Separate the wheat from the chaff when it comes to food allergy, food intolerance, and celiac disease. Featuring renowned gastroenterologist and current president of the American Gastroenterological Association, Dr. Sheila Crowe MD FRCPC FACP FACG AGAF, we discuss how to differentiate a food allergy from an intolerance, what diagnostic testing is appropriate, and why fructans might be the real culprit in patients with ‘gluten sensitivity’.
Full show notes available at http://thecurbsiders.com/podcast
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Credits:
Written by: Sarah P. Roberts, MPHGuest: Sheila Crowe, MDHosts: Matthew Watto, MD; Stuart Brigham, MD; Paul Williams, MDProducers: Sarah P. Roberts, MPH and Chris Chiu, MDEditor: Matthew Watto, MD
Time Stamps:
00:00 Disclaimer03:35 Getting to know our guest, book recs, and career advice10:35 Clinical case11:40 Defining allergy, intolerance14:05 Food intolerance and FODMAP18:02 Taking a history in patient with potential food allergy vs intolerance21:34 Dermatitis herpetiformis, gluten ataxia, and extraintestinal manifestations of celiac26:12 Diagnosing celiac disease30:53 Next steps if celiac testing is negative; lactose, fructose intolerance, IBS33:48 Non-celiac gluten sensitivity (NCGS)37:48 Study of NCGS40:41 Olmesartan and drug-induced enteropathy43:38 Dieticians, dietary recs, elimination diets48:10 “Voodoo” testing52:36 Counseling patients on diet54:35 Take home points55:50 Outro