Going Gluten Free

November 6, 2017


Someone might want to go gluten-free for several reasons, including medical conditions and personal health choices. Here’s a detailed look at why someone might adopt a gluten-free diet and how to effectively implement it:

Reasons for Going Gluten-Free

  1. Celiac Disease

    • Autoimmune Disorder: Eating gluten triggers an immune response that damages the small intestine.
    • Symptoms: Digestive issues, malnutrition, anemia, and osteoporosis.
    • Diagnosis: Confirmed through blood tests and an intestinal biopsy.
  2. Non-Celiac Gluten Sensitivity (NCGS)

    • Gluten Sensitivity: Symptoms similar to celiac disease without the same intestinal damage.
    • Symptoms: Bloating, diarrhea, fatigue, and headaches.
    • Diagnosis: No specific test; diagnosed by ruling out celiac disease and wheat allergy.
  3. Wheat Allergy

    • Allergic Reaction: Immune response to proteins in wheat, including but not limited to gluten.
    • Symptoms: Hives, difficulty breathing, and digestive issues.
    • Diagnosis: Confirmed through allergy testing.
  4. Dermatitis Herpetiformis

    • Skin Condition: Chronic skin condition related to celiac disease.
    • Symptoms: Itchy, blistering skin rash.
    • Diagnosis: Skin biopsy showing IgA deposits.
  5. Personal Health Choices

    • Perceived Health Benefits: Some people believe a gluten-free diet improves energy levels, digestion, and overall well-being.
    • Lifestyle Choice: Preference for a diet perceived as healthier or to follow a trend.

How to Go Gluten-Free

  1. Learn About Gluten

    • What It Is: Gluten is a protein found in wheat, barley, and rye.
    • Where It’s Found: Common in bread, pasta, cereals, baked goods, and many processed foods.
  2. Read Labels Carefully

    • Ingredients to Avoid: Wheat, barley, rye, malt, brewer’s yeast, and oats (unless labeled gluten-free).
    • Gluten-Free Certification: Look for products labeled gluten-free or carrying gluten-free certification.
  3. Choose Naturally Gluten-Free Foods

    • Fruits and Vegetables: All fresh fruits and vegetables.
    • Meat and Fish: Fresh, unprocessed meat, fish, and poultry.
    • Dairy: Most dairy products, though always check labels for additives.
    • Grains and Starches: Rice, corn, quinoa, potatoes, and gluten-free oats.
  4. Substitute Gluten-Containing Foods

    • Flours: Use gluten-free flours like almond, coconut, rice, or buckwheat flour.
    • Baking: Use gluten-free baking mixes or recipes.
    • Pasta and Bread: Choose gluten-free pasta and bread options available in stores.
  5. Avoid Cross-Contamination

    • Kitchen Practices: Use separate utensils, cutting boards, and toasters for gluten-free foods.
    • Dining Out: Inform restaurants of your dietary needs and ask about preparation methods.
  6. Cook at Home

    • Control Ingredients: Cooking at home allows you to control what goes into your food.
    • Recipes: Find and use gluten-free recipes to avoid accidental gluten consumption.
  7. Plan Your Meals

    • Meal Prep: Plan and prepare meals in advance to ensure they are gluten-free.
    • Snacks: Keep gluten-free snacks handy to avoid temptation when hungry.
  8. Educate Yourself and Others

    • Stay Informed: Keep up with the latest information on gluten-free diets and new gluten-free products.
    • Communication: Inform friends, family, and coworkers about your dietary needs to ensure support and understanding.

Summary

Going gluten-free is essential for managing conditions like celiac disease, non-celiac gluten sensitivity, and wheat allergy, and may be chosen for perceived health benefits. Implementing a gluten-free diet involves learning about gluten, reading labels, choosing naturally gluten-free foods, avoiding cross-contamination, cooking at home, planning meals, and educating yourself and others. By following these steps, you can effectively manage a gluten-free lifestyle and improve your health and well-being.

Find help with our nutrition coach.

About the author

Dr. Kelly has 25 years of expert medical experience caring for the sickest of the sick people in critical care (including ICU, Heart surgery, Heart & Lung transplant surgery, as well as cardiology). She is a clinical specialist who has taken care of and trained others to care for the critically ill/the elderly and developed many screening and preventative programs to help improve the health of the population. The reality is that most people just don't have to be that sick. or stay that sick. So, Dr. Kelly decided to change the focus of the care she provided: to prevent, reverse and restore the health of individuals.

Dr. Kelly

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