The Body of Evidence

091 - Gluten / Ice Cream Conspiracy / Abortion Pill

8 snips
May 9, 2023
Explore the complexities of gluten as hosts discuss celiac disease and non-celiac gluten sensitivity, detailing symptoms and testing methods. A surprising twist reveals a potential link between ice cream consumption and lower diabetes risk, raising questions in nutritional epidemiology. Lastly, dive into the contentious lawsuit challenging the FDA's approval of the abortion drug mifepristone, probing the legal intricacies and implications for regulatory standards.
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INSIGHT

Celiac Is Autoimmune, Not A Simple Allergy

  • Celiac disease is an autoimmune condition triggered by gluten that damages the small intestine and raises other health risks.
  • Diagnosis relies on antibodies, genetics, and often biopsy, and testing must occur while the patient still eats gluten.
ADVICE

Test Before You Gluten‑Free

  • Test for celiac disease before starting a gluten-free diet because antibody levels and biopsy findings revert after avoidance.
  • Use genetic testing only as adjunct; perform serology and biopsy while the patient still consumes gluten.
INSIGHT

FODMAPs Often Explain 'Gluten' Symptoms

  • Many people who blame gluten actually react to FODMAPs or other conditions like IBS, lactose intolerance, or wheat allergy.
  • Double‑blind crossover trials show symptoms often relate to fermentable carbs rather than gluten itself.
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