Monday, March 21, 2011

Dynamic Nutrition, Gluten in Non-Celiacs, & Adding to the Oil Arsenal

So after much debate and thought, I've decided to take the plunge and start my own nutritional consulting company; I've been encouraged to do so by friends and family, but even so, it was a hard decision.  At this point in time, I'm only taking a limited amount of clients until I can streamline and organize myself; a complete client consult takes a vast amount of my free time, so I have to figure out what workload I can handle.

All that aside, I'm pretty damn jacked about the whole deal!!!

Am J Gastroenterol. 2011 Mar;106(3):508-14. Epub 2011 Jan 11.

Gluten causes gastrointestinal symptoms in subjects without celiac disease: a double-blind randomized placebo-controlled trial.

Monash University Department of Medicine and Gastroenterology, Box Hill Hospital, Box Hill, Victoria, Australia.


OBJECTIVES: Despite increased prescription of a gluten-free diet for gastrointestinal symptoms in individuals who do not have celiac disease, there is minimal evidence that suggests that gluten is a trigger. The aims of this study were to determine whether gluten ingestion can induce symptoms in non-celiac individuals and to examine the mechanism.
METHODS: A double-blind, randomized, placebo-controlled rechallenge trial was undertaken in patients with irritable bowel syndrome in whom celiac disease was excluded and who were symptomatically controlled on a gluten-free diet. Participants received either gluten or placebo in the form of two bread slices plus one muffin per day with a gluten-free diet for up to 6 weeks. Symptoms were evaluated using a visual analog scale and markers of intestinal inflammation, injury, and immune activation were monitored.
RESULTS: A total of 34 patients (aged 29-59 years, 4 men) completed the study as per protocol. Overall, 56% had human leukocyte antigen (HLA)-DQ2 and/or HLA-DQ8. Adherence to diet and supplements was very high. Of 19 patients (68%) in the gluten group, 13 reported that symptoms were not adequately controlled compared with 6 of 15 (40%) on placebo (P=0.0001; generalized estimating equation). On a visual analog scale, patients were significantly worse with gluten within 1 week for overall symptoms (P=0.047), pain (P=0.016), bloating (P=0.031), satisfaction with stool consistency (P=0.024), and tiredness (P=0.001). Anti-gliadin antibodies were not induced. There were no significant changes in fecal lactoferrin, levels of celiac antibodies, highly sensitive C-reactive protein, or intestinal permeability. There were no differences in any end point in individuals with or without DQ2/DQ8.

CONCLUSIONS: "Non-celiac gluten intolerance" may exist, but no clues to the mechanism were elucidated.
PMID: 21224837 [PubMed - in process]

My Thoughts:   This is a pretty damn interesting study despite the small number of subjects and somewhat limited time frame.  The mainstream thought process is that people can either handle gluten, or cannot handle it, and are given a diagnosis of Celiac (gluten intolerance); even with testing "ruling it out", some of the subjects had resoltuion when gluten was ommitted.

Anecdotally, I know a plethora of people that have had significant resolution of GI complaints just by omitting gluten, with these same said people having previously negative Celiac tests.  Is everyone gluten intolerant?  I'm of the opinion that we all are, and I'm looking forward to more science proving it.

Pure Liquid Treasure

I recently came across the item on the right, macadamia oil, at my neighborhood Safeway store; it caught me off guard, as I wasn't looking for it, but was pleasantly surprised, to say the least!  It's made by a company out of Australia called Olivado; they have a number of other oils, include avocado oil and a mix of olive/flaxseed/avocado which would be interesting.

Macadamia oil was my instant pick due to a number of prioperties:
  • High smoke point
  • Very high MUFA content
  • 1:1 ratio of O3:O6
Jackpot?  I think so.
The second item on the left was a bit of ah, well, impulse buy.  I tend to do this, much to the chagrin of my wife.  After spotting Richard's review of Euphoria Greek Olive Oil on Free The Animal, I order two bottles.  I also received a note saying I was the first Canadian customer ever.  And after my wife had to pay customs and duty upon delivery, I damn well better enjoy it!

 But let me tell you---this is by far the best olive oil I have ever had.  And it's never, ever touching a single degree of heat.  This is oil that's meant to be enjoyed in all it's naked glory.

Just a damn nice chart for geeky reference.

Various Training

Feb 26th, CFLA, 1PM
Throwdown WOD#1
50 Wall Ball Shots, 20#, 10'
30 Double Unders
15 Toes To Bar
10 Front Squats, 135#
3 Min Rest, then 1RM Clean
 This was the first of 5 monthly WODS in an online competition, the Throwdown Series While I'm no sloth as far as athletic ability, I'm in way over my head here, but that's not why I signed up; I rarely get a chance to compete against, or with, my fellow athletes at CFLA.  Besides, what does not kill you makes you stronger.  It also makes me very aware of just how deep the talent pool can run!!!  Totally inspiring.

March 1st, CFLA, 1PM
Hang Power Snatch 3-3-3-3-3

4PM, U of L
Climb x 2.5hr

March 2nd, CFLA, 1PM
Push Jerk 3-3-3-3
5 Rounds For Time:
10 Wall Ball Shots, 20# to 10'
10 Pullups
10 Push Press, 75#

March 3rd, 10AM, Waterton Lakes National Park
Snowshoe 5.6km Round Trip
Did this with fellow Crossfitter Jacob; perfect winter day, but a brutal hike due to the massive amount of snow and unbroken trail.  I don't have it recorded, but it must have taken us at least 4 hours there and back, with  at 30 minute lunch break at the frozen falls.

March 18th, Casa Grande, Arizona
5km run, 25 minutes
Spent the week in AZ with my in-laws; killer weather, 30+ Celsius, Sunny.  HAD to run.  Used a new app called RunKeeper to track my distance and pace, all the while listening to my playlist.  Sweet.  Did an easy 5:00/km, and felt phenomenal.  

Unfortunately, my left foot is now bruised along the outside---and since Jacob has a much better memory than me, he reminded me today of my incident in my Vibrams-versus-rock during a coulee run last summer.  Uncool.  I'm not sure how a quick 5km run would trash my foot, as I was trying to be cognizant of my POSE form while using my Inov8s, but it happened.

March 21st, CFLA, 1PM
Overhead Squat, 15 Rep

20 Rounds For Time
3 Chest-to-Deck Pushups
5 Squats