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Celiac's Vs Gluten Intolerance Diff?


Eric-C

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caek-is-a-lie Explorer
I am convinced that the reason for this is that medical science is driven and funded by the pharmaceutical industry.

I am a scientist and I can tell you this is not entirely true. Medical science is also heavily funded by the government, specifically the NIH. The last 8 years have seen a serious erosion of scientific funding by the Bush administration, who didn't think science was important or compatible with their fundamentalist beliefs, and current economic times are making grants even harder to come by. A lot harder. We're just trying to keep our jobs right now.

There are probably a lot of scientists that would like to work on Celiac that may be having a difficult time obtaining funding to do their work, and it has nothing to do with pharma companies. So until the economy gets better, you'll have to wait for most of these great discoveries. It's going to take a few years longer than it otherwise would have, so please be patient. As a patient, I know science is agonizingly slow as it is. I hope you'll bear with us.

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Jestgar Rising Star
I am a scientist ...

cool. me too. what do you do?

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caek-is-a-lie Explorer
I'm starting to think, in relation to my second paragraph that maybe Celiac's was incredibly rare, but as wheat flour usage grew so did it. When Enriched flours came out it skyrocketed.

Sorry for the third post in a row!

You are right, but there's even more to it than that. I was reading yesterday about studies on the developing immune system and the effects environmental toxins, viruses, and allergens have on the developing fetus's immune system, and that a lot of our autoimmune problems today and other diseases, whether they be in children or adult-onset, are caused by things babies are exposed to before they are born. For instance, diesel exhaust is linked to asthma.

Basically, if you are genetically predisposed to something, it can get triggered in the womb but not manifest itself until decades after you're born. Even Alzheimers! Celiac was even mentioned in the article, as was Autism. Considering the amount of toxins we have introduced to our environment in the last 100 years, I do not wonder why we have more incidences of diabetes, autism, celiac, alzheimers, adhd, etc., now than ever before in the history of man (and woman!)

So, add a world-wide excess abundance of wheat flour because it's cheap, combined with already compromised immune systems due to environmental factors, and you will see more cases of all these diseases across the board. And I would bet money that's not even the end of the story.

We are slowly destroying our species. If we go extinct, I have no doubt it will be by our own hand.

I don't have the link to the article here...it's at work, but I'll try to post it soon.

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Fiddle-Faddle Community Regular
I am a scientist and I can tell you this is not entirely true. Medical science is also heavily funded by the government, specifically the NIH.

The members of NIH have serious financial ties to the pharmaceutical industry, according to mercola.com and several other sources, including Senator Dan Burton. The pharmaceutical industry is the strongest lobby there is.

I'm married to a scientist (who spent many years in DC, working for the government), so I'm not totally out of the loop!

I totally agree with your take on gluten intolerance.

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caek-is-a-lie Explorer

Thanks, Fiddle-Faddle, and I believe you. You have a good point. Lobbying is a big problem in DC, and I don't believe for an instant that the NIH is immune. And don't get me started on the FDA. But at least when the NIH funds something, the pharmaceutical companies aren't right there in the lab dictating what we do. Maybe they influenced who got what money, but that's the end of it. We do what we do and that's it. When they're directly funding things, it gets much more complicated, and sometimes downright illegal. So sad what our country has become...

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Tim-n-VA Contributor
Here's my take on it, and you are all free to differ. :)

Everyone here is gluten intolerant. It is the big umbrella we all sit under. None of us can tolerate gluten.

Some of us are Celiac, and our immune system is attacking our small intestines. Some of us have neurological problems, and our immune system is attacking our brains. Some of us have DH, and our immune system is attacking our skin.

But it is all because we cannot tolerate eating and/or touching gluten. So, no one is "just" gluten intolerant. We are all very gluten intolerant and we call it different things based on what part of the body it hurts most.

I would strongly agree with one caveat. I don't think - and I don't think you intended to imply - that your list of ways to be gluten intolerant is complete. Classic allergies are one example of an intolerance that is not the immune system attacking the body.

I would prefer the term gluten sensitive only because in some usage of intolerant is a digestive system inability to process a food (lactose intolerant).

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ravenwoodglass Mentor
There are probably a lot of scientists that would like to work on Celiac that may be having a difficult time obtaining funding to do their work, and it has nothing to do with pharma companies. So until the economy gets better, you'll have to wait for most of these great discoveries. It's going to take a few years longer than it otherwise would have, so please be patient. As a patient, I know science is agonizingly slow as it is. I hope you'll bear with us.

I think one of the things that bothers me most is that there is a lot of research out there that is valid and way ahead of the research here in the US when it comes to celaic. But doctors here in the US seem clueless that it even exists. The reason in my opinion is that it is not controlled by drugs. We are very much a pharmacopic society we want instant fixes and doctors are very reluctant to even suggest a change in diet, they think we won't listen anyway. I saw this with celiac (it delayed my diagnosis by many painful years) and I saw this when a doctor told me I had diabetes. I learned nothing from the Diabetes educator, in fact I was handed a slew of papers, told to use them to line my bird cage and a script. When I asked about dietary changes I was told nothing other than to use sugar substitutes and take the pills, no other dietary changes were needed. I had to research stuff like a low glycemic diet on my own. My doctor was very upset that I refused to take the drugs and even more upset when I told him that with an A1C under 6 I disagreed with whether I was diabetic or not.

Doctors and researchers in this country really need to open their eyes, look at some of the research in other countries and try to trust us to be able to handle the changes we need to do. Or at least tell us about them.

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leslieg Newbie
"We are slowly destroying our species. If we go extinct, I have no doubt it will be by our own hand."

As I've been cramming information about celiac for the past few days, I've thought more than once that this feels like our version of melamine-in-baby-formula.

My mom has always said she was "addicively allergic" to wheat. No one ever tested her for celiac. Now she has Altzheimer's. Is it related? I've spent a fortune on mental health care for me that, frankly, hasn't worked. I have an out-of-control child who has been to jail on assult charges and can't keep a job. Severe ADHD. But he would get so angry if you tried to prevent him from eating junk food. I have a child with spina bifida -- talk about a huge cost on every level. I took prenatal vitamins, but were they absorbed? My 7-year-old might be asperger's, or maybe just ADHD with sensory issues, and already we've paid thousands for therapies ... but he's had intestinal issues for years and has been followed by a GI ... and was never tested for celiac's. As I researched his issues I kept thinking he had such clear signs of rickets ... My 3-year-old is a carb-a-holic who won't use the potty if he doesn't get a treat. I find myself actually wanting thier tests to come back positive because then there won't be any excuses. The evil will be banned from my house. Period.

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Fiddle-Faddle Community Regular

Welcome aboard, leslie, and I hope that celiac ends up being the answer to all your family's health problems!

It may sound awful to say "I hope your whole family has this disease," but I say it because I know that it's the easiest and cheapest disorder in the world to manage--a simple diet change, and everyone is perfectly healthy!

Good luck, and please keep us posted. And keep in mind that, no matter what the test results, you do NOT need a doctor's permission to start a gluten-free diet. If you need the doctor's say-so to convince relatives, then, if I were in your shoes, I'd be very tempted to go one step further--I'd LIE and say the doctor said to do the diet anyway. My family has been wonderful, though, so never needed to do it--but if I had to, I would.

I value honesty VERY VERY highly--but I value my family's health even more highly.

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Eric-C Enthusiast

I had written out a nice big reply and the system seems to have lost it...thoughts for another day I guess.

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Amber M Explorer
Many people with "just" gluten intolerance are actually in the early stage of celiac. They just don't have enough villi damage YET for a diagnosis.

Others with actual celiac are not tested properly, or even with proper testing, still show up as negative.

Then there are those who, according to current thought, are "only" gluten intolerant, but they suffer from multiple autoimmune diseases that are enough to put them in wheelchairs or worse. Those diseases miraculously seem to disappear on a gluten-free diet--which kind of shoots holes in the current thought that "just" gluten intolerance doesn't lead to deadly consequences.

There has been a lot of heated debate on this very topic on this board. The upshot is, you can talk all you want about the differences between celiac and "just" gluten intolerance, but in the final analysis, the cure and the outcome are both the same: either you follow a gluten-free diet, or you suffer ever-worsening systemic damage.

"You hit the nail on the head!" The book-"The Gluten Connection" explained a lot for me.

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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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