Full Transcript Introduction to Gluten and Pain 0:02 talk about today is the effect of diet 0:02 talk about today is the effect of diet on pain. 0:05 on pain. 0:05 on pain. Specifically, the effect of wheat and 0:09 Specifically, the effect of wheat and 0:09 Specifically, the effect of wheat and gluten on pain. This may have bearing 0:12 gluten on pain. This may have bearing 0:12 gluten on pain. This may have bearing for burning mouth syndrome and it also 0:14 for burning mouth syndrome and it also 0:14 for burning mouth syndrome and it also has bearing for a number of other 0:16 has bearing for a number of other 0:16 has bearing for a number of other chronic conditions. I'm going to talk to
What Gluten Is and Why It Matters 0:19 chronic conditions. I'm going to talk to 0:19 chronic conditions. I'm going to talk to you a little bit about what gluten is 0:21 you a little bit about what gluten is 0:21 you a little bit about what gluten is and why it's important about per 0:24 and why it's important about per 0:24 and why it's important about per peripheral neuropathy and what the term 0:26 peripheral neuropathy and what the term 0:26 peripheral neuropathy and what the term neuropathy means. 0:29 neuropathy means. 0:30 neuropathy means. uh also about celiac disease which is 0:32 uh also about celiac disease which is 0:32 uh also about celiac disease which is one aspect of a problem with gluten 0:35 one aspect of a problem with gluten 0:35 one aspect of a problem with gluten and how gluten might affect burning 0:37 and how gluten might affect burning 0:37 and how gluten might affect burning mouth syndrome. 0:39 mouth syndrome.
Gluten, Celiac Disease, and Neurological Effects 0:40 mouth syndrome. So it was interesting uh just as I was 0:42 So it was interesting uh just as I was 0:42 So it was interesting uh just as I was putting this talk together last month, a 0:45 putting this talk together last month, a 0:45 putting this talk together last month, a patient messaged me, you know, we have a 0:47 patient messaged me, you know, we have a 0:47 patient messaged me, you know, we have a patient portal and our through our 0:49 patient portal and our through our 0:49 patient portal and our through our electronic medical record and uh she was 0:52 electronic medical record and uh she was 0:52 electronic medical record and uh she was a new patient and she said to me on the 0:55 a new patient and she said to me on the 0:55 a new patient and she said to me on the portal message, "I did have a bad mouth 0:58 portal message, "I did have a bad mouth 0:58 portal message, "I did have a bad mouth pain experience after eating gluten by 1:01 pain experience after eating gluten by 1:01 pain experience after eating gluten by accident three days ago." Might tell us 1:04 accident three days ago." Might tell us 1:04 accident three days ago." Might tell us something. And indeed it really does 1:07 something. And indeed it really does 1:07 something. And indeed it really does tell us something. And that's something
How Gluten Affects the Nervous System 1:09 tell us something. And that's something 1:09 tell us something. And that's something is that gluten can be involved in pain 1:12 is that gluten can be involved in pain 1:12 is that gluten can be involved in pain conditions in a whole variety of ways. 1:16 conditions in a whole variety of ways. 1:16 conditions in a whole variety of ways. And gluten can be involved with the 1:18 And gluten can be involved with the 1:18 And gluten can be involved with the nervous system of which pain is a part 1:21 nervous system of which pain is a part 1:21 nervous system of which pain is a part in a whole variety of ways. 1:24 in a whole variety of ways. 1:24 in a whole variety of ways. And first of all the question is what is 1:27 And first of all the question is what is 1:27 And first of all the question is what is gluten? Gluten is a proteinatious 1:31 gluten? Gluten is a proteinatious 1:31 gluten? Gluten is a proteinatious material that is what makes dough real 1:34 material that is what makes dough real 1:34 material that is what makes dough real stretchy and allows bread to rise. And
Neuropathy Symptoms and Mechanisms 1:37 stretchy and allows bread to rise. And 1:37 stretchy and allows bread to rise. And you know how sourdough bread has those 1:39 you know how sourdough bread has those 1:39 you know how sourdough bread has those nice big holes in it that are, you know, 1:41 nice big holes in it that are, you know, 1:41 nice big holes in it that are, you know, so nice when you toast it up and the 1:43 so nice when you toast it up and the 1:43 so nice when you toast it up and the edges of the holes get nice and crispy 1:45 edges of the holes get nice and crispy 1:45 edges of the holes get nice and crispy and crunchy? That's gluten in wheat. 1:48 and crunchy? That's gluten in wheat. 1:48 and crunchy? That's gluten in wheat. It's a protein in wheat. It's actually 1:51 It's a protein in wheat. It's actually 1:51 It's a protein in wheat. It's actually composed of a couple of different 1:52 composed of a couple of different 1:52 composed of a couple of different proteins. One of them is glyodin, and 1:55 proteins. One of them is glyodin, and 1:55 proteins. One of them is glyodin, and that is what appears on lab testing 1:58 that is what appears on lab testing 1:58 that is what appears on lab testing looking for sensitivity to gluten. We 2:01 looking for sensitivity to gluten. We 2:01 looking for sensitivity to gluten. We measure glyodin antibodies 2:04 measure glyodin antibodies 2:04 measure glyodin antibodies um as well as another protein too. 2:07 um as well as another protein too. 2:08 um as well as another protein too. And so gluten is a part of wheat. And 2:11 And so gluten is a part of wheat. And 2:11 And so gluten is a part of wheat. And not only wheat, many other grains have 2:14 not only wheat, many other grains have 2:14 not only wheat, many other grains have proteins that are similar to gluten. And 2:16 proteins that are similar to gluten. And 2:16 proteins that are similar to gluten. And so we'll also talk about why it's 2:19 so we'll also talk about why it's 2:19 so we'll also talk about why it's important for some people to eliminate 2:22 important for some people to eliminate 2:22 important for some people to eliminate almost all grains when they're trying to
Testing for Gluten Sensitivity and Celiac Disease 2:25 almost all grains when they're trying to 2:25 almost all grains when they're trying to assess whether gluten is affecting their 2:27 assess whether gluten is affecting their 2:27 assess whether gluten is affecting their health. 2:30 health. 2:30 health. And it turns out that gluten can affect 2:34 And it turns out that gluten can affect 2:34 And it turns out that gluten can affect really three major symptoms systems in 2:37 really three major symptoms systems in 2:37 really three major symptoms systems in the body. And for many years and 2:40 the body. And for many years and 2:40 the body. And for many years and initially celiac disease, which is 2:43 initially celiac disease, which is 2:43 initially celiac disease, which is gluten that affects the intestines and 2:46 gluten that affects the intestines and 2:46 gluten that affects the intestines and the stomach, it was first discovered 2:49 the stomach, it was first discovered 2:49 the stomach, it was first discovered 2,000 years ago. And nobody knew what
Hidden Sources of Gluten and Elimination Challenges 2:51 2,000 years ago. And nobody knew what 2:51 2,000 years ago. And nobody knew what was causing these stomach symptoms. 2:54 was causing these stomach symptoms. 2:54 was causing these stomach symptoms. And it really took until um the early 2:58 And it really took until um the early 2:58 And it really took until um the early 1900s and finally in the 1950s and 1960s 3:03 1900s and finally in the 1950s and 1960s 3:03 1900s and finally in the 1950s and 1960s to to hone down on specifically what the 3:06 to to hone down on specifically what the 3:06 to to hone down on specifically what the protein was that was creating this kind 3:08 protein was that was creating this kind 3:08 protein was that was creating this kind of intestinal problem. So this issue has 3:11 of intestinal problem. So this issue has 3:11 of intestinal problem. So this issue has been around with us well documented for 3:15 been around with us well documented for 3:15 been around with us well documented for 2,000 years and we think it started u 3:18 2,000 years and we think it started u 3:18 2,000 years and we think it started u relatively late in evolutionary terms 3:21 relatively late in evolutionary terms 3:21 relatively late in evolutionary terms around 10,000 years ago when we started 3:24 around 10,000 years ago when we started 3:24 around 10,000 years ago when we started eating wheat and when agriculture came
Gluten Elimination Benefits and Personal Experience 3:27 eating wheat and when agriculture came 3:27 eating wheat and when agriculture came about. 3:34 So this gluten, this protein material 3:34 So this gluten, this protein material that's in wheat and other grains can 3:37 that's in wheat and other grains can 3:37 that's in wheat and other grains can affect three major systems in our 3:39 affect three major systems in our 3:39 affect three major systems in our bodies. One, we've talked about our 3:42 bodies. One, we've talked about our 3:42 bodies. One, we've talked about our intestinal tract and I'll tell you a 3:44 intestinal tract and I'll tell you a 3:44 intestinal tract and I'll tell you a little bit more about that when we talk 3:45 little bit more about that when we talk 3:45 little bit more about that when we talk about what celiac disease is. Another is 3:48 about what celiac disease is. Another is 3:48 about what celiac disease is. Another is the skin and there is a skin condition 3:52 the skin and there is a skin condition 3:52 the skin and there is a skin condition called dermatitis herpedaphiforis. 3:55 called dermatitis herpedaphiforis. 3:55 called dermatitis herpedaphiforis. And just like the name like herpes, you 3:57 And just like the name like herpes, you 3:57 And just like the name like herpes, you know, when you get herpes outbreaks, 3:59 know, when you get herpes outbreaks, 3:59 know, when you get herpes outbreaks, they're little tiny blisters. Dermatitis 4:01 they're little tiny blisters. Dermatitis 4:02 they're little tiny blisters. Dermatitis herpedaphiforis is um confluent little 4:05 herpedaphiforis is um confluent little 4:05 herpedaphiforis is um confluent little blisters that occur at various places on
Questions About Testing and Going Gluten-Free 4:08 blisters that occur at various places on 4:08 blisters that occur at various places on the body and turn out to be due to wheat 4:11 the body and turn out to be due to wheat 4:12 the body and turn out to be due to wheat to a large extent. 4:14 to a large extent. 4:14 to a large extent. And then there are neurological 4:15 And then there are neurological 4:16 And then there are neurological conditions that are due to eating wheat. 4:19 conditions that are due to eating wheat. 4:19 conditions that are due to eating wheat. Some of them quite serious. There is 4:21 Some of them quite serious. There is 4:21 Some of them quite serious. There is gluten atexia which is when gluten 4:24 gluten atexia which is when gluten 4:24 gluten atexia which is when gluten attacks the balance and movement part of 4:27 attacks the balance and movement part of 4:27 attacks the balance and movement part of the brain and creates a problem where 4:29 the brain and creates a problem where 4:29 the brain and creates a problem where somebody has problems with balance and 4:31 somebody has problems with balance and 4:31 somebody has problems with balance and movement and walking and they have a 4:33 movement and walking and they have a 4:33 movement and walking and they have a very kind of swaying gate because 4:36 very kind of swaying gate because 4:36 very kind of swaying gate because they're they're about to lose their 4:38 they're they're about to lose their 4:38 they're they're about to lose their balance as they walk. 4:40 balance as they walk. 4:40 balance as they walk. So three major systems in the body that 4:43 So three major systems in the body that 4:43 So three major systems in the body that are affected the gut the skin and the 4:45 are affected the gut the skin and the 4:46 are affected the gut the skin and the nerves. And a lot this is not recognized 4:49 nerves. And a lot this is not recognized 4:49 nerves. And a lot this is not recognized by the medical profession. And um I gave 4:52 by the medical profession. And um I gave 4:52 by the medical profession. And um I gave this talk last month to our burning 4:54 this talk last month to our burning 4:54 this talk last month to our burning mouth hope for burning mouth online 4:57 mouth hope for burning mouth online 4:57 mouth hope for burning mouth online course membership um members. And in 5:01 course membership um members. And in 5:01 course membership um members. And in fact one of the people who was on that 5:03 fact one of the people who was on that 5:03 fact one of the people who was on that webinar 5:04 webinar 5:04 webinar was diagnosed with celiac disease. 5:08 was diagnosed with celiac disease. 5:08 was diagnosed with celiac disease. And celiac disease is an autoimmune 5:11 And celiac disease is an autoimmune 5:11 And celiac disease is an autoimmune disorder caused by wheat caused by 5:13 disorder caused by wheat caused by 5:14 disorder caused by wheat caused by gluten and glyodin. and it causes an 5:17 gluten and glyodin. and it causes an 5:18 gluten and glyodin. and it causes an attack on the lining of the intestinal 5:20 attack on the lining of the intestinal 5:20 attack on the lining of the intestinal system. And what happens is those very 5:24 system. And what happens is those very 5:24 system. And what happens is those very important cells that line our intestines 5:26 important cells that line our intestines 5:26 important cells that line our intestines that have thousands of little fingery 5:29 that have thousands of little fingery 5:29 that have thousands of little fingery projections that help us absorb food and 5:33 projections that help us absorb food and 5:33 projections that help us absorb food and um absorb nutrients get destroyed by 5:37 um absorb nutrients get destroyed by 5:37 um absorb nutrients get destroyed by gluten in people who have celiac 5:39 gluten in people who have celiac 5:39 gluten in people who have celiac disease. So it's an autoimmune disorder 5:41 disease. So it's an autoimmune disorder 5:41 disease. So it's an autoimmune disorder that's quite serious. It can result in 5:44 that's quite serious. It can result in 5:44 that's quite serious. It can result in weight loss, ma malnutrition because 5:47 weight loss, ma malnutrition because 5:47 weight loss, ma malnutrition because there are a number of nutrients that 5:49 there are a number of nutrients that 5:49 there are a number of nutrients that don't get absorbed because those little 5:51 don't get absorbed because those little 5:51 don't get absorbed because those little fingery projections on our lining cells 5:53 fingery projections on our lining cells 5:53 fingery projections on our lining cells in the intestine are destroyed. 5:57 in the intestine are destroyed. 5:57 in the intestine are destroyed. And so mostly the medical profession 6:00 And so mostly the medical profession 6:00 And so mostly the medical profession thinks of celiac disease as an 6:02 thinks of celiac disease as an 6:02 thinks of celiac disease as an intestinal problem and it's very 6:05 intestinal problem and it's very 6:05 intestinal problem and it's very difficult to get diagnosed. And the 6:08 difficult to get diagnosed. And the 6:08 difficult to get diagnosed. And the person who was on our webinar said she 6:10 person who was on our webinar said she 6:10 person who was on our webinar said she took a really long time to get diagnosed 6:12 took a really long time to get diagnosed 6:12 took a really long time to get diagnosed for precisely this reason. She did not 6:15 for precisely this reason. She did not 6:15 for precisely this reason. She did not have gastrointestinal 6:17 have gastrointestinal 6:17 have gastrointestinal symptoms. She had other problems that 6:20 symptoms. She had other problems that 6:20 symptoms. She had other problems that celiac was causing her, but not GI 6:23 celiac was causing her, but not GI 6:23 celiac was causing her, but not GI symptoms. And so it took her doctors a 6:25 symptoms. And so it took her doctors a 6:25 symptoms. And so it took her doctors a really long time to think that this 6:26 really long time to think that this 6:26 really long time to think that this might be it and test her for it and find 6:29 might be it and test her for it and find 6:29 might be it and test her for it and find out that she had it. 6:32 out that she had it. 6:32 out that she had it. And I want to focus today on what gluten 6:35 And I want to focus today on what gluten 6:35 And I want to focus today on what gluten can do to our nervous system. And one of 6:39 can do to our nervous system. And one of 6:39 can do to our nervous system. And one of the problems that gluten causes is 6:41 the problems that gluten causes is 6:41 the problems that gluten causes is called neuropathy. And neuropathy neuro 6:45 called neuropathy. And neuropathy neuro 6:45 called neuropathy. And neuropathy neuro is nerves and apopathy is something is 6:48 is nerves and apopathy is something is 6:48 is nerves and apopathy is something is wrong with those nerves. Pathology 6:52 wrong with those nerves. Pathology 6:52 wrong with those nerves. Pathology and uh specifically peripheral 6:55 and uh specifically peripheral 6:55 and uh specifically peripheral neuropathy. And when we talk about our 6:57 neuropathy. And when we talk about our 6:57 neuropathy. And when we talk about our peripheral nervous system, 7:00 peripheral nervous system, 7:00 peripheral nervous system, it's as if we were a computer that, you 7:03 it's as if we were a computer that, you 7:03 it's as if we were a computer that, you know, is wired to all work together. So, 7:08 know, is wired to all work together. So, 7:08 know, is wired to all work together. So, um, the real, you know, our brains and 7:10 um, the real, you know, our brains and 7:10 um, the real, you know, our brains and our spinal cord are are like the, um, 7:13 our spinal cord are are like the, um, 7:13 our spinal cord are are like the, um, you know, the operating system in our 7:15 you know, the operating system in our 7:15 you know, the operating system in our computer. And all of the wires, you 7:18 computer. And all of the wires, you 7:18 computer. And all of the wires, you know, leading to that central processing 7:20 know, leading to that central processing 7:20 know, leading to that central processing unit in our computer are like the nerves 7:23 unit in our computer are like the nerves 7:23 unit in our computer are like the nerves all around our bodies. And those nerves, 7:27 all around our bodies. And those nerves, 7:27 all around our bodies. And those nerves, those wires are what are affected in 7:29 those wires are what are affected in 7:30 those wires are what are affected in neuropathy. And there are many many 7:32 neuropathy. And there are many many 7:32 neuropathy. And there are many many causes of neuropathy. 7:34 causes of neuropathy. 7:34 causes of neuropathy. Um everything from 7:37 Um everything from 7:37 Um everything from diabetes to a physical injury to hormone 7:42 diabetes to a physical injury to hormone 7:42 diabetes to a physical injury to hormone imbalances, autoimmune diseases, 7:45 imbalances, autoimmune diseases, 7:45 imbalances, autoimmune diseases, infections like reactivated viral 7:48 infections like reactivated viral 7:48 infections like reactivated viral infections, Lyme disease 7:51 infections, Lyme disease 7:51 infections, Lyme disease um and even um vascular problems of 7:56 um and even um vascular problems of 7:56 um and even um vascular problems of which you know diabetes causes problems 7:58 which you know diabetes causes problems 7:58 which you know diabetes causes problems with your blood vessels and ultimately 8:00 with your blood vessels and ultimately 8:00 with your blood vessels and ultimately cause problems with nerves. 8:04 cause problems with nerves. 8:04 cause problems with nerves. And neuropathy consists of a few 8:06 And neuropathy consists of a few 8:06 And neuropathy consists of a few different parts. One is that there may 8:10 different parts. One is that there may 8:10 different parts. One is that there may be a loss of signals that normally get 8:12 be a loss of signals that normally get 8:12 be a loss of signals that normally get passed through. And in these situations, 8:15 passed through. And in these situations, 8:15 passed through. And in these situations, people will feel numb. Then there can be 8:18 people will feel numb. Then there can be 8:18 people will feel numb. Then there can be inappropriate signaling when there 8:20 inappropriate signaling when there 8:20 inappropriate signaling when there really isn't any signaling going on, but 8:22 really isn't any signaling going on, but 8:22 really isn't any signaling going on, but things are getting transmitted because 8:24 things are getting transmitted because 8:24 things are getting transmitted because the nerves aren't functioning properly. 8:27 the nerves aren't functioning properly. 8:27 the nerves aren't functioning properly. And the kind of an analogy to that would 8:29 And the kind of an analogy to that would 8:29 And the kind of an analogy to that would be like static on a phone line. Nobody's 8:32 be like static on a phone line. Nobody's 8:32 be like static on a phone line. Nobody's saying anything, but noises are coming 8:33 saying anything, but noises are coming 8:34 saying anything, but noises are coming through and they're not normal noises. 8:36 through and they're not normal noises. 8:36 through and they're not normal noises. And then the last thing that can happen 8:38 And then the last thing that can happen 8:38 And then the last thing that can happen when signaling is disrupted in 8:40 when signaling is disrupted in 8:40 when signaling is disrupted in neuropathy 8:41 neuropathy 8:42 neuropathy is an error that distorts the messages. 8:45 is an error that distorts the messages. 8:45 is an error that distorts the messages. And it would be like watching a wavy 8:48 And it would be like watching a wavy 8:48 And it would be like watching a wavy picture on your television screen. You 8:50 picture on your television screen. You 8:50 picture on your television screen. You know that there's a picture there, but 8:52 know that there's a picture there, but 8:52 know that there's a picture there, but you know it's not looking normal. And we 8:54 you know it's not looking normal. And we 8:54 you know it's not looking normal. And we see this with neuropathy where people 8:57 see this with neuropathy where people 8:57 see this with neuropathy where people just something that should be a light 9:00 just something that should be a light 9:00 just something that should be a light touch feels very painful or burning. 9:04 touch feels very painful or burning. 9:04 touch feels very painful or burning. Lying in bed with the sheets on your 9:06 Lying in bed with the sheets on your 9:06 Lying in bed with the sheets on your feet, you know, you should feel the 9:08 feet, you know, you should feel the 9:08 feet, you know, you should feel the touch of the sheets. Um it shouldn't 9:10 touch of the sheets. Um it shouldn't 9:10 touch of the sheets. Um it shouldn't feel like pain on your feet and legs. 9:12 feel like pain on your feet and legs. 9:12 feel like pain on your feet and legs. And for some people it does. So that's 9:14 And for some people it does. So that's 9:14 And for some people it does. So that's distortion of the signaling that has 9:17 distortion of the signaling that has 9:17 distortion of the signaling that has happened because the nerves are damaged. 9:20 happened because the nerves are damaged. 9:20 happened because the nerves are damaged. It's thought that as many as 20 million 9:22 It's thought that as many as 20 million 9:22 It's thought that as many as 20 million people in the United States have some 9:24 people in the United States have some 9:24 people in the United States have some form of peripheral neuropathy 9:32 and we think that burning mouth syndrome 9:32 and we think that burning mouth syndrome is a neuropathic or neuropathy problem. 9:35 is a neuropathic or neuropathy problem. 9:35 is a neuropathic or neuropathy problem. How do we figure this out and what do we 9:37 How do we figure this out and what do we 9:37 How do we figure this out and what do we do about it? 9:44 First, there is blood testing and blood 9:44 First, there is blood testing and blood testing can tell a couple of things. 9:47 testing can tell a couple of things. 9:47 testing can tell a couple of things. whether you have 9:50 whether you have 9:50 whether you have um antibodies to components of gluten 9:53 um antibodies to components of gluten 9:54 um antibodies to components of gluten glyodin antibodies. 9:56 glyodin antibodies. 9:56 glyodin antibodies. There is an enzyme trans glutaminase 10:00 There is an enzyme trans glutaminase 10:00 There is an enzyme trans glutaminase that has antibodies created to it if 10:03 that has antibodies created to it if 10:03 that has antibodies created to it if your uh nervous system is affected, if 10:06 your uh nervous system is affected, if 10:06 your uh nervous system is affected, if your skin is affected and if your GI 10:08 your skin is affected and if your GI 10:08 your skin is affected and if your GI tract is affected. And then there is the 10:11 tract is affected. And then there is the 10:11 tract is affected. And then there is the genetics of gluten sensitivity. And 10:14 genetics of gluten sensitivity. And 10:14 genetics of gluten sensitivity. And people with celiac disease have 10:16 people with celiac disease have 10:16 people with celiac disease have particular genetics that predispose them 10:19 particular genetics that predispose them 10:19 particular genetics that predispose them to having celiac disease. They may not 10:22 to having celiac disease. They may not 10:22 to having celiac disease. They may not have the symptoms, but genetics are a 10:24 have the symptoms, but genetics are a 10:24 have the symptoms, but genetics are a tip off that this could be an issue for 10:27 tip off that this could be an issue for 10:27 tip off that this could be an issue for somebody. 10:29 somebody. 10:29 somebody. In fact, probably um as far as 10:33 In fact, probably um as far as 10:33 In fact, probably um as far as neuropathy goes, neuropathy is um or 10:37 neuropathy goes, neuropathy is um or 10:37 neuropathy goes, neuropathy is um or rather celiac disease goes. It's 10:39 rather celiac disease goes. It's 10:40 rather celiac disease goes. It's estimated that about 3 million people in 10:42 estimated that about 3 million people in 10:42 estimated that about 3 million people in the United States have celiac disease, 10:44 the United States have celiac disease, 10:44 the United States have celiac disease, but another 18 million have non-seliac 10:48 but another 18 million have non-seliac 10:48 but another 18 million have non-seliac gluten sensitivity. And this is actually 10:51 gluten sensitivity. And this is actually 10:51 gluten sensitivity. And this is actually a medical term and it's abbreviated NG 10:55 a medical term and it's abbreviated NG 10:55 a medical term and it's abbreviated NG um CS non-gluten 10:58 um CS non-gluten 10:58 um CS non-gluten non-seliac gluten sensitivity NCGS. 11:03 non-seliac gluten sensitivity NCGS. 11:03 non-seliac gluten sensitivity NCGS. And so the tests for celiac don't show 11:07 And so the tests for celiac don't show 11:07 And so the tests for celiac don't show anything, but gluten ends up still being 11:09 anything, but gluten ends up still being 11:09 anything, but gluten ends up still being an issue. And probably the best way to 11:13 an issue. And probably the best way to 11:13 an issue. And probably the best way to test for it is to do a gluten 11:16 test for it is to do a gluten 11:16 test for it is to do a gluten elimination. 11:18 elimination. 11:18 elimination. And a gluten elimination is not an easy 11:20 And a gluten elimination is not an easy 11:20 And a gluten elimination is not an easy thing to do. There is gluten in so many 11:24 thing to do. There is gluten in so many 11:24 thing to do. There is gluten in so many different foods. There are, like I said, 11:26 different foods. There are, like I said, 11:26 different foods. There are, like I said, many different grains that have gluten 11:28 many different grains that have gluten 11:28 many different grains that have gluten in them. So, not only eliminating wheat, 11:31 in them. So, not only eliminating wheat, 11:31 in them. So, not only eliminating wheat, but also eliminating barley, rye, 11:34 but also eliminating barley, rye, 11:34 but also eliminating barley, rye, sorghum, millet, te. Te is a grain. I 11:38 sorghum, millet, te. Te is a grain. I 11:38 sorghum, millet, te. Te is a grain. I don't know if you've ever been to an 11:39 don't know if you've ever been to an 11:39 don't know if you've ever been to an Ethiopian restaurant. They have a huge 11:41 Ethiopian restaurant. They have a huge 11:41 Ethiopian restaurant. They have a huge tray they serve you and it has a 11:43 tray they serve you and it has a 11:43 tray they serve you and it has a flatbread on it and then they put 11:45 flatbread on it and then they put 11:45 flatbread on it and then they put different types of vegetable and other 11:47 different types of vegetable and other 11:47 different types of vegetable and other stews on it. you break the flatbread off 11:49 stews on it. you break the flatbread off 11:49 stews on it. you break the flatbread off and eat with your fingers. That's te. 11:52 and eat with your fingers. That's te. 11:52 and eat with your fingers. That's te. And so even te um eorn, which is an 11:56 And so even te um eorn, which is an 11:56 And so even te um eorn, which is an ancient wheat, 11:59 ancient wheat, 11:59 ancient wheat, and sometimes even um if you're really 12:01 and sometimes even um if you're really 12:01 and sometimes even um if you're really going on a gluten elimination. 12:04 going on a gluten elimination. 12:04 going on a gluten elimination. Seriously, you want to eliminate things 12:06 Seriously, you want to eliminate things 12:06 Seriously, you want to eliminate things that aren't even grains like buckwheat 12:09 that aren't even grains like buckwheat 12:09 that aren't even grains like buckwheat um amaranth and quinoa which really are 12:12 um amaranth and quinoa which really are 12:12 um amaranth and quinoa which really are um technically grasses, not grains, but 12:16 um technically grasses, not grains, but 12:16 um technically grasses, not grains, but can contain again some of the similar 12:18 can contain again some of the similar 12:18 can contain again some of the similar proteins to gluten. 12:21 proteins to gluten. 12:21 proteins to gluten. The other problem with a gluten 12:22 The other problem with a gluten 12:22 The other problem with a gluten elimination is there is hidden gluten in 12:25 elimination is there is hidden gluten in 12:25 elimination is there is hidden gluten in so many things like who would think why 12:27 so many things like who would think why 12:27 so many things like who would think why would they put have soy sauce have 12:29 would they put have soy sauce have 12:29 would they put have soy sauce have gluten in it and who would think about 12:30 gluten in it and who would think about 12:30 gluten in it and who would think about it? So, you would want to get a 12:31 it? So, you would want to get a 12:31 it? So, you would want to get a gluten-free soy sauce. Um things like 12:34 gluten-free soy sauce. Um things like 12:34 gluten-free soy sauce. Um things like modified um textured vegetable protein 12:39 modified um textured vegetable protein 12:39 modified um textured vegetable protein in fat can be a gluten protein. 12:42 in fat can be a gluten protein. 12:42 in fat can be a gluten protein. Hydrayzeed vegetable proteins. These 12:44 Hydrayzeed vegetable proteins. These 12:44 Hydrayzeed vegetable proteins. These things are gluten under different names. 12:47 things are gluten under different names. 12:47 things are gluten under different names. Dextrin, moltos. So you need to really 12:51 Dextrin, moltos. So you need to really 12:51 Dextrin, moltos. So you need to really look at the labels on everything and 12:54 look at the labels on everything and 12:54 look at the labels on everything and probably best not to get anything that 12:56 probably best not to get anything that 12:56 probably best not to get anything that is prepared but do everything yourself. 13:06 Um, some artificial colors and like 13:06 Um, some artificial colors and like caramel flavoring and color can actually 13:09 caramel flavoring and color can actually 13:09 caramel flavoring and color can actually have gluten in it. 13:13 have gluten in it. 13:13 have gluten in it. Honey baked hams can have wheat starch 13:15 Honey baked hams can have wheat starch 13:15 Honey baked hams can have wheat starch in the coating on the ham. So, it comes 13:18 in the coating on the ham. So, it comes 13:18 in the coating on the ham. So, it comes in so many different ways. And then, um, 13:22 in so many different ways. And then, um, 13:22 in so many different ways. And then, um, there alcoholic beverages that contain 13:24 there alcoholic beverages that contain 13:24 there alcoholic beverages that contain gluten. beer is fermented grain. Um, and 13:30 gluten. beer is fermented grain. Um, and 13:30 gluten. beer is fermented grain. Um, and any malts, malt liquor is fermented 13:32 any malts, malt liquor is fermented 13:32 any malts, malt liquor is fermented grain. So, 13:35 grain. So, 13:35 grain. So, um, you you need you're limited in what 13:37 um, you you need you're limited in what 13:37 um, you you need you're limited in what you can have as far as alcohol goes. And 13:41 you can have as far as alcohol goes. And 13:41 you can have as far as alcohol goes. And for people who are very sensitive, even 13:44 for people who are very sensitive, even 13:44 for people who are very sensitive, even skin products, some skin products, 13:46 skin products, some skin products, 13:46 skin products, some skin products, health and beauty aids contain gluten, 13:48 health and beauty aids contain gluten, 13:48 health and beauty aids contain gluten, shampoos contain gluten, play-doh has 13:52 shampoos contain gluten, play-doh has 13:52 shampoos contain gluten, play-doh has gluten in it if you play with it with 13:53 gluten in it if you play with it with 13:53 gluten in it if you play with it with your children. So, these are all 13:55 your children. So, these are all 13:56 your children. So, these are all potential sources of gluten. And 14:00 potential sources of gluten. And 14:00 potential sources of gluten. And to really give yourself a good trial to 14:03 to really give yourself a good trial to 14:03 to really give yourself a good trial to see, is this playing a role in your 14:05 see, is this playing a role in your 14:05 see, is this playing a role in your pain, you will want to do a really 14:08 pain, you will want to do a really 14:08 pain, you will want to do a really extensive gluten elimination. 14:11 extensive gluten elimination. 14:11 extensive gluten elimination. We've seen for a number of our burning 14:13 We've seen for a number of our burning 14:13 We've seen for a number of our burning mouth patients where gluten makes a 14:15 mouth patients where gluten makes a 14:15 mouth patients where gluten makes a difference where somebody went on a 14:17 difference where somebody went on a 14:17 difference where somebody went on a gluten elimination and just with that 14:19 gluten elimination and just with that 14:19 gluten elimination and just with that said, "Wow, my pain is reduced by 50%." 14:23 said, "Wow, my pain is reduced by 50%." 14:23 said, "Wow, my pain is reduced by 50%." So admittedly burning mouth syndrome is 14:25 So admittedly burning mouth syndrome is 14:26 So admittedly burning mouth syndrome is a very focused area in terms of 14:28 a very focused area in terms of 14:28 a very focused area in terms of neuropathic pain. There are many other 14:31 neuropathic pain. There are many other 14:31 neuropathic pain. There are many other examples of neuropathic pain like the 14:33 examples of neuropathic pain like the 14:33 examples of neuropathic pain like the glutinate taxia I was telling you about. 14:36 glutinate taxia I was telling you about. 14:36 glutinate taxia I was telling you about. Um and uh you know really doctors need 14:41 Um and uh you know really doctors need 14:41 Um and uh you know really doctors need to start thinking about neurological 14:43 to start thinking about neurological 14:43 to start thinking about neurological problems and that they may be due to 14:45 problems and that they may be due to 14:45 problems and that they may be due to gluten uh much more frequently than they 14:48 gluten uh much more frequently than they 14:48 gluten uh much more frequently than they do. 14:55 There have been studies done on people 14:55 There have been studies done on people with celiac. There is a clinic in 14:57 with celiac. There is a clinic in 14:57 with celiac. There is a clinic in England where they study celiac patients 15:00 England where they study celiac patients 15:00 England where they study celiac patients and found that um not all of them have 15:05 and found that um not all of them have 15:05 and found that um not all of them have gastrointestinal issues, not all of them 15:07 gastrointestinal issues, not all of them 15:07 gastrointestinal issues, not all of them have neurological issues, but in general 15:10 have neurological issues, but in general 15:10 have neurological issues, but in general the people that were on a gluten-free 15:12 the people that were on a gluten-free 15:12 the people that were on a gluten-free way of eating in general had less pain. 15:16 way of eating in general had less pain. 15:16 way of eating in general had less pain. And so, um that's kind of sums up what I 15:21 And so, um that's kind of sums up what I 15:21 And so, um that's kind of sums up what I have to say about gluten and its 15:23 have to say about gluten and its 15:23 have to say about gluten and its association with pain. I think it's 15:26 association with pain. I think it's 15:26 association with pain. I think it's underrated. And so that is something 15:29 underrated. And so that is something 15:29 underrated. And so that is something being on a gluten-free diet is something 15:31 being on a gluten-free diet is something 15:32 being on a gluten-free diet is something you can do yourself. And there are a lot 15:35 you can do yourself. And there are a lot 15:35 you can do yourself. And there are a lot of materials online that are helpful in 15:38 of materials online that are helpful in 15:38 of materials online that are helpful in terms of what contains gluten and how to 15:40 terms of what contains gluten and how to 15:40 terms of what contains gluten and how to eliminate it. And I'm not saying it's an 15:43 eliminate it. And I'm not saying it's an 15:43 eliminate it. And I'm not saying it's an easy thing to do. Um I've done it 15:45 easy thing to do. Um I've done it 15:45 easy thing to do. Um I've done it myself. I was thought to have ulcerative 15:48 myself. I was thought to have ulcerative 15:48 myself. I was thought to have ulcerative colitis oh must have been 30 years ago 15:51 colitis oh must have been 30 years ago 15:51 colitis oh must have been 30 years ago and it it was really affecting my health 15:54 and it it was really affecting my health 15:54 and it it was really affecting my health very severely. the medications they gave 15:56 very severely. the medications they gave 15:56 very severely. the medications they gave me weren't really working. 15:58 me weren't really working. 15:58 me weren't really working. And I found, believe it or not, a little 16:00 And I found, believe it or not, a little 16:00 And I found, believe it or not, a little article in my local Long Beach newspaper 16:04 article in my local Long Beach newspaper 16:04 article in my local Long Beach newspaper that talked about people with stomach 16:06 that talked about people with stomach 16:06 that talked about people with stomach problems should maybe try eliminating 16:08 problems should maybe try eliminating 16:08 problems should maybe try eliminating gluten. And I did. And all of my signs 16:12 gluten. And I did. And all of my signs 16:12 gluten. And I did. And all of my signs of ulcerative colitis went away. And I 16:15 of ulcerative colitis went away. And I 16:15 of ulcerative colitis went away. And I had, you know, with getting 16:17 had, you know, with getting 16:18 had, you know, with getting colonoscopies done periodically because 16:20 colonoscopies done periodically because 16:20 colonoscopies done periodically because people with ulcerative colitis have 16:21 people with ulcerative colitis have 16:21 people with ulcerative colitis have increased risk of colon cancer. So they 16:23 increased risk of colon cancer. So they 16:23 increased risk of colon cancer. So they were, you know, I was under observation 16:26 were, you know, I was under observation 16:26 were, you know, I was under observation and the medical profession doesn't catch 16:30 and the medical profession doesn't catch 16:30 and the medical profession doesn't catch on to these things very quickly. And uh 16:33 on to these things very quickly. And uh 16:33 on to these things very quickly. And uh my doctor, you know, who's a friend of 16:35 my doctor, you know, who's a friend of 16:35 my doctor, you know, who's a friend of mine, because I'm a physician, you know, 16:37 mine, because I'm a physician, you know, 16:37 mine, because I'm a physician, you know, she's one of my colleagues and friends, 16:39 she's one of my colleagues and friends, 16:39 she's one of my colleagues and friends, um said, "Wow, you know, everything's 16:41 um said, "Wow, you know, everything's 16:42 um said, "Wow, you know, everything's looking good. Like, what are you doing?" 16:43 looking good. Like, what are you doing?" 16:43 looking good. Like, what are you doing?" And I said, "Well, I'm on this 16:44 And I said, "Well, I'm on this 16:44 And I said, "Well, I'm on this gluten-free diet. It's really working 16:46 gluten-free diet. It's really working 16:46 gluten-free diet. It's really working for me." And she literally patted me on 16:49 for me." And she literally patted me on 16:49 for me." And she literally patted me on the shoulder and said, "That's good. 16:51 the shoulder and said, "That's good. 16:51 the shoulder and said, "That's good. Keep it up." having I knew she had no 16:53 Keep it up." having I knew she had no 16:53 Keep it up." having I knew she had no idea what I was talking about. So you 16:57 idea what I was talking about. So you 16:57 idea what I was talking about. So you you know even if you can't get your 16:59 you know even if you can't get your 16:59 you know even if you can't get your doctor to willing to prescribe lab tests 17:01 doctor to willing to prescribe lab tests 17:01 doctor to willing to prescribe lab tests for you, this is something you can do 17:04 for you, this is something you can do 17:04 for you, this is something you can do yourself and look at what the benefits 17:06 yourself and look at what the benefits 17:06 yourself and look at what the benefits are on your health. Um, for a lot of 17:08 are on your health. Um, for a lot of 17:08 are on your health. Um, for a lot of people sometimes unexpected things 17:11 people sometimes unexpected things 17:11 people sometimes unexpected things happen like they do a gluten elimination 17:13 happen like they do a gluten elimination 17:13 happen like they do a gluten elimination to see if it makes pain better and they 17:15 to see if it makes pain better and they 17:15 to see if it makes pain better and they discover their skin condition improves 17:17 discover their skin condition improves 17:17 discover their skin condition improves and these are even people without 17:19 and these are even people without 17:19 and these are even people without dermatitis or pedophasis just having 17:22 dermatitis or pedophasis just having 17:22 dermatitis or pedophasis just having various kind of scaly rashes that they 17:24 various kind of scaly rashes that they 17:24 various kind of scaly rashes that they can't figure out. So, um, or their joint 17:26 can't figure out. So, um, or their joint 17:26 can't figure out. So, um, or their joint pain may get better, which is an 17:28 pain may get better, which is an 17:28 pain may get better, which is an unexpected 17:30 unexpected 17:30 unexpected benefit because really gluten, whether 17:33 benefit because really gluten, whether 17:33 benefit because really gluten, whether you are celiac or officially diagnosed 17:36 you are celiac or officially diagnosed 17:36 you are celiac or officially diagnosed as non-seliac gluten sensitivity, gluten 17:39 as non-seliac gluten sensitivity, gluten 17:39 as non-seliac gluten sensitivity, gluten is inflammatory and gluten destroys the 17:43 is inflammatory and gluten destroys the 17:43 is inflammatory and gluten destroys the tight junctions between the cells that 17:45 tight junctions between the cells that 17:46 tight junctions between the cells that are lining your intestine. And this has 17:48 are lining your intestine. And this has 17:48 are lining your intestine. And this has been shown even in people who feel 17:50 been shown even in people who feel 17:50 been shown even in people who feel perfectly healthy and don't have any 17:52 perfectly healthy and don't have any 17:52 perfectly healthy and don't have any symptoms, it is destroying those tight 17:54 symptoms, it is destroying those tight 17:54 symptoms, it is destroying those tight junctions. So even though you may feel 17:57 junctions. So even though you may feel 17:57 junctions. So even though you may feel fine and think gluten doesn't apply to 17:59 fine and think gluten doesn't apply to 17:59 fine and think gluten doesn't apply to you, it is working under the surface 18:03 you, it is working under the surface 18:03 you, it is working under the surface inside your intestinal lining um to 18:06 inside your intestinal lining um to 18:06 inside your intestinal lining um to damage it. 18:08 damage it. 18:08 damage it. So I hope that convinces you to at least 18:10 So I hope that convinces you to at least 18:10 So I hope that convinces you to at least consider a gluten elimination. And um 18:14 consider a gluten elimination. And um 18:14 consider a gluten elimination. And um let's see, I know we had one question 18:16 let's see, I know we had one question 18:16 let's see, I know we had one question from somebody which I'm happy to answer. 18:18 from somebody which I'm happy to answer. 18:18 from somebody which I'm happy to answer. Let's see. Is there a test for gluten 18:20 Let's see. Is there a test for gluten 18:20 Let's see. Is there a test for gluten sensitivity or allergies? So, it's a 18:22 sensitivity or allergies? So, it's a 18:22 sensitivity or allergies? So, it's a really good question. Um testing for 18:25 really good question. Um testing for 18:26 really good question. Um testing for real allergies is a particular 18:29 real allergies is a particular 18:29 real allergies is a particular immunologic um pathway called the 18:32 immunologic um pathway called the 18:32 immunologic um pathway called the immunoglobulin E and it is responsible 18:36 immunoglobulin E and it is responsible 18:36 immunoglobulin E and it is responsible for what we call immediate 18:37 for what we call immediate 18:37 for what we call immediate hypersensitivity reactions. Somebody is 18:40 hypersensitivity reactions. Somebody is 18:40 hypersensitivity reactions. Somebody is allergic to peanuts. They eat peanuts. 18:43 allergic to peanuts. They eat peanuts. 18:43 allergic to peanuts. They eat peanuts. um it could be life-threatening. Uh they 18:45 um it could be life-threatening. Uh they 18:45 um it could be life-threatening. Uh they may break out in hives, their lips get 18:47 may break out in hives, their lips get 18:47 may break out in hives, their lips get swollen, they start to have wheezing and 18:50 swollen, they start to have wheezing and 18:50 swollen, they start to have wheezing and difficulty breathing that and it happens 18:52 difficulty breathing that and it happens 18:52 difficulty breathing that and it happens very quickly within a half hour. That's 18:55 very quickly within a half hour. That's 18:55 very quickly within a half hour. That's an immediate hyper sensitivity reaction. 18:59 an immediate hyper sensitivity reaction. 18:59 an immediate hyper sensitivity reaction. Most people do not have those reactions 19:01 Most people do not have those reactions 19:01 Most people do not have those reactions to foods and usually if they do, they 19:04 to foods and usually if they do, they 19:04 to foods and usually if they do, they know it because they've had these severe 19:06 know it because they've had these severe 19:06 know it because they've had these severe reactions right after eating the food. 19:08 reactions right after eating the food. 19:08 reactions right after eating the food. So, it's very easy to pinpoint what's 19:11 So, it's very easy to pinpoint what's 19:11 So, it's very easy to pinpoint what's giving you that reaction. 19:13 giving you that reaction. 19:13 giving you that reaction. There is testing for wheat allergies. 19:17 There is testing for wheat allergies. 19:17 There is testing for wheat allergies. Um, allergy doctors do skin prick 19:20 Um, allergy doctors do skin prick 19:20 Um, allergy doctors do skin prick testing where they will make a little 19:22 testing where they will make a little 19:22 testing where they will make a little scratch in your skin and put a drop of 19:25 scratch in your skin and put a drop of 19:25 scratch in your skin and put a drop of the allergen on it, whether it's wheat 19:27 the allergen on it, whether it's wheat 19:27 the allergen on it, whether it's wheat or birch trees or, you know, grasses and 19:30 or birch trees or, you know, grasses and 19:30 or birch trees or, you know, grasses and things like that and look and see if 19:32 things like that and look and see if 19:32 things like that and look and see if your skin turns red, which is an 19:34 your skin turns red, which is an 19:34 your skin turns red, which is an immediate hypersensitivity reaction. So 19:37 immediate hypersensitivity reaction. So 19:37 immediate hypersensitivity reaction. So that's one way to get tested for wheat. 19:39 that's one way to get tested for wheat. 19:39 that's one way to get tested for wheat. There also is a lot of blood testing 19:41 There also is a lot of blood testing 19:41 There also is a lot of blood testing that we do. So there's a wheat IG 19:44 that we do. So there's a wheat IG 19:44 that we do. So there's a wheat IG imunoglobulin E blood test. 19:47 imunoglobulin E blood test. 19:47 imunoglobulin E blood test. There is a celiac panel which has uh 19:52 There is a celiac panel which has uh 19:52 There is a celiac panel which has uh anti- or what are called daminated 19:54 anti- or what are called daminated 19:54 anti- or what are called daminated glyodin antibodies which is the best way 19:57 glyodin antibodies which is the best way 19:57 glyodin antibodies which is the best way to tell if you have celiac. 20:00 to tell if you have celiac. 20:00 to tell if you have celiac. There is tissue translutaminase which is 20:02 There is tissue translutaminase which is 20:02 There is tissue translutaminase which is the enzyme I mentioned and seeing if you 20:05 the enzyme I mentioned and seeing if you 20:05 the enzyme I mentioned and seeing if you have antibodies to tissue 20:06 have antibodies to tissue 20:06 have antibodies to tissue translutaminase that can help tell if 20:09 translutaminase that can help tell if 20:09 translutaminase that can help tell if you are having um uh GI problems due to 20:14 you are having um uh GI problems due to 20:14 you are having um uh GI problems due to gluten. 20:15 gluten. 20:16 gluten. And then there is the genetic testing 20:18 And then there is the genetic testing 20:18 And then there is the genetic testing for celiac. So a number of different 20:21 for celiac. So a number of different 20:21 for celiac. So a number of different ways to test for it. And then the 20:24 ways to test for it. And then the 20:24 ways to test for it. And then the question is I heard you have to be 20:25 question is I heard you have to be 20:25 question is I heard you have to be gluten-free for three months for it to 20:27 gluten-free for three months for it to 20:27 gluten-free for three months for it to be completely out of your body. Um it 20:29 be completely out of your body. Um it 20:29 be completely out of your body. Um it may be quite a while until 20:32 may be quite a while until 20:32 may be quite a while until the white blood cells that are are like 20:35 the white blood cells that are are like 20:35 the white blood cells that are are like fighting soldiers that create these 20:37 fighting soldiers that create these 20:37 fighting soldiers that create these antibodies really shrink back and don't 20:40 antibodies really shrink back and don't 20:40 antibodies really shrink back and don't produce this gluten reaction. So it 20:43 produce this gluten reaction. So it 20:43 produce this gluten reaction. So it could be that long. And one of the 20:46 could be that long. And one of the 20:46 could be that long. And one of the question that comes up is if somebody 20:48 question that comes up is if somebody 20:48 question that comes up is if somebody has been eating gluten-free, they may in 20:51 has been eating gluten-free, they may in 20:52 has been eating gluten-free, they may in fact not show up with gluten sensitivity 20:55 fact not show up with gluten sensitivity 20:55 fact not show up with gluten sensitivity or um on blood testing. And so this is 20:58 or um on blood testing. And so this is 20:58 or um on blood testing. And so this is often a dilemma for us with somebody who 21:01 often a dilemma for us with somebody who 21:01 often a dilemma for us with somebody who has been eating gluten-free and wants to 21:04 has been eating gluten-free and wants to 21:04 has been eating gluten-free and wants to know officially, you know, are they 21:07 know officially, you know, are they 21:07 know officially, you know, are they celiac or gluten intolerance. And we can 21:09 celiac or gluten intolerance. And we can 21:09 celiac or gluten intolerance. And we can certainly do the genetic testing on 21:11 certainly do the genetic testing on 21:11 certainly do the genetic testing on them. But I always hesitate if somebody 21:14 them. But I always hesitate if somebody 21:14 them. But I always hesitate if somebody has been successful eating gluten-free 21:17 has been successful eating gluten-free 21:17 has been successful eating gluten-free and feels better that way, telling them 21:20 and feels better that way, telling them 21:20 and feels better that way, telling them they need to start eating gluten again 21:22 they need to start eating gluten again 21:22 they need to start eating gluten again and feel bad for a few weeks before we 21:24 and feel bad for a few weeks before we 21:24 and feel bad for a few weeks before we do their testing. 21:26 do their testing. 21:26 do their testing. So, that's one of the dilemmas in um 21:29 So, that's one of the dilemmas in um 21:29 So, that's one of the dilemmas in um going gluten-free before you get tested. 21:32 going gluten-free before you get tested. 21:32 going gluten-free before you get tested. So, if you're able to get your doctor to 21:34 So, if you're able to get your doctor to 21:34 So, if you're able to get your doctor to test you, that probably is optimal. And 21:37 test you, that probably is optimal. And 21:37 test you, that probably is optimal. And then go gluten-free and see how you 21:39 then go gluten-free and see how you 21:39 then go gluten-free and see how you feel.
Comments