Table of Contents

	Acknowledgments	p. xvii
	Introduction	p. 1
	Wheat and the Problems It Can Cause	p. 5
	The Whole of Wheat	p. 7
	Challenging the Health Assumption	p. 7
	The History of Wheat	p. 11
	Wheat: A Staple in the American Diet	p. 14
	The Evolution of Health in the United States	p. 16
	Summary	p. 17
	A Look Inside Wheat: Gluten	p. 21
	Two Different Types of Gluten Intolerance	p. 22
	Gluten Allergies	p. 23
	Wheat Allergies and Intolerances	p. 24
	What Is Gluten?	p. 24
	What Is Gliadin?	p. 25
	Where Is Gluten?	p. 26
	About Oats	p. 30
	Summary	p. 31
	Reacting to Wheat: The Many Faces of Gluten Intolerance and Gluten-associated Diseases	p. 33
	It's Not Just a Digestive Problem	p. 35
	Problems Commonly Seen in Infants and Toddlers	p. 35
	Problems Commonly Seen in Adults and Older Children	p. 36
	The Complete List	p. 37
	Why So Many Problems?	p. 45
	Malabsorption	p. 45
	Inflammation	p. 47
	Other Specific Issues	p. 47
	Malignancies/Cancer	p. 47
	Eosinophils	p. 48
	Fertility	p. 48
	Autoimmune Disorders	p. 49
	Neurological Problems	p. 49
	Why Do Different People Get Different Symptoms?	p. 49
	Can Gluten Be Addictive?	p. 50
	Summary	p. 51
	Celiac Disease	p. 53
	Understanding and Testing for Celiac Disease	p. 55
	What Happens to the Body in Celiac Disease?	p. 55
	How Do Villi Get Damaged?	p. 56
	Other Names for Celiac Disease	p. 57
	Who Gets Celiac Disease?	p. 57
	What Are the Symptoms of Celiac Disease?	p. 58
	Testing for Celiac Disease	p. 59
	Positive Versus Negative Test Results	p. 59
	The Biopsy	p. 60
	What Can Go Wrong with the Biopsy	p. 62
	Other Potential Causes of a Positive Biopsy	p. 63
	The Tissue Transglutaminase Antibody Test	p. 64
	Endomysial Antibodies	p. 66
	Reticulin Antibodies	p. 68
	Gliadin Antibodies	p. 68
	Stool Testing for Antibodies	p. 68
	Salivary Testing for Antibodies	p. 69
	Genetic Testing	p. 69
	Confocal Laser Endomicroscopy	p. 70
	Camera in a Capsule	p. 71
	MRI, CT Scan, X-Ray, and Ultrasound	p. 71
	Colonoscopy	p. 71
	Fecal Fat	p. 71
	Intestinal Permeability	p. 72
	The Biopsy as the Gold Standard?	p. 72
	What Is the Treatment for Celiac Disease?	p. 74
	What Is the Long-Term Outcome for People with Celiac Disease?	p. 74
	Dermatitis Herpetiformis: Celiac Disease of the Skin?	p. 74
	Summary	p. 76
	Non-Celiac Gluten Intolerance and Wheat Allergies	p. 77
	The Untold Story: Understanding and Testing for Non-Celiac Forms of Gluten Intolerance	p. 79
	The Difference Between Celiac Disease and Other Forms of Gluten Intolerance	p. 80
	Is Celiac Disease Worse than Other Forms of Gluten Intolerance?	p. 81
	Is Celiac Disease the End Stage of Gluten Intolerance?	p. 83
	What Are the Symptoms of Non-Celiac Gluten Intolerance?	p. 84
	How Many People Have Non-Celiac Gluten Intolerance?	p. 85
	What Goes Wrong for These People When They See the Doctor?	p. 85
	Finding Out If You Have a Non-Celiac Gluten Intolerance	p. 87
	Elimination Diets	p. 87
	Blood Tests for Diagnosing Non-Celiac Gluten Intolerance	p. 89
	Food Antibodies as Markers for Health	p. 90
	Testing for Gliadin Antibodies	p. 91
	Testing for Antibodies Against Gluten-Containing Grains	p. 92
	Total IgA	p. 93
	Biopsy of the Small Intestine	p. 93
	Stool Testing for Antibodies	p. 93
	Salivary Testing for Antibodies	p. 94
	Skin Testing	p. 94
	Summary	p. 95
	Conventional Wheat and Gluten Allergies	p. 97
	Conventional Wheat Allergies and Non-Gluten Wheat Reactions	p. 97
	Non-Gluten Wheat Allergies and Intolerances	p. 99
	Summary	p. 101
	Testing Summary for All Forms of Gluten Intolerance and Wheat Allergies	p. 103
	Testing for Reactions to Wheat and Gluten	p. 105
	Who Should Be Tested?	p. 105
	Elimination Diets	p. 106
	Lab Tests	p. 109
	Infants, Children, and Gluten Intolerance	p. 113
	Infants	p. 113
	The Role of Breast-Feeding	p. 114
	Testing Infants	p. 116
	Children	p. 117
	Celiac Disease in Children	p. 118
	Testing Children for Non-Celiac Gluten Intolerance	p. 119
	Summary	p. 120
	Treating Gluten Intolerence	p. 121
	Treating Gluten Intolerance and Wheat/Gluten Allergies	p. 123
	Avoiding Gluten	p. 124
	Breads	p. 125
	Battered, Breaded, and Deep-Fried Foods	p. 125
	Pasta	p. 126
	Beer	p. 126
	Barley Malt	p. 126
	Flour and Gluten as an Additive	p. 126
	Soy Sauce	p. 127
	Deli Meats	p. 127
	Play-Doh	p. 127
	Medications and Supplements	p. 127
	Foods Deserving Special Consideration	p. 128
	Oats	p. 128
	Buckwheat	p. 128
	Caramel Coloring	p. 128
	Modified Food Starch	p. 129
	Corn Gluten	p. 129
	Blue Cheese	p. 129
	Vingar	p. 129
	Distilled Alcohol and Spirits	p. 130
	Processed Foods	p. 130
	Dining Out	p. 130
	Avoiding Wheat	p. 131
	Contamination of Gluten-Free Foods	p. 131
	How Much Gluten Is Too Much?	p. 133
	Coping with the Transition to a	p. 134
	Gluten-Free Diet	p. 134
	Withdrawal Symptoms	p. 134
	The Social Impact	p. 135
	Don't Stress Out	p. 136
	GIG's Stepwise Program	p. 137
	Attitude Is Everything!	p. 138
	The Gluten-Free Diet	p. 140
	What Is Left to Eat?	p. 140
	The Good News	p. 140
	But It's More Expensive to Eat Gluten Free!	p. 141
	Will I Outgrow It?	p. 142
	How Long Will It Take to Heal?	p. 143
	Current and Future Treatments	p. 143
	Zonulin	p. 144
	Vaccinations	p. 145
	Digestive Enzymes	p. 145
	Summary	p. 146
	Problems Common in Gluten Intolerance: Anemia, Iron Deficiency, Hypothyroidism, and Osteoporosis	p. 147
	Iron Deficiency, Anemia, and Fatigue	p. 148
	Iron Deficiency Anemia	p. 148
	Supplementing with Iron	p. 149
	Low-Quality Iron Versus High-Quality Iron	p. 150
	Vitamin B12 and Folic Acid Deficiency Anemias	p. 150
	Osteoporosis	p. 151
	Prevalence	p. 152
	Causes and Risk Factors	p. 152
	Prevention	p. 153
	Treatment	p. 154
	Vitamins and Minerals	p. 154
	The Importance of Vitamin D	p. 155
	Medications	p. 156
	Hypothyroidism	p. 157
	Thyroid Stimulating Hormone	p. 158
	Treating Hypothyroidism	p. 158
	Summary	p. 160
	The Elements of a Healthy Diet	p. 161
	Optimizing Good Health and the Healing Process	p. 161
	Dietary Supplements	p. 165
	High Potency Multivitamins	p. 165
	Potency	p. 166
	Quality	p. 166
	L-Glutamine and Fish Oil	p. 168
	L-Glutamine	p. 168
	Fish Oil	p. 169
	Summary	p. 170
	Avoiding Gluten but Not Getting Better	p. 171
	Age	p. 173
	Lactose Intolerance: Not Always What It Seems	p. 173
	The Relationship Between Lactose Intolerance and Gluten Intolerances	p. 174
	The Misconception About Lactose Intolerance	p. 174
	Other Food Allergies and Intolerances	p. 175
	Food Allergies Versus Food Intolerances	p. 178
	Allergies	p. 179
	Intolerances	p. 180
	Types of Allergic Reactions	p. 181
	IgE Reactions	p. 181
	IgG Reactions	p. 181
	IgA Reactions	p. 182
	Skin Testing Versus Blood Testing	p. 182
	The Ecosystem in the Digestive Tract	p. 184
	The Bugs Inside of You	p. 184
	Bacteria: The Good, the Bad, and the Ugly	p. 185
	Factors That Affect Bacterial Balance	p. 187
	Yeast, a.k.a. Candida	p. 187
	Parasites	p. 188
	Bacteria, Yeast, and Parasite Testing	p. 189
	Good Guys to the Rescue	p. 189
	Summary	p. 190
	Finding an Answer	p. 191
	Summary	p. 195
	Frequently Asked Questions About Gluten Intolerance, Celiac Disease, and Wheat Allergies	p. 197
	Information Resources	p. 201
	Gluten-Free Food Companies, Products, and Restaurants	p. 205
	Conditions Associated with Gluten Intolerance in Alphabetical Order	p. 209
	Conditions Potentially Caused by Food Allergies	p. 213
	Foods Included in the Standard Food Allergy Panel	p. 215
	Sample Results for Testing for Food Allergies and Intolerances	p. 218
	DNA Bacteria, Yeast, and Parasite Testing	p. 220
	Glossary	p. 221
	Bibliography	p. 225
	Index	p. 271
	About the Author	p. 275