The Doctor Gluten Project

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Are You Gluten-Sensitive?

gluten sensitive?

You can get the answers to the hundreds of questions that you have about gluten and the harm that gluten can cause you.  Are you sick and tired?  If so, bread might be making you ill.  Being gluten-sensitive is very common. It affects one in ten people (10%). Is it affecting you? 

Does gluten affect you? 

This book is based on the questions that I am so frequently asked by my patients.  I answer their questions in detail and put them into the clinical context.  There has been so much confusion about the diagnosis and management of people who are gluten-sensitive. This book has been written to clarify this muddle.   It is full of practical information for you.

This book cuts through the confusion about gluten.  You are taken through a simple process to find out if you, or your family reacts to gluten.

ISBN 978-0-473-11229-5 (192 pages) 

Millions and millions affected

Coeliac disease is now recognised to be very common, affecting about one in a hundred people.  However, only a small proportion of these people have been diagnosed.  Therefore, there are yet vast numbers who still remain undiagnosed and who have significant health problems.

Now multiply this problem ten times.  That is the size of the gluten-sensitivity problem.  It is ten times more common that coeliac disease, but it has been largely ignored by the medical profession.  This is just starting to be recognised as a huge health crisis.  Are you part of it?

A health crisis

This book discusses the issues surrounding the new knowledge about gluten-sensitivity and how it differs from coeliac disease.  The structure of this book is based on the questions that I am so frequently asked.  I have answered these questions in detail and put them into the clinical context.  There is a rapid unfolding of knowledge.  There is still a great deal more to find out.  Therefore, some answers remain incomplete.

Your questions answered

The questions that I am asked indicate the uncertainty and misunderstandings that so many people have about gluten and how it leads to poor health and disease.  Many people have never heard about gluten and the harm it can do.  What do you know about it?

This book contains my answers.  My opinions have been formed by my extensive dealings with gluten-sensitive children and adults.  Also through research of the current medical literature.  I thank all of the children and parents who have enlightened me.

Are You Gluten Sensitive? Your questions answered

CONTENTS

1. What does gluten do to my gut?    11
What happens in my gut?    12
Where does gluten do its damage?    15
What is gluten?    16
What is the difference between gluten and gliadin?    17
Where is gluten found?     17
Is gluten found in oats?    19

2. Is it gluten-sensitivity or coeliac disease?    23
The changing understanding of gluten-sensitivity    24
Gluten discovered as the problem    25
The advent of small bowel biopsy    26
Much more than a gut disease    27
The sequence effect    28

3. What are the symptoms?  29
What symptoms do people get?    30
The difference between gluten-sensitivity and coeliac disease?    30
What are the classic symptoms?    32
Does gluten-sensitivity affect the brain?    34

4. Do I need a small bowel biopsy?    37
How do you  make a diagnosis?    38
What is the three-biopsy protocol?     39
What does a small bowel biopsy show?    41
What does an abnormal biopsy look like?    44
What do the disaccharidase tests measure?    46
Should everyone have a small bowel biopsy?     47

5. What do blood tests measure?    51
How useful are the blood tests?    52
What do gluten antibodies mean?    52
What do tissue antibodies mean?    54
How reliable are these “coeliac” blood tests?    56
HLA typing    58

6. Is gluten-sensitivity lifelong?    61
Does gluten-sensitivity change over time?    62
A case study of coeliac disease    63
When do blood tests first become positive?    64
When does the biopsy first become positive?    66
When do symptoms first develop?    67
A case study of gluten-sensitivity    68
How common is coeliac disease?    71
How common is gluten-sensitivity?    72
Does it run in families?    73
How many people are still undiagnosed?    74
Can you go into remission?    75
Do you grow out of it?     76
Is my cancer risk increased with coeliac disease?    76
Is wheat allergy different to gluten reactions?    77
With just positive blood tests can I go gluten-free?    78
How often should you have blood tests done?    79

7. What is gluten-free?    83
What does gluten-free mean?    84
How do I start on a gluten-free diet?    84
How quickly should I feel better?    85
What can I eat?    86
Which cereals /grains are gluten-free?    87
Which foods do I have to avoid?    87
How is wheat starch made?    88
If a food contains starch, will it also contain gluten?    88
What is a maltodextrin?    89
Do any food additives contain gluten?    90
What does hidden gluten mean?    90
Is a gluten-free diet harmful?    92
Do you get more sensitive to gluten?    93
How strict does my gluten-free diet need to be?    93
What about lactose intolerance?    94
Does milk allergy get better on a gluten-free diet?    95
What about Lactobacillus Acidophilus?     96
Do you need mineral-vitamin supplements?    98

8. What is the gluten-sensitive data?    99
Gluten-sensitive children diagnosed by IgG-gliadin    100
The sequence effect    101
The gluten-sensitive picture    103
Study design    105
Analysis and results    106
IgG-gliadin and tTG antibodies for all children    107
The value of small bowel biopsy    110
The gluten-sensitive group - blood tests    114
The gluten-sensitive group - the clinical picture    118
Amazing responses to gluten-free diets    122
What symptoms are caused by gluten?    125
Children still under review    126
Discussion    128
Target organs    129
Small bowel is a minor player    131
One-in-ten affected by gluten    132

9. How do I learn to eat gluten-free?    133
What do I need to know for baking gluten-free?    134
Do you have tips for home bread-maker recipes?    135
How do I convert everyday cooking to gluten-free?    136
What if I have other food allergies?    137
Do you have breakfast ideas?    138
What can I do for lunch?    139
What help can I get?    140

10. Do you have some gluten-free recipes?    141
How do I cook bread?    143
Bread    144
Cakes    147
Biscuits    156
Muffins, small cakes, slices    159
Great lunch box, morning and afternoon tea ideas     167
Main meals    171
Drinks     188

Are You Gluten-Sensitive? Your Questions Answered
ISBN 978-0-473-11229-5 (192 pages)

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