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Gluten Intolerance - What Do I Need to Know?

Approximately 40% of Americans have the genetic potential to become gluten intolerant. More than 1% of Americans have celiac disease. In fact, this percentage may be a low estimate because most physicians are unfamiliar with the signs and symptoms of celiac disease, which can be a "great masquerader". Gluten intolerance and celiac disease are closely related. After repeated exposure to gluten, a person who is gluten intolerant may develop celiac disease. Gluten is a complex of proteins found in wheat, rye, and barley. The human digestive tract cannot break down gluten into its component amino acids, so gluten proteins persist in the gastrointestinal tract until they are excreted.

In susceptible individuals, the gluten proteins may be identified as "foreign" and their immune systems may launch a reaction against these non-self proteins. In such persons, including infants, children, teenagers, and adults, continued exposure to gluten may cause development of signs and symptoms of celiac disease.1-2

Wheat, rye, and barley comprise significant components of the Western diet. Almost all breads are made from one or more of these three grains. Cookies, cakes, bagels, muffins, pizza, and pasta are all gluten-containing foods. Additionally, gluten is found in vitamin pills, shampoo, toothpaste, household cleansers, and even prescription drugs. Wheat-based binders are often used in the manufacturing process of these articles. So gluten is literally everywhere.

A susceptible person's initial immune reaction to gluten persists with continued exposure. Eventually the immune reaction may damage the lining of the person's small intestine, leading to the classic symptoms of celiac disease - abdominal pain, constipation and/or diarrhea, and abdominal bloating. Intestinal damage causes these very unpleasant and debilitating symptoms and may also lead to additional serious diseases. Malnutrition is one of the major consequences of celiac disease.

Importantly, gluten intolerance may be related to a variety of serious disorders. Neuropsychiatric conditions such as autism, attention deficit hyperactivity disorder (ADHD), and schizophrenia may be associated with underlying gluten intolerance and celiac disease. Arthritic conditions such as rheumatoid arthritis, systemic lupus erythematosus (lupus), and psoriatic arthritis may be related to gluten intolerance. Endocrine conditions including diabetes, hyper- and hypothryroidism, and Addison's disease are often related to gluten intolerance and celiac disease. Infertility and frequent miscarriages may also be related to an underlying condition of gluten intolerance.

The takeaway is this. Gluten intolerance and celiac disease may be an underlying cause of serious medical conditions that have not been treated successfully. The key is considering gluten intolerance as an underlying cause and taking appropriate action. Patient knowledge and increased physician knowledge and awareness are crucial to correctly identifying a hidden problem.3

Your family chiropractor is an expert in nutrition and is trained to identify underlying causes of health problems. In addition, chiropractic treatment may help restore more normal and more effective immune system functioning. In cases requiring a holistic, multidisciplinary approach, chiropractic treatment is a crucial component.

1Selimolu MA, Karabiber H: Celiac disease. Prevention and treatment. J Clin Gastroenterol 44(1):4-8, 2010
2Setty M, et al: Celiac disease: risk assessment, diagnosis, and monitoring. Mol Diagn Ther 12(5):289-298, 2008
3Schuppan D, et al: Celiac disease: from pathogenesis to novel therapies. Gastroenterology 137(6):1912-1933, 2009

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  • "I can't believe how professional, efficient, and effective the entire staff is at CHAWC. I am out and on my way to work in a short time, while achieving maximum results."
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  • "Dr. Jo has been such a blessing and resource for my health and my back. I have been doing chiropractic for about 15 years, and Dr. Jo's treatments and home therapies have seriously changed my life and my back and neck in the past year. I am in awe of how much better I feel overall and so appreciate their dedication to my health and well-being!"
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  • ""I have suffered from lower back and sciatica pain for over two years now. Prior to my visit to this practice, I have been x-rayed, tested, MRI, countless specialists visits and not to mention the costs associated with all of that. I have been in chiropractors' offices before and they usually adjust my back and the pain decrease for a day or two but never goes away. Dr. Cally was thorough, knowledgeable in her specialty, and kind. Although, I was skeptical at first but, Dr. Cally's knowledge put me at ease. Needless to say, now I am pain free. Not only she is good with her patients but once you walk-in that office you will feel the good vibe from her staff (happy employee means happy customer), which tells me she is treating her staff good as well. Thank you, Dr. Cally for all you do. You and your practice are hard to find these days. Keep up the good work.""
    Dr. Beygatt, PhD
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