I thought this was an interesting one for you today. Researchers have concluded that coeliacs – especially those not diagnosed early enough – suffer a reduced quality of life (I could have told them that..) and tend to continue to have symptoms, particularly thyroid, psychiatric/neurological and gastro-intestinal, even after following a traditional gluten free diet. Of course, they say they do not know why this should be so and recommend more research.
My view, as always, for some is that it may be because of our current faulty advice to give gliadin free diets rather than grain free. It does ring true with what I see in clinic daily. Many of you do continue to have thyroid (and adrenal), neurological and gut problems, especially leaky gut and food hyper-sensitivity.
The researchers’ concluded:
…we showed that many coeliac disease patients suffer from persistent gastrointestinal symptoms and reduced quality of life despite strict dietary treatment. In particular, long-lasting and severe symptoms before the diagnosis and concomitant thyroid, gastrointestinal and psychiatric co-morbidities were significant risk factors for these ongoing health concerns. The results emphasize the importance of early diagnosis and careful follow-up in coeliac disease.
Impaired quality of life was seen in patients with long duration of symptoms before diagnosis and in those with psychiatric, neurologic or gastrointestinal co-morbidities. Patients with persistent symptoms were more likely to have reduced quality of life.
The predictors for those most likely to continue to suffer despite a traditional gluten free diet were:
Diagnosis at working age, long duration and severity of symptoms before diagnosis and presence of thyroidal disease, non-coeliac food intolerance or gastrointestinal co-morbidity [another gastro illness] increased the risk of persistent symptoms.
Note the presence of other food intolerances there.
Here’s the full study for you: