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Confused - Genetic Codes


MicheleBrand

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Scott Adams Grand Master

I just wanted to post this update which came to be via email directly from Dr. Kenneth Fine--he doesn't have time to join the forum and reply to questions directly, but here is his reply to some of the posts here about his lab and methods:

So, Dr. Fine believes that gluten sensitivity (NCGS) is or can be preliminary to celiac disease, that it is not a distinct condition. Correct?:

Quote

NCGS may precede Celiac Disease, OR be a distinct syndrome.  The genetics are foremost important; the triggers and environmental factors that turn the 42% of the public with celiac genes into the ~1% with true celiac are second but still important.

Since the celiac "tip of the iceberg" is really clinically and epidemiologically minor compared with the millions of people with NCGS, I have started using the phrase "celiac equivalent" which has been showing to be much much more common: Gene positive for DQ2 and/or DQ8; positive fecal antibodies to gliadin; positive test for malabsorption.

And I have broken with the circa 1950's/1960s "gold standard"... must have a biopsy to qualify for needing or benefiting from a gluten free diet about 1 hour into my stint with EnteroLab...that is, April 2000!

 


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trents Grand Master
3 hours ago, Scott Adams said:

I just wanted to post this update which came to be via email directly from Dr. Kenneth Fine--he doesn't have time to join the forum and reply to questions directly, but here is his reply to some of the posts here about his lab and methods:

So, Dr. Fine believes that gluten sensitivity (NCGS) is or can be preliminary to celiac disease, that it is not a distinct condition. Correct?:

 

So that prompts the question in my mind if Dr. Fine would say NCGS is an autoimmune disease like celiac but one that attacks some other body system. Yes? No? Sometimes?

knitty kitty Grand Master
20 minutes ago, trents said:

So that prompts the question in my mind if Dr. Fine would say NCGS is an autoimmune disease like celiac but one that attacks some other body system. Yes? No? Sometimes?

It's been found that people with Gluten Ataxia have antibodies called Ttg 6. 

Celiac people who have Gluten Ataxia also make high levels of  antibody Ttg 6 as well as high levels of Ttg 2.

People with Non Celiac Gluten Sensitivity who have Gluten Ataxia also have high levels of tTg 6, but not tTg 2.

Ttg 6 antibodies cross the blood brain barrier and affect the brain and are involved in peripheral neuropathy as well. 

Ttg 6 antibodies are also found in neurodegenerative diseases like MS and Alzheimer's disease.

The scientists don't have it all figured out, but there's a connection.

Google this..... ncgs ttg6 nih

And you will get a ton of studies like this...

Neurological manifestation of coeliac disease with particular emphasis on gluten ataxia and immunological injury: a review article

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8035534/

And...

Dietary Gluten and Neurodegeneration: A Case for Preclinical Studies

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432597/

 

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    • trents
      Can you be specific about what supplements you are taking? The form of a supplement can be critical in how well it is absorbed. Many over the counter vitamin and mineral supplements are optimized for shelf-life rather than absorbability. For instance, take magnesium. On the store shelves you will often see Magnesium oxide or Magnesium citrate. Magnesium glycinate is a much better choice. Same with zinc. Zinc picolinate is a much better choice than zinc oxide. Same with B12, Thiamin, etc. This can be critical when your absorption efficiency is already compromised by celiac disease. You should research best vitamin and mineral formulations for absorbability.  Routinely, we recommend on this forum the following combination of supplements to counteract nutritional deficiencies from long-term untreated celiac disease: B12 sublingual, B-complex, D3 (5-10k IU daily), magnesium glycinate, zinc picolinate. If you are taking an iron supplement, drink something acidic with it like orange or tomato juice or a vitamin C tablet to increase absorption.  As the villous lining of your small bowel heals from the gluten-free diet, your absorption efficiency will improve. In the meantime, the only way to combat poor absorption efficiency is to flood the small small bowel with more concentration of vitamins and minerals.
    • Sarawiththeceliac
      I did a tTG-IgA test to check if they were high I usually do it a lot when I was a kid but the last time I did it was when I was 12 then now at 17 and they were 32 the normal is less than 7 i guess .also I want to know,I do have gluten free supplements but they are not absorbed well due to the inflammation, what do I do should I wait six month after I eat gluten free food or take now even tho I am not sure if they able to be absorbed and I don't see improvements 
    • knitty kitty
      Actually, it's an opioid hit.  Gluten attaches to opioid receptors we have throughout our bodies including our digestive systems.  That opioid hit from gluten attaching to opioid receptors is probably why some people don't have gastrointestinal symptoms.  Some people feel worse after going gluten free because they are no longer consuming exogenous opioids from gluten. We also have opioid receptors in our brains which can account for brain fog.  Remember that antibodies against gluten attack not only the gluten on the receptors, but also our own tissues because structural elements in our cell membranes resemble gluten.  In our digestive systems, our villi, the anemone like projections that absorb nutrients, are damaged.  Same type of thing in the tissue of the brain.  People with gluten ataxia tend to produce tTg 6 IgA antibodies.  Diagnostic blood tests for Celiac test for tTg 2 antibodies from the intestines.  People with Parkinson's and Alzheimer's also produce tTg 6 antibodies although they may not have Celiac Disease.   Gluten is not just an addiction, it's a health hazard to us.
    • trents
      Do you have a soy or peanut allergy? This shouldn't be a concern purely from a celiac or gluten sensitivity perspective.
    • trents
      Welcome to the forum, @Sarawiththeceliac! Can you give us the reference range for your celiac test? Different labs use different reference ranges for negative vs. positive so without that a test score of 32 is not that helpful. And its that a recent test or was it done when you were 5 years old? It is imperative that you begin to observe a strict gluten-free diet. If you will do this, you can expect substantial improvement in your health. I can't promise you that you will experience 100% repair of all body damage but you can expect significant improvement overall. You will also need invest in some high potency gluten-free vitamin and mineral supplements. Celiac disease damages the lining of the small bowel. That is the area of the intestinal track where all of the vitamins and minerals contained in what we eat gets absorbed. The damage to this villous lining greatly reduces the efficiency of the absorption. In the meantime, here is a primer for getting off to a good start on the gluten free diet:   
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