home
RSS
July 15th, 2011
07:42 AM ET

Are there degrees of gluten sensitivity?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist.

Question asked by Sue R. of Oakland, California

I know that I'm sensitive to carbs but I wanted to know how sensitive I was to gluten. I had a test taken by a nutritionist, and it came out positive. So I wanted to get tested by an official M.D., which I did. He tested me for celiac disease, even though I told him I didn't have it. He didn't understand when I told him that gluten sensitivity has different degrees of impact. Was I misinformed? I always thought it was a spectrum.

Expert answer:

Hi Sue! Several people asked me about gluten sensitivity after I mentioned it in my response on celiac disease several weeks ago, so I thought this would be a good time to expand further on this less well-known and much less well-defined condition.

To get the most up to date and comprehensive information, I spoke with an expert in the field, Dr. Joseph Murray, professor of medicine and consultant in gastroenterology and immunology at the Mayo Clinic in Rochester Minnesota.

Murray explained that gluten sensitivity is a real entity and most likely represents more than one clinical condition.

The first is a condition that probably falls under the heading of gluten sensitivity Murray refers to as "celiac lite," meaning that a person may or may not have antibodies in the blood characteristic of celiac disease, does not have the intestinal damage seen in celiac disease (intestinal damage can be confirmed only by biopsy - taking a small piece of the lining of your intestine), but does have symptoms including abdominal pain, bloating, gas and diarrhea and does benefit in terms of symptoms from following a gluten free diet.

The second group of patients, categorized as having nonceliac gluten sensitivity, have the same symptoms of abdominal pain, bloating, gas and diarrhea, but do not have antibodies or the genetic predisposition for celiac disease.

[An earlier version of this post incorrectly said this group of patients do have antibodies or the genetic predisposition for celiac disease.]

They are often told they have irritable bowel syndrome, but their symptoms improve on a gluten free diet (generally within one month).

A recent double blind, placebo controlled Australian study published in the American Journal of Gastroenterology strongly suggested the presence of this form of nonceliac gluten sensitivity or intolerance, but was unable to determine the cause.

So assuming that celiac disease has been ruled out by your doctor (antibodies to the protein TTG are the most accurate, according to Murray) and depending on your symptoms, you may have gluten sensitivity. There is no reliable test to diagnose gluten sensitivity, according to Murray, so whatever your nutritionist ordered is not medically approved.

If your symptoms resolve after one month on a gluten free diet, and the diet does not stop working several months later, this is probably the case and you should do your best to follow a gluten free diet long-term.

One thing to consider is that many people feel better on a gluten free diet because they are eating less food overall (due to fewer choices) and cutting out most sources of refined grains, both of which are a good idea even if you don't have gluten issues.

Your "sensitivity" to carbs may also relate to blood sugar fluctuations and insulin resistance, both of which can improve by reducing total and particularly refined grain intake.

Follow Dr. Melina on Twitter.


soundoff (859 Responses)
  1. parks near me

    https://directory.pasadenanow.com/__media__/js/netsoltrademark.php?d=http://www.mymixlab.com/

    June 14, 2021 at 19:10 | Report abuse | Reply
  2. wells fargo bank near me

    https://pichak.net/verification/index.php?n=39&url=https://www.morelifeco.com/

    June 14, 2021 at 20:15 | Report abuse | Reply
  3. u-haul near me

    After I originally left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and from now on whenever a comment is added I get four emails with the exact same comment. Is there a means you can remove me from that service? Appreciate it!

    http://devot-ee.com/?URL=https://forkliftrentalorangecounty.com/

    June 14, 2021 at 20:17 | Report abuse | Reply
  4. pizza near me

    https://whois.zunmi.com/?d=www.ppcpostfalls.com/

    June 14, 2021 at 20:34 | Report abuse | Reply
  5. RV Repair

    https://dailygood.org/more.php?op=get&url=http://ocrvcenter.com/rv-repair-shop-inglewood-california/

    June 14, 2021 at 21:59 | Report abuse | Reply
  6. Sprinter Repair Orange County

    http://ww17.2test.com/__media__/js/netsoltrademark.php?d=http://www.ocrvcenter.com/motorhome-repair-near-me-2

    June 15, 2021 at 02:01 | Report abuse | Reply
  7. RV Repair California

    I blog frequently and I genuinely thank you for your information. This article has truly peaked my interest. I am going to take a note of your website and keep checking for new information about once per week. I opted in for your RSS feed as well.

    https://www.zippyapp.com/redir?u=http://ocrvcenter.com/rv-fiberglass-repair-near-me

    June 15, 2021 at 02:53 | Report abuse | Reply
  8. RV Repair San Clemente California

    Iím amazed, I must say. Rarely do I come across a blog thatís equally educative and interesting, and let me tell you, you've hit the nail on the head. The problem is something that too few men and women are speaking intelligently about. Now i'm very happy I came across this in my hunt for something relating to this.

    http://irc.lc/http://www.ocrvcenter.com/rv-repair-shop-loma-linda-california/bbs-arab

    June 15, 2021 at 03:47 | Report abuse | Reply
  9. Sprinter Repair Costa Mesa

    Right here is the perfect web site for everyone who hopes to find out about this topic. You understand so much its almost tough to argue with you (not that I personally would want toÖHaHa). You certainly put a brand new spin on a topic that's been discussed for years. Great stuff, just great!

    https://store.law.com/linkredirector/default.asp?lrcat=BLOGNetwork&lrurl=https://hootnholler.net/we-dont-need-tech-infomercials-the-new-york-times/

    June 15, 2021 at 04:34 | Report abuse | Reply
  10. RV Repair Shop

    https://my.volusion.com/TransferLogin.aspx?HostName=hootnholler.net/cano-health-administering-walk-in-covid-19-vaccines-to-eligible-residents-this-weekend-ksat-san-antonio/

    June 15, 2021 at 05:08 | Report abuse | Reply
  11. Camper Repair Near Me

    This website was... how do I say it? Relevant!! Finally I have found something which helped me. Cheers!

    https://www.sv.paltalk.com/client/webapp/client/External.wmt?url=http://ocrvcenter.com/rv-repair-shop-pico-rivera-california/

    June 15, 2021 at 08:35 | Report abuse | Reply
  12. Sprinter Repair Near Me

    Howdy! This article couldnít be written much better! Reading through this article reminds me of my previous roommate! He constantly kept talking about this. I most certainly will send this post to him. Pretty sure he'll have a great read. Thank you for sharing!

    http://toolstud.io/network/redirect.php?url=https://ocrvcenter.com/rv-repair-shop-reseda-california/

    June 15, 2021 at 10:56 | Report abuse | Reply
  13. RV Repair Santa Ana

    When I originally commented I seem to have clicked on the -Notify me when new comments are added- checkbox and from now on whenever a comment is added I receive four emails with the same comment. There has to be a means you are able to remove me from that service? Thanks!

    https://www.imp.mx/salto.php?va=www.ocrvcenter.com/rv-sound-system-repair-near-me/

    June 15, 2021 at 11:14 | Report abuse | Reply
  14. Sprinter Repair Shop Near Me

    When I originally left a comment I appear to have clicked the -Notify me when new comments are added- checkbox and from now on each time a comment is added I get 4 emails with the exact same comment. There has to be a means you can remove me from that service? Appreciate it!

    https://deanspotter.com/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com/conventional-trailer-collision-repair-shop-near-me/

    June 15, 2021 at 11:19 | Report abuse | Reply
  15. RV Repairs Nearby

    This excellent website definitely has all of the information and facts I needed concerning this subject and didnít know who to ask.

    http://www.ww17.wayfaring.com/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com/rv-repair-shop-cudahy-california/

    June 15, 2021 at 11:58 | Report abuse | Reply
  16. RV Repair Fountain Valley

    http://park3.wakwak.com/~yadoryuo/cgi-bin/click3/click3.cgi?cnt=chalet-main&url=http://hootnholler.net/9b390-fishing-club-news/page/227/

    June 15, 2021 at 12:33 | Report abuse | Reply
  17. Camper Repair Near Me

    I must thank you for the efforts you have put in penning this blog. I'm hoping to view the same high-grade content from you later on as well. In fact, your creative writing abilities has encouraged me to get my own website now 😉

    http://local.katc.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/motorhome-maintenance-near-me

    June 15, 2021 at 13:27 | Report abuse | Reply
  18. Sprinter Repair Orange County

    You have made some decent points there. I looked on the web to learn more about the issue and found most individuals will go along with your views on this site.

    https://click.alamode.com/?adcode=CPEMAQM0913_1&url=http://cesartofxn.59bloggers.com/3706801/the-smart-trick-of-rv-front-end-alignment-near-me-that-nobody-is-discussing

    June 15, 2021 at 15:14 | Report abuse | Reply
  19. Sprinter Repair Shops Near Me

    When I initially commented I appear to have clicked the -Notify me when new comments are added- checkbox and now each time a comment is added I get four emails with the exact same comment. There has to be an easy method you can remove me from that service? Kudos!

    https://blog.sina.com.tw/url_verify.php?url=https://ocrvcenter.com/bus-collision-repair-shop-near-me/

    June 15, 2021 at 15:29 | Report abuse | Reply
  20. RV Repairs Near My Location

    Excellent article. I'm facing a few of these issues as well..

    https://blogranking.fc2.com/out.php?id=1032500&url=https://crazy4smiths.com/smiths-mega-sale-cereal-deals-as-low-as-0-39-to-0-99/

    June 15, 2021 at 16:43 | Report abuse | Reply
  21. Sprinter Repair Shops Near Me

    I used to be able to find good information from your articles.

    http://bizsearch.jhnewsandguide.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/motorhome-seats-repair-near-me

    June 15, 2021 at 17:20 | Report abuse | Reply
  22. RV Repair Shop Near Me

    https://localbusiness.nwfdailynews.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com/rv-repair-shop-tustin-california

    June 15, 2021 at 17:34 | Report abuse | Reply
  23. RV Repair

    https://pt-br.paltalk.com/client/webapp/client/External.wmt?url=https://ocrvcenter.com/rv-repair-shop-valley-glen-california

    June 15, 2021 at 18:48 | Report abuse | Reply
  24. RV Repair Shops Nearby

    http://www.zippyapp.com/redir?u=ocrvcenter.com/rv-refrigerator-repair-near-me/

    June 15, 2021 at 23:30 | Report abuse | Reply
  25. Sprinter Repair Near Me

    Hi, I do think this is an excellent site. I stumbledupon it 😉 I am going to return yet again since I bookmarked it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.

    http://cat.sustech.edu/cgi-bin/koha/tracklinks.pl?uri=//commercialrepairshop.com/business-van-repair-shop-near-me/

    June 16, 2021 at 00:16 | Report abuse | Reply
  26. RV Repair Shops Near Me

    This is a topic which is close to my heart... Cheers! Where are your contact details though?

    https://login.mephi.ru/login?allow_anonymous=true&service=ocrvcenter.com/rv-repair-shop-laguna-woods-california

    June 16, 2021 at 02:26 | Report abuse | Reply
  27. Sprinter Repair Orange County

    http://www.lnfcu.com/helpers/choice.asp?h=https://ocrvcenter.com/rv-sound-system-repair-near-me/

    June 16, 2021 at 04:11 | Report abuse | Reply
  28. Camper Repair Shops Near Me

    Having read this I thought it was rather enlightening. I appreciate you spending some time and effort to put this information together. I once again find myself personally spending a lot of time both reading and commenting. But so what, it was still worth it!

    http://ea.delawarecpf.com/__media__/js/netsoltrademark.php?d=https://www.ocrvcenter.com/rv-repair-shop-monterey-park-california

    June 16, 2021 at 05:51 | Report abuse | Reply
  29. Nearby RV Repair

    An impressive share! I've just forwarded this onto a colleague who has been doing a little research on this. And he in fact bought me lunch because I found it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanks for spending the time to discuss this matter here on your site.

    http://dailygood.org/more.php?op=get&url=ocrvcenter.com/rv-repair-shop-huntington-beach-california/

    June 16, 2021 at 08:06 | Report abuse | Reply
  30. RV Repair Shop Near Me

    Very nice write-up. I definitely appreciate this site. Continue the good work!

    https://greatmindsinstem.org/Redirect.aspx?destination=http://ocrvcenter.com/heavy-truck-collision-repair-shop-near-me

    June 16, 2021 at 08:36 | Report abuse | Reply
  31. RV Repair Garden Grove

    https://linkytools.com/basic_link_entry_form.aspx?link=entered&returnurl=http://ocrvcenter.com/rv-repair-shop-palm-desert-california

    June 16, 2021 at 12:49 | Report abuse | Reply
  32. gamestop near me

    http://www.ezset.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com/

    June 16, 2021 at 13:33 | Report abuse | Reply
  33. lumber yards near me

    https://www.photo-sonics.com/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com/

    June 16, 2021 at 20:46 | Report abuse | Reply
  34. chevy dealer near me

    https://www.proteinaute.com/lib/request/redirect.php?url=www.ocrvcenter.com

    June 16, 2021 at 21:23 | Report abuse | Reply
  35. RV Repair Nearby

    Aw, this was an exceptionally good post. Taking a few minutes and actual effort to make a really good articleÖ but what can I sayÖ I procrastinate a lot and don't seem to get nearly anything done.

    https://www.am-one.co.jp/english/en-jump.html?url=www.ocrvcenter.com/rv-repair-shop-monterey-park-california

    June 16, 2021 at 21:50 | Report abuse | Reply
  36. pharmacepticacom

    order sildenafil online without prescription https://pharmaceptica.com/

    June 17, 2021 at 01:46 | Report abuse | Reply
  37. mcdonalds near me

    http://aim-investment.biz/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com

    June 17, 2021 at 05:23 | Report abuse | Reply
  38. eyeglasses near me

    https://ronzani.com/__media__/js/netsoltrademark.php?d=https://www.ocrvcenter.com

    June 17, 2021 at 05:57 | Report abuse | Reply
  39. dq near me

    http://www.coralculture.com/__media__/js/netsoltrademark.php?d=bestservicenearme.com/

    June 17, 2021 at 13:52 | Report abuse | Reply
  40. restaurants near me open

    I truly love your site.. Very nice colors & theme. Did you develop this web site yourself? Please reply back as Iím looking to create my own personal blog and would love to find out where you got this from or exactly what the theme is called. Kudos!

    https://natur-und-kultur.de/redirect/Index.asp?url=http://www.bulknearme.com

    June 17, 2021 at 16:58 | Report abuse | Reply
  41. cheap apartments near me

    https://www.dmca.com/Protection/Status.aspx?ID=edc817fd-d796-4c84-abb8-d1cb5b2e3719&refurl=http://www.masternearme.com/

    June 17, 2021 at 21:36 | Report abuse | Reply
  42. bookstores near me

    Hello! I simply wish to give you a big thumbs up for your excellent information you've got here on this post. I'll be returning to your website for more soon.

    http://handler.fiksu.com/click?adid=0803d9e0-b918-0131-ee96-22000aa700a4&adnet=A1PJ9MK4&appid=672828590&device_class=ios&kontagent_token=1400&s=00001&url=http://bjsnearme.com

    June 17, 2021 at 22:43 | Report abuse | Reply
  43. casino near me

    I couldnít resist commenting. Perfectly written!

    http://apps.imgs.jp/yamakawa/dmenu/cc.php?url=https://wholesalenearme.com/

    June 17, 2021 at 23:11 | Report abuse | Reply
  44. walgreens near me

    http://ad.affpartner.com/cl/click.php?b_id=g56m96&t_id=t21&url=https://bestshopnearme.com/

    June 18, 2021 at 01:09 | Report abuse | Reply
  45. pest control near me

    This is a topic which is near to my heart... Take care! Exactly where are your contact details though?

    http://blog.pianetadonna.it/fiylm/?wptouch_switch=desktop&redirect=https://bulknearme.com

    June 18, 2021 at 02:01 | Report abuse | Reply
  46. horseback riding near me

    http://birthandchildsafety.net/__media__/js/netsoltrademark.php?d=masternearme.com/

    June 18, 2021 at 02:15 | Report abuse | Reply
  47. protests near me

    http://www.historisches-festmahl.de/go.php?url=https://quotenearme.com/

    June 18, 2021 at 03:20 | Report abuse | Reply
  48. qt near me

    Hello there, I do believe your web site might be having web browser compatibility issues. When I look at your website in Safari, it looks fine however, when opening in IE, it has some overlapping issues. I merely wanted to provide you with a quick heads up! Apart from that, fantastic blog!

    http://www.pulaskiticketsandtours.com/?URL=www.bestlocalnearme.com/

    June 18, 2021 at 07:45 | Report abuse | Reply
  49. studio apartments near me

    This site was... how do I say it? Relevant!! Finally I've found something that helped me. Thank you!

    http://www.redcodewebservices.com/redirect.aspx?destination=https://www.bestshopnearme.com/

    June 18, 2021 at 09:31 | Report abuse | Reply
  50. RV Repair Santa Ana

    Greetings! Very useful advice in this particular article! It's the little changes that produce the largest changes. Thanks for sharing!

    http://cssdrive.com/?URL=ocrvcenter.com/special-offers/

    June 18, 2021 at 12:25 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.