplements come in different forms including powder, tea, extract, ointments, and capsule. While considered safe for most adults and children, do ask your La Mesa naturopathic doctor which preparations of are best for you.

References
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Journey of Health Medical Clinic

619-772-1164

How Can I Protect My Gut?

When you have a digestive illness, it essentially means that your delicate intestinal lining (the mucosa) is damaged, making it impossible to extract nutrients and other substances crucial for your body’s biological processes. Patients often ask ‘how can I protect my gut while taking antibiotics’?  Antibiotics or any chronic digestive complaint are other ways the gut lining can get damaged.  It is important to have an adequate microbiome set up and the healthy lining to hold onto the good bacteria while going through antibiotics, stress or a digestive illness.  There are many nutrients that can help.

The amino acid L-Glutamine is one of these substances. A protein building block, L-Glutamine is stored in muscle where it’s vital to tissue growth and repair. It’s involved in the formation of other amino acids and glucose (sugar), as well as the body’s adaptive response to stress and the optimal functioning of the immune and digestive systems.  It also plays a role in helping irritable bowel syndrome or IBS.  Probiotics and avoiding food sensitivities can also help.

The mucosa requires maintenance to protect and repair itself from the effects of stress, toxins, and a poor diet. When the mucosa breaks down, inflammation results and this is associated with a variety of chronic health conditions. Further, when illness, chronic or severe stress, inflammation, or food sensitivity/allergies cause the gut to fail at effectively breaking down food to acquire nutrients, deficiency results. A lack of sufficient glutamine in the gut creates a cycle of wear and tear on the mucosa.

Clinical research shows that L-Glutamine supplements can break that cycle by helping repair damage and potentially help the lining regrow. This connection between glutamine and intestinal maintenance has led researchers to examine its role in Celiac Disease and gluten sensitivity.

L-Glutamine supplements are available in both pill and powder form. Proper dose is crucial to its effectiveness. It’s not recommended for children under age 10 or for people with certain health conditions, including kidney or liver disease. Consult with your La Mesa naturopathic doctor to find out if L-Glutamine is right for you.  Come learn how to heal your gut!

References
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Journey of Health Medical Clinic

619-772-1164

Zinc: Essential for Every Body

 Zinc is second to iron as the most common mineral in the human body and it’s found in every cell, making it vital to the health and well being of children and adults. Zinc plays an indispensable role in hundreds of biochemical reactions including those that support the development and the health of the blood, skin, muscles, and hormones. Zinc also   supports optimal function of the nervous system, immune system, and endocrine   system.

Zinc is present in a great variety of foods, such as eggs, seeds, nuts, dry beans, red meat, miso, dark turkey meat, dark leafy greens, and scallops. However, because there is evidence of mineral depletion in soils around the world, your naturopathic doctor may recommend a trace mineral supplement. A zinc supplement might also be recommended for people with a medical condition that affects absorption. Medical researchers are looking at how the body utilizes zinc and whether or not taking zinc can improve treatment for Celiac Disease, diabetes, thyroid function, heart disease, and other health concerns. In other research, a connection exists between taking certain forms of zinc and a reduction in the number of colds in a year, the number of missed school days, and the amount of antibiotics required in otherwise healthy children.

A person’s need for supplemental zinc varies based on age, gender, and other health factors. There are several forms of zinc, but not all are appropriate for every person. For some people, zinc supplements can cause upset stomach or interfere with the actions of other medications. Also, taking too much zinc can have a toxic effect. Consult with your La Mesa naturopathic doctor before starting a zinc supplement.

References
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BBM web link