Dr. Green - Gluten Exposed - The Science Behind the Hype and How to Navigate to a Healthy, Symptom-free Life

4th Estate

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This 4th Estate paperback edition published in 2016

First published in the US by William Morrow,

An imprint of HarperCollins Publishers in 2016

First published in Great Britain by 4th Estate in 2016

Copyright © Peter H. R. Green, M.D., and Rory Jones, M.S. 2016

The right of Peter H. R. Green, M.D., and Rory Jones, M.S. to be identified as the authors of this work has been asserted by them in accordance with the Copyright, Design and Patents Act 1988

A catalogue record for this book is available from the British Library

Chapter 7appeared in a different form in Celiac Disease: A Hidden Epidemic (first ed.) by Peter H. R. Green, M.D., and Rory Jones, M.S. published by William Morrow, 2006.

Designed by Lucy Albanese

Illustrations by Thom Graves

Cover image © Shutterstock

This book contains advice and information relating to health care. It should be used to supplement rather than replace the advice of your doctor or another trained health professional. If you know or suspect you have a health problem, it is recommended that you seek your GP’s advice before embarking on any medical programme or treatment. This publisher and the author accept no liability for any medical outcomes that may occur as a result of applying the methods suggested in this book.

All rights reserved under International and Pan-American Copyright Conventions. By payment of the required fees, you have been granted the non-exclusive, non-transferable right to access and read the text of this e-book on-screen. No part of this text may be reproduced, transmitted, down-loaded, decompiled, reverse engineered, or stored in or introduced into any information storage and retrieval system, in any form or by any means, whether electronic or mechanical, now known or hereinafter invented, without the express written permission of HarperCollins.

Source ISBN: 9780008144067

Ebook Edition © June 2016 ISBN: 9780008144050

Version: 2016-10-20

Contents

Cover

Title Page

Copyright

A Note from the Authors

Introduction

PART I: DEFINING THE PROBLEM

Chapter 1: What Is Your Source of Medical Information?

Chapter 2: Does a Gluten-Free Diet Work for You?

Chapter 3: Picky Eaters—Orthorexia and the Hygiene Hypothesis

Chapter 4: Pitfalls and Perils of a Gluten-Free Diet

Chapter 5: Supplements and Probiotics

Chapter 6: A Word on Testing—What Do Antibodies Tell Us?

PART II: WHAT IS GOING ON IN THE GUT

Chapter 7: The Normal Gut and Digestion

Chapter 8: The Gut in Disease

Chapter 9: The Microbiome

Chapter 10: The “Second Brain” in the Gut

PART III: THE FINGERS ON THE TRIGGER

Chapter 11: Gluten and Nongluten Grains

Chapter 12: Carbohydrates and FODMAPs

Chapter 13: Drugs

Chapter 14: The Double Hit Theory

Chapter 15: Inflammation

Chapter 16: Intestinal Permeability—“Leaky Gut”

PART IV: PUTTING ORDER IN THE DISORDERS

Chapter 17: Celiac Disease

Chapter 18: Gluten Sensitivity—the New Kid on the Block

Chapter 19: Irritable Bowel Syndrome

Chapter 20: Inflammatory Bowel Disease

Chapter 21: Eosinophilic Esophagitis

Chapter 22: Neuropathy

Chapter 23: Diabetes

Chapter 24: Wheat and Other Food Allergies

Chapter 25: Fibromyalgia and Chronic Fatigue Syndrome

PART V: THE BRAIN-GUT-GLUTEN CONNECTION

Chapter 26: Autism Spectrum Disorders and ADHD

Chapter 27: Schizophrenia—Revisiting “Bread Madness”

Chapter 28: Brain Fog—Neurology or Meteorology?

Chapter 29: The Stress of Holding Back

PART VI: NAVIGATING A GLUTEN-FREE LIFE

Chapter 30: Nondietary Therapies—the Drug Pipeline

Chapter 31: Eating Healthy

Chapter 32: Myths and Misconceptions

Chapter 33: Food for Thought

APPENDIX A: Diets Through the Ages

APPENDIX B: Resources

APPENDIX C: Arsenic and Mercury Guidelines

APPENDIX D: Guidelines for Eating Gluten-Free

APPENDIX E: Scientific Articles and Studies

Footnotes

Glossary

Index

Acknowledgments

About the Authors

Also by Dr. Peter H. R. Green and Rory Jones

About the Publisher

All the information in this book is based on current scientific knowledge about the effect on the body of gluten and the many foods, drugs, and supplements that we ingest. It is derived from an in-depth analysis of current medical literature, extensive clinical experience, patient and professional interviews, as well as ongoing research into the various manifestations and conditions ascribed to gluten-related disorders.

Other medical experts may have differing opinions and interpretations of the medical literature. Wherever pertinent, the authors have attempted to note conflicting points of view on key issues as well as topics that have not as yet been scientifically resolved.

Many of the peer-reviewed articles we have consulted may not be readily accessible to all readers. For this reason, we have not included footnotes for all medical facts and figures. Instead, we have listed good basic review articles and books for different subjects in the appendices.

All references to the “Center” refer to the Celiac Disease Center at Columbia University.

NOTE: This book is not a self-diagnosis manual. It is intended to generate informed patients who know what questions to ask of their physicians and how to understand the answers.

The fewer the facts, the stronger the opinion.

—ARNOLD H. GLASOW

Simple solutions are always appealing. In the last few years, gluten has become the ultimate villain—the Wicked Witch, Darth Vader, the Joker, and Hannibal Lecter rolled into one devouring multisystem ravager. It is blamed for draining our brain, blowing up our bellies, invading our nervous system, and setting fire to our guts. A recent bestselling book claimed that: “Brain disease can be largely prevented by the choices you make in life …” If only it were that simple.

Almost a third of all American and UK consumers are trying to avoid gluten. By any reckoning, a significant portion of the buying public is focused on the gluten in our food supply and on their plates.

Gluten is implicated in everything from heart disease, neuralgia, sore muscles, exhaustion, “brain fog,” headaches, autism, diabetes, arthritis, curious rashes, schizophrenia, dementia, weight loss, fibromyalgia, and irritable bowel syndrome to plain “it makes me feel sick-”itis. Yet most of these claims do not hold up.

In fact, it has become increasingly hard to swallow the story line written by the media as well as friends, family members, and various alternative health care professionals. The menu at this feast of confusion includes wheat and the different proteins within it, genes, germs, fungi, antibiotics, herbicides, enzymes, supplements, and anything else that travels through the intestinal tract. It is a multicourse, multisystem, increasingly nonscientific boiling pot.