Βρηκα κι αυτα απο Μερκολα
Why Haven't Infertile Couples Been Told These Facts?
Millions of people have celiac disease, but most don’t know they have it, in part because symptoms can be so varied. It is an often overlooked digestive disorder that causes damage to the small intestine when gluten, a protein found in wheat, barley and rye, is eaten.
Infertility seems to be more common in women with untreated celiac disease. Other gynecological and obstetrical problems may also be more common, including miscarriages and preterm births.
For men, problems can include abnormal sperm -- such as lower sperm numbers, altered shape, and reduced function. Men with untreated celiac disease may also have lower testosterone levels.
The good news is that with proper treatment with a gluten-free diet and correction of nutritional deficiencies, the prognosis for future pregnancies is much improved.
Celiac disease -- which prevents your body from properly digesting gluten, a protein found in wheat, rye, and barley – may be far more common than previously thought. A decade ago, it was believed that celiac disease affected just one in 10,000 Americans.
But a 2004 report by the National Institutes of Health (NIH) estimates that as many as one in every 133 Americans have it. That equates to roughly 2 million people suffering from gluten intolerance in the US alone.
There are many millions more that suffer from sub-clinical gluten intolerance – some estimate as many as 30 million Americans -- so there is a very real possibility that you or someone you know is affected by this.
Unfortunately, celiac disease can manifest in so many ways, it’s frequently misdiagnosed and/or mistreated. One study showed it takes an average of 11 years for patients to receive a correct diagnosis!
What is Celiac Disease?
Celiac disease (CD) is an autoimmune disease, much like lupus and rheumatoid arthritis. To get the disease, you must have both a genetic predisposition plus an environmental factor that triggers the disease.
In this case, the environmental trigger is gluten.
If you have celiac disease, eating gluten triggers an autoimmune response, provoking your body to attack itself and destroy healthy tissues, especially the villi in your small intestine. This can also have a detrimental effect on your body’s ability to absorb and process nutrients.
Some of the most common symptoms of this disease process include:
• Chronic diarrhea
• Acid reflux
Even a small amount of gluten can trigger a response.
How Celiac Disease Can Affect Your Fertility
In the New York Times article above, Dr. Sheila Crowe, a professor in the division of gastroenterology and hepatology at the University of Virginia, provides information about a slightly lesser known side effect of celiac disease, namely infertility, which can affect both men and women with the disease.
Studies from various countries indicate that fertility problems are indeed more common in women with untreated celiac disease, compared to women who do not have it.
The risk of suffering other gynecological and obstetrical problems like miscarriage or preterm birth is also higher for those with celiac disease.
In addition, other common menstrual disorders that frequently affect women with celiac disease include:
• Later onset of menstruation
• Earlier menopause
• Secondary amenorrhea (a condition in which menses starts but then stops)
These menstrual abnormalities, along with other hormonal disruptions they cause, can lead to fewer ovulations, which in turn results in a reduced chance of pregnancy.
Men with the disease, especially if it’s undiagnosed, can also face fertility problems due to:
• Abnormal sperm (reduced sperm count, altered shape, and reduced function)
• Reduced testosterone levels
How to Diagnose Celiac Disease
As Dr. Crowe recommends, it might be wise to get screened for celiac disease if you suffer from repeated miscarriages or are unable to conceive for unknown reasons – especially if you suffer any of the most common symptoms.
Just remember that symptoms can vary widely, and symptoms are easily confused with those of other diseases, such as irritable bowel syndrome, iron-deficiency anemia, or even chronic fatigue syndrome.
Fortunately, there are now more reliable blood tests that can screen for the disease, so that you’re not left guessing and wondering.
People with celiac disease have higher than normal levels of certain autoantibodies in their blood. So to diagnose celiac disease, your doctor will need to test your blood for high levels of anti-tissue transglutaminase antibodies (tTGA) or anti-endomysium antibodies (EMA).
Please keep in mind that you need to continue eating a diet containing gluten, such as breads and pastas, in order to obtain an accurate test result! If you go on a gluten-free diet prior to being tested, the results may come up negative for celiac even though you might in fact have the disease.
If the test is positive for celiac disease, a biopsy of your small intestine may be performed to confirm your diagnosis. The biopsy checks for damage to the villi, which is a sign that celiac disease is damaging your intestines.
The Case for a Low- or No-Grain Diet – Whether You Have Celiac Disease or Not
The prevalence of celiac disease is yet more evidence that contemporary humans simply aren’t equipped to consume mass quantities of starch and sugar rich foods many modern diets consists of.
Most people simply consume far too much bread, cereal, pasta, corn (a grain, not a vegetable), rice, potatoes, snacks and junk foods, with grave consequences to their health.
A diet high in grains causes insulin resistance which causes far more problems than this dangerous autoimmune response. It’s also a leading factor of obesity, which now affects a whopping two-thirds of all Americans.
Many of you are still focused on fat intake, but it’s really not the fat in the foods you eat but rather the excess carbohydrates from your processed food diet that is making you overweight and unhealthy, and contributing to epidemic levels of other diseases such as diabetes.
How to Treat Celiac Disease
In my experience, gluten intolerance can be treated quite easily by eliminating gluten and most grains from your daily diet.
It’s important to realize that gluten can be hidden in many foods including soups, soy sauce, candies, cold cuts, and various low- and no-fat products, so check the labels before you eat it.
Also watch out for malt, starches, hydrolyzed vegetable protein (HVP), texturized vegetable protein (TVP) and natural flavoring.
Some pharmaceuticals, vinegars and alcohol can also contain gluten.
If you have celiac disease, it’s imperative that you do not eat gluten in order to avoid further damage to your health. But it’s not only people with gluten intolerance who would benefit from avoiding grains--in my estimation over 85 percent of the population would benefit from avoiding them, and this includes even whole, organic grains.
Remember, if you stick to a diet consisting mainly of whole foods, preferably locally-grown organics, you’ll reap all the other beneficial side effects as well, such as increased energy, an enhanced mood, and a lower risk of other chronic illnesses.
Once you realize how good you can feel on a gluten-free diet, you’ll probably have no problem avoiding it and living a full, healthy life!
For more in-depth information about celiac disease and going on a gluten-free diet, here are three good sources:
• Website: www.celiaccenter.org
• UK website for sufferers of coeliac disease: www.coeliac.co.uk
• A good US website: www.celiac.com
Celiac Disease: Fertility and Pregnancy
Celiac disease (gluten-sensitive enteropathy) may manifest clinically with an array of nongastrointestinal symptoms among which are:
dermatitis herpetiformis osteoporosis
dental enamel defects
various neurological symptoms
anemia of various types
Important data have accumulated in recent years regarding the association between celiac disease, fertility and pregnancy. Many primary care obstetricians and gynecologists and
perinatologists are not aware of these important relationships.
The aim of this review, utilizing a MEDLINE search from 1966 through March 2000 of the English language, is to describe the possible effects of celiac disease and its treatment upon the reproductive cycle, fertility, pregnancy, and menopause. Review of the literature reveals that patients with untreated celiac disease sustain a significantly delayed menarche, earlier menopause, and an increased prevalence of secondary amenorrhea.
Patients with untreated celiac disease incur:
• higher miscarriage rates
• increased fetal growth restriction
• lower birth weights
It appears that improvement of celiac disease, as reflected by restoration of small bowel mucosa associated with implementation of a gluten-free diet, may decrease miscarriage rates, improve fetal nutritional support and overall perinatal outcome.
One of other reasons that one should avoid wheat. I have seen many atypical rashes that were not eczema (atopic dermatitis) that have cleared up very nicely when the person stopped eating all gluten. I have also seen many other rashes clear up when the person stopped eating corn. It is amazing how frequently this is missed in traditional medicine, despite it being well described in the literature.
Most of us do not do well when we consume grains and are best off avoiding it. Dr. Brasco, a gastroenterologist, wrote an article last year that provides a wonderful review of the scientific reasons why most of us should avoid grains.
Eating Wheat May Contribute to Some Miscarriages
Posted by: Dr. Mercola
Women who experience recurrent miscarriages or those whose fetuses show intrauterine growth retardation may have undiagnosed celiac disease.
Celiac disease is a genetic condition that causes those afflicted to experience difficulty absorbing gluten, as found in wheat, oats, barley, and several other grains. Symptoms include diarrhea, abdominal distention, and fatigue. And research suggests that more people may have a symptomless, milder form that may often go undetected. Recent studies have indicated that many people are found to have mild forms of the disease when their blood is tested for the condition, even though they were unaware that there was a problem.
Women who experience repeat miscarriages, also known as recurrent spontaneous abortions (RSA) or intrauterine growth retardation (IUGR) -- a condition in which a baby is born significantly smaller than normal -- may have celiac disease that has gone undetected.
Researchers, led by Dr. Antonio Gasbarrini, explain that they decided to look at celiac disease since it is a common cause of malabsorption of food in western countries. And for some time, miscarriages have been correlated with celiac disease.
Gasbarrini and colleagues conducted blood tests for the condition in 44 patients with RSA, 39 with IUGR, and 50 healthy women. None of the healthy women were found to have celiac disease, but the condition was detected in 8% of the women with RSA and 15% of those with IUGR.
Biopsy samples from the intestine confirmed diagnosis in eight of nine patients whose blood tested positive for the disease.
Women having recurrent miscarriages or intrauterine growth retardation could have subclinical celiac disease, which will usually go undetected.
Celiac disease has been correlated with infertility, and with other conditions, including birth defects in children whose mothers could not absorb folic acid while pregnant because they had undiagnosed celiac disease, she said. It makes sense that the condition could lead to other problems related to too little nutritional intake, she pointed out. Spontaneous abortions could feasibly result if the mother was failing to absorb vitamins and minerals required by the baby, researchers explained. If celiac disease is responsible for some of these problems, it is easily treatable by avoiding products containing gluten.
Intolerance to gluten is a common condition, affecting a significant proportion of the population. Recent research has put the figure as high as 1 in every 33 people, but my experience tells me that it is more like 1 in every 10 people.
Wheat really does not serve most of us well, even the organic whole-grain types. It is best avoided or severely limited by most of us. For those who care for women with recurrent miscarriages wheat intolerance causing a subclinical celiac disease should be considered.
As far as miscarriages go, a very high percentage of them are due to progesterone deficiencies. Any woman who has had a miscarriage should be properly tested with salivary hormone tests by a physician who is experienced with this.