Tolerating beans

Q: I just switched to a plant-based diet and I am having a hard time tolerating beans is this normal? It is quite common to react to beans and high quantities of fiber when first introduced. It is best to introduce high fiber foods like beans gradually. Beans contain indigestible carbohydrates called oligosaccharides. Humans lack the enzyme to break them down …

Non-celiac gluten sensitivity (NCGS) or non-celiac wheat sensitivity (NCWS)

Q: Can you address non celiac gluten sensitivity (NCGS)? How is it diagnosed? What are the symptoms of NCGS?  What are possible complications with NCGS vs celiac disease? What is the treatment? Non-celiac gluten sensitivity, also called non-celiac wheat sensitivity (NCWS) is a much-debated, poorly understood, and intensely researched condition in the celiac scientific community. The term NCWS also includes …

Why can I NOT tolerate GF oats?

Q: Why can I NOT tolerate GF oats?  The reaction I have is not as severe like when I’ve inadvertently gotten into gluten in the past but I still react w/mild GI symptoms.  Mainly gas and bloating.  I REALLY miss eating oats and they are not considered an allergen so I have to check the ingredients even when it’s labeled …

Support for a low FODMAP diet

Q: I have celiac disease and follow the gluten-free diet. I also have irritable bowel syndrome (IBS). Where can I find online support for following the Low FODMAP diet? First, a very brief review of the Low FODMAP Diet:  Irritable bowel syndrome (IBS) can be a co-existing disorder found in patients with celiac disease and other diseases where the motility …

Reducing salt and sugar in GF foods

Q: Gluten-free food has too much salt and sugar, any suggestions? Yes, it is true that gluten-free processed foods often have higher salt and sugar content than their regular counterparts. The food industry loves to add those in to increase the palatability of the food. Here are some things you can do to optimize nutrition and reduce salt and sugar: …

Dietary supplements to help with hair loss

Q: Are there dietary supplements to help with hair loss? I have been gluten-free for decades, but in the last 3 years or so am experiencing significant scalp hair loss. Hair loss can be due to multiple causes, below are the most common ones: I would recommend that you see your doctor to evaluate your hair loss and have appropriate …

How to gain weight

Q: I have celiac disease and I desperately need to gain weight. Any suggestions would be greatly appreciated! If you are struggling to gain weight, make sure you follow up with your gastroenterologist or doctor to monitor your celiac disease, as weight loss/poor weight gain can be a sign of malabsorption and damage to the small intestine. Your doctor can do a …

Follow Up Care

Q: I have a confirmed diagnosis of celiac disease (CD). Do I need to see a gastroenterologist (GI doctor) for ongoing follow-up or can I just see my primary care provider regularly? It is not clear from the research who should monitor the follow-up of patients with CD and how often.1  Various studies have remarked on follow-ups with primary care …

Bone broth

Q: I am reading about bone broth and its touted benefits for people with celiac disease. Do you recommend it and how should I take it? There has been a lot of hype about bone broth in recent years. However, at this time there is very limited research available on bone broth, so it is hard to say if it …

Following GF diet but feeling unwell

Q: What should I do if I have confirmed celiac disease and follow a strict gluten-free diet but am still unwell? There are several reasons why a person with celiac disease might have symptoms despite following a gluten-free diet. The first one is the most common – either accidental or intentional gluten exposure.1 Gluten exposure accounts for about 7-30%2 of …