Tuesday, August 28, 2007

Gluten free and food allergy dining resources recommended



Do you have food allergies or are you gluten sensitive and you need restaurant and international dining information? Then you need "Let's Eat Out". This book is beautifully illustrated and practical. It is arguable the most comprehensive guidebook to eating out while managing the ten most common food allergies (corn, dairy, eggs, fish, peanuts, shellfish, soy and tree nuts) and Celiac disease/ gluten sensitivity. Packed with information, this guide is the definitive source for safe and enjoyable dining out for those with gluten sensitivity and food allergies, whatever the cuisine or country. One of the authors is a chef and the other has celiac disease. They both have years of experience in the food and restaurant industry. Included in this incredibly useful guide is information on specific cuisines, essential multilingual phrases for worldwide use, airline meal breakfast and snack suggestions, and worldwide ingredient and meal preparation guidelines. Buy it now! Use it in restaurants worldwide! My copy already has worn edges from frequent use.

Are you gluten sensitive? Do you understand gluten sensitivity and celiac disease? Dr. Lewey's colleague, Dr. Rodney Ford, reveals the truth about the hidden epidemic affecting one in ten people. His book "Are you gluten sensitive?" answers over 70 of the most frequently asked questions about gluten sensitivity. It also includes over 40 pages of recipes and research information on gluten sensitivity from a renowned pediatric gastroenterologist and allergist.

You can obtain copies of these books at a deep discount while they last by emailing me at orders@thefooddoc.com.


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Copyright © 2007, The Food Doc, LLC, All Rights Reserved.
www.thefooddoc.com

Thursday, August 16, 2007

Gluten is toxic to the brain

Gluten is toxic to the brain. There is ongoing accumulating evidence that gluten is harmful to the brain and nerves of the body even if a person does not have celiac disease. Those with celiac disease are typically affected much more severely. In this blog I have reviewed several scientific papers recently that document the adverse affects of gluten on the brain. I also reviewed research published in early 1900’s that proved the toxic effect of wheat on animals. Seizures in dogs and pasture bloat in cattle has been known about for years yet cereal grains have become an increasingly large part of the Western diet. During the same time obesity, autoimmune diseases and celiac disease are reaching epidemic proportions.
New DVD reveals facts of gluten's adverse affects on the brain.
Dr. Ron Hogan, editor of ScottFree, has a new DVD, Smarten up. It is a compilation of his presentations on the effects of gluten on the brain. The DVD is extremely detailed and informative. I must however warn who purchase it that Ron presents the material in a lecture format. Those who didn’t care for sitting through classes in school may find his approach a bit dry. But if you are looking for a detailed explanation of how gluten adversely affects the brain, you will not find a more thorough review of the information anywhere else.

An educator shares real world successes of the gluten free.

Ron recently retired from a lifetime in education. He has personally lived gluten free after his diagnosis of celiac disease as an adult. Unfortunately, he lost a brother to lymphoma that was likely due to undiagnosed celiac disease. He has extensively researched the effect of gluten on the brain. In the DVD he shares both scientific research and his personal real life stories as an educator with the success of the gluten free diet in kids with ADD, behavior problems, autism, and learning disabilities. I encourage everyone with an interest in this area to purchase a copy of his DVD.

Let he who has eyes to see, gluten adversely affects the brain
.
These adverse affects of gluten on the body, especially the brain, are evident to those who have eyes to see. Yet Dr. Ron Hogan, Ed.D, author “Dangerous Grains”, Dr. Rodney Ford, www.doctorgluten.com, Dr. Ken Fine, founder of Enterolab, and I are considered bit too radical in our beliefs for most of the doctors with whom we work and associate. We are out of step because we are validating the experiences of many people who are chronically ill until they remove gluten from their diet. If we agree with the patients who report to us their positive experiences of a gluten free diet despite failing to meet strict diagnostic criteria for celiac disease we are accused of imposing an undue and unnecessary burden on people who do not need to be on a gluten free diet because they don’t really have celiac disease (yet). In fact, in my own gastroenterology practice a couple of my partners have berated, teased or ridiculed a couple of the nurses who have adopted a gluten free diet of being part of my “gluten cult”.

Dr. Ford and his experience with gluten affecting the brain.

You may also learn more from my good friend and colleague from New Zealand, Dr. Ford, who has a nice review in the newsletter ScottFree that also available online at www.celiac.com. He has much more detail in his books that can be purchased online at the Food Doc e-store.

The food doc website continues to undergo updates.
Since the full functionality of the web applications is not yet complete I am offering free trial member access to the premium area of the site to those who sign up before the end of the month. Send us your comments and suggestions of what you would like from our website. We are working to put together some tremendous content for our members including videos, e-books, down loadable checklists for grocery shopping, doctor’s appointments and restaurants.

Sign up for a free newsletter

Simply complete the “opt-in” e-mail form found on this blog and we will send you a free newsletter. We are here to help and try to make a difference. My wife and I have personally as well as professionally experienced the frustrations many of you have felt trying to find out what was wrong, why the doctors couldn’t help or wouldn’t listen and how to find what information you need on-line. Our intent is to over deliver to our members a variety of tools and resources that help them achieve a healthy gut, healthy life.

Copyright © 2007, The Food Doc, LLC, All Rights Reserved.
www.thefooddoc.com

Monday, August 13, 2007

Pill camera to diagnose celiac disease gaining acceptance





Technology for diagnosing digestive has progressed to the point that we now have a video camera pill (wireless video capsule endoscopy) that you can swallow. As the food doc and a gastroenterologist keenly interested in celiac disease and Crohn’s disease, I perform capsule endoscopy regularly on my patients and have now for several years. The pill camera is increasingly being used to evaluate celiac disease especially since it is covered by more insurance plans now for this indication. Rondonatti et al. report a multicenter study in the August 2007 issue of the American Journal of Gastroenterology that confirms video capsule endoscopy has good sensitivity and excellent specificity for the detection of villous atrophy in patients with suspected celiac disease. Capsule endoscopy offers the ability to see the entire length of the small intestine, far beyond the reach of the standard endoscope. Unfortunately, though capsule endoscopy is ideal for evaluating celiac disease, until just recently, most insurance companies have not been covering the test for this indication alone.

ADVANTAGES OF PILL CAMERA IN CELIAC DISEASE DIAGNOSIS
The advantages of capsule endoscopy are several. They include the avoidance of standard endoscopy, too invasive for many patients because it requires an intravenous line, sedation and swallowing a long flexible tube compared to simply swallowing a pill camera. The ability to visualize the entire small bowel where areas of villous mucosal injury as well as other complications of longstanding celiac disease can be seen that may be missed on standard endoscopy is also a distinct advantage. Those with longstanding undiagnosed and untreated celiac disease may also benefit from the reassurance that lymphoma or small bowel cancer is not present beyond the reach of the standard scope.

DISADVANTAGES OF PILL CAMERA IN DIAGNOSIS OF CELIAC DISEASE

However, the lack of ability to sample the intestine by biopsy with the pill camera and concerns about the reliability of visual appearance to correlate with biopsy results has prevented it from being widely accepted as an alternative to standard endoscopy. Studies like this recent one however continue to show that capsule endoscopy may be an acceptable alternative to standard endoscopy and biopsy in patients with characteristic symptoms and blood tests.

EXPERIENCE WITH PILL CAMERA IN DIAGNOSIS OF CELIAC DISEASE
In my own experience, several patients with suspected celiac disease but “normal” upper endoscopy and/or biopsies have had characteristic villous atrophy in a patchy manner, sometimes further down the small bowel. A few of these patients went on to have a repeat upper endoscopy with a longer scope and biopsies directed at known areas of abnormality seen on capsule endoscopy that confirmed their diagnosis. In others who have positive blood tests we mutually agreed to accept their diagnosis of celiac disease.

FUTURE OF PILL CAMERA IN DIAGNOSIS OF CELIAC DISEASE
In the future the diagnosis of celiac disease may consist of testing for the presence of HLA DQ2 and DQ8, endomysial and/or tissue transglutaminase antibody blood tests and the pill camera. It is possible that perfection of stool or saliva tests for celiac specific antibodies along with a mouth swab for genetics will be combined with the pill camera will be the standard. Currently, only Enterolab offers stool antibody tests for gluten related antibodies and the tests are not standardized or validated for diagnosis of celiac disease though appear to be very sensitive for the earliest stages of gluten sensitivity.

Despite slowness of insurance carriers to approve capsule endoscopy for evaluation of suspected celiac disease, interest in this technology is high in the research setting. The number of studies reporting the utility of this approach as a non-invasive evaluation of the small intestine combined with blood tests to diagnose celiac disease is gathering increased support. Stay tuned as we follow the progress of the role of capsule endoscopy (or pill camera) for the diagnosis of celiac disease as well as the non-invasive evaluation of numerous digestive tract disorders.

SIGN UP FOR FREE TRIAL ACCESS TO PREMIUM MEMBERSHIP AREA OF THE FOOD DOC WEBSITE

For those of you following the progress of my website, I appreciate your patience as I work with the web developers to complete the outstanding web applications and add more content and features. For those who are interested, for another month, I am offering free membership to the premium area of the site to encourage people to try it out and provide me with feedback. There is no obligation to sign up. We will not disclose your information to any third parties nor do you have to provide any financial or billing information. It is my way of thanking those of you who have been reading my blog and have been patient as we roll out the site. There will continue to be plenty of free content and information available on the site but we are going to be offering a great deal more to those who become members. So, sign up for a free trial access and let me know what you think, what you would like to see added, and what you find helpful.

Copyright © 2007, The Food Doc, LLC, All Rights Reserved.
www.thefooddoc.com

Reference:
Rondonatti E et al. “Video capsule endoscopy in the diagnosis of celiac disease: A multicenter study. Am J Gastroenterol 2007;102:1624-1631.
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