I am not a conspiracy theory supporter. My belief is that most GPs do the best job that they can. They are hampered by two opposing forces: their lack of up-to-date knowledge; whilst in the middle of an information overload. The natural thing to do is to just keep on doing what you have been doing and feel safe. To make it more complex, the gluten/celiac tests have changed radically over the last 15 years – so this makes getting up-to-date all the more difficult. My approach is to encourage the community (patients) to educate their doctors. Doing this by facebook, blogs, writing books, lecturing and creating the eClinic.
Facebook friend Al says: “I have seen change over the years and I feel it will continue change for the better. The gluten-free community has seen rather large changes over the past 1 – 2 years in research. Will it change as quick as we’d like”. I’m afraid not. It will take time for this info to filter down to frontline medical professionals.
Yes, it takes time to “change direction” in world of medicine/science.
Medical Gluten Awareness takes time
Dr Peter Green has changed direction. He validates The Gluten Syndrome. http://www.northbayceliacs.org/petergreen.html
Dr Peter Green is Director, Celiac Disease Center at Columbia University. At a talk on November 11, 2010, U.C. San Francisco Medical Center, Dr Peter Green says: “There is a whole spectrum of gluten sensitivity. For example, 80% of ADHD have high antibodies to gluten (AGA, antigliadin antibodies). They do not have celiac disease.”
None of us was designed to eat wheat. Our digestive enzymes have not been developed to digest wheat.
Also IBS sufferers also have gluten sensitivity.
Here is another change of direction article
Small Amounts of Gluten in Subjects with Suspected Nonceliac Gluten Sensitivity: a Randomized, Double-Blind, Placebo-Controlled, Cross-Over Trial.
METHODS: We enrolled 61 adults without celiac disease or wheat allergy who believe ingestion of gluten-containing food to be the cause of their intestinal and extra-intestinal symptoms. Participants were randomly assigned to groups given either 4.375 g/day gluten or rice starch (placebo) for 1 week, each via gastro-soluble capsules. After a 1 week of gluten-free diet, participants crossed over to the other group. The primary outcome was the change in overall (intestinal and extra-intestinal) symptoms, determined by established scoring systems, between gluten and placebo intake. A secondary outcome was the change in individual symptom scores between gluten vs placebo.
RESULTS: According to the per-protocol analysis of data from the 59 patients who completed the trial, intake of gluten significantly increased overall symptoms compared with placebo (P=.034). Abdominal bloating (P=.040) and pain (P=.047), among the intestinal symptoms, and foggy mind (P=.019), depression (P=.020), and aphthous stomatitis (P=.025), among the extra-intestinal symptoms, were significantly more severe when subjects received gluten than placebo.
CONCLUSIONS: In a cross-over trial of subjects with suspected NCGS, the severity of overall symptoms increased significantly during 1 week of intake of small amounts of gluten, compared with placebo. Clinical trial no: ISRCTN72857280.
Copyright © 2015 AGA Institute. Published by Elsevier Inc. All rights reserved.
extraintestinal; gluten; intestinal; nonceliac gluten sensitivity; placebo
There is undeniable proof that gluten-sensitivity is common and a serious problem. It is frustrating that medical gluten-aAwareness takes time. My goal is to speed this up!