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Claire

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Grimbol Newbie

I registered on the web site, at least I hope I did! I haven't heard back yet, and have been perusing this site as I lost the info, so now I've found it and will call them tomorrow to check. I have been celiac for about 28 years, dx by biopsy, but in UK, hope that counts.

I'd be really interested in this, so anyone who's 'in' I'd love to hear from you.

Margaret

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  • Replies 58
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Claire Collaborator
I'm also wondering if the drug and its effectiveness is being gauged only by determining whether villi damage is occurring or not. Since we know that gluten affects other areas of the body i.e. tissues, brain function, causes AI diseases...etc...how do we know that gluten is not still causing damage to other areas?

<{POST_SNAPBACK}>

Hi Rachel - So you wonder a lot, too - I see.

If they are going to administer a Zonulin antagonist then they expect to prevent gluten from crossing the intestinal wall into the blood stream. Gluten can only damage tissues, cells, neurons etc. if it gets into the blood stream where the immune system can 'see' it. That's when the mimicry thing kicks in - when the immune systems attacks body cells etc. that resemble' that thing' in the blood that is being attacked. Block the passage into the blood stream - and no immune response is mounted - because there is nothing there to trigger an attack.

Does this make sense? Claire

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laurelfla Enthusiast

hello, all!

just in case anyone is still interested, i'm pursuing getting involved with the study, and after a couple of emails and whatnot, this is what i found out from Alba:

"For information regarding the clinical trial that will be starting in Dec. please contact Parexel at 1-800-296-0052. Parexel will be handling all recruitment for this trial. To be contacted regarding clinical trials in the future please complete the questionnaire at the site below...Please note that you will find a link on the University of Maryland Center for Celiac Research website that will provide you with further related information (on the left side of the home page, click on the “Research/Clinical Trials” link).

www.celiaccenter.org

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laurelfla Enthusiast

i'm in! i just got off the phone with Parexel and i have an appointment in Baltimore Dec. 3. is anyone else still pursuing this? i'm a little nervous now, mostly about the $... i know they will compensate but if the compensation is not like immediate, i'm going to have problems! but i hope that it all works out. i'll continue to keep you guys posted, if you're interested.

hugs,

Laurel.

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Claire Collaborator
i'm in! i just got off the phone with Parexel and i have an appointment in Baltimore Dec. 3. is anyone else still pursuing this? i'm a little nervous now, mostly about the $... i know they will compensate but if the compensation is not like immediate, i'm going to have problems! but i hope that it all works out. i'll continue to keep you guys posted, if you're interested.

hugs,

Laurel.

<{POST_SNAPBACK}>

Interested! Keep the info coming. Claire

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laurelfla Enthusiast

ok, so i have an appointment and now i have a letter... but still no info on exactly what the study encompasses. these people are elusive! still trying to decide if i'm really going to do this... i hadn't realized it could be a long time before reimbursement, but i have to hurry up if i'm going to get a flight! Turtle and i have been in contact, but if anyone else is involved in this, let me know! maybe we could meet up or something. ~Laurel.

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lovegrov Collaborator

I also applied to be in the study and they called me, but I was rejected, I assume because of two medications I'm taking.

richard

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RiceGuy Collaborator

I'm surprized how many actually would take a drug. I mean, it would still be for life, and the drug would cost more than a change in diet I'm sure. Then there are inevitable side-effects. Even if the gluten doesn't make it through into the rest of the system, what about the immune system? If they inhibit such an immune response, that will lead to other diseases because the body won't be putting up any defenses to them. We all know how every drug back-fires. I'd never do it no matter what they paid or how promising it seemed.

I also am worried about the gluten-free market. It could have a large impact, but with the cost of the drug likely to be much higher than just being gluten-free, that could help keep the market intact. I think it is very likely though that people would take a pill for special occasions and stuff, like taking lactaid or something.

Now, as for celiac disease finally getting recognized and properly diagnosed, it could be a good thing for that. But like it has already been pointed out, they will likely lump bunches of people in who have some other problems, just because they don't yet recognize those diseases yet.

All in all I think it's not a good thing really. Since we are talking about something people are born with, not something you catch like the flu. I wasn't born with gills, but I don't think I need them either. I just breath air. I wasn't born to eat gluten, so I won't eat it. It's like taking a pill to get curly hair, or a tan, or to make all your freckles disappear.

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Claire Collaborator
I'm surprized how many actually would take a drug. I mean, it would still be for life, and the drug would cost more than a change in diet I'm sure. Then there are inevitable side-effects. Even if the gluten doesn't make it through into the rest of the system, what about the immune system? If they inhibit such an immune response, that will lead to other diseases because the body won't be putting up any defenses to them. We all know how every drug back-fires. I'd never do it no matter what they paid or how promising it seemed.

<{POST_SNAPBACK}>

Just addressing your first paragraph. It is my understanding of At-1001 that it is not working against the immune system but is acting as an antagonist against Zonulin (celiacs have higher than average levels of this). Zonulin works at the tight junctions in the intestinal wall - regulating their opening and closing. Apparently in the case of celiac these junctions open and stay open.

This is far less than a scientific description but the best I can do right off.

Does that mean I think it is a good idea. Generally, I have reservations about this. I am with the '"it's not nice to fool mother nature"folks. . Having working in health care facilities, I am convinced that most medications turn out to be worse than what you are taking them for. While this new find may well do what they expect it to do, what about what it does that they don't expect it to do?

I am sure the jury will be out on this for awhile but in the end I suspect many if not most will go the way of the pill. Claire

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lovegrov Collaborator

I'm not sure I would ever take the pill myself, but I was willing to submit to the trial if it helped others who might need it for whatever reason. Is that all right?

richard

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Claire Collaborator
I'm not sure I would ever take the pill myself, but I was willing to submit to the trial if it helped others who might need it for whatever reason. Is that all right?

richard

<{POST_SNAPBACK}>

Certainly it's alright. A good thought. I am thinking more about those who will rely on a pill (if one becomes available) so they can eat all the goodies they miss. Some people already use Lactaid and the spinoffs to do that. A body process is being interfered with - on a regular basis. It may be harmless. It may not.

AT-1001 sounds like a Lactaid type 'something' that you do not have to take 'three times a day and at bedtime' In that case its' use could be controlled. Some people would. Some wouldn't.

Claire

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RiceGuy Collaborator
Just addressing your first paragraph.  It is my understanding of At-1001 that it is not working against the immune system but is acting as an antagonist against Zonulin (celiacs have higher than average levels of this). Zonulin works at the tight junctions in the intestinal wall - regulating their opening and closing.  Apparently in the case of celiac these junctions open and stay open.

This is far less than a scientific description but the best I can do right off.

I see. That's interesting. But I am also in the "It's not nice to fool mother nature" crowd. I figure it's better to work with it than against it.

Now, that brings up a related issue: I have read that in "the old days" wheat didn't have the amount of gluten it does today. It seems that they have been cultivating/pollenating or whatever to make it have more gluten. So essentially the wheat commonly produced today isn't what nature actually intended. I guess gluten intolerance isn't what nature intended either though. With these slow changes to the genetic structure of living things, I'm left wondering just what will life on this planet look like (if there's any left) say 10,000 years from now. Some might say it's evolution. Others might say it's our fault for screwing things up. Diseases and disorders like diabetes, heart disease, cancer, etc were not anywhere near as common as they are today. The US population seems to be paying the highest price in terms of health and wellness. Maybe we just took it too far with all our pollution, plastics, chemicals, etc. Funny how it always comes back to get us sooner or later.

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jenvan Collaborator

I will be fascinated to see what comes from all of this... I think a large portion of Celiacs would jump on the chance for a pill. Probably b/c it would appear easier for one... At this point, I would have to say I would not choose it myself...but not exploring the possibly would be foolish I think...

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laurelfla Enthusiast
At this point, I would have to say I would not choose it myself...but not exploring the possibly would be foolish I think...

<{POST_SNAPBACK}>

that's exactly why i'm participating in the study. will i take the pill if it is effective and becomes available? i don't know yet. but i think that it is worth a shot to figure out if it works -- and they need people for that. what if it were really wonderful? we'll only know if they try it out.

now, if i can just get the @#$@^%@ people from Parexel to call me back! :P

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happygirl Collaborator

I had originally been contacted, had been approved, blah blah blah....but talking w/one of the people involved in the study, turns out I can't participate bc of issues w/my biopsy. :(

But good luck to those who do!

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KaitiUSA Enthusiast

I definitely would not take a pill at this point. I am against meds unless necessary because of side effects and so forth..I am perfectly content with staying on the diet. I think something that would be nice to have is a pill that helps with accidental gluten ingestions...not something to keep taking over and over...just my opinion.

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Claire Collaborator
I see. That's interesting. But I am also in the "It's not nice to fool mother nature" crowd. I figure it's better to work with it than against it.

Now, that brings up a related issue: I have read that in "the old days" wheat didn't have the amount of gluten it does today. It seems that they have been cultivating/pollenating or whatever to make it have more gluten. So essentially the wheat commonly produced today isn't what nature actually intended. I guess gluten intolerance isn't what nature intended either though. With these slow changes to the genetic structure of living things, I'm left wondering just what will life on this planet look like (if there's any left) say 10,000 years from now. Some might say it's evolution. Others might say it's our fault for screwing things up. Diseases and disorders like diabetes, heart disease, cancer, etc were not anywhere near as common as they are today. The US population seems to be paying the highest price in terms of health and wellness. Maybe we just took it too far with all our pollution, plastics, chemicals, etc. Funny how it always comes back to get us sooner or later.

This excerpt from 'A History of Wheat'may interest you:

THE NATURAL HISTORY OF WHEAT

The Roman Empire was built on Egyptian wheat, which they called "korn". It was Einkorn, which is the ancestor of modern wheats. (In Latin, this was the earliest form of Triticum, not to be confused with what we call "corn", which is Zea.)

It had two sets of chromosomes like human beings and is described as 2N or diploid. There were also some naturally occurring wheat that had four sets of chromosomes, or 4N or tetraploid. This was the wheat that the Roman Emperor, Eqyptian pharoahs and Christ were eating.

But what is on our table has been selectively bred over time to increase the gluten content for baking or pasta-making. Most are hexaploid, octoploid, double hexaploid, or hexaploid-octoploid hybrids. This means that they have 6, 8, 12, or more sets of chromosomes. Some of this extra DNA is coding for amino acid sequences that human beings cannot break down, including a 33-amino acid sequence named 33-MER. This 33-MER is what is causing the problem for celiac. Our immune systems are attacking this chain as though it were an invader or parasite. But this sequence is also similar to human tissue, and this inflammation can progress into an auto-immune disease. This auto-immune phase is really damaging, and largely incurable. Control is the only treatment, and life-long gluten free diet is the only control.

Open Original Shared Link

Someone of this forum shared this with me some time ago so I am passing it along. Claire

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RiceGuy Collaborator
This excerpt from 'A History of Wheat'may interest you:

THE NATURAL HISTORY OF WHEAT

The Roman Empire was built on Egyptian wheat, which they called "korn". It was Einkorn, which is the ancestor of modern wheats. (In Latin, this was the earliest form of Triticum, not to be confused with what we call "corn", which is Zea.)

It had two sets of chromosomes like human beings and is described as 2N or diploid. There were also some naturally occurring wheat that had four sets of chromosomes, or 4N or tetraploid. This was the wheat that the Roman Emperor, Eqyptian pharoahs and Christ were eating.

But what is on our table has been selectively bred over time to increase the gluten content for baking or pasta-making. Most are hexaploid, octoploid, double hexaploid, or hexaploid-octoploid hybrids. This means that they have 6, 8, 12, or more sets of chromosomes. Some of this extra DNA is coding for amino acid sequences that human beings cannot break down, including a 33-amino acid sequence named 33-MER. This 33-MER is what is causing the problem for celiac. Our immune systems are attacking this chain as though it were an invader or parasite. But this sequence is also similar to human tissue, and this inflammation can progress into an auto-immune disease. This auto-immune phase is really damaging, and largely incurable. Control is the only treatment, and life-long gluten free diet is the only control.

Open Original Shared Link

Someone of this forum shared this with me some time ago so I am passing it along. Claire

Ah, so I did read correctly...

Thanks for confirming that. Now, what does this say about gluten intolerance? I think it's the same as for air pollution. Man screwed up once again!

So, how do we get wheat like it used to be? Since they know the DNA sequence stuff, the plants obviously still exist. Someone should be producing it for the consumer market, in particular the gluten-free market if it really doesn't hurt us. And according to the info, it's safe.

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Claire Collaborator
Ah, so I did read correctly...

Thanks for confirming that. Now, what does this say about gluten intolerance? I think it's the same as for air pollution. Man screwed up once again!

So, how do we get wheat like it used to be? Since they know the DNA sequence stuff, the plants obviously still exist. Someone should be producing it for the consumer market, in particular the gluten-free market if it really doesn't hurt us. And according to the info, it's safe.

Now there's a business opportunity for you! Riceguy/wheat farmer! Claire

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laurelfla Enthusiast

well, i'm out of the study. it turns out that reimbursement would not be in full for me, so that doesn't work for me right now. maybe someone else will keep up posted.

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VydorScope Proficient
I definitely would not take a pill at this point. I am against meds unless necessary because of side effects and so forth..I am perfectly content with staying on the diet. I think something that would be nice to have is a pill that helps with accidental gluten ingestions...not something to keep taking over and over...just my opinion.

I agree.. it be nice to take a pill then know I can safely order gluten free foods in a resturant and not worry about cross conatmination for example. The vast majority of gluten foods I just do not eat, and realy the only danger (should my test prove postive) to me is hidden gluten in things that should not have it.. and be nice to have some kind of recoruse against that.

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mswift Newbie
well, i'm out of the study. it turns out that reimbursement would not be in full for me, so that doesn't work for me right now. maybe someone else will keep up posted.

Hi Laurel,

I'm scheduled to participate in the study and was given the impression that all travel related expenses were going to be reimbursed. Based on what you've sayed I'm a little worried myself now. May I ask what they told you that would not be refunded?

Thanks,

Mike

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jenvan Collaborator

am eager to hear what happens for those of you in the study!

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VydorScope Proficient
am eager to hear what happens for those of you in the study!

Im intrested to hear what hapens TO them. Whish I could take part!

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jenvan Collaborator
Im intrested to hear what hapens TO them. Whish I could take part!

That too!! :D

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    • trents
      But if you have been off of wheat for a period of weeks/months leading up to the testing it will likely turn out to be negative for celiac disease, even if you actually have celiac disease. Given your symptoms when consuming gluten, we certainly understand your reluctance to undergo  the "gluten challenge" before testing but you need to understand that the testing may be a waste of time if you don't. What are you going to do if it is negative for celiac disease? Are you going to go back to merrily eating wheat/barley/rye products while living in pain and destroying your health? You will be in a conundrum. Do I or do I not? And you will likely have a difficult time being consistent with your diet. Celiac disease causes inflammation to the small bowel villous lining when gluten containing grains are consumed. This inflammation produces certain antibodies that can be detected in the blood after they reach a certain level, which takes weeks or months after the onset of the disease. If gluten is stopped or drastically reduced, the inflammation begins to decrease and so do the antibodies. Before long, their low levels are not detectable by testing and the antibody blood tests done for diagnosing celiac disease will be negative. Over time, this inflammation wears down the billions of microscopic, finger-like projections that make up the lining and form the nutrient absorbing layer of the small bowel where all the nutrition in our food is absorbed. As the villi bet worn down, vitamin and mineral deficiencies typically develop because absorption is compromised. An endoscopy with biopsy of the small bowel lining to microscopically examine this damage is usually the second stage of celiac disease diagnosis. However, when people cut out gluten or cut back on it significantly ahead of time before the biopsy is done, the villous lining has already experienced some healing and the microscopic examination may be negative or inconclusive. I'm not trying to tell you what to do I just want you to understand what the consequences of going gluten free ahead of testing are as far as test results go so that you will either not waste your time in having the tests done or will be prepared for negative test results and the impact that will have on your dietary decisions. And, who are these "consultants" you keep talking about and what are their qualifications? You are in the unenviable position that many who joint this forum have found themselves in. Namely, having begun a gluten free diet before getting a proper diagnosis but unwilling to enter into the gluten challenge for valid testing because of the severity of the symptoms it would cause them.
    • Zackery Brian
      I'm sorry to hear about the challenges you've been facing with your health. Dealing with celiac disease and multiple food sensitivities can indeed be overwhelming. Here are a few thoughts and suggestions based on your experience and the replies you've received: Confirming Diagnosis: It's great that your gastroenterologist confirmed your celiac disease diagnosis through additional tests. Understanding the specifics of your condition can help tailor your approach to managing it more effectively. Food Sensitivity Testing: While blood tests for food sensitivities can provide some insights, they may not always be completely accurate. As mentioned by others, false positives are common, and individual responses to specific foods can vary. Discussing your test results and symptoms with a healthcare professional knowledgeable about celiac disease and food sensitivities can help clarify your situation. Research and Education: Exploring conditions like Mast Cell Activation Syndrome (MCAS) and histamine intolerance could shed further light on your symptoms and provide additional avenues for managing your health. Gathering information from reliable sources and discussing your findings with your healthcare team can help you make informed decisions about your care. Dietary Management: Managing celiac disease and multiple food sensitivities can be challenging, but finding a balance that works for you is crucial. Working with a dietitian who specializes in celiac disease and food intolerances can help you develop a personalized dietary plan that meets your nutritional needs while minimizing symptoms. Stress Management: Chronic pain and health issues can take a toll on mental and emotional well-being. Finding healthy coping strategies to manage stress, such as mindfulness, relaxation techniques, or engaging in activities you enjoy, may help improve your overall quality of life. Remember, you're not alone in your journey, and seeking support from healthcare professionals, support groups, or online communities can provide valuable encouragement and guidance.
    • Fluka66
      Thank you very much for your reply. I hadn't heard of celiac disease but began to notice a pattern of pain. I've been on the floor more than once with agonising pain but this was always put down to another abdominal problem consequently I've been on a roundabout of backwards and forwards with another consultant for many years. I originally questioned this diagnosis but was assured it was the reason for my pain. Many years later the consultant gave up and I had a new GP. I started to cut out certain food types ,reading packets then really started to cut out wheat and went lactose free. After a month I reintroduced these in one meal and ended screaming in agony the tearing and bloating pain. With this info and a swollen lymph node in my neck I went back to the GP.  I have a referral now . I have also found out that acidic food is causing the terrible pain . My thoughts are this is irritating any ulcers. I'm hoping that after a decade the outlook isn't all bad. My blood test came back with a high marker but I didn't catch what it was. My GP and I have agreed that I won't go back on wheat just for the test due to the pain , my swollen lymph node and blood test results.  Trying to remain calm for the referral and perhaps needed to be more forceful all those years ago but I'm not assertive and consultants can be overwhelming. Many thanks for your reply . Wishing you all the best.
    • Moodiefoodie
      Wow! Fascinating info. Thanks so much! I really appreciate the guidance. @Spacepanther Over the years I have had rheumatologists do full lab work ups on me. They told me they had screened me for arthritis, lupus, and Lyme disease (all negative). In addition to joint pain and stiffness I had swelling in both knees that later moved to my elbow as well.  I also experience stiffness and pain in my neck and shoulders when it flares. I vomited fairly often growing up, but there wasn’t a real pattern to it and I didn’t know it wasn’t normal (thought people caught stomach viruses often).  I don’t usually have stomach symptoms immediately after eating gluten that I notice.  The only other joint condition I know of is fibromyalgia. Good luck! Hope you can get it figured out. I only assumed my joint symptoms were due to the celiac’s because it is under control for the most part on a gluten-free diet.  The rheumatologist also mentioned that some inflammatory/autoimmune diseases can be slow-moving and not detectable until they progress.
    • knitty kitty
      @Spacepanther, I found these articles about the connection between Celiac and joint pain. Musculoskeletal Complications of Celiac Disease: A Case-Based Review https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201087/ And   Intestinal microbiome composition and its relation to joint pain and inflammation https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814863/ And The gut microbiome-joint connection: implications in osteoarthritis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903327/ Sounds like it's time to change the diet to change the microbiome.
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