Why You Shouldn’t Go On A Gluten Free Diet Without Medical Advice

Being on a gluten free diet is all the rage at the moment and you may even be thinking of going on a one yourself. But before you do, there are some things to think about. Unless you are medically advised to do so, most people should not go on a gluten free diet.

A gluten free diet is essential for people with celiac disease, a serious autoimmune disorder that destroys the villi of the intestinal tract. Celiac disease affects about 1-2% of the population. There is no cure but symptoms can be reversed by taking gluten out of the diet. But the danger of self-diagnosing and taking gluten out of your diet prior to being diagnosed is that test results could be affected and you may end up with an inaccurate false negative test for celiac disease which could affect your long term health. An intestinal biopsy is the only way to detect celiac disease accurately.

There has been a lot of media hype about going on a gluten free diet. People tend to go on a gluten free diet because the think it will help their general well-being, or in response to feeling tired, bloated or depressed. They often find that reducing gluten correlates with improved feelings or losing weight. But this is more likely to be explained by the fact that they've cut out the excess calories found in many flour-based snack foods, and they mistakenly attribute feeling better to taking out the gluten.

Another theory is that people feel better because they have reduced the FODMAPS which are also high in foods which contain gluten. 

Going gluten free is tough, and can be much more expensive. And not only that, it may lead to malnutrition if not managed properly. Studies have found that a gluten free diet can be seriously nutrient deficient such as low in fiber, iron, folate, niacin, thiamine, riboflavin, calcium, vitamin B12, phosphorus and zinc. That's because so many gluten free products are made with refined, unenriched grains and starches, which contain plenty of calories but very few vitamins or minerals. So starting on a gluten free diet needs to be done carefully ensuring that all your nutritional needs are met.

There is no truth either, in the assumption that a gluten free diet causes you to lose weight. In fact, the opposite is true, the extra calories can make you put on weight. So instead of going on an unnecessary gluten free diet, why don’t you cut down on carbohydrates and eat an apple or carrot instead.

The gluten free industry has sky rocketed, but unfortunately this has meant that there has been an explosion in gluten free junk foods which are not healthy and I hope you don't become a victim.

The other health consideration is that if you do not eat sufficient carbohydrates such as bread, you may develop ketosis, which is a metabolic state in which most of the body's energy supply comes from ketone bodies in the blood, in contrast to a state of glycolysis in which blood glucose provides most of the energy. High levels of ketosis are dangerous, but there is controversy about the effects of eliminating carbohydrates. Some say it is unhealthy and dangerous and others regard low level ketosis as a safe biochemical process that occurs during the fat-burning state.

Obviously people diagnosed with celiac disease or one of the other gluten related conditions have to be on a 100% gluten free diet for life. However, if you have not been told by a doctor or a dietitian that you need a gluten free diet, then you probably don’t need one.  

I suggest that instead of going gluten free you work on your nutrition and eat healthier foods as well as look at life balance as well as exercise and you may be surprised. The symptoms may vanish!

If you continue to suffer symptoms it is essential to see a doctor and/or specialist to have the cause of those symptoms accurately diagnosed. Don’t go on a gluten free diet until you have had a diagnosis confirmed. It is always a good idea to see a dietitian if you feel you have dietary issues you may need assistance with.

If you do need to go on a gluten free diet you may find my "Gluten Free Cooking Guide" helpful - It shows you how to achieve a 100% gluten free kitchen