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Elimination Diet


kimis

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kimis Collaborator

has anyone ever tried the eliminatiom diet? It looks hard and loooooooong! Going gluten free was no problem at all for me.....you can still have everything...just a bit differently. It seems like a good diet to try if you are having unexplainable symptoms, but it also seems like a pain in the a$$.


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I am in the middle of the elimination diet for myself and my two daughters. We started almost a month ago. It is annoying, but also very enlightening. It also gets easier as we add back more items and notice no reactions. The downside is that that everyone seems to be reacting to different things, so I'm going to have to permanently modify my cooking accordingly.

Are you continuing to have symptoms that you hope to alleviate with the elimination diet?

kimis Collaborator
I am in the middle of the elimination diet for myself and my two daughters. We started almost a month ago. It is annoying, but also very enlightening. It also gets easier as we add back more items and notice no reactions. The downside is that that everyone seems to be reacting to different things, so I'm going to have to permanently modify my cooking accordingly.

Are you continuing to have symptoms that you hope to alleviate with the elimination diet?

Yes! I have a whole bunch of things bothering me. Joint muscle and headaches are the worst, and acne, weight gain and foggy headedness are bad too.

What kind of symptoms did you have? How long did they take to go away after starting? What are your reactions like? What kind of foods did you start out with? Sorry for all the questions....I just really want to know what it's like :D

CMG Rookie
Yes! I have a whole bunch of things bothering me. Joint muscle and headaches are the worst, and acne, weight gain and foggy headedness are bad too.

What kind of symptoms did you have? How long did they take to go away after starting? What are your reactions like? What kind of foods did you start out with? Sorry for all the questions....I just really want to know what it's like :D

Most of my symptoms had gone away after going gluten free. Most significantly, I have rheumatoid arthritis. I noticed a big improvement after going gluten free, then another big improvement on the elimination diet. Same with minor intestinal symptoms that continued even after going gluten-free. All the symptoms that you have mentioned are ones that my naturopath has indicated are typical of food sensitivities and that people see clearing after doing the elimination diet. Also, my eye doctor says I should expect improvement in my dry eye symptoms.

I started out with mostly whole fruits and veggies, fish and white meat, rice, quinoa, potatoes and such. I had to eliminate all the common allergens, some of which surprised me: gluten, dairy, soy, eggs, beef, pork, citrus, strawberries, corn, chocolate, vinegars, shellfish, caffeine, alcohol. (I've cheated a bit on the wine, but have noticed no ill effects.) Arthritis flared up when I added back corn. Heart palpitations from beef. So far everything else I have added back has been ok - soy, eggs, citrus, pork.

One of my daughters complained of tummy aches and some intestinal upset after eating beef. The other had big dark circles under her eyes, rash on her cheeks and was whiny and irritable all day after both soy and eggs. (I already knew she had issues with soy.)

I hope this helps. I'm happy to share more if you are interested - either on the board or by PM.

burdee Enthusiast
has anyone ever tried the eliminatiom diet? It looks hard and loooooooong! Going gluten free was no problem at all for me.....you can still have everything...just a bit differently. It seems like a good diet to try if you are having unexplainable symptoms, but it also seems like a pain in the a$$.

I also had continuing symptoms (mostly fatigue, cramping pain, bloating and irregularity) after eliminating gluten and casein. I did NOT want to guess or unnecessarily restrict my diet with an elimination diet. So I found a naturopath who heads a local IBS treatment center. He's also a celiac who believes that many gut symptoms are usually caused by celiac disease, food allergies, parasites, bacteria or fungus (like candida). He uses blood tests (ELISA) to diagnosed food allergies (or intolerances for purists) mediated by IgG, IgE or IgA antibodies. He uses stool tests to diagnose bacteria, parasites and fungus.

Since I had already eliminated gluten, dairy and soy (self-diagnosed from symptoms) before the ELISA test, that test diagnosed my cane sugar and egg allergies. A stool test diagnosed Klebsiella. After eliminating sugar and eggs and treating klebsiella bacteria, I still had lingering symptoms. Another version of the ELISA test (for herbs and spices) diagnosed vanilla and nutmeg allergies. I would have never guessed those allergies from 'elimination' diets, but accidental contamination since those diagnoses confirmed what the ELISA results said about vanilla and nutmeg.

Because I continued to have gut symptoms I continued to take regular stool tests which diagnosed 2 more bacteria, a parasite and candida during the past 3 years. An elimination diet would have never diagnosed those gut bugs. I've since eliminated all but the last bacteria, which I'm still treating with tapered doses of an antibacterial drug while I take probiotics to repopulate my gut with good bacteria. After I finish the antibacterial drug, I will take a very high dose probiotic (127 billion good bacteria per dose) for a week to quickly restore my good bacteria back to normal levels.

I realize that tests for food allergies and gut bugs are expensive. However, some health insurance covers alternative medical care (mine partially reimburses). Nevertheless, I might still be doing 'elimination diets' and maybe doctor shopping to determine the source of my symptoms if I had not tested for other allergies and gut bugs.

SUE

CMG Rookie
I also had continuing symptoms (mostly fatigue, cramping pain, bloating and irregularity) after eliminating gluten and casein. I did NOT want to guess or unnecessarily restrict my diet with an elimination diet. So I found a naturopath who heads a local IBS treatment center. He's also a celiac who believes that many gut symptoms are usually caused by celiac disease, food allergies, parasites, bacteria or fungus (like candida). He uses blood tests (ELISA) to diagnosed food allergies (or intolerances for purists) mediated by IgG, IgE or IgA antibodies. He uses stool tests to diagnose bacteria, parasites and fungus.

Since I had already eliminated gluten, dairy and soy (self-diagnosed from symptoms) before the ELISA test, that test diagnosed my cane sugar and egg allergies. A stool test diagnosed Klebsiella. After eliminating sugar and eggs and treating klebsiella bacteria, I still had lingering symptoms. Another version of the ELISA test (for herbs and spices) diagnosed vanilla and nutmeg allergies. I would have never guessed those allergies from 'elimination' diets, but accidental contamination since those diagnoses confirmed what the ELISA results said about vanilla and nutmeg.

Because I continued to have gut symptoms I continued to take regular stool tests which diagnosed 2 more bacteria, a parasite and candida during the past 3 years. An elimination diet would have never diagnosed those gut bugs. I've since eliminated all but the last bacteria, which I'm still treating with tapered doses of an antibacterial drug while I take probiotics to repopulate my gut with good bacteria. After I finish the antibacterial drug, I will take a very high dose probiotic (127 billion good bacteria per dose) for a week to quickly restore my good bacteria back to normal levels.

I realize that tests for food allergies and gut bugs are expensive. However, some health insurance covers alternative medical care (mine partially reimburses). Nevertheless, I might still be doing 'elimination diets' and maybe doctor shopping to determine the source of my symptoms if I had not tested for other allergies and gut bugs.

SUE

Very helpful information, Sue. My naturopath also does stool tests for parasites etc. My daughter has 2 parasites, one of which is "abundant". She currently is being treated. I also have a mild case of one parasite, but am not being treated yet, as I am allergic to the medication that was prescribed and I have not heard back about an alternative treatment. I'm interested in the ELISA test and will look into it. This has been a very frustrating process. My older daughter and I seem to react to all of the same things - gluten, dairy, corn, beef. My younger daughter has a whole separate set of issues - dairy, soy, egg, pork. So far. We are still in process of adding things back.

Catherine

kimis Collaborator

how do yo find a doctor like that?


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how do yo find a doctor like that?

I found mine just by chance - reading this board. Someone posted a link to an article, and the doctor who had written it has a practice about 20 minutes from where I live.

I just did a quick search and found a site naturopathic[dot]org, which has a tool to find a naturopathic practitioner in your area. You also might try posting in the 'doctors' section of this board to see if anyone can recommend someone.

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    • Scott Adams
      The first set of results show two positive results for celiac disease, so at the very least it looks like you could have it, or at the least NCGS.   Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.      
    • Scott Adams
      Elevated tissue transglutaminase IgA (tTG-IgA) levels are highly specific for celiac disease, and they are a key biomarker used in its diagnosis. However, there are some rare instances where elevated tTG-IgA levels have been reported in conditions other than celiac disease. While these cases are not common, they have been documented in the literature. Below are some examples and references to studies or reviews that discuss these scenarios:  1. Non-Celiac Gluten Sensitivity (NCGS)    - NCGS typically does not cause elevated tTG-IgA levels, as it is not an autoimmune condition. However, some individuals with NCGS may have mild elevations in tTG-IgA due to intestinal inflammation or other factors, though this is not well-documented in large studies.    - Reference: Catassi, C., et al. (2013). *Non-Celiac Gluten Sensitivity: The New Frontier of Gluten-Related Disorders*. Nutrients, 5(10), 3839–3853. [DOI:10.3390/nu5103839](https://doi.org/10.3390/nu5103839)  2. Autoimmune Diseases    - Elevated tTG-IgA levels have been reported in other autoimmune conditions, such as type 1 diabetes, autoimmune hepatitis, and systemic lupus erythematosus (SLE). This is thought to be due to cross-reactivity or polyautoimmunity.    - Reference: Sblattero, D., et al. (2000). *The Role of Anti-Tissue Transglutaminase in the Diagnosis and Management of Celiac Disease*. Autoimmunity Reviews, 1(3), 129–135. [DOI:10.1016/S1568-9972(01)00022-3](https://doi.org/10.1016/S1568-9972(01)00022-3)  3. Chronic Liver Disease    - Conditions like chronic hepatitis or cirrhosis can sometimes lead to elevated tTG-IgA levels, possibly due to increased intestinal permeability or immune dysregulation.    - Reference: Vecchi, M., et al. (2003). *High Prevalence of Celiac Disease in Patients with Chronic Liver Disease: A Role for Gluten-Free Diet?* Gastroenterology, 125(5), 1522–1523. [DOI:10.1016/j.gastro.2003.08.031](https://doi.org/10.1016/j.gastro.2003.08.031)  4. Inflammatory Bowel Disease (IBD)    - Some patients with Crohn’s disease or ulcerative colitis may have elevated tTG-IgA levels due to intestinal inflammation and damage, though this is not common.    - Reference: Walker-Smith, J. A., et al. (1990). *Celiac Disease and Inflammatory Bowel Disease*. Journal of Pediatric Gastroenterology and Nutrition, 10(3), 389–391. [DOI:10.1097/00005176-199004000-00020](https://doi.org/10.1097/00005176-199004000-00020)  5. Infections and Parasites    - While infections (e.g., giardiasis) are more commonly associated with false-positive tTG-IgA results, chronic infections or parasitic infestations can sometimes lead to elevated levels due to mucosal damage.    - Reference: Rostami, K., et al. (1999). *The Role of Infections in Celiac Disease*. European Journal of Gastroenterology & Hepatology, 11(11), 1255–1258. [DOI:10.1097/00042737-199911000-00010](https://doi.org/10.1097/00042737-199911000-00010)  6. Cardiac Conditions    - Rarely, heart failure or severe cardiovascular disease has been associated with elevated tTG-IgA levels, possibly due to gut ischemia and increased intestinal permeability.    - Reference: Ludvigsson, J. F., et al. (2007). *Celiac Disease and Risk of Cardiovascular Disease: A Population-Based Cohort Study*. American Heart Journal, 153(6), 972–976. [DOI:10.1016/j.ahj.2007.03.019](https://doi.org/10.1016/j.ahj.2007.03.019)  Key Points: - Elevated tTG-IgA levels are highly specific for celiac disease, and in most cases, a positive result strongly suggests celiac disease. - Other conditions causing elevated tTG-IgA are rare and often accompanied by additional clinical findings. - If celiac disease is suspected, further testing (e.g., endoscopy with biopsy) is typically required for confirmation. If you’re looking for more specific studies, I recommend searching PubMed or other medical databases using terms like "elevated tTG-IgA non-celiac" or "tTG-IgA in non-celiac conditions." Let me know if you’d like help with that!
    • MaryMJ
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    • trents
      I agree. Doesn't look like you have celiac disease. Your elevated DGP-IGG must be due to something else. And it was within normal at that after your gluten challenge so it is erratic and doesn't seem to be tied to gluten consumption.
    • Jack Common
      Hello! I want to share my situation. I had symptoms like some food intolerance, diarrhea, bloating, belching one year ago. I thought I could have celiac disease so I did the blood tests. The results were ambiguous for me so I saw the doctor and he said I needed to do tests to check whether I had any parasites as well. It turned out I had giardiasis. After treating it my symptoms didn't disappear immediately. And I decided to start a gluten free diet despite my doctor said I didn't have it. After some time symptoms disappeared but that time it wasn't unclear whether I'd had them because of eliminating gluten or that parasite. The symptoms for both are very similar. Giardiasis also damages the small intestine. The only way to check this was to start eating bread again as I thought. Now about my results.   These are my first test results (almost a year ago) when I had symptoms: The Tissue Transglutaminase IgA antibody - 0.5 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) The Tissue Transglutaminase IgG antibody - 6.6 U/ml (for the lab I did the tests 0.0 - 3.0 is normal) Immunoglobulin A - 1.91 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) IgA Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) IgG Endomysial antibody (EMA) - < 1:10 titer (for the lab I did the tests < 1:10 titer is normal) Deamidated gliadin peptide IgA - 0.3 U/ml (for the lab I did the tests 0.0 - 6.0 is normal) Deamidated gliadin peptide IgG - 46.1 U/ml (for the lab I did the tests 0.0 - 6.0 is normal)   Then I didn't eat gluten for six months. Symptoms disappeared. And I started a gluten challenge. Before the challenge I did some tests. My results: The Tissue Transglutaminase IgG antibody - 0.5 U/ml (for the lab I did the tests < 20 U/ml is normal)) Deamidated gliadin peptide IgG - 28 U/ml (for the lab I did the tests < 20 U/ml is normal)   During the challenge I ate 6 slices of wheat bread. After the challenge my results are: The Tissue Transglutaminase IgA antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) The Tissue Transglutaminase IgG antibody - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.31 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgA - 2.0 U/ml (for the lab I did the tests < 20 U/ml is normal) Deamidated gliadin peptide IgG - 2.13 U/ml (for the lab I did the tests < 20 U/ml is normal)   To be sure I continued consuming gluten. I ate a lot each day. Two months after I did the tests again. My results I got today are: The Tissue Transglutaminase IgA antibody - 0.7 U/ml (for the lab I did the tests < 20 U/ml is normal) Immunoglobulin A - 1.62 g/l (for the lab I did the tests 0.7 to 4 g/l is normal) Deamidated gliadin peptide IgG - 25.6 U/ml (for the lab I did the tests < 20 U/ml is normal)   Nowadays I didn't have any symptoms except tiredness but I think it's just work. I think it was this parasite because two years ago, for example, and before I didn't have these symptoms and I always ate gluten food. But I'm still not sure especially because the Deamidated gliadin peptide IgG results are sometimes high. What do you think? @Scott Adams
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