Here are some recent questions you’ve been asking about what not to eat on a gluten free diet. There are several items that are cross reactive to gluten that you may need to avoid. Dr. Shikhman answers your questions.
Do you recommend going grain free if you’re still not feeling well after going gluten free?
I recommend going casein, soy and egg, and last corn free in that order before going grain free. This is based on statistics of cross reactivity between gluten and other food products. Statistics show that people with gluten intolerance are 60-70% likely to be intolerant to dairy, 40-50% to soy, 20-25% egg and 10-15% corn.
I’m having a problem with more and more food intolerances popping up (rice, spinach, milk, nitrates, any red meat, quinoa) Why is this?
There is an enzyme called diamine oxidase which degrades hystamine in our gut. People with celiac disease are deficient in this enzyme. The food we eat triggers hystamine, but if you are deficient in it, it will not break down the food. You can take diamine oxidase as a supplement.
What’s your stance on the theory that celiacs should avoid rye, rice and corn products? Rye should be avoided. Corn and rice have prolamines, which have a similar make up to gluten and are proteins not digestible by the gut, if your are intolerant to these items, you may have a prolamine intolerance.
What are your thoughts on food allergy testing, is it helpful after a celiac diagnosis?
My thoughts on food allergy testing is very positive. In my practice I use the IGG4 based food allergy test. This gives the highest correlation with clinical symptoms and responses to food elimination.
Are you losing any nutrients by going gluten free?
You will actually gain nutrients by going gluten free because your intestine will start to heal and be able to absorb the nutrients you need from food. The damaged intestinal lining is what causes you to lose nutrients in the first place.
I’m having problems with bloating. What can help?
This could be due to a yeast overgrowth; you can go on a low-carb diet to see if this helps. You can get checked for yeast by your doctor.