005: Celiac Disease & Non-Celiac Gluten Sensitivity - Dr. Lisa Shaver

 
 

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Dr. Lisa Shaver is a Naturopathic Doctor, Licensed Acupuncturist, and co-founder of The Everyday Wellness Clinic in downtown Portland, Oregon. In addition, Dr. Shaver is an adjunct professor at the National College of Naturopathic Medicine and the branch manager for the Gluten Intolerance Group of Portland.

Dr. Shaver is an expert in treating chronic lifestyle diseases such as non-celiac gluten-sensitivity and Celiac disease, digestive disorders, Irritable Bowel Syndrome, Small Intestinal Bacterial Overgrowth, and Inflammatory Bowel Disease.  She also has a special interest in conditions as varied as autoimmune conditions, hormone and thyroid imbalances, mental and emotional imbalances.

SHOW HIGHLIGHTS

  • Why many doctors still believe Celiac Disease is rare.
  • The difference between Celiac Disease and Non-Celiac Gluten Sensitivity.
  • You can’t diagnose Celiac Disease vs Non-Celiac Gluten Sensitivity by symptoms alone.
  • The old vs the new clinical picture of Celiac Disease and why neurological symptoms (including anxiety, depression, brain fog, memory issues, dementia, tremors, and neurological skin sensations) are the most common signs of Celiac Disease NOT digestive problems.
  • Chronically low ferritin (iron stores) or elevated liver enzymes can be 
  • Anger or rage can be a symptom of Celiac Disease.
  • If you have the gene associated with Celiac Disease and negative antibody tests repeat testing is warranted, because Celiac Disease can manifest at any age from infancy to late adulthood.
  • How to properly diagnose Celiac Disease and why you need to test for Celiac Disease BEFORE going gluten free.
  • How to find out if Celiac Disease is a possibility for you when you’ve already gone gluten free and don’t want to go back.
  • What labs to run and how to prepare for Celiac Disease Screening.
  • The problem with going gluten free without getting tested for Celiac Disease.
  • Increased risk factors for those with untreated Celiac Disease including colon cancer, thyroid cancer, osteoporosis.
  • The link between Celiac Disease and other autoimmune diseases.
  • An early sign of Celiac Disease can be short stature due to lack of nutrient uptake.
  • Treatment of Celiac Disease and Non-Celiac Gluten Sensitivity is the same, but there are advantages to having a Celiac Disease Diagnosis - including insurance coverage for repeat lab tests and endoscopy; 
  • Hidden sources of gluten including natural flavorings, caramel coloring, and mint toothpicks!
  • Maintaining a gluten free home or gluten free kitchen set.
  • Gluten isn’t the only problem with wheat.
  • A research study that found 100% of subjects without Celiac Disease had increased intestinal permeability when exposed to gluten.
  • Why gluten free beer from "gluten removed" beer isn’t actually safe for people with Celiac Disease or Non-Celiac Gluten Sensitivity.
  • Why a gluten free diet should focus on vegetables, fruits, and meats NOT gluten free products that are lacking nutrients and potentially harming digestive integrity.
  • The intrigue and drama in the gluten free pharmaceutical industry.
  • The increased risk of morbidity with gluten exposure for those with Celiac Disease.
  • Treating Celiac Disease: it’s more than going gluten free. How to heal the damage done to the digestive tract.
  • How Celiac Disease has an effect on every body system.
  • You don’t have to spend an arm and a leg on gluten free products. Shop the perimeter of the grocery store and eat the least processed foods possible to heal your gut and get the nutrients you need.
  • If you're diagnosed with Celiac Disease keep track of all the gluten free products and kitchen replacements necessary for a gluten free home - you can claim some of the costs on your taxes as a medical necessity.

CELIAC DISEASE SCREENING BLOOD TEST

  • *Must be eating 1-4 pieces of bread or equivalent per day for 1-2 months to avoid the risk of a false negative test.
  • Total IgA
  • Deamidated Gliadin Peptide IgA
  • Deamidated Gliadin Peptide IgG
  • Tissue Transglutaminase IgA
  • Tissue Transglutaminase IgG

CELIAC DISEASE GENE TESTS

  • HLA-DQB2 and HLA-DQB8

CONFIRMING CELIAC DISEASE AFTER A POSITIVE SCREENING BLOOD TEST

  • Continue eating gluten.
  • Referral to a Gastroenterologist for Endoscopy with Biopsy.
  • Minimum of 6 Biopsies: (2 Duodenal Bulb, 4 Duodenum Biopsies, 2 via Jejunal Push).
  • Savvy Gastroenterologists will do a Jejunal Push, which increases the accuracy of Celiac Disease diagnosis by 50%.
  • Should be interpreted by the pathologist with a MARSH score to determine the level of damage.

LINKS & RESOURCES

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