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Celiakija 101 – Začetniški vodnik za zdravljenje

Celiakija ima veliko neizrečenih groznih resnic...

Eden od njih je ta:v povprečju traja 4 leta, da dobimo diagnozo celiakije, in raziskave pogosto kažejo, da več kot 2 leti pozneje večina bolnikov še vedno ni ozdravela in običajno trpijo, čeprav jedo strogo brezglutensko hrano. dieto. Ta članek je poskus, da to spremenite, da vam povrne moč in vam dejansko pomaga, da se vrnete k zdravemu življenju.

Ta vodnik je bil napisan za vas, bolnika z diagnosticirano celiakijo, da bi pojasnili, kaj se dogaja v vašem telesu, kaj to pomeni za vašo prihodnost in kako se lahko ozdravite od te bolezni.

Namenjen je zapolniti vrzeli, ki vam jih zdravnik verjetno ni povedal (in pozor ... toliko jih je, da je skoraj kaznivo).

To sem napisal zato, ker se je Jordan Reasoner, moj najboljši prijatelj, moral boriti 3 leta, da bi dobil diagnozo, in potem je prejel le majhen paket, ki mu je rekel, naj uživa brezglutensko dieto in bo vse v redu.

Ampak ni bil…

Dve leti po tem, ko je sledil dieti brez glutena s kultno strogostjo ... je bil še bližje smrti. Ni delovalo in zdravniki so dvignili roke in rekli:

»Očitno goljufaš pri dieti in ne moremo ti več pomagati.«

Na žalost je to zdaj norma v našem trenutnem zdravstvenem sistemu – premalo izobraženi in premalo opremljeni zdravniki, ki krivijo in napačno obveščajo paciente o tem, kaj je dejansko potrebno za ozdravitev celiakije in kaj tveganja te bolezni pomenijo za vaše življenje.

Toda ni nujno, da je tako.

Jordan je zdaj ozdravljen in srečen, od takrat pa smo pomagali na tisoče drugih žrtev celiakije, ki so šli skozi enak boj – in jim pomagali, da si opomorejo tako kot on.

Ampak še vedno sem jezen, zato pišem to ...

Moj cilj je pomagati vam, da se izognete nenehni bolečini – da razumete vaša zdravstvena tveganja – in se naučite, kako se vrniti v normalno zdravo življenje, če se odločite.

Opozorilo za spojler! Še eno grozljivo resnico, ki jo večina ljudi s celiakijo odkrije prepozno:dieta brez glutena sama po sebi ni dovolj za zdravljenje – več podrobnosti o tem kasneje.

Kako uporabljati ta izčrpen vodnik za celiakijo

Ta priročnik je vseobsegajoč, kar pomeni, da vam bo branje vzelo približno 15 minut. In ker ne vem, kako izobraženi ste, smo sestavili kazalo, tako da lahko preskočite na najpomembnejše dele:

Kaj je celiakija?
Znaki, simptomi in razširjenost
Nevarna tveganja nezdravljene celiakije
Celiakija proti intoleranci na gluten
Od občutljive na gluten do popolne celiakije
Poenostavitev toksičnosti glutena
Testiranje za celiakijo in intoleranco za gluten
4 Testi za celiakijo in intoleranco za gluten
Konvencionalno zdravljenje celiakije
3 Epski neuspehi konvencionalnega zdravljenja
Kako se razvije avtoimunska bolezen
4 koraki za zdravljenje vzrokov
Zaključek

Upam, da boste pustili komentar ali to delili z drugimi – upamo, da bomo s tem člankom rešili življenja mnogih.

Kaj je celiakija?

Celiakija je avtoimunska bolezen, ki povzroča poškodbe tankega črevesa, kar vodi do sistemskega vnetja, malabsorpcije hranil in številnih drugih pomembnih zdravstvenih težav. Avtoimunsko stanje je stanje, v katerem se vaš imunski sistem zmede in namesto da bi se boril proti tujim vsiljivcem, vas začne napadati.

Del tankega črevesa, ki je najbolj poškodovan, so običajno resice. To so majhne štrline, podobne preprogi, v tankem črevesu in so ključnega pomena za naše zdravje. Povečajo površino tankega črevesa, oddajajo prebavne encime in pomagajo zbirati in absorbirati hranila.

Med napredovanjem celiakije se resice iz vitalnih pramenov spremenijo v sploščene in zlomljene. To je slaba novica za naše zdravje.

Ker gre za avtoimunsko bolezen, to pomeni, da obstaja sprožilec ali okoljski razlog, ki povzroči vnetje, imunsko disregulacijo in posledično težave.

Domneva se, da je okoljski sprožilec celiakije le gluten, zato je tako poudarek na živilih brez glutena. Toda na žalost ta osredotočenost samo na gluten škoduje večini celiakij in po mojem mnenju nekatere od njih dejansko ubije. Več o tem kasneje.

Znaki, simptomi in razširjenost celiakije

Druga grozljiva resnica o celiakiji je, da čeprav se poškodba zgodi v črevesju, le 40 % otrok in 60 % odraslih poroča o kakršnih koli simptomih, povezanih s prebavo.

To je eden najbolj frustrirajočih delov celiakije – lahko povzroči težave po vsem telesu. To naj bi bil eden od razlogov, zakaj velika večina bolnikov s celiakijo (83 % – 97 %) ostane nediagnosticirana.

Večina ljudi ima več težav s spodnjega seznama – koliko jih imate vi?

Pogosti znaki in simptomi celiakije:

  • Driska
  • Plin
  • Napihnjenost in krči
  • Zaprtje
  • Bolečine v želodcu
  • Slabost in bruhanje
  • Anemija
  • Utrujenost
  • Bolečine v sklepih in kosteh (artritis)
  • Kožni izpuščaji
  • Glavoboli in migrene
  • Otrpele roke in noge
  • Depresija
  • Anksioznost
  • Afte
  • Nepojasnjena izguba ali pridobivanje teže
  • Podhranjenost
  • Možganska megla
  • ADHD
  • Refluks kisline (GERB)
  • Težave z zobmi in dlesnimi

Kar je res žalostno na tem seznamu, je število ljudi, ki trpijo. Raziskovalna študija iz leta 2012 ocenjuje, da ima približno 0,71 % Američanov celiakijo (skupaj 3 milijone), kar pomeni, če vi ali nekdo v vaši družini nima celiakije nekdo, za katerega poznate.

Večina strokovnjakov zdaj meni, da je ta številka bližje 1 %, kar je približno enaka razširjenost, ki jo najdemo po vsem svetu, vključno z Evropo in Italijo.

Tveganja za celiakijo se ne končajo le z zgornjim seznamom simptomov. Ne pozabite, da velik odstotek (do 60 %) ne zazna, da je bolan, kar je strašljivo, če pogledate, kako vas celiakija povzroča številnim drugim zdravstvenim težavam.

Nevarna tveganja nezdravljene celiakije

Pogosto pride do večjega zanikanja, ko vam diagnosticirajo resno bolezen, kot je celiakija. In to je povsem normalno, vendar vas želim spodbuditi, da ne čakate predolgo, da sprejmete resne ukrepe za ozdravitev.

Ker če ignorirate, zanikate ali ne preverite svojega napredka zdravljenja, boste najverjetneje končali med eno (ali več) od teh grozljivih statistik:

  • Druge avtoimunske bolezni: Pri celiakiji je 8+-krat večja verjetnost za razvoj druge avtoimunske bolezni.
  • Razvijanje osteoporoze :Celiakija je 17-krat pogostejša med populacijo z osteoporozo.
  • Težave z neplodnostjo :Celiakija je 2,86-krat pogostejša pri neplodnih ženskah.
  • Nevrološka stanja: Bolniki s CD so 2,58-krat bolj nagnjeni k nevrološkim motnjam.
  • Tveganje za raka: Bolniki s celiakijo imajo 2,44-krat večje tveganje za razvoj vseh vrst raka (in narašča, ko ste starejši), vendar je tveganje za raka na prebavilih veliko večje!
    • 30 % povečano tveganje za raka na prebavilih
    • 40-krat večje tveganje za ne-Hodgkinov limfom tankega črevesa
    • 77-krat večje tveganje za limfom
  • Smrtno tveganje: Tveganje umrljivosti bolnikov s celiakijo se izjemno hitro poveča, tudi če ste »asimptomatski« (kar pomeni, da tega ne čutite). Pri tistih s popolno atrofijo resic obstaja 2,88-krat večje tveganje smrti v prvem letu po diagnozi. Tisti z vnetjem črevesja, vendar ne s popolno atrofijo resic, pa so imeli 4,66-krat večje tveganje smrti v prvem letu.

Z drugimi besedami, če ste celiakija brez simptomov in vaši laboratoriji kažejo znake vnetja črevesja ... ste še vedno izpostavljeni znatnemu tveganju za zdravstvene zaplete in zgodnjo smrt.

Poglejte, ne poskušam vas prestrašiti, samo želim, da ste popolnoma obveščeni bolnik – pacient, ki lahko sprejme najboljše odločitve za svoje telo in življenje, ne tisti, katerega moč je v rokah zdravnika. (ki odkrito povedano nima časa in pozornosti, da bi imel takšno moč za začetek).

In vse se začne s soočenjem z (včasih brutalno) realnostjo življenja.

Ampak ne skrbite ... zgornjim scenarijem ni treba, da postanejo vaša resničnost ... Pravzaprav vam podajam korake, da se izognete pridružitvi tem statistikam (kot VEČINA celiakije) in se namesto tega pravilno zdravite.

Razlika med celiakijo in intoleranco za gluten

Ni tako, da ste se nekega dne pravkar zbudili in nenadoma »ujeli« celiakijo. Namesto tega ste postopoma postajali bolj bolni in količina škode v vašem telesu se je počasi povečevala ...

Kar je bistvena razlika med vami in tistimi, ki trpijo za intoleranco za gluten ali kar se imenuje tudi neceliakijska občutljivost na gluten (NCGS). Univerza v Marylandu trenutno poroča, da ima to stanje približno 18 milijonov Američanov (6 % prebivalstva ZDA).

Vendar je to najnižja ocena prizadetih ljudi ...

Dr. Alessio Fasano, direktor Centra za raziskave celiakije, je večkrat dejal,

»Vsi ljudje nimajo encimov, potrebnih za razgradnjo glutena.«

In zdaj prihajajo nove študije, ki predlagajo mehanizme za podporo tej izjavi, kar pomeni, da bi dejansko število ljudi s težavami, povezanimi z glutenom, lahko doseglo 100 milijonov. Omeniti velja, da samo zato, ker je izjemno težko prebavljiv, ne pomeni, da imajo vsi težave z glutenom.

Tisti z intoleranco za gluten lahko doživijo vse zgoraj navedene simptome za celiakijo, kot so driska ali zaprtje, koprivnica, možganska megla, napenjanje in glavoboli.

Tako kot celiakija je občutljivost na gluten stanje, pri katerem gluten aktivira imunski sistem, kar povzroči vnetje in črevesno prepustnost. Toda imunski sistem ne napada sluznice tankega črevesa, kot je to pri celiakiji.

Torej, glavna razlika med intoleranco za gluten in celiakijo je v načinu, kako se imunski sistem odziva na gluten in gliadin. Vendar naj bo jasno, v obeh primerih obstaja imunski odziv na pšenico.

Imunski odziv osebe NCGS ni usmerjen v človeško tkivo ... usmerjen je v okoljski sprožilec.

Vendar pa vodilni strokovnjaki za celiakijo, kot je dr. Tom O'Bryan, verjamejo, da celiakija ni kot stikalo za luči ... ne samo vklopi ali izklopi. Verjamejo, da imajo tudi tisti z NCGS nekatere imunske celice, ki napadajo človeško tkivo, vendar na prenizki ravni, da bi jo lahko zaznali naši trenutni medicinski testi.

In po mesecih ali letih tega »tihega« napada začne imunski odziv naraščati, dokler ga končno ne zaznajo naši trenutni laboratorijski testi.

Glede na to, če ne prenašate glutena, je nasvet tega članka prav tako pomemben za vas kot za osebo z diagnosticirano celiakijo.

Prehod od občutljive na gluten do popolne celiakije

Številni celiakiji dejansko ne dobijo diagnoze popolne celiakije šele pozneje v življenju (20., 30., 40., 50. in več) ... kar je fascinantno in običajno zmedeno, ko se vse to zgodi. Na tej točki se morda sprašujejo, ali so ves čas imeli intoleranco na gluten?

Raziščimo, kako se razvije celiakija in kakšno vlogo pri njej igra intoleranca na gluten – saj se spomnimo, da je razlika med obema predvsem v tem, kako neurejen je imunski sistem.

Imunski sistem ima dve glavni plati – prirojena in prilagodljiva. Vsak ima veliko vlogo pri ohranjanju našega zdravja.

Pri občutljivosti na gluten naj bi oba aktivno napadala gluten in druge molekule, ki pridejo v vaš krvni obtok zaradi puščajočega črevesja (več o tem kasneje).

Pri celiakiji se prilagodljiva stran pokvari in začne napadati vaše črevesne celice, misleč, da so tudi tuje molekule, ki jih je treba uničiti. To je avtoimunska komponenta bolezni.

Poenostavitev toksičnosti glutena

Tako pri občutljivosti na gluten kot pri celiakiji sta poškodba in nelagodje posledica glutena, izogibanje pa je ključnega pomena za zdravljenje. Težko pa se je izogniti nečemu, česar ne razumeš. Vedeti moramo, kaj točno gluten je in kako se mu lahko izognemo.

To verjetno že veste, vendar je gluten beljakovina, ki jo najdemo v ječmenu, rži in pšenici.

Tukaj verjetno ne veste :rastline nočejo jesti. Pravzaprav imajo zapleteno vrsto obrambnih mehanizmov, ki preprečujejo, da bi jih ljudje in druge živali pojedli.

Eden od teh obrambnih mehanizmov so strupene beljakovine, imenovane prolamini, ki jih vsebujejo skoraj vsa žita (brez glutena ali ne). In gluten vsebuje enega najbolj strupenih prolaminov – gliadin – in prav ta gliadin v glutenu povzroča škodo.

Gliadin celo vname črevesje zdravih posameznikov. Toda za tiste z občutljivostjo na gluten ali genetsko nagnjenostjo k celiakiji je škoda veliko hujša.

Ko oseba z genetsko nagnjenostjo k celiakiji poje bagel, skledo testenin ali karkoli drugega, kar vsebuje gluten, se škoda pojavi na več načinov:

  1. Vnetje črevesja – Človeško črevesje (in črevesje mnogih drugih živali) zelo težko razgradi beljakovine, kot je gliadin v glutenu. Imunski sistem dejansko napade delce, kar povzroči tudi poškodbe zdravega tkiva, kar poveča vnetje črevesja.
  2. Leaky Gut – Gliadin sproži zvišanje ravni zonulina, kar povzroči prepustnost črevesja. Zonulin je beljakovina "vratar" v človeškem črevesju, ki nadzoruje tesne stike črevesja (kjer hranila prehajajo iz črevesja v krvni obtok). Ko se ravni zonulina povečajo, se tesni stiki odprejo širše in omogočajo večjim molekulam gliadina, da preidejo v krvni obtok – in ustvarijo puščajoče črevesje.
  3. avtoimunska reakcija – Gliadin prodre skozi črevesno steno in se začne navzkrižno povezovati z encimom, imenovanim tkivna transglutaminaza (tTG). To je popravljalni encim, ki se sprošča za fiksiranje črevesnih celic (enterocitov), ​​ki so poškodovane pri zaužitju gliadina. To navzkrižno povezovanje sproži proizvodnjo protiteles, ki napadajo enterocite, kar povzroča stalno avtoimunsko uničenje.

Povečanje zonulina (in posledično širjenje tesnih stikov) vodi v razvoj puščajočega črevesja.

Omeniti velja, da dejansko obstaja vsaj 19 sprožilcev puščajočega črevesja – gluten je le eden izmed njih.

Brezplačna predstavitev Leaky Gut: Kliknite tukaj, če želite izvedeti 19 pogostih sprožilcev puščajočega črevesja in kako se jih ozdraviti.

Torej, skratka, prolamini so obrambne beljakovine, ki jih najdemo v rastlinah. Gluten je le ena od več vrst prolaminov in vsebuje specifično strupen del, imenovan gliadin. Na splošno velja, da so pšenica, rž in ječmen najhujši povzročitelji celiakije, ko pa se škoda začne, je lahko vsak prolamin – bodisi iz zrnja ali psevdozrna – problematičen.

Glede na to se pogovorimo o tem, kako dejansko potrditi, da imate celiakijo.

Testiranje za celiakijo in intoleranco za gluten

Okoli testiranja in diagnoze celiakije je veliko zmede in za dobro mero, zato v povprečju potrebuje celiakija 4 leta, da dobi pravilno diagnozo. Iskreno povedano, to je patetično in naravnost žalostno. Verjamem, da lahko pacienti pospešijo ta proces, če so o tej temi bolj izobraženi od svojih zdravnikov.

Tehnično se diagnoza celiakije določi na podlagi histološke demonstracije s podpornimi merili, kar pomeni, da ni enega "popolnega" testa za diagnosticiranje bolezni.

Dogaja se, da zdravniki iščejo določeno količino poškodbe tankega črevesa in to podkrepijo z rezultati testov, da potrdijo, da imate dejavnike tveganja za bolezen.

In more simple terms, that means when gluten intolerance crosses a small-intestine-damage threshold and autoimmune risk factors are confirmed via lab tests or autoimmune markers are actually observed on your lab work… then you officially have the diagnosis of Celiac disease.

4 Tests for Celiac Disease and Gluten Intolerance

Since there’s so much confusion around the testing here…

Let’s break the tests into 3 categories:

  1. Supportive
  2. Autoimmune
  3. Damage

1.) Supportive Tests – Typically, these are tests that that are the easiest and cheapest to run. They provide supporting evidence for risk of Celiac disease or Gluten sensitivity.

An example of a supportive test, would be getting a genetic test to check for Celiac disease genes. You can do a serum lab test or even 23andme.com testing to figure this out (meaning you don’t need to wait for your doctor to do this testing).

2.) Autoimmune Tests – These are tests used to check for and measure the level of immune system dysregulation going on in your body. There is a major drawback with these tests, though, you’ll need to have eaten gluten in the last 2-3 months to get an accurate result.

A blood test called a tTg-IgA test (Tissue Transglutaminase Test), which looks for antibodies in your blood towards gluten, is the oldest and cheapest test. However, this means there are some big drawbacks to it, including possibilities of false negatives and a positive result might mean you have something other than Celiac disease!

Bottom line for the tTg-IgA test: If you are positive or negative, it doesn’t mean you DO or DON’T have Celiac disease.

The most advanced blood test on the market, Cyrex Array 3, is the first one to check your immune reactivity to all parts of gluten, gliadin and other parts transglutaminase. This test, while still pretty new to the market, is the first of its kind to take a holistic approach in checking for wheat sensitivity. It’s currently the best option of the autoimmune tests.

3.) Damage Tests – These tests are the last step – they’re the most expensive and intrusive. However, at this time, in order to get an “official” Celiac diagnosis from a doctor, this test is the last piece of the puzzle.

It’s called an endoscopic biopsy (small intestine biopsy), and it’s where doctors actually go in and remove a part of your intestine and look at it under the microscope to check the damage. Hopefully, in the future, new testing will be developed that won’t be so invasive to the body.

In conclusion, the best approach for obtaining a proper diagnosis is to first get your genetics checked. Then, get a Cyrex Array 3. And if both are positive, get an endoscopic biopsy. If you get a positive test result from the endoscopy, it’s a big red flag you’ve had this condition for a long time and you’re likely going to need to take your healing process very seriously.

Feeling better after gluten removal isn’t enough to be diagnosed as Celiac, but it’s a really good sign that you’re AT LEAST gluten intolerant. And based on the several Cyrex Array 3 tests I’ve seen, you’d turn up plenty of positives there.

Conventional Celiac Disease Treatment

After you finally get your diagnosis, which will typically take you 4 years or longer, your conventional medical doctor will probably tell you this…

“Adopting a strict gluten-free diet is the only known treatment for those with gluten-related disorders.” – From the Celiac Disease Foundation

At first, just making this change seems so hard and sometimes impossible, especially giving up those treasured foods you may have grown up with. But the majority of Celiacs I’ve talked to finally make the change and begin to live the gluten-free lifestyle.

And they end up loving this new lifestyle because they feel so much better than before.

But most end up hitting a glass ceiling of healing. In other words, their really painful symptoms might decrease or mostly go away but they don’t get the energy, skin, hair, weight regulation and dependable brain and digestion they are really wanting.

And it’s NOT their fault or your fault.

You’re being told to follow a treatment that has abysmal results in actually healing Celiac disease.

I know, this is hard to believe but I’ll prove it with scientific studies in the next section.

3 Epic Failures of Conventional Celiac Treatment

After 2 years on the gluten-free diet, your chances of fully healing your intestines are between 8% and 34%.

2 years of effort for way worse than a coin’s flip chance at healing!

But it only gets worse…

The intestinal leakiness of Celiacs who’d been off gluten for 2 years was found to be 3x more leaky than controls .

WAIT! You might think, “What about those who get symptom-free on a gluten-free diet? Doesn’t that mean all is okay?”

No.

This study and this study looked at inflammation levels in “symptom-free” Celiacs and found significant amounts of inflammation, compared to control subjects.

And it gets even worse, 18 of 30 Celiacs who had been gluten free for 8-12 years, with biopsy-proven health, had poor vitamin status (malnourishment) .

In other words, the gluten-free diet can help you get symptom-free, even repair your villi (proven by biopsy), but it’s unlikely you’ll also repair leaky gut syndrome, reduce inflammation to normal amounts and replace lost nutrients from the malabsorption the disease causes.

It’s time to treat Celiac holistically and use strategies to address the known issues. Yes, you need to avoid the environmental trigger (gluten). But it’s clear that if that’s all you do… well, remember those scary associated conditions like brain, fertility and cancer?

…the Gluten free diet leaves you vulnerable to all of them.

How Autoimmune Disease Develops (and Why This Gives You Hope)

In 2011, Celiac researcher and doctor, Alessio Fasano released his groundbreaking paper, “Leaky Gut and Autoimmune Diseases.” Fasano proposed that this autoimmune attack could actually be stopped!

This is really good news… because, up until this point, it was assumed that once the autoimmune process starts, it’s just going to continue attacking your body for the rest of your life.

But Fasano’s latest research, conducted over several years, has shown that it is indeed possible to stop the attack on the body’s own tissues and usually repair the damage that has happened (if it’s not too beat up).

Fasano’s Theory of Autoimmunity Development Requires 3 Factors:

  1. A genetic predisposition to autoimmunity (for Celiac disease that’s the HLA DQ2/DQ8 genes)
  2. Exposure to an environmental trigger (for Celiac disease – gluten)
  3. Povečana prepustnost črevesja (tj. sindrom puščajočega črevesja)

According to Fasano, when all three of these factors are simultaneously present, autoimmunity develops. This means if you have Celiac or another autoimmune condition, you had to have a leaky gut at the time it started (and it’s likely you still might).

So, this theory finally explains how you could have the genetics for Celiac disease yet remained mostly healthy your whole life. And then BAM! You have a mid-life crisis at 46 that triggers leaky gut, you’re eating gluten and “all of a sudden”you have a full-blown autoimmune disease.

However, there is a silver lining to all of this!

If having a leaky gut is the final factor that allows autoimmune disease to develop, then autoimmune disease can be stopped and most people can heal the damage by fixing the intestinal permeability and removing the trigger (gluten).

This is a whole new way of thinking about Autoimmune disease – one that gives us the steps needed to actually heal the body, instead of becoming another untreated Celiac disease statistic.

It’s also why we now know that while removing gluten (the trigger) is the most important step… it’s not nearly enough to heal a leaky gut and stop the autoimmunity completely. There’s more work to be done before the process has been fully arrested.

Now can you see why the gluten-free diet as the “only treatment” for Celiac disease is just silly?

4 Steps for Root-Cause Healing of Celiac Disease

Here are the 4 steps you need to focus on to actually heal the destruction from Celiac disease. This plan actually takes into account all four of the problems shown in the research to be plaguing Celiac suffers.

This is the plan to heal a leaky gut and reverse the damage from years of untreated Celiac disease…

And it starts with removing gluten from your life. This is still a must!

Step 1 – Remove Gluten (from all food, products, etc.)

It’s time to throw away all the packaged or processed foods in your kitchen that don’t have a gluten-free label on them. There’s no reason to keep any old flour or foods, period. Don’t leave any room for temptation.

You also need to read the labels on any product you put on your skin – shampoo, moisturizer, lotion, chapstick, etc. Ideally, it’s best to think of your skin as a giant extension of your tongue and don’t put anything on it you wouldn’t eat! So, verify that all these products are gluten-free as well.

Next, take a close look at your kitchen hygiene. If there are gluten eaters in the house, you cannot use their non-stick pans (don’t use them, they are toxic), cutting boards, or kitchen utensils. It’s even best to avoid using the same counters. Yes, that is kind of dramatic feeling. But the truth is even trace amounts of gluten can harm you. And if you can’t be safe at home, where you are in control, where can you be?

When you do eat out, don’t be shy about letting your server know of the severity of your condition. To be fully prepared, it’s best to call ahead and verify they can guarantee no cross-contamination. If they can’t guarantee it, there’s a good chance that sooner or later they will serve you some gluten. Here’s a guide to help you eat out gluten-free.

Step 2 – Add Nutritious Foods

It’s clear, from the research, that you need more nutrients than most people and you need to do everything in your power to reduce inflammation.

And this means it’s time to add in some highly-nutritious foods to help replenish the nutrient depletions in your body and give it what it needs to heal. (It costs a lot of nutrients to heal!)

At the same time, these foods will be extremely anti-inflammatory.

It’s a double-whammy move to help you heal.

This means you’ll need to eat A LOT more meat and seafood. It means eating more vegetables, fruits, and naturally starchy foods (sweet potato, white potato, white rice, etc). It means eating more healthy fats, like avocado and coconut products.

And it means eliminating all grains and pseudograins (even “gluten-free” grains, like corn and oats). zakaj? Because these foods have their own “gluten-like” prolamins that wreak havoc in inflamed and damaged guts.

In order to make room for all these new unprocessed and delicious foods, you’ll be eating very little processed gluten-free foods, which will actually save you a bunch of money.

In our experience, the stricter you are to adhering to these rules, the faster you’re likely to heal and feel better.

Step 3 – Heal the Leaky Gut

While cutting out gluten is a pretty straightforward proposal, healing a leaky gut is more complex.

There are endless free tips online on how to heal your leaky gut (some of them are good but many are actually pretty bad), which is why we hired 3 researchers to look at the most current studies and help us figure out the best way to actually do it.

Then, we took these protocols and put them into practice and have seen nothing short of amazing results in 1000’s of people.

One of the first steps to heal a leaky gut is to avoid grains and pseudograins, the ones I told you about in the previous section. Eating the diet above is ideal for healing it.

Next up, you’ll want to try some proven gut-healing supplements, like L-Glutamine. It’s been shown to heal your intestinal mucosa and reduce leaky gut. Start at 2.5 g morning and evening and work up to 20 g morning and night, over two weeks. (Read our complete recommendations on L-Glutamine Do’s and Don’ts.)

With that said, there are 19 triggers of leaky gut and many other helpful supplements out there.

Step 4 – Improve Inflammatory Lifestyles

The last step is used to reduce your inflammation and heal your leaky gut. And it’s all about your lifestyle.

Many Celiacs are unknowingly choosing a lifestyle that creates disease. This includes doing things like going to the gym every day, training for and running marathons, CrossFitting 5 times a week, sleeping less than 7 hours a day, using caffeine after noon, and drinking excess alcohol each night.

Each of these behaviors creates more inflammation and contributes to leaky gut syndrome.

No, don’t freak out! I still want you to work out and exercise, just less strenuously until you’re in better health. I don’t believe that coffee is really bad, but it surely is after noon because it messes up sleep cycles. And I don’t think wine or alcohol is necessarily toxic, but drinking more than one day a week is definitely hurting your gut.

Look, you’re changing your diet, you’re healing your leaky gut, it’s time to take this seriously and that includes cutting out lifestyle habits that are harming you.

In Conclusion…

Okay, so if you made it this far, you’ll likely be better educated than your doctor on your disease (which is impressive).

Let’s review the important take-home points:

  1. Celiac disease is an autoimmune disease where the body attacks the lining of the small intestine
  2. Celiac disease and all other autoimmune diseases occur when 3 conditions are met
    1. Genetic predisposition
    2. Environmental trigger
    3. Leaky gut
  3. Gliadin (a protein in gluten) causes an increase in zonulin, which controls the widening of tight junctions in the gut, creating a leaky gut in those with Celiac who eat gluten
  4. If you don’t heal your digestive tract, your risk for most disease and early death rise dramatically
  5. The gluten-free diet alone isn’t enough to heal you
  6. There are four steps to treating Celiac disease based on the research
    1. Avoid gluten in food and in all products you put on your skin
    2. Eat a more nutritious diet to replace malabsorption caused by disease
    3. Heal your leaky gut
    4. Change your lifestyle to help you avoid leaky gut and inflammation

You are now armed with the basic information to really handle and overcome Celiac disease. I hope you share this with others you know who are affected. And let us know in the comments what your number one takeaway from this article is.

Steve

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