So
you have decided to do a gluten-free trial, to find out if the myriad of
symptoms you experience are related to gluten. Perhaps
you already know from testing, a previous gluten free trial, or because
you have a close relative with gluten sensitivity or Celiac, that you must become gluten free for your health. Whatever
the case, I hope this guide will be helpful for you. This is not an easy undertaking,
and if you are willing to give up a few of the foods you love (and most likely
are addicted to) then you must also be willing to eliminate all hidden gluten
in your entire home. You are going to do a lot of label reading! Before you begin, if you have not been to your doctor and had lab work drawn, you may want to consider that in order to be tested for gluten sensitivity or Celiac Disease, you must be consuming gluten! Testing done while gluten free will certainly be pointless. Read what I had to go through, after a year of improved health, by not getting my testing done first, in my journal Backwards Into Gluten. I don't recommend that course of action for anyone! It is better to do your testing first if you suspect you are gluten sensitive or celiac.
The
gluten-containing grains most associated with gluten sensitivity and Celiac Disease
are wheat (e.g., durum, graham, semolina, kamut, triticale, and spelt) as well as
rye, barley, and most oats. Although oats technically are not part of the most
problematic gliadin-containing family of grains, modern methods of processing
nearly always ensure gluten contamination of oat products, and the presence of
actual gluten should always be assumed unless a product is labeled “100 percent
gluten-free.” The prolamin (avenin) content of oats, however, still makes them at
least potentially suspect for inherent cross-reactivity issues, even where they
may be sold as gluten-free products. The very same can be said for many products
containing corn and cornstarch. Buckwheat and soy flours are almost always
contaminated with gluten due to processing and storage methods. The good news is
that the devastating symptoms of gluten sensitivity and celiac disease can
often be entirely eliminated. You must eliminate 100 percent—not just most—of
the gluten from your diet, and that means not just gluten-containing dietary
grains, but all hidden sources as well, which can include (but are not limited
to) commercial soups, broths, processed food mixes, soy sauce, teriyaki and
other sauces, corn products and cornstarch, and salad dressings. Gluten can be
listed as vegetable protein, seitan, hydrolyzed vegetable protein, modified
food starch, and other names. Gluten is additionally hidden on food labels as other
food starches, artificial food coloring, food stabilizers, malt extract (syrup
or flavoring), dextrins, and food emulsifiers. Sprouted grain breads or supplements containing wheat or barley grass may sound
like healthy gluten-free solutions, but still contain the seed hull (gluten)
of wheat, rye, and/or barley and should be avoided. If you want the benefit of wheat grass, you cannot trust any manufacturer and you must grow it yourself, and be careful to snip only the grass, making sure no seed hull (gluten) clings to the grass.
Gluten
is even an ingredient in many shampoos, cosmetics, and lipsticks (which can potentially
be absorbed through your skin) and other personal care products, children’s Play-Doh,
medications, vitamins (unless specifically labeled “gluten free”), and even
non–self-adhesive stamps and envelopes. Although I realize all this need for
ultrastrict avoidance sounds rather tedious and inconvenient, an article in the
Journal of Neurology, Neurosurgery and Psychiatry stated
clearly,“ Even minute traces of gliadin (gluten) are capable of triggering a
state of heightened immunological activity in gluten sensitive people,” meaning
prolonged inflammation and other symptoms. Saying you’ve
eliminated “most” of the gluten from your diet because you are gluten sensitive
is a bit like saying you’re just “a little bit pregnant.” Either you are or you’re
not. There are no in-betweens. Avoidance must be strict and total. You need to examine your shampoos,
conditioners, and other hair care and skin-care products for the presence of
wheat protein, sometimes listed as hydrolyzed vegetable protein. Note that the U.S. Food and Drug Administration
(FDA) does nothing to ensure the safety of any chemical used in personal-care
products, so you’re left to trust the manufacturer. Even the FDA regulation (21
CFR Sec. 740.10) states, “Cosmetic products and ingredients are not subject to
FDA premarket approval authority, with the exception of color additives.… Cosmetic
firms are responsible for substantiating the safety of their products and ingredients
before marketing.” In 1978, congressional hearings presented evidence that the
absorption of a known carcinogen, nitrosodiethanolamine (NDELA)—commonly found in
shampoo products—was shown to be more than one hundred times greater when
exposure came through the skin than through the mouth.
Of
the roughly 126 chemicals consumers regularly apply to their skin, 90 percent
have never, ever been tested for their safety. Most people think nothing of the
products they apply to their hair or skin, and the cosmetics industry readily
capitalizes on this ignorance at tremendous potential cost to your health for
considerable profit. Why is this important? I mean, we’re just talking about
skin, right? It’s not like you’re drinking the stuff In fact, it’s probably
worse. Keep in mind that your skin is your largest organ and that it is
exceedingly thin (less than one-tenth of an inch in thickness) and permeable.
If you were to eat or drink these products, you’d have several things come into
play to help protect you from direct bloodstream exposure, such as your gut
lining, hydrochloric acid, and enzymes. In a hot shower, however, with your
pores open wide, there is very little between you and the direct absorption of
anything you are applying to your scalp and skin right into your bloodstream,
where it is all free to travel throughout your body to your brain and all your
other organs. The concern here may seem trivial to some but it is very real.
When you’re reading a hair- or skin-care label, it’s a good idea to ask
yourself whether you would be willing to actually drink the contents of that
product. If you are reading a list that includes a whole lot of difficult to-pronounce
chemicals or are seeing wheat protein or vegetable protein on the label, you’d
do well to think twice about using that product. And don’t let buzzwords like organic
and natural fool you! It's a ploy and a complete lie usually.
Here is a list of ingredients that contain gluten in common beauty products. Avoid these in cosmetics, shampoos, lotions and soaps:
• BARLEY EXTRACT
• SAMINO PEPTIDE COMPLEX
• HORDEUM VULGARE (BARLEY) EXTRACT
• PHYTOSPHINGOSINE EXTRACT
• BARLEY LIPIDS
• FERMENTED GRAIN EXTRACT
• AMP–ISOSTEAROYL HYDROLYZED WHEAT PROTEIN
• HYDROLYZED WHEAT GLUTEN
• HYDROLYZED WHEAT STARCH
• HYDROLYZED WHEAT PROTEIN PG–PROPYL SILANETRIOL
• WHEAT AMINO ACIDS HYDROXYPROPYLTRIMONIUM WHEAT
PROTEIN
• WHEAT AMINO ACIDS
• STEARDIMONIUM HYDROXYPROPYL HYDROLYZED WHEAT
PROTEIN
• HYDROLYZED WHEAT PROTEIN
• HYDROLYZED WHEAT PROTEIN/PVP CROSSPOLYMER
• HYDROLYZED WHEAT PROTEIN (and) HYDROLYZED WHEAT
STARCH
• TRITICUM VULGARE (WHEAT) GLUTEN EXTRACT/WATER
• WHEAT (TRITICUM VULGARE) BRAN EXTRACT
• HYDROLYZED WHEAT PROTEIN PG–PROPYL SILANETRIOL
• TRITICUM VULGARE (WHEAT) FLOUR LIPIDS
• WHEAT GERMAMIDOPROPYLDIMONIUM HYDROXYPROPYL
• WHEAT GERM EXTRACT
Here is a list of ingredients that may or may not contain gluten in common non–food products:
• WHEAT GERM OIL
• WHEAT GERM GLYCERIDES
• DISODIUM WHEAT GERMAMIDO PEG–2 SULFOSUCCINAT
• VITAMIN E DERIVED FROM WHEAT GERM OIL
• TRITICUM VULGARE (WHEAT) GERM OIL
• TRITICUM VULGARE (WHEAT) GERM EXTRACT
• WHEAT GERM GLYCERIDES
• WHEAT GERM EXTRACT
Here is a list of ingredients that is most likely cross contaminated with gluten in common non–food products
• OAT
• OAT (AVENA SATIVA) FLOUR
• OAT (AVENA SATIVA) BRAN EXTRACT
• OAT (AVENA SATIVA) BRAN
• OAT (AVENA SATIVA) PROTEIN
Finally, these ingredients in food and non-food items commonly cause a reaction to people with gluten sensitivities:
• MILLET
• QUINOA
Dr. Joseph Mercola, on his excellent health website (www.mercola.com),
has additive- free shampoos and conditioners available. Another source for
allergen-free hair- and skin-care products is Gluten-Free Savonnerie
(www.gfsoap.com). Just do a If you happen to have a smart phone, there are also numerous
“gluten-free” apps available to help you screen individual products,
restaurants, grocery stores, and other shopping sources at your fingertips. The
good news is that the awareness of these issues is rapidly spreading and
resources are likely to grow exponentially in the very near time to come.
Many
people will claim they have been adhering to a strict gluten-free diet when, in
fact, they have been avoiding only the obvious sources and really haven’t been
paying enough attention to potentially hidden sources, including their
personal-care products. They will eventually rationalize their lack of positive
health results to the idea that they weren’t gluten sensitive after all, and
they will simply go back to eating whatever they want. This is a huge mistake!
I have worked with clients who were gluten sensitive and were unable to make
substantial progress until they addressed the issue of gluten in their
personal-care products. Even when adherence to a genuinely gluten-free diet
doesn’t seem to generate the expected turnaround in health and well-being, you
have at least removed one very major hurdle to improvement. There can always be
other hurdles yet to conquer. Gluten in personal-care products, medications, and
even stamps and envelopes (the kind you have to lick) can be a problem.
Cross-reactivity to other substances is another important possibility to
consider when going gluten-free does not yield the expected improvements. Cyrex Labs has a testing array that can screen for this. Gluten is, however, not the
only modern substance challenging the health of the masses. Restoring health
can be like peeling back the layers of an onion. It is a process. Often enough,
by simply removing this one major dietary antigen, the turnaround in some
people can seem nothing short of miraculous. It can also make a massive
difference where seemingly more benign issues like resistance to weight loss
are concerned.
My
take on gluten-free substitutes
Seeking
out gluten-free substitutes is certainly an option, as there are scores of gluten-free products of all kinds available today. It’s big business for food manufacturers
these days. Clearly, gluten-free shampoos and cosmetics are
a good and necessary idea. Unfortunately, even though other grains, such as
quinoa, corn, millet, and rice, as well as buckwheat and soy, do not
technically contain
gluten, gluten contamination in many of these foods and cross-reactivity is extremely common. They are also more a source of starch than of protein,
regardless, and the majority of gluten-free substitutes are highly, highly processed
foods. Just because something is
gluten-free does not mean it is actually healthy for you, anymore than something
being vegan does. Beware of the plethora of junk food masquerading as a
“healthy gluten-free option” or “substitute.” Gluten intolerance and carbohydrate intolerance, in general, are far more the rule than the exception in today’s
world. It is logical to conclude that grain consumption of any kind, especially
gluten-containing grains, just isn’t worth the dietary risk, given our
culture’s innumerable health challenges and vulnerabilities. Why add to the
unnecessary sugary, fattening, neurotransmitter and hormone-wrecking
carbohydrate load? In my view, it’s better to take processed food off the radar
screen entirely, and to stick to the foods that don’t need a label you have to
read every time. Truthfully, it’s far less complicated and confusing to do so. In
short, there is no one alive for whom grains of any type are essential for health,
and gluten, in particular, is a health food for no one.
References
Corrao. G., et al. August 2001. “Mortality in Patients with Coeliac
Disease and Their Relatives: A Cohort Study.” Lancet 358, no. 9279:
356–61.
Duerksen, D. R., et al. 2010. “A Comparison of Antibody
Testing, Permeability Testing, and Zonulin Levels with Small-Bowel Biopsy in
Celiac Disease Patients on a Gluten-Free Diet.” Digestive Diseases and
Sciences 55: 1026–31.
Farrell,
R. J., and C. P. Kelly. January 17, 2002. “Current Concepts: Celiac Sprue.” New
England Journal of Medicine 346, no. 3: 180–88.
Fasano,
A., et al. 2003. “Prevalence of Celiac Disease in At-Risk and Not-At-Risk
Groups in the United States: A Large Multicenter Study.” Archives of
Internal Medicine 163: 286–92.
Fasano,
A. 2003. “Celiac Disease—How to Handle a Clinical Chameleon.” New England
Journal of Medicine 348: 2568–70.
Fasano,
A., and C. Catassi. February 2001. “Current Approaches to Diagnosis and
Treatment of Celiac Disease: An Evolving Spectrum.” Gastroenterology 120, no. 3: 636–51.
http://www.ewg.org/skindeep
www.Cyrex Labs
www.Mercola.com
www.celiac.org
