Thursday, October 30, 2014

Celiac Disease: Prevalence and Prevention


By Dr. Deedra Mason

It is understood that true Celiac disease affects less than one percent of the population.  At the same time, as many as 85 percent of patients with three or more symptoms indicative of Celiac risk go undiagnosed, and data shows as much as 35 percent of the general population is at increased risk for Celiac Disease.
The intestines contain billions of microorganisms and cells operating in balance to provide the body with a filter that is essential to life. Through this filter much-needed nutrients and water are absorbed.  When the integrity of this system is compromised, however, unhealthy bacteria, toxins, chemicals, and wastes which were meant to be eliminated are absorbed instead, leading to numerous health concerns.
This disorder is commonly referred to as Hyper Intestinal Permeability, where the functional barrier between absorption and exclusion is compromised, or has become ineffective.   When an individual’s digestive system fails to exclude those compounds that should be eliminated, there is increased potential for GI disorders such as gluten sensitivity, IBS, IBD and even Celiac Disease.
These disorders can all involve a rapid increase in white blood cell mobilization and activity, creating a potential “perfect storm” for autoimmune disorders.  This is because our intestinal tract is a major regulator of immune function—in fact, it’s been said that this is where a healthy immune system begins.  A compromise in its integrity can result in much more than an upset stomach.
To provide just one example, gluten sensitivity is now a major player in the arena of autoimmune disorders, neuroendocrine dysfunction and quality of life complaints. This immune cascade finally leads to the complete rejection by the body of gluten, and for many, tissue destruction and immune deregulation.
Initially, these symptoms may not identify themselves as immune in origin, first presenting itself in the form of decreased energy levels, loss of mental focus, mood swings or weight gain.  Over time, other symptoms, such as exaggerated joint discomfort or the inability to fight off a cold or flu begin to manifest. If nothing is done to correct the imbalance, there is the potential to develop a disorder like rheumatoid arthritis, hypothyroidism, or even Lupus.
What can be done on a daily basis to reduce this risk, and assist the immune system in staying balanced? Consider the following six steps:
1      Complete a diet diary.  Evaluate your own personal consumption of gluten.  Gluten is found in :  barley, wheat, and rye, and strict avoidance even includes oats.
2      Add a probiotic daily.  Normal intestinal flora functions to assist the digestion of carbohydrates, enhance natural immunity by producing natural antibiotics, assist the deconjugation of bile, synthesize B vitamins and enzymes, produce organic acids which help to regulate intestinal pH and serve to inhibit the growth of less beneficial and potentially pathogenic microorganisms in the intestines.
3      Don’t think about what you are going to take away from the diet; instead consider what you are going to add—fiber is a great start.  If you are limited on your fresh farm season, or simply know veggie consumption is not your strong suite, consider a quality fiber supplement, preferably one including L-Glutamine and other amino acids.
4      Don’t forget the importance of a high quality multivitamin, to fill in gaps where your diet falls short.
5      Make sure to use a digestive enzyme formula, in particular one which has an emphasis on proteases.
6      Find a high quality source of omega-3 fatty acids from food or supplements.  Omega-3 fatty acids play a role in healthy inflammatory responses.
This entire list is not mandatory, but by selecting those options that are most compatible with your schedule and lifestyle you can provide some support for your digestive function, along with some reassurance for yourself. There is no one trigger for any chronic disease, but the combination of healthy dietary choices, supplementation, good sleeping habits and exercise are paramount to their prevention.