Month: February 2013

What is the Hygeine Hypothesis of Autoimmunity?

One current theory about why people are having so many food allergies and sensitivities has to do with something called the “hygeine hypothesis”. The hygeine hypothesis states that the current state of cleanliness in the western world, which includes not just frequent bathing and sanitary water, but also vaccines and antibiotics, has left us with immune systems that don’t work correctly. There are two theories about how this happens. Both may be true and neither may be true. The research is not conclusive. Both are controversial. The first theory is that the human immune system needs multiple actual illnesses (not just vaccines) to be experienced by a certain age in order to learn how to properly distinguish between an invading bacteria or virus and a harmless protein. The idea is that human beings are designed to get sick as tiny babies as part of developing their immune systems, sort of like exercise and gravity develop muscles and that our emphasis on vaccines, antibiotics, and good hygiene is preventing our babies from getting the illnesses that they need to set up their immune systems. The second theory is called “leaky gut” Leaky gut states that for several reasons including caesarian delivery, maternal use of antibiotics, child use of antibiotics without subsequent probiotic use, parasite free water, and plain old handwashing that we put our bionome out of whack and our...

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The Gluten-Free Dairy-Free Corn-Free Bonanza of Passover!

If you haven’t already made it to you local grocery store to stock up for Passover you might want to head over there. Passover is a veritable bonanza of gluten-free, dairy-free and corn-free foods that you cannot find the rest of the year. Once a year, observant Jews rid their homes of most grain products with the exception of matzah. Then they have a big party. Which, except for the matzah, tends to be gluten-free. So they need lots of snacks. There are rules I don’t fully understand which also means that barley, corn, soy and other grains are off limits. This means that the stores are full of Passover food you can eat. Because of the need to segregate dairy from meat, many of the products are not only kosher for Passover but also Pareve which means that they don’t contain meat or milk. If your dairy allergy is severe double check the packaging for cross contamination potential. It is usually quite safe but the standard for kosher may not be enough for someone with severe allergies. So I already purchased a one year supply of crackers, chocolate syrup (made with cane sugar instead of corn syrup and without dairy products) gluten free and rice free egg noodles and shells for chicken noodle soup (the noodles are made with eggs) and even some gluten-free and sugar-free cake mixes....

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New York Times OpEd Piece on Causes of Celiac Disease and Autoimmunity

What I don’t like about this piece is that it ignores the obvious trigger of antibiotics not followed by proper probiotics or fecal transplants, but otherwise its pretty good. The antibiotics thing is something I noticed personally. When I was six years old my appendix ruptured. It took a long time to realize what happened and I had peritonitis. So I got penicillin injected four times a day for three weeks. From that day forward I ate like a truck but remained skinny as a rail, I all but stopped getting taller and I had problems in the bathroom. For my son it was a series of ear infections that led us to penicillin. Then he got sick. I have friends from India who tell a similar tale. A family has four children. Two stay in India. One goes to America. One goes to Australia. The grandchildren in Australia and America get food allergies and celiac and autism. The ones who remain in India with iffy water do not. The article describes a similar situation in Finland and Russia. Same DNA. Finnish kids have money and great medical care…and autoimmune disease. Russian kids have less money and dirtier homes and one fifth the rate of autoimmune diseases. Here is the thing. In America we also know that autism is linked with wealth. What do affluent parents do that broke...

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The Science of Junk Food

The Sunday Magazine section of the New York Times will be featuring an article called The Extraordinary Science of Addictive Junk Food. It is a very long article and it will probably make you angry, but it is well worth the time to read. Having scientists for parents and family members means that unlike virtually every other kid I know from the 1970s I did not grow up on processed food. Our bread went bad, our peanut butter had three ingredients and lunch meat aside from turkey was banned. We ate frozen yogurt back in the day where to get frozen yogurt you needed to take a carton of yogurt and put it in the freezer. Interestingly as I got to high school I discovered that I could not stand the taste of most true junk food. Sure I liked deep fried chicken, flourless chocolate cake, barbecue sauce, popcorn and plain unflavored potato chips just fine. But the truly processed foods that kept for months I could not stand. I found them overwhelmingly salty, sticky sweet, and creepily unpleasant. Lest you think me some food saint, I ate plenty of unhealthy food in college but I did not like “fake food”. I remember the first time I ate macaroni and cheese made with margarine and from a box. I literally vomited. I say this because I think that it...

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Gluten Can Cause Neurological and Sensory Delays

In my day job, I have often been called upon to help people make decisions. We assess risk and one risk scenario that is always considered is the risk of doing nothing. It is very clear when money is on the line that waiting for better information or giving in to inertia involves real risks and real costs. This is why children with developmental delays should always be tested for gluten dairy and corn sensitivity. Do I think that the odds are huge that any kid with a delay has a gluten related disorder…no. Do I think it is worth a blood test to rule it out…yes. And if you think that it can’t be your kid because he has no tummy troubles, you might want to see this… Mystery Diagnosis – Celiac Disease And then, get the...

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How Can I Possibly Be Trendy? Gluten-Free is in Style

I have a love hate relationship with the trendiness of gluten-free. Gluten free hit the New York Times Magazine two weeks ago and the Sunday Styles section this week. Its official. I, a middle aged mom accountant who lives in a Chicago suburb, am officially trendy. Of course no one told my closet. Or my music collection. Which is still on CDs. And if you plan to tell my friends make sure they don’t have any coffee in their mouths. I don’t want anyone to choke or spit coffee on you. On the one hand I am thrilled to be able to eat at more than three restaurants without becoming extremely ill. I am glad to have my choice of gluten, dairy and corn free cake mixes. I am glad that people, at least in big cities, can find food that I can eat and have me over without killing me or feeding me plain salad…no croutons, no cheese, no dressing. That said, I find the whole idea of eating this way without a medical reason a bit weird. Don’t get me wrong. I don’t think anyone over the age of three should have dairy. I don’t think processed food is healthy for anyone. I always ate organic, whole foods. I also think that wheat as we used to know it is long gone and there is an argument...

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The Pain is a Message

I used to be an executive at a large company. One of the benefits of being an executive was that your staff was large enough that you could get what they called a 365 review. This meant that your boss, your matrix bosses, your peers, the people who reported directly to you, and the people who reported to them all gave feedback about what you could be doing better to a system which generated reports that made it impossible to tell who said what. Since no one had to worry about ruining their relationship with me, I got actual honest feedback. If you have never had a job like this it may be difficult to appreciate how helpful this is. Every year I would spend a lot of time trying to fix a certain flaw that someone had mentioned to me only to learn that it bothered no one else. Meanwhile, something that I had ignored was upsetting everyone. Sure, the process was painful, but pain is often a gift. Physical pain is your body’s way of telling you that something is wrong and it is often not what you think it is. In my case I was doing healthy things that weren’t. I remember doing wheatgrass shots in an attempt to get pregnant. Every time I did one it felt horrible. I remember thinking that I needed to...

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Gluten-Free Dairy-Free Soy-Free Vegan Baked Macaroni and Cheese (also corn free)

Normally I make things three times before they go on the blog. But this one was too good. Gluten free macaroni and cheese is pretty simple. Gluten free dairy free macaroni and cheese has been done. But gluten-free, dairy-free and soy-free, as well as egg-free corn-free, peanut-free, tree-nut free and nightshade-free? That one is not commercially available, and all of my prior versions were awful. Really awful. This one is really good. If you own a restaurant for gluten-free people, just make this one. Put down the cashew based or soy cheese and try it. It is actually good. I only made a half batch because, given my prior history, I wasn’t sure it would be good. I have made some gross versions that had to be thrown out as inedible so I try to use the smallest quantities possible. Also I used a glass 8 x 8 pan. I do think it helps to use glass as the heat is more even and the sides are not cooked so much faster than the middle. If you cannot handle coconut, Daiya has several mac and cheese recipes on their site. This one was a reinterpretation of one of them combined with the Paula Deen trick of adding sour cream for smoothness. Ingredients 8oz rice pasta (I used Tinkyada’s fun shapes pasta with little bicycles and airplanes). 3 cups Daiya...

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Why You Must Advocate For Yourself

The prinicpal’s office at my grade school had a bright blue rug and wallpaper with blue roses in it. I know this so well all these years later because I spent a LOT of time there. I think I went once a week. The principal did not mind at all. She was usually trying to stifle a laugh as I explained the latest reason for being sent there. Actual reasons include the following “Sister said that the baby Jesus never cried and I said that if he never cried Mary wouldn’t know when to feed him or change him.” “I said that we had old textbooks and that we had been to the moon and no one lived there. The teacher thinks the moon launch was fake.” And so it went. Every week I was sent to see Sr. Margaret George for questioning authority. I never hit, choked or acted antisocial I just refused to accept things that seemed untrue, and she usually spent a lot of time trying to keep a straight face. I learned that yes, questioning authority can get you kicked out of places you probably never wanted to be anyway. But ignorning reality had a higher price Which is why we are alive today. Trust me. Saying that you think your child is ill because of bread and milk did not go over well. I...

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Kwashiorkor, Celiac Disease and Gut Microbes

You know those horrible pictures of starving children with swollen bellies that they have advertisements for charities. That swollen belly malnutrition has a name, Kwashiorkor, and it may very well be linked to the same leaky gut autoimmune problems that are plaguing so many children in industrialized nations. One thing that researchers in Malawi noticed was that twins seemed to get kwashiorkor at different rates. Often only one twin had it which was odd since presumably they were eating about the same amount and kind of food. After studying over 300 pairs of twins they found a difference in the intestinal microbes of the children with kwashiorkor. The theory was that perhaps the microbes were causing the problem. So they gave the microbes to some sterile mice. The mice started losing weight. Why am I not surprised? One of the things that was shocking to me once we got the diagnosis was the medical textbook photos of children with celiac disease. They look a lot like children with kwashiorkor. You see the same distended bellies, the same flattened butt, the same scrawny limbs and the same vacant look in the eyes. I can clearly remember in my own life when the problems started and it was soon after I was released from the hospital after my appendix burst. I had gotten a horrendous internal infection called peritonitis and was...

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Autoimmune Arthritis Cured With Gluten-Free Dairy-Free Diet

The Sunday New York Times Magazine featured an article called The Boy with a Thorn in His Joints about a child with idiopathic juvenile arthritis. For those of you who do not know greek that idio means what you think it does. Idiopathic means “we don’t know why”. Except that as this boy’s mother learned…maybe we do. She tried the conventional medical route. She put her son on the drugs. He continued to deteriorate. She put him in therapy. It didn’t work. He was three years old and crippled with arthritis. Then she saw someone who told her to get rid of gluten, dairy, and nightshades, cut the sugar and put him on probiotics. They saw improvement within weeks. The boy is now five and has been arthritis free for a year. There is a photo of him tearing around on a scooter. Whether it is autoimmune arthritis, nwurological delays, multiple sclerosis, IBS, plaque psoriasis, Crohn’s disease, sensory processing disorder or even the autoimmune form of autism, I am convinced that this mom is correct. Somehow all these problems are offshoots of leaky gut and if we fix the diet these children can go on to live normal lives. I can’t prove it but since the testing process is something you can do at home for very little cost with almost no risk, it seems like something doctors should...

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