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Dr. Oz Says Don't Go gluten-free If No Symptoms


Silencio

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Silencio Enthusiast

Has anyone heard of this? I always understood it would still mess up your intestines even if you have no symptoms.

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psawyer Proficient

Dr Oz is not someone that I take as a credible source on anything. I have not investigated this latest claim.

Silent celiac disease is common. I wish silent Dr Oz was, too. :angry:

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Silencio Enthusiast

I don't trust him either but he had a real doctor on with him talking about the subject. Something to look into more anyway.

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tarnalberry Community Regular

Did he mean "even if you have a positive celiac test, but no symptoms, don't go gluten free" or did he mean "if you've never been tested, have no symptoms that would lead you to believe you're gluten intolerant, and haven't seen a doctor, don't go gluten free"? Because those are two VERY different things.

The first would be, I would think, malpractice. The second is actually reasonable advice, imho.

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shadowicewolf Proficient

he also said that if you feel gluten is the issue to cut it and perhaps see your doctor. No mention of testing or anything.

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GottaSki Mentor

I do not watch Dr. Oz, but someone mentioned today's show was to be about "gluten free allergy" so I recorded it. I had seen a clip from another show he did on gluten-free was awful because the topic was how unhealthy the "popular gluten free diet" was - without discussing either Celiac Disease or Non-Celiac Gluten Intolerance.

"The right way to go gluten-free" was presented with a table full of whole foods and discussion that many of the gluten-free processed foods can have nutritional problems. Personally I liked that they showed whole foods as the best food for a gluten-free diet - rather than promoting all the recent gluten-free processed foods.

While today's show had a few problems, on the whole I thought it did have a clear theme that people need to be aware of symptoms that could be caused by gluten. At one point Dr. Oz stated that everyone needs to be aware of this because "those of us in the medical field" are behind on this issue - something very close to that anyway. :D The two demonstrations - one which was designed to show how gluten destroys the intestinal lining and another that the audience was asked to take a quiz of symptoms - if they had 4 of 9 they were asked to stand - this was to illustrate how many people could be gluten intolerant - not celiac. The expert being interviewed claimed as many as 1 in 10 could be gluten intolerant - their informal audience poll looked to be higher than that - definitely got the point across.

There was no discussion of gluten-free fad or the trendiness of gluten-free - so big plus there.

While the whole food display was good - there was a segment tying gluten-free cooking to popular internet blogs for healthful eating - a gal demonstrated some of her "no bake" recipes that happen to be gluten-free - they were not great choices as two of three were made of oats and she did not specify gluten-free oats at that.

Dr. Oz did say that he didn't think people that are not fall into the catagories of Celiac Disease or Gluten Intolerant should not eat gluten-free -- it was when he was discussing gluten-free processed foods, not during the whole food segment. I think he was pointing out unless there is a need you shouldn't replace processed foods with gluten-free versions - but this was one statement in a pretty good show regarding gluten intolerance. Certainly better than other tv segments and internet articles I've seen that are full of incorrect info.

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kittty Contributor

I don't trust him either but he had a real doctor on with him talking about the subject. Something to look into more anyway.

The "real" doctor who was on his show is just another one of these celebrity-type doctors who make their money selling "lose weight quick" diet books, and goes around telling everyone that the vegan diet is the cure for all ailments.

Well, maybe he's not that extreme, but you get the point. If I followed his advice I'd be eating nothing but microwaved oats!

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NorthernElf Enthusiast

I taped it too because of the topic.

He really should have been more clear about the difference between celiac and gluten intolerance. Celiac - no gluten, no matter what. Gluten intolerance (according to him) - recognizable by symptoms & if you have them, no gluten.

IMHO, some folks can just reduce it - my hubby finds too much gluten to be an issue. However, think about it, people are inundated with gluten all day - cereal for breakie, sandwich for lunch, pasta at supper, bread, cookies, etc. Probably not good to have any one type of food base so much period!

Oz seemed to start off saying gluten was evil, and then back tracked a bit to saying that it only was if you had symptoms.

Not an Oz fan here - especially when his guest is pumping a book like that guy was on this show. Had to laugh when he referred to him as a world expert. *snort*

Must be hard to have to fill an hour full of stuff for a show day in day out.

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GottaSki Mentor

Agreed. Celiac Disease was not the focus of this show. I would have preferred a guest doctor that is an expert in Celiac Disease research and a real gluten-free cooking demo (using the items they had on the whole food display), rather than some popular blogger that brought some recipes that could be gluten-free.

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ENF Enthusiast

Dr. Oz holds a position at Columbia University Medical Center in NYC, which is also the home of the Celiac Disease Center, headed by Dr. Peter Green, one of the world's top authorities on Celiac. Dr. Green has appeared on other TV shows, such as the View, but not on Dr. Oz as far as I know. I question why Dr. Oz didn't get Dr. Green, or one of the other doctors at the Celiac Disease Center, to appear on his program.

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CeliacAndCfsCrusader Apprentice

I didn't see the show, but I'm always happy when even "half of our story" gets out.

I don't expect your average viewer to be overly interested in intestinal biopsies, stool changes, etc etc

If the mainstream media includeds a story about Celiac and features questions about symptoms and "talk to your doctor", it's a win for all of us.

No one show, no matter who is talking about it, will ever get it completely right.

Even Elizabeth Hasselback's ridiculous book, full of bad information, was probably a plus....since some of my acquaintances first learned of Celiac from seeing her interviewed. Awareness, IMHO, is a big part of the problem.

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CarolinaKip Community Regular

I agree it is good for gluten-free to be out there. However, when info given is only half the truth,I feel it harms us. I never watch DR Oz, but was flipping the channels one night and caught it. The Dr on the show said to be gluten free you only have to avoid, wheat, barely and rye. They never explained about gluten-free oats or malt!

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psawyer Proficient

I find Dr Oz frustrating when it comes to celiac disease. His doctorate gives him credibility with the masses, but he just doesn't grasp the realities of our situation. :angry:

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SandraLAVixen Apprentice

Well Dr Oz tends to make shows that over-simplify (using props and animations) very basic first-year med student topics.

What he teaches is true, but it's very basic stuff that is made for baby-mind digestible audiences.

PS: I work in the film industry here in LA, met his crew once on a shoot, his props were actually quite elaborate.

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ravenwoodglass Mentor

I find Dr Oz frustrating when it comes to celiac disease. His doctorate gives him credibility with the masses, but he just doesn't grasp the realities of our situation. :angry:

I agree completely.

OT That kitty in your avatar looks sooooooo comfy and relaxed. All he needs is a remote to go back and forth between the game and Animal Planet :D

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msmini14 Enthusiast

I used to watch Dr. Oz until I realized how everything in the world is good one day and then bad the next or how many diets this man has promoted. I am sure he is only talking about gluten intolerance just so he can benefit from this too.

Next thing I will hear is how Dr. Oz said to go gluten-free hahaha.

Every show is different and there is always a new problem and a new solution to fix that problem.

I wish he would just go away......

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    • Anmol
      Thanks this is helpful. Couple of follow -ups- that critical point till it stays silent is age dependent or dependent on continuing to eat gluten. In other words if she is on gluten-free diet can she stay on silent celiac disease forever?    what are the most cost effective yet efficient test to track the inflammation/antibodies and see if gluten-free is working . 
    • trents
      Welcome to the community forum, @Anmol! There are a number of blood antibody tests that can be administered when diagnosing celiac disease and it is normal that not all of them will be positive. Three out of four that were run for you were positive. It looks pretty conclusive that you have celiac disease. Many physicians will only run the tTG-IGA test so I applaud your doctor for being so thorough. Note, the Immunoglobulin A is not a test for celiac disease per se but a measure of total IGA antibody levels in your blood. If this number is low it can cause false negatives in the individual IGA-based celiac antibody tests. There are many celiacs who are asymptomatic when consuming gluten, at least until damage to the villous lining of the small bowel progresses to a certain critical point. I was one of them. We call them "silent" celiacs".  Unfortunately, being asymptomatic does not equate to no damage being done to the villous lining of the small bowel. No, the fact that your wife is asymptomatic should not be viewed as a license to not practice strict gluten free eating. She is damaging her health by doing so and the continuing high antibody test scores are proof of that. The antibodies are produced by inflammation in the small bowel lining and over time this inflammation destroys the villous lining. Continuing to disregard this will catch up to her. While it may be true that a little gluten does less harm to the villous lining than a lot, why would you even want to tolerate any harm at all to it? Being a "silent" celiac is both a blessing and a curse. It's a blessing in the sense of being able to endure some cross contamination in social settings without embarrassing repercussions. It's a curse in that it slows down the learning curve of avoiding foods where gluten is not an obvious ingredient, yet still may be doing damage to the villous lining of the small bowel. GliadinX is helpful to many celiacs in avoiding illness from cross contamination when eating out but it is not effective when consuming larger amounts of gluten. It was never intended for that purpose. Eating out is the number one sabotager of gluten free eating. You have no control of how food is prepared and handled in restaurant kitchens.  
    • knitty kitty
      Forgot one... https://www.hormonesmatter.com/eosinophilic-esophagitis-sugar-thiamine-sensitive/
    • trents
      Welcome to the forum community, @ekelsay! Yes, your tTG-IGA score is strongly positive for celiac disease. There are other antibody tests that can be run when diagnosing celiac disease but the tTG-IGA is the most popular with physicians because it combines good sensitivity with good specificity, and it is a relatively inexpensive test to perform. The onset of celiac disease can happen at any stage of life and the size of the score is not necessarily an indicator of the progress of the disease. It is likely that you you experienced onset well before you became aware of symptoms. It often takes 10 years or more to get a diagnosis of celiac disease after the first appearance of symptoms. In my case, the first indicator was mildly elevated liver enzymes that resulted in a rejection of my blood donation by the Red Cross at age 37. There was no GI discomfort at that point, at least none that I noticed. Over time, other lab values began to get out of norm, including decreased iron levels. My PCP was at a complete loss to explain any of this. I finally scheduled an appointment with a GI doc because the liver enzymes concerned me and he tested me right away for celiac disease. I was positive and within three months of gluten free eating my liver enzymes were back to normal. That took 13 years since the rejection of my blood donation by the Red Cross. And my story is typical. Toward the end of that period I had developed some occasional diarrhea and oily stool but no major GI distress. Many celiacs do not have classic GI symptoms and are "silent" celiacs. There are around 200 symptoms that have been associated with celiac disease and many or most of them do not involve conscious GI distress. Via an autoimmune process, gluten ingestion triggers inflammation in the villous lining of the small bowel which damages it over time and inhibits the ability of this organ to absorb the vitamins and minerals in the food we ingest. So, that explains why those with celiac disease often suffer iron deficiency anemia, osteoporosis and a host of other vitamin and mineral deficiency related medical issues. The villous lining of the small bowel is where essentially all of our nutrition is absorbed. So, yes, anemia is one of the classic symptoms of celiac disease. One very important thing you need to be aware of is that your PCP may refer you to a GI doc for an endoscopy/biopsy of the small bowel lining to confirm the results of the blood antibody testing. So, you must not begin gluten free eating until that is done or at least you know they are going to diagnose you with celiac disease without it. If you start gluten free eating now there will be healing in the villous lining that will begin to take place which may compromise the results of the biopsy.
    • Anmol
      Hello all- my wife was recently diagnosed with Celiac below are her blood results. We are still absorbing this.  I wanted to seek clarity on few things:  1. Her symptoms aren't extreme. She was asked to go on gluten free diet a couple years ago but she did not completely cut off gluten. Partly because she wasn't seeing extreme symptoms. Only bloating and mild diarrhea after a meal full of gluten.  Does this mean that she is asymptomatic but enormous harm is done with every gram of gluten.? in other words is amount gluten directly correlated with harm on the intestines? or few mg of gluten can be really harmful to the villi  2. Why is she asymptomatic?  3. Is Gliadin X safe to take and effective for Cross -contamination or while going out to eat?  4. Since she is asymptomatic, can we sometimes indulge in a gluten diet? ----------------------------------------------------------------------------------------------- Deamidated Gliadin, IgG - 64 (0-19) units tTG IgA -  >100 (0-3) U/ml tTG IgG - 4   (0-5) Why is this in normal range? Endomysial Antibody - Positive  Immunoglobulin A - 352 (87-352) ------------------------------------------------------------------------------------------------ Thanks for help in advance, really appreciate! 
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