Table of Contents
   Acknowledgmentsp. xvii
   Introductionp. 1
   Wheat and the Problems It Can Causep. 5
      The Whole of Wheatp. 7
         Challenging the Health Assumptionp. 7
         The History of Wheatp. 11
         Wheat: A Staple in the American Dietp. 14
         The Evolution of Health in the United Statesp. 16
         Summaryp. 17
      A Look Inside Wheat: Glutenp. 21
         Two Different Types of Gluten Intolerancep. 22
         Gluten Allergiesp. 23
         Wheat Allergies and Intolerancesp. 24
         What Is Gluten?p. 24
         What Is Gliadin?p. 25
         Where Is Gluten?p. 26
         About Oatsp. 30
         Summaryp. 31
      Reacting to Wheat: The Many Faces of Gluten Intolerance and Gluten-associated Diseasesp. 33
         It's Not Just a Digestive Problemp. 35
            Problems Commonly Seen in Infants and Toddlersp. 35
            Problems Commonly Seen in Adults and Older Childrenp. 36
            The Complete Listp. 37
         Why So Many Problems?p. 45
            Malabsorptionp. 45
            Inflammationp. 47
            Other Specific Issuesp. 47
               Malignancies/Cancerp. 47
               Eosinophilsp. 48
               Fertilityp. 48
               Autoimmune Disordersp. 49
               Neurological Problemsp. 49
         Why Do Different People Get Different Symptoms?p. 49
         Can Gluten Be Addictive?p. 50
         Summaryp. 51
   Celiac Diseasep. 53
      Understanding and Testing for Celiac Diseasep. 55
         What Happens to the Body in Celiac Disease?p. 55
         How Do Villi Get Damaged?p. 56
         Other Names for Celiac Diseasep. 57
         Who Gets Celiac Disease?p. 57
         What Are the Symptoms of Celiac Disease?p. 58
         Testing for Celiac Diseasep. 59
            Positive Versus Negative Test Resultsp. 59
            The Biopsyp. 60
               What Can Go Wrong with the Biopsyp. 62
               Other Potential Causes of a Positive Biopsyp. 63
            The Tissue Transglutaminase Antibody Testp. 64
            Endomysial Antibodiesp. 66
            Reticulin Antibodiesp. 68
            Gliadin Antibodiesp. 68
            Stool Testing for Antibodiesp. 68
            Salivary Testing for Antibodiesp. 69
            Genetic Testingp. 69
            Confocal Laser Endomicroscopyp. 70
            Camera in a Capsulep. 71
            MRI, CT Scan, X-Ray, and Ultrasoundp. 71
            Colonoscopyp. 71
            Fecal Fatp. 71
            Intestinal Permeabilityp. 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
         Summaryp. 76
   Non-Celiac Gluten Intolerance and Wheat Allergiesp. 77
      The Untold Story: Understanding and Testing for Non-Celiac Forms of Gluten Intolerancep. 79
         The Difference Between Celiac Disease and Other Forms of Gluten Intolerancep. 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 Intolerancep. 87
            Elimination Dietsp. 87
            Blood Tests for Diagnosing Non-Celiac Gluten Intolerancep. 89
               Food Antibodies as Markers for Healthp. 90
               Testing for Gliadin Antibodiesp. 91
               Testing for Antibodies Against Gluten-Containing Grainsp. 92
               Total IgAp. 93
            Biopsy of the Small Intestinep. 93
            Stool Testing for Antibodiesp. 93
            Salivary Testing for Antibodiesp. 94
            Skin Testingp. 94
         Summaryp. 95
         Conventional Wheat and Gluten Allergiesp. 97
      Conventional Wheat Allergies and Non-Gluten Wheat Reactionsp. 97
         Non-Gluten Wheat Allergies and Intolerancesp. 99
         Summaryp. 101
   Testing Summary for All Forms of Gluten Intolerance and Wheat Allergiesp. 103
      Testing for Reactions to Wheat and Glutenp. 105
         Who Should Be Tested?p. 105
         Elimination Dietsp. 106
         Lab Testsp. 109
      Infants, Children, and Gluten Intolerancep. 113
         Infantsp. 113
            The Role of Breast-Feedingp. 114
            Testing Infantsp. 116
         Childrenp. 117
            Celiac Disease in Childrenp. 118
            Testing Children for Non-Celiac Gluten Intolerancep. 119
         Summaryp. 120
   Treating Gluten Intolerencep. 121
      Treating Gluten Intolerance and Wheat/Gluten Allergiesp. 123
         Avoiding Glutenp. 124
            Breadsp. 125
            Battered, Breaded, and Deep-Fried Foodsp. 125
            Pastap. 126
            Beerp. 126
            Barley Maltp. 126
            Flour and Gluten as an Additivep. 126
            Soy Saucep. 127
            Deli Meatsp. 127
            Play-Dohp. 127
            Medications and Supplementsp. 127
         Foods Deserving Special Considerationp. 128
            Oatsp. 128
            Buckwheatp. 128
            Caramel Coloringp. 128
            Modified Food Starchp. 129
            Corn Glutenp. 129
            Blue Cheesep. 129
            Vingarp. 129
            Distilled Alcohol and Spiritsp. 130
            Processed Foodsp. 130
         Dining Outp. 130
         Avoiding Wheatp. 131
         Contamination of Gluten-Free Foodsp. 131
         How Much Gluten Is Too Much?p. 133
         Coping with the Transition to ap. 134
         Gluten-Free Dietp. 134
            Withdrawal Symptomsp. 134
            The Social Impactp. 135
            Don't Stress Outp. 136
            GIG's Stepwise Programp. 137
            Attitude Is Everything!p. 138
         The Gluten-Free Dietp. 140
            What Is Left to Eat?p. 140
            The Good Newsp. 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 Treatmentsp. 143
            Zonulinp. 144
            Vaccinationsp. 145
            Digestive Enzymesp. 145
         Summaryp. 146
      Problems Common in Gluten Intolerance: Anemia, Iron Deficiency, Hypothyroidism, and Osteoporosisp. 147
         Iron Deficiency, Anemia, and Fatiguep. 148
            Iron Deficiency Anemiap. 148
               Supplementing with Ironp. 149
               Low-Quality Iron Versus High-Quality Ironp. 150
            Vitamin B12 and Folic Acid Deficiency Anemiasp. 150
         Osteoporosisp. 151
            Prevalencep. 152
            Causes and Risk Factorsp. 152
            Preventionp. 153
            Treatmentp. 154
               Vitamins and Mineralsp. 154
               The Importance of Vitamin Dp. 155
               Medicationsp. 156
         Hypothyroidismp. 157
            Thyroid Stimulating Hormonep. 158
            Treating Hypothyroidismp. 158
         Summaryp. 160
         The Elements of a Healthy Dietp. 161
      Optimizing Good Health and the Healing Processp. 161
         Dietary Supplementsp. 165
            High Potency Multivitaminsp. 165
               Potencyp. 166
               Qualityp. 166
            L-Glutamine and Fish Oilp. 168
               L-Glutaminep. 168
               Fish Oilp. 169
         Summaryp. 170
      Avoiding Gluten but Not Getting Betterp. 171
         Agep. 173
         Lactose Intolerance: Not Always What It Seemsp. 173
            The Relationship Between Lactose Intolerance and Gluten Intolerancesp. 174
            The Misconception About Lactose Intolerancep. 174
         Other Food Allergies and Intolerancesp. 175
         Food Allergies Versus Food Intolerancesp. 178
            Allergiesp. 179
            Intolerancesp. 180
         Types of Allergic Reactionsp. 181
            IgE Reactionsp. 181
            IgG Reactionsp. 181
            IgA Reactionsp. 182
         Skin Testing Versus Blood Testingp. 182
         The Ecosystem in the Digestive Tractp. 184
            The Bugs Inside of Youp. 184
               Bacteria: The Good, the Bad, and the Uglyp. 185
               Factors That Affect Bacterial Balancep. 187
               Yeast, a.k.a. Candidap. 187
               Parasitesp. 188
               Bacteria, Yeast, and Parasite Testingp. 189
               Good Guys to the Rescuep. 189
         Summaryp. 190
      Finding an Answerp. 191
         Summaryp. 195
   Frequently Asked Questions About Gluten Intolerance, Celiac Disease, and Wheat Allergiesp. 197
   Information Resourcesp. 201
   Gluten-Free Food Companies, Products, and Restaurantsp. 205
   Conditions Associated with Gluten Intolerance in Alphabetical Orderp. 209
   Conditions Potentially Caused by Food Allergiesp. 213
   Foods Included in the Standard Food Allergy Panelp. 215
   Sample Results for Testing for Food Allergies and Intolerancesp. 218
   DNA Bacteria, Yeast, and Parasite Testingp. 220
   Glossaryp. 221
   Bibliographyp. 225
   Indexp. 271
   About the Authorp. 275