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Gluten

Gluten and the serious effects on mental health: ADAA 2013

April 1, 2013 By Trudy Scott 14 Comments

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The 2013 annual conference of the Anxiety and Depression Association of America  is April 5-7 at the Hyatt Regency La Jolla at Aventine (La Jolla, California).  It’s a wonderful conference to hear all the latest research on anxiety and depression.  The focus of the conference is primarily therapy and medications with some presentations and posters on exercise, nutrients, guided imagery, yoga and one topic on gluten (mine!)

I’m doing a poster presentation Friday, April 5, 6:30 – 8pm, “Evidence-based Research On The Serious Effects Of Gluten On Mental Health, With An In-depth Look At Testing And The Gluten-free Diet.” 

This poster will identify what gluten is, where it is found and if the gluten-free diet is a fad or very real concern for those with mental health disorders. The following will be explained: gluten sensitivity, celiac disease, and wheat allergies. Evidence-based research will be reviewed, showing the serious impacts of gluten on various mental health disorders: anxiety, social phobia, panic attacks, depression, schizophrenia and bipolar disorder.

Here are a few examples of some the research that will be reviewed: 

  • “gluten sensitivity remains undertreated and underrecognized as a contributing factor to psychiatric and neurologic manifestations” (Jackson, Psychiatric Quarterly 2011)
  • Spectrum of gluten-related disorders: consensus on new nomenclature and classification (Sapone, BMC Medicine, 2012)
  • Celiac disease, wheat allergy, and gluten sensitivity: when gluten free is not a fad. (Pietzak, Journal of Parenteral and Enteral Nutrition 2012)
  • Gluten-free diet may alleviate depressive and behavioural symptoms in adolescents with coeliac disease (Pynnönen , BMC Psychiatry 2005)
  • Social phobia in coeliac disease (Addolorato, Scandinavian Journal of Gastroenterology 2008)

There will be an in-depth discussion of the various testing options and the many associated health problems that may be associated with gluten intolerance. This session will clearly define gluten-containing versus gluten-free foods when it comes to eating a gluten-free diet.

Filed Under: Antianxiety, Events, Food and mood, Gluten Tagged With: ADAA, anxiety, depression, gluten, mental health, social phobia, Trudy Scott

Melissa McLean Jory: Should we all be gluten-free to get the Gluten-Free Edge?

May 15, 2012 By Trudy Scott 30 Comments

Did you know that 1 in 100 Americans have celiac disease and most don’t know it? And that celiac disease is 5 times more common now than 50 years ago? And that osteoporosis and anemia are the two most common adult presentations of celiac disease?

I recently attended a great talk on gluten by Melissa McLean Jory, MNT. Melissa was one of the many great speakers at the annual NANP/National Association of Nutrition Professionals conference in San Francisco. Her talk was titled The Gluten-Free Edge: Digestive Health and Sports Nutrition for Active People.

Melissa said this: “There is no biological value in gluten” – for anyone! I find this so interesting because I’m beginning to think the same thing. In fact, I find that the majority of my clients with mood problems do better on a gluten-free diet.

Gluten can affect you in so many ways, whether you have celiac disease or gluten sensitivity.  Melissa shared this list of gluten-related disorders:

  • Depression and anxiety, social phobia, schizophrenia […I added the last three here]
  • Gastrointestinal problems, nutrient deficiencies, fat malabsorption
  • Neurological complications, fatigue, headaches, ataxia, peripheral neuropathy, poor concentration
  • Dermatitis herpetiformis, skin rashes, vitiligo, alopecia
  • Dental enamel abnormalities, canker sores
  • Anemia (iron, B12, folic acid deficiencies)
  • Osteoporosis, osteopenia, arthritis, Dupuytren’s contracture, bone abnormalities
  • Reduced fertility in men and women, recurrent miscarriages
  • Endocrine conditions, type 1 diabetes, thyroid disease, Addison’s disease

What was new to me and fascinating was the athlete-gluten-performance connection that Melissa refers to as the “Gluten-Free Edge”. Over 60% of endurance athletes experience digestive problems such as abdominal pain and discomfort, diarrhea, constipation, gas and bloating. And because gluten causes inflammation, this can inhibit athletic performance and impair or delay recovery. The higher the sport intensity, the more likely the problem. Melissa shared that the Garmin Cycling Team went gluten-free for the 2008 season. They were the first pro-team to do so and this is what they found:

  • Less bloated and “heavy” feeling
  • Mentally sharper
  • Fewer stomach problems
  • Less stress on the immune system
  • Stronger performances

Wow! As Melissa says “Go gluten free – you have nothing to lose and everything to gain!”

Here is information on how to do a gluten elimination challenge.  I suggest you try it and see how you do

Melissa is wonderful and is so passionate about sharing this information. From her website: “I am Nutrition Therapist, have a degree in Exercise Science, am certified to teach yoga, and have a personal interest and expertise in celiac disease, gluten sensitivity, and holistic health. I’m on a mission to increase awareness of celiac disease and help people navigate the gluten-free lifestyle with confidence, strength, optimal nutrition, and renewed vitality. I know how difficult that can be because I have celiac disease and so does my daughter, but with the right lifestyle changes, optimal health is not only achievable, it can be fun and taste good too!”

Melissa’s new book will be available in June and you can preorder it now. I can’t wait to read it! The Gluten-Free Edge: A Nutrition and Training Guide for Peak Athletic Performance and an Active Gluten-Free Life by Peter Bronski and Melissa McLean Jory.

The whole NANP conference was superb! Other highlights included: The Consequences of Undiagnosed Vitamin B12 Deficiency by Sally Pacholok and Clinical Tools for Working with Libido by Bari Mandelbaum, NC, B Sc., I’ll share gems from these and other talks in future blog posts.

Filed Under: Antianxiety Food Solution, Books, Food and mood, General Health, Gluten, People, Real whole food Tagged With: anxiety, athletes, food and mood, gluten, gluten-free edge, Melissa McLean Jory, mood

Aubrey Huff anxiety attack: could it be a food-mood issue?

May 15, 2012 By Trudy Scott 11 Comments

Photo by Jeffjeff08 (from Wikimedia Commons)

Do world-class athletes actually have performance anxiety and panic attacks? And could there be a food mood and nutrient connection?  Yes, food does have a big impact on our mood. And yes, anxiety can affect anyone and many athletes are affected! The most recent example is baseball player Aubrey Huff, from the San Francisco Giants. Henry Schulman wrote about Aubrey’s panic attack in SFGate in an article titled Aubrey Huff opens up about his anxiety attacks :

Aubrey Huff says his first panic attack lasted for eight hours.

Aubrey Huff was standing in his New York hotel room at 5 o’clock in the morning in the early stages of what would be an eight-hour panic attack. The Giant were to play a doubleheader against the Mets that afternoon and evening. Baseball was the last thing on Huff’s mind.

“I couldn’t breathe,” Huff recalled. “I felt I was taking short breaths. Right then and there I thought I was having a heart attack. I told myself, ‘I’ll be damned if I’m going to be sitting in this hotel room and die of a heart attack. I’ve got to get out of here.'”

I used to have social anxiety and panic attacks and it was horrible! And very scary! I really feel for Aubrey and would love to be able to help!

If I was working with Aubrey this is what I’d have him do (this is my approach for anyone who is experiencing anxiety and anxiety attacks/panic attacks):

  1. I’d have him keep a 3 day food diary and we’d look at his intake of real whole food (including grass-fed meat) compared to junk food and fast food
  2. We’d look at caffeine and sugar intake and reduce this and eventually eliminate it. Caffeine can induce anxiety and for many people it’s a tough one to eliminate so we’d have to address the underlying fatigue and reason for “self-medication”. For Aubrey, it could possibly be burned out adrenals. High sugar consumption also affects the adrenals and results in nutrient depletion of minerals like zinc and magnesium, both of which help with anxiety
  3. We’d also look at his gluten intake and assess for gluten intolerance and/or celiac disease and have him start right away on a 2 week gluten elimination trial. Whether or not gluten is a contributing factor to the anxiety, as Melissa Mclean Jory says in the Gluten-Free Edge, athletes perform better when gluten is not a part of their diets
  4. We’d have him start on the first of the 4 antianxiety diets: real whole food, good quality protein, good fats, plenty of organic veggies and fruit, and with no gluten. And make sure he eating a good breakfast that does include protein – keeping blood sugar stable is key for anxiety
  5. We must also always consider neurotransmitter imbalances. In the same SF gate interview Aubrey said this “I couldn’t control one thought in my head. There were so many thoughts going through”. Low serotonin can cause anxiety, panic attacks and ruminating thoughts, so assessing for low serotonin would be key. If low serotonin is a factor then using the amino acid supplements tryptophan or 5-HTP would be worth considering. Research supports the use of 5-HTP for panic. GABA is a calming amino acid and it’s likely that Aubrey would benefit from this too, especially if he has stiff and tense muscles
  6. I would also consider the possibility of pyroluria. In an interview on his blog, Aubrey stated: “I was very shy in high school, if you can believe it. I broke out of my shell at the University of Miami when I got around guys like Burrell. I learned how to believe in myself – and I learned how to project confidence even when I didn’t feel very confident.” As reported by Carey Vanderborg, “the Social Anxiety Institute says that social anxiety disorder, also known as performance anxiety, is a persistent fear of performance situations–such as an athletic event–in which you’re exposed to unfamiliar people or to possible judgment by others.” Zinc, vitamin B6 and evening primrose oil can completely eliminate social anxiety in someone with pyroluria. Here is the pyroluria questionnaire that I’d have Aubrey use for assessing if this is part of the issue. Raising serotonin levels also helps with boosting confidence so it doesn’t have to be learned or forced.

Each person has their own unique biochemistry and there may be other factors involved but this would be a great start. This is what I wish for Aubrey Huff with this food-mood approach: totally free of anxiety, no more panic attacks, zero performance anxiety, feeling super-confident, have no ruminating thoughts, plus playing his best baseball ever!

I would LOVE to send a copy of my book to Aubrey so if you know how to get fan-mail to him please let me know. I tried the Giants office and didn’t have any luck.

You can find out more in The Antianxiety Food Solution: How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood and End Cravings, available in major books stores, at Amazon and via www.antianxietyfoodsolution.com.

Filed Under: Antianxiety Food Solution, Anxiety and panic, Food and mood, Gluten, People Tagged With: antianxiety diet, Antianxiety Food Solution, anxiety, anxiety attack, Aubrey Huff, mood, panic attack, pyroluria

Gluten Elimination Challenge: An Easy Way to Figure Out If It Affects You! (part 2)

March 31, 2011 By Trudy Scott 20 Comments

The easiest and most affordable way to figure out if gluten affects you is to do a 2-week gluten elimination trial (and see how you feel) and then provoke or challenge with gluten (and see how you feel). The 2 week trial will mean zero consumption of food containing wheat, rye, barley, spelt, kamut, triticale or oats. Oats must also be excluded as they are frequently contaminated with gluten during processing. It really is best that you eat home-made, real, whole foods (always, but especially during the trial) as gluten is so often “hidden” in many processed foods. Watch for ingredients like hydrolyzed protein, textured vegetable protein and all derivatives of wheat, oats, rye and barley (including barley malt, modified starch, most soy sauces and natural flavoring).

Other wonderful grains and nutritious starchy vegetables

Rice, corn and buckwheat are acceptable, as are the wonderful ancient grains like quinoa and amaranth. You can find gluten-free-everything – pasta, crackers, you-name-it – made from rice, bean, potato, coconut and corn flour. There are also many wonderful recipes books but some call for margarine, soy milk and excessive sugar – so make substitutions as needed. Rather than simply replacing the problem grain with another grain, consider incorporating more vegetables into your diet. Starchy vegetables like sweet potato and squashes are a wonderfully nutritious source of carbohydrates.

Adding back the gluten

Once you have removed the gluten from your diet and seen improvements in your mood and other symptoms (digestive, pain, skin etc), add it back after 2 weeks and see if it affects you adversely. This test is often more powerful for my clients than any lab test. I’ve seen symptoms ranging from severe mood swings to terrible anxiety to stomach aches to general aches and pains to fatigue and brain fog (and all of the above in some very sensitive individuals). If you experience any of the above, then it’s important that you remove gluten from your diet and work with someone to do additional testing. I’ll cover additional testing in a future blog post.

See here for part 1 (Gluten, your mood and your health) and read more about this and other food intolerances in my forthcoming book The Antianxiety Food Solution – How the Foods you eat can calm your anxious mind, improve mood and end cravings. Find out more at www.antianxietyfoodsolution.com

Filed Under: Antianxiety Food Solution, Food and mood, General Health, Gluten, Real whole food Tagged With: antianxiety, anxiety, food and mood, gluten, gluten elimination

Gluten, your mood and your health (part 1)

February 28, 2011 By Trudy Scott 17 Comments

Looking at whole-wheat with a different set of eyes is so important if you have any mental or physical concerns! Perhaps you are one of the many people who cannot tolerate wheat and other gluten-containing grains. Wheat, rye, barley, spelt and kamut all contain gluten. Oats is often contaminated with gluten during processing and transportation. It really is best that you eat home-made, real, whole foods as gluten is so often “hidden” in many processed foods. Processed foods often contain ingredients like hydrolyzed protein, textured vegetable protein and derivatives of wheat, oats, rye and barley (including barley malt, modified starch, soy sauce and natural flavoring).

There are many studies supporting the gluten-mood connection – anxiety, social phobia, depression and schizophrenia. A study titled” Psychiatric symptoms and celiac disease” states that celiac disease “should be taken into consideration in patients with psychiatric disorders particularly if you are not responsive to psychopharmacological therapy, because withdrawal of gluten from the diet usually results in disappearance of symptoms”. Gluten can also cause fatigue, aches and pains, poor focus and of course digestive problems like constipation.

I assess all my clients for gluten intolerance and the majority have seen dramatic improvements on a gluten-free diet – improved mood, no more anxiety, more energy, better sleep and improved digestion. One of my clients saw an almost complete resolution of the eczema that had been plaguing her for over 10 years, was able to get off her antidepressants and lost over 10 pounds. Another client has her Hashimotos thyroiditis (an autoimmune disease) under control as a result of removing gluten from her diet. I’ve seen a number of people who have seen improvements in their rheumatoid arthritis (also an autoimmune disease) when they quit gluten.

You’ve probably seen it as a common theme in many of my presentations and many of my blog posts, such as Good Day Sacramento, Exercise and Food for Mood and Detox, Get Healthy and Lose Weight

I cover this subject extensively in my forthcoming book The Antianxiety Food Solution – How the Foods you eat can calm your anxious mind, improve mood and end cravings. Find out more at www.antianxietyfoodsolution.com

This is part 1 of the gluten-mood connection – part 2 is all about doing a 2-week gluten elimination trial so you can determine is gluten is possibly a problem food for you!

Filed Under: Antianxiety Food Solution, Food and mood, General Health, Gluten Tagged With: anxiety, depression, food and mood, gluten, schizophrenia, social phobia

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