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Old 05-22-2014, 08:52 AM   #36
troutman
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Originally Posted by Cowboy89 View Post
Finally, I'm sick of people who self-diagnose themselves with food allergies or food sensitivities. These people end up holding any common meal gatherings hostage.
I went to a dinner party with about a dozen people. Half said they could not tolerate gluten. Really? 50% of you?

http://www.sciencebasedmedicine.org/...e-new-candida/

The idea that gluten sensitivity is real and widespread goes far beyond the current scientific evidence, and the well-established facts of celiac disease. Time will tell if gluten avoidance follows the path of Candida, and other dietary fears and fads that preceded it. But it doesn’t need to. Given the protean nature of CD, symptoms cannot be dismissed as nocebo effects: A CD diagnosis needs to be ruled out before NCGS is even contemplated. Going gluten-free in the absence of a proper medical evaluation may not be directly harmful, but it complicates a diagnosis. Moreover, it can be expensive, and difficult to maintain 100% avoidance – essential with CD, but not established as necessary with NCGS. Besides, who really wants to cut out all gluten-containing products if they don’t need to? Until better diagnostic criteria are established, the N of 1 trial is probably the most science-based (if impractical) approach: single-blind challenges to measure for subjective or objective symptoms. Our challenge in dealing with dietary fads as health professionals is to recognize that some of our patients are suffering, and evaluate them in a science based way: without dismissing the symptoms, and without advocating dietary transformations that may be unnecessary.

Last edited by troutman; 05-22-2014 at 08:58 AM.
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