High-fructose corn syrup -- as bad as you think it is?

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http://www.nytimes.com/2006/07/02/business/yourmoney/02syrup.html?pagewanted=print

July 2, 2006
A Sweetener With a Bad Rap
By MELANIE WARNER
EVERY time Marie Cabrera goes shopping, she brings along her mental checklist of things to avoid. It includes products with artery-clogging trans fats, cholesterol-inducing saturated fats, MSG and the bogeyman du jour, high-fructose corn syrup. That last one, she says, is the hardest to avoid unless she happens to be shopping in the small natural-foods section of her supermarket.

As she pushed her shopping cart down an aisle of the Super Stop & Shop near her hometown of Warren, R.I., recently, Ms. Cabrera, a retired schoolteacher, offered her thoughts on why she steers clear of high-fructose corn syrup: "It's been linked to obesity, and it's just not something that's natural or good for you."

This is the perception that many consumers have of the syrup, a synthetic sweetener that has replaced plain old sugar and become a ubiquitous ingredient in American processed foods. High-fructose corn syrup provides the sweet zing in everything from Coke, Pepsi and Snapple iced tea to Dannon yogurt and Chips Ahoy cookies. It also lurks in unexpected places, like Ritz crackers, Wonder bread, Wishbone ranch dressing and Campbell's tomato soup.

In the news media and on myriad Web sites, high-fructose corn syrup has been labeled "the Devil's candy," a "sinister invention," "the crack of sweeteners" and "crud." Many scientific articles and news reports have noted that since 1980, obesity rates have climbed at a rate remarkably similar to that of high-fructose corn syrup consumption. {Ed: What the article fails to mention is also a perceived link between the introduction of HFCS & aspartame, and the increase in Type II diabetes and mentally debilitating diseases such as Parkinsons, Alzheimers, etc.} A distant derivative of corn, the highly processed syrup was created in the late 1960's and has become a hard-to-avoid staple of the American diet over the last 25 years. It spooks foodies, parents and nutritionists alike. But is it really that bad?

Many scientists say that there is little data to back up the demonization of high-fructose corn syrup, and that links between the crystalline goop and obesity are based upon misperceptions and unproved theories, or are simply coincidental.

"There's no substantial evidence to support the idea that high-fructose corn syrup is somehow responsible for obesity," said Dr. Walter Willett, the chairman of the nutrition department of the Harvard School of Public Health and a prominent proponent of healthy diets. "If there was no high-fructose corn syrup, I don't think we would see a change in anything important. I think there's this overreaction."

Dr. Willett says that he is not defending high-fructose corn syrup as a healthy ingredient, but that he simply thinks that the product is no worse than the refined white sugar it replaces, since both offer easily consumed calories with no nutrients in them. High fructose corn syrup's possible link to obesity is the only specific health problem that the ingredient's critics have cited to date - and experts say they believe that this link is tenuous, at best.

Even the two scientists who first propagated the idea of a unique link between high-fructose corn syrup and America's soaring obesity rates have gently backed off from their initial theories. Barry M. Popkin, a nutrition professor at the University of North Carolina at Chapel Hill, says that a widely read paper on the subject that he wrote in 2004 with George A. Bray, a professor of medicine at the Pennington Biomedical Research Center in Baton Rouge, La., was just meant to be a "suggestion" that would inspire further study.

"It was a theory meant to spur science, but it's quite possible that it may be found out not to be true," Professor Popkin said. "I don't think there should be a perception that high-fructose corn syrup has caused obesity until we know more."

Professor Popkin says that he and Professor Bray both decided not to raise the issue of high-fructose corn syrup for a beverage panel that they and four other scientists formed last year at the University of North Carolina. The panel was convened to provide clear guidelines to consumers about the nutritional risks and benefits of various beverages.

Rather than single out high-fructose corn syrup for derision, the panel focused on the proliferation of beverages with added sugars, regardless of what sweetener was used. Those beverages, the panel said, should be consumed at the lowest possible level, no more than eight ounces a day. "We felt there were much bigger issues and it would be a distraction," Professor Popkin said of high-fructose corn syrup.

AS America's obesity problem has evolved into a major public health concern over the last five years, singling out high-fructose corn syrup as a singular culprit reflects, perhaps, society's early response to a vexingly complex issue. Scientists say part of the confusion about the ingredient's role in the nutrition debate stems from a basic misunderstanding: the idea that high-fructose corn syrup is actually high in fructose.

Studies have shown that the human body metabolizes fructose, the sweetest of the natural sugars, in a way that may promote weight gain. Specifically, fructose does not prompt the production of certain hormones that help regulate appetite and fat storage, and it produces elevated levels of triglycerides that researchers have linked to an increased risk of heart disease.

But the name "high-fructose corn syrup" is something of a misnomer. It is high only in relation to regular corn syrup, not to sugar. The version of high-fructose corn syrup used in sodas and other sweetened drinks consists of 55 percent fructose and 45 percent glucose, very similar to white sugar, which is 50 percent fructose and 50 percent glucose. The form of high-fructose corn syrup used in other products like breads, jams and yogurt - 42 percent fructose and 58 percent glucose - is actually lower in fructose than white sugar.

Even if high-fructose corn syrup is no worse than sugar, it may never be popular with consumers like Ms. Cabrera who routinely seek out natural and organic foods. Most manufacturers of natural products shun the syrup, in part because many of them consider it an artificial ingredient. Among natural-foods enthusiasts and many nutritionists, there is a belief that the foods humans have been consuming for hundreds or even thousands of years are better handled by our bodies than many of the modern and chemically derived concoctions introduced into the food supply in the last 60 or so years.

Among producers of organic products, there is a similar prohibition against high fructose corn syrup in favor of regular sugar, although one ingredient company, Marroquin International of Santa Cruz, Calif., sells organic high-fructose corn syrup.

Michael F. Jacobson, director of the Center for Science in the Public Interest, a nutrition advocacy group that often criticizes the food industry, says that unlike sugar molecules, which reside in the stalks of sugar cane or the beets that are used to make sugar, high-fructose corn syrup is artificial because it is not found anywhere in corn.

"You're causing a change in the molecular structure, and that shouldn't be considered natural," he said, adding, however, that he never supported the notion that high-fructose corn syrup was a unique contributor to obesity.

Produced in large manufacturing facilities scattered mostly across the flat, golden expanse of the American corn belt, high-fructose corn syrup is not a product that anyone could cook up at home using a few ears of corn. The process starts with corn kernels and takes place in a series of stainless steel vats and tubes in which a dozen different mechanical processes and chemical reactions occur - including several rounds of high-velocity spinning and the introduction of three different enzymes to incite molecular rearrangements.

The enzymes turn most of the glucose molecules in corn into fructose, which makes the substance sweeter. This 90 percent fructose syrup mixture is then combined with regular corn syrup, which is 100 percent glucose molecules, to get the right percentage of fructose and glucose. The final product is a clear, goopy liquid that is roughly as sweet as sugar.

The major manufacturers of high-fructose corn syrup - the farm giants Archer Daniels Midland, Cargill and Corn Products International and the ingredients company Tate & Lyle - say that their product is natural because it is made from plain old corn (though some of it is genetically modified) and contains no synthetic materials or color or flavor additives.

The Food and Drug Administration has never established rules on what, exactly, "natural" means, allowing companies to pitch products as natural even if they contain high-fructose corn syrup. Cadbury Schweppes recently began promoting 7-Up, which is sweetened with high-fructose corn syrup, as "100 percent natural." Capri Sun fruit-flavored drinks from Kraft are also promoted as all-natural, although they, too, are sweetened with high-fructose corn syrup. Cadbury and Kraft both say they believe that high-fructose corn syrup is natural because it is made from corn.

Sugar is considered natural because there are no chemical processes involved in its production and no molecular changes occur as it is processed. The Sugar Association, which represents sugar growers and producers, filed a petition in February with the Food and Drug Administration asking the agency to define "natural," but the association says the agency has not yet responded.

THE modern supermarket, of course, is stocked with artificial additives and the highly processed products of modern food science, most of them unknown outside of food technology circles. Still, even with this cacophony of indecipherable, hard-to-pronounce ingredients, few have been singled out for the scorn heaped upon high-fructose corn syrup.

Yoshiyuki Takasaki, a scientist, patented high-fructose corn syrup in 1971 while working for a government-affiliated laboratory in Japan. But it wasn't until 2001, shortly after the United States surgeon general issued a landmark report on obesity, that the brouhaha over the substance began. Warning that America's expanding waistline could reverse many health gains achieved in recent decades, the report prompted new research into the causes of obesity.

Professor Bray of the Pennington research center - a lean, bespectacled man who had spent much of his career studying obesity and diabetes - said he had been pondering the obesity problem for several years when, in early 2002, he had a sudden insight. Charting federal data on the consumption of high-fructose corn syrup against data on obesity rates, he found amazing parallels between his two graphs.

Starting in 1980, around the time that manufacturers started replacing sugar in sodas with a more cheaply produced sweetener - high-fructose corn syrup - there was a sharp increase in male and female obesity in the United States. From 1980 to 2000, the incidence of obesity doubled, after having remained relatively flat for the preceding 20 years, the data showed. Could high-fructose corn syrup be making us fat, Professor Bray wondered? After all, according to his analysis of government consumption data, per capita intake of the syrup had increased by more than 1,000 percent from 1970 to 1990, exceeding the changes in the intake of any other food group tracked by the Department of Agriculture.

Professor Bray's theory received enormous attention when he teamed up with Professor Popkin to publish the idea in The American Journal of Clinical Nutrition in April 2004. Around the same time, a breezy and provocative book about America's obesity problem, "Fat Land" by Greg Critser, generated more awareness of high-fructose corn syrup. Mr. Critser proposed that the syrup made consumers fat because it was so cheap, and thus food makers could afford to offer more products with it and more copious portions.

Manufacturers had always been able to buy the sweetener at prices 20 percent to 70 percent less than those of sugar. In a 1983 article in Fortune magazine, one beverage analyst estimated that by switching to high-fructose corn syrup, Coca-Cola gained a cost advantage over Pepsi and its bottlers of $70 million a year. A year later, Pepsi followed in Coke's footsteps and also began using the sweetener. Mr. Critser argued that the cost savings allowed soft-drink companies to create larger sizes that were only marginally more expensive, thus propelling people to drink more soda. It also freed up extra marketing money, he said. "High-fructose corn syrup really allowed companies to transform their brands and to become some of the biggest brands in the world," Mr. Critser said in a recent interview.

There is little question that after beverage companies began adding high-fructose corn syrup into soda in the early 1980's, soft-drink consumption soared. From 1980 to 2000, per-person consumption of sweetened soda rose by 40 percent, to 440 12-ounce cans a year, according to the Agriculture Department's Economic Research Service. During roughly the same period, the inflation-adjusted price of soda declined by about one-third, according to Bureau of Labor Statistics data.

Also in the 1980's, supersizing began in earnest. In 1983, for example, 7-Eleven rolled out its 44-ounce soda and, in 1988, the huge 64-ounce. And McDonald's began supersizing its drinks in the late 80's. But whether all of this would have happened anyway, even if sodas still were sweetened with pricier sugar, is hard to say, according to analysts.

John Sicher, publisher of the trade journal Beverage Digest, says he thinks that the lower cost of soda today, versus 20 years ago, is attributable largely to the advent of bigger packaging, which lowers distribution and manufacturing costs. He cited several reasons for soda's dominant presence in the American diet: "I think that the higher consumption of soft drinks today is more about the increased prevalence of product," he said. "It's the growth of fast-food restaurants, much more availability in supermarkets, the growth of convenience stores with coolers in them and a huge build-out of new vending machines in the 1990's. I don't think it has anything to do with high-fructose corn syrup."

Dave DeCecco, a spokesman for Pepsi, says the company's decisions over the years about package and portion sizes were based on the changing desires of consumers - and had nothing to do with the price of high-fructose corn syrup. "The cost of the sweetener in the product is extremely minimal to the point of not even mattering," he said.

Mr. Critser, the author of "Fat Land," says that John Peters, a scientist at Procter & Gamble and a founder of America on the Move, a foundation devoted to obesity prevention, was the first person to get him thinking about a link between the cheap cost of high-fructose corn syrup and obesity.

Reached three weeks ago at his office at Procter & Gamble in Cincinnati, Mr. Peters said the idea was "just a hypothesis, without any data to back it up." Asked if he thought that high-fructose corn syrup had played a unique role in America's obesity problem, he said, "I don't think we know."

Few scientists and nutritionists are willing to believe that the small amount of additional fructose in high-fructose corn syrup, as opposed to sugar, makes a difference in people's weight. Dr. Peter J. Havel, an endocrinology researcher in the department of nutrition at the University of California, Davis, said he did not think that the replacement of sugar, or sucrose, with high-fructose corn syrup in the food supply was, by itself, responsible for the increase of obesity in the population.

"I don't think it is likely that things would be very different if people consumed increased amounts of either sucrose or high-fructose corn syrup," he said in an interview. "Overconsumption of either sweetener, along with dietary fat and decreased physical activity, could contribute to weight gain."

THE recent backlash against the ingredient, which has enjoyed more than 20 years of uninterrupted sales growth, has caused its corporate sponsors to take notice. Audrae Erickson, president of the Corn Refiners Association, a trade group in Washington that represents the biggest makers of high-fructose corn syrup, put up a Web site, HFCSFacts.com, three years ago to blunt criticism of the sweetener. The site includes information about the amount of fructose in the syrup and charts showing sharp increases in obesity in countries that use very little of the liquid. (Outside of Canada, the United States is the only country with a significant consumption of high-fructose corn syrup, largely because other countries have erected successful trade barriers to protect sugar.)

But Ms. Erickson says her arguments that high-fructose corn syrup is a safe ingredient have gained little traction. She says her trade group recently entertained the idea of changing the sweetener's name. "It really does have this negative connotation," she said.

Manufacturers of high-fructose corn syrup, however, may have more than an image problem to deal with. Annual per capita consumption of the sweetener is down 7 percent, to 59.2 pounds in 2005, from its peak of 63.7 pounds in 1999, according to the Agriculture Department. Ms. Erickson says that this is attributable less to the negative perceptions of high-fructose corn syrup than to the popularity of drinks with fewer calories, such as diet soda, bottled water and sports drinks. Annual per capita consumption of refined sugar has also declined, falling 4 percent from 1999 to 63.4 pounds, in 2005.

All of which suits Ms. Cabrera just fine. Regardless of what experts say about high-fructose corn syrup, she says she will still try to avoid it. But now, after learning that many experts say the substance is handled no differently in the body than sugar, she says that she will probably let some products with high-fructose corn syrup slide.

"I guess I don't need to be so hard-core about it," she said.
 
I remember investigating this question once. Trying googling it and you get nailed with tons of misinfo, the ratio is somewhat around 400:1 fiction:fact.

There's as much pro BS as their is con. In biochem we analyzed the question in depth, our professor didn't think there was anything wrong with it up until we all gathered our info and compared our notes. What seems to be the problem is that HFCS isn't "bad" in low-moderate quantities, however your body can only process so much at a given rate. It's been demonstrated experimentally, though now i cannot seem to find the experiment, that white sugar can be metabolized much faster then HFCS.

If your ingesting more then your body can process then it accumulates in your blood. Enough of the stuff and it will aggregate and accumulate, lining your arteries or clogging your pores. It can be stored as fat, but again your body can only convert so much. The rates vary for different people, we all have slightly different variations of the enzymes that do the job.

So overall its not that bad, as long as its not in everything you eat.
 
Well, one of the problems may be that it is made from corn and, according to D'Adamo, corn should be avoided at all costs by people with type-O blood - the most common blood type.

Eliminating corn and wheat from my diet (I am type O) has made a HUGE difference in the way I feel. And that also means eliminating anything with corn syrup in it.

I also want to note that corn syrup is what is used in the glucose tolerance test. I've had two of them and both times I went into insulin shock and nearly died.
 
[snip...]
Laura said:
Eliminating corn and wheat from my diet (I am type O) has made a HUGE difference in the way I feel. And that also means eliminating anything with corn syrup in it.
[snip...]

Are you saying that wheat is not good for human consumption by all or just by some?

Wheat is IMHO the most common (food) staple in most western if not the world diets! I mean it is not just bread products but also in flour-based products (noodles, cake, pie, etc.) and who knows where else! USA and other countries exports wheat just about everywhere esp. in countries that are starving!
 
dant said:
Are you saying that wheat is not good for human consumption by all or just by some?

Wheat is IMHO the most common (food) staple in most western if not the world diets! I mean it is not just bread products but also in flour-based products (noodles, cake, pie, etc.) and who knows where else! USA and other countries exports wheat just about everywhere esp. in countries that are starving!
Umm... dant.... Did you read this bit?

Laura said:
Well, one of the problems may be that it is made from corn and, according to [Doctor] D'Adamo, corn should be avoided at all costs by people with type-O blood - the most common blood type.
Laura is referring to Dr D'Adamo's blood type diet.

Personally, I am type A, which seems more "suited" to things such as wheat and corn. And I devour bread, corn etc like no tomorrow, so in my experience it is a verified data!
 
In "The Protein Power Lifeplan" the authors (Dr's Michael and Mary Dan Eades) claim that proteins from corn are used by the body in connective tissues but also recognized as foreign by the immune system - leading to arthritis. They also had little good to say about high fructose corn syrup. No mention was made about different bloodtypes in their dietary recommendations. Their recommendations worked very well for me but I am bloodtype O neg.
I read this book several years ago but no longer have a copy as I loaned it out.
 
dant said:
Are you saying that wheat is not good for human consumption by all or just by some?

Wheat is IMHO the most common (food) staple in most western if not the world diets! I mean it is not just bread products but also in flour-based products (noodles, cake, pie, etc.) and who knows where else! USA and other countries exports wheat just about everywhere esp. in countries that are starving!
Well, Ryan gave you the short answer, that I was referring to a specific theory that has demonstrated good results for a lot of people even if the companies that make zillions selling drugs to correct the conditions caused by not having this kind of information fund lots of "studies" to disparage such ideas.

Having said that, there IS something very interesting about this wheat and corn thing. A snip from Secret History:

This transition from "hunter-gatherer" to "agriculturalist" is considered to be one of the great "revolutions" or evolutionary steps of mankind. But is it necessarily so? Richard Rudgley noted in passing:

The study of the sample of skeletal remains from South Asia showed that there was a decline in body stature, body size and life expectancy with the adoption of farming. ...Of the 13 studies, 10 showed that the average life expectancy declined with the adoption of farming. (Rudgley, Richard, The Lost Civilizations of the Stone Age (New York: The Free Press, 1999) p. 8.)
There is a Sufi legend that the "fall from Eden" occurred not from eating a "fruit," but from eating wheat.

And yes, it is very interesting that wheat and corn are the staple of the diets of poor people around the world... Did you ever think about that?

People with money can eat fresh vegetables and meat, but the poor subsist on bread, potatoes, gravy (made with corn starch), i.e. high starch foods.

As Ryan pointed out, some people can do it and thrive, but since the most prevalent blood type on the planet (even though it is a recessive gene), is Type O which ought never to eat wheat and corn.

There's a lot we don't know or understand about these things, and we ought to keep in mind that each individual is different and unique, but there are some general principles that seem to be in the way of guiding us to better solutions.
 
Also I wanted to add that the article doesn't mention that a lot of the maize being used in making HFCS is GMO, about 25% of the maize grown in the world is GMO. I'm sure in the US the percentage of GMO in corn syrup is large. I highly dought that GMO will help with health concerns.
 
Interesting coincidence?

"The Oregonian", 7/13/06, "Letters to the Editor"
-----------------------------------------------------------------------------------------
"Corn syrup gets a bad rap"
==================
The July 10 "Editorial sketchbook" item," '100 percent natural". micharacterizes
high-fructose corn syrup (HFCS) by suggesting that it is artificial and a "major
factor in the nation's childhood obesity epidemic." HFCS, like sugar, is composed
of fructose and glucose, which are found in many other naturally occuring foods.
HFCS contains no artificial or synthetic materials or color additives. Recently
published scientific papers have concluded that HFCS is not a unique contributor
to obesity. Dr. Walter Willett, chairman of the Harvard School of Public Health
nutrition department, told the New York Times, "There's no substantial evidence
to support the idea that high-fructose corn syrup is somehow responsible for
obesity." Many parts of the world have rising rates of obesity despite having
little or no HFCS in their food or beverages. HFCS is a safe, natural, nutritive
sweetner. Since 1983, the Food and Drug Administraton has listed HFCS as
"Generally Recognized as Safe" for use in food.

Audrae Erickson
President, Corn Refiners Association
Washington, D.C
-----------------------------------------------------------------------------------------
It is clear at least to me, that associations are almost always created to defend
themselves and their members against anyone who dares to think outside of the
box and of critical thoughts. These associations IMHO are generally created by
those who have the money, the power, and the clout of the elite and the powerful,
OSIT.

Dan
 
http://en.wikipedia.org/wiki/Fructose

One comment to add: fructose, like a lot of complex molecules, has different orientations and "handedness". It has been demonstrated, over and over and over, that different handed molecules behave very differently inside biological systems.

We could very well be seeing a case where an artificial chemical process is creating a "bad" handed molecule, compared to the natural biological processes that create most fructose.

Fructose is present in honey and table sugar is broken down into fructose and glucose, which humans have been consuming for thousands of years. So it can't be just fructose.

Why do I get the feeling that nobody will ever look at this or investigate it? Or if anyone tries, obstacles will be put up in their path?
 
I was speaking to Scott Ogrin about Coca Cola and I remember him saying that Coke in the USA is made from corn syrup whereas the French Coca Cola is still made from regular sugar-sucrose.( I'm not sure if it is cane sugar or beet sugar.) But he was saying that the Coca Cola in France tasted like he used to remember and the Coca Cola in USA basically tasted like crud.

Corn syrup isn't used much in Australia, as we have a thriving sugar-cane industry here. So much so they have an excess of ethanol alcohol that they are trying to blend in with petroleum. The alcohol is a by-product of the sugar refining process.

Johnno
 
Relating to the subject of wheat, here's some information about the intolerance to gluten, roughly translated from a book I have, called "Prenez votre santé en main" (take your health in hand) by Michel Dogna - a book giving natural recipes for current diseases and which I've found very helpful on numerous times (for me as well as for my kids) :

The Gluten Disease, or Coeliac Disease

What is gluten ?
Each grain of wheat contains a germ, an alimentary reserve of starch and a protein binder, which is gluten.
In gluten, there is a polypeptide soluble in alcohol : gliadin, which for a normal subject, is reduced into constitutive fragments during digestion, but which is problematic for certain intolerant persons.

Where can we find gluten ?

4 cereals automatically contain gluten : wheat, oats, rye, barley
For us (western peoples) wheat has been the dietary basis since High Antiquity.
Gluten is not only present in bread, pasta, pastries but also in much of industrial food : sauces, canned food, patés, sausages, ham, toffees etc..

Effects of gluten for intolerant persons

The disease has been first described in 1883 but its origin was unknown and we had to wait till the WWII famines, when Dutch doctors could observe an improvement of the health of ill people who were deprived of cereals.
In 1950, after a minutious study, gluten was officially designated as responsible for the coeliac disease - which affects the abdominal organs.
It provokes an atrophy of the intestinal mucous membran. This membran, thinly structured, is spiked with numerous little jagged projections which, put under the microscope, look like the ramifications of fern : these are the intestinal villi. Roughly, the mucous membran develops on a surface equivalent to a tennis court (like the air cells).The multitude of enterocytal cells with which it is lined, captures the nutritive elements of the intestine and ramifies to absorb them and transmit them under an innocuous form in the organism.
In presence of gliadin, villi cease to ramify, take a short and massive aspect, and disappear. The active surface of intestinal absorption is seriously compromised.


The syndrome of malabsorption

Malabsorption touches all classes of aliments :
- carbohydrats : are ill-digested and poorly absorbed ; sugars remaining in the intestinal content are degraded by the intestinal flora and give acid residues
- proteins : have the same fate. The intestine can even let exude secretions rich with proteins, hence a supplementary loss
- lipids are ill-absorbed
- calcium : ill-absorbed, it provokes hypo-calcium level which provokes neurological and bone problems
- vitamin K lacks, hence coagulation difficulties
- iron and vitamins B1, B2, B6 and folic acid, which are all necessary to the red glo synthesis, are nearly absent
And the list is non exhaustive

Who is gluten intolerant ?

This disease has a family character, though its mode of transmission is not simple. According to estimations, 1 out of 3000 persons is concerned.
The signs of this disease can be complete, discreet or imperceptible. It seems to be transmitted as a genetic risk which can be potentialised by internal or external factors. It's perfeclty possible to have twins where one suffers from the disease but the other doesnt.
The disease can be triggered at any age, the most precocious forms being the most serious. The observation has been made that there is often the association of diabetes - intolerance to gliadin.
At the present time, no chromosomal gene was identified as responsible for the anomaly.

Screening exams

The tests of intestinal absorption are not satisfactorily reliable.
Only the intestinal biopsy can provide the essential information which show that the mucous membran is altered from the first hours after the ingestion of gluten. Its atrophy can be checked and reaches its maximum after approximately 2 months.
After stopping ingesting gluten, the membran reforms itself very slowly : between 18 months and 2 years for it to regain its normal aspect.

The coeliac disease in infants

Evertything is ok as long as the child is exclusively fed with milk. Troubles begin from 2 to 3 months after the introduction of flours, but they can take between 6 months to 2 years to manifest.
Modification of the faeces : they become abnormally abundant (multiplied by 4 to 5). They are generally soft, greyish, with a very unpleasant smell. Often oily, gleaming, sometimes liquid, foamish. They are often coupled with pain more or less acute. Vomiting is a habit, appetite becomes poor.
The abdomen's volume porgressively increases and contrasts with the other areas of the body.

****General symptoms

a small thin face, loss of musculary contours, vitamin, iron, and proteins deficiency. Anemia is settled, hair is lifeless, skin is dry. The child is sad, apathetic, grumpy, hostile, and never smiles. Growth almost stops, which can end in nanism. A paroxistic upsurge can result in the death of the child.
Before, there was a fatal evolution for 1 case out of 6. For the others, an improvment would settle as years went by.

****Restoration by an apropriate diet

The first trouble to recede is the alteration of behaviour. A few days after stopping the ingestion of gluten, the child regains a good mood. He smiles again, the faeces are reduced, vomiting stops, and the weight increases after a few weeks. (often a month) Growth starts again after 2 to 3 months.

****If the diet is interrupted
The ingestion of gluten can provoke immediate disorders : vomitings, diarrheas, abdominal pain. But most often, there is a period of latency : days, weeks, till 2 months, and the disease starts back again.

****If the diet is not completely respected

The situation remains intermediary. And it is often the result of the behaviour of family circle, which has not fully understood the gravity of the problem and thinks that a "piece of bread" a biscuit or a candy can do no harm.
However, these minimal ingestions of gluten immediately cause severe lesions of atrophy of the intestinal mucous membran.

The no-gluten diet must be strict


Is it possible to stop the diet one day ?

The practical behaviour consists in observing a strict no-gluten diet during 2 years, then procede to the reintroduction under watch. On the ill persons who were observed, has it has been estimated that after 1 or several 2-year cycles without gluten :
- A quarter rechutes after 1 or 2 months
- half of the symptomes is more nuanced - thus the diet will be appropriate accordingly
- the cure is never definitive and rechutes can always happen after an infection, an chirurgical intervention, pregnancy etc

So it's always better to adopt a permanent diet

Intolerance to gluten during the 2nd childhood
Disease occurs between 5 and 8. Most of the symptoms described above occur, but with less gravity : abundant faeces, a few vomitings; calcium bone deficit with weakening, deficiency in iron and vitamins, anemia, spontaneous bleedings, bruises by minor shock, teeth bleed during brushing, tiredness due to lack of proteins, growth retardation, big abdomen, retarded puberty.
As in the preceding case, we can confirm coeliac disease by intestinal biopsy, but the wisdom would be to immediately try a no-gluten diet and to observe its effects before trying heavy methods.

Intolerance to gluten in the adult

The age at which the disease is recognized can go till 70.

The telling signs are always the same :
*diarrheas, several soft faeces per day (with often improvment and aggravation)
*feeling of distension, slow digestion, nausea... but it's often so ancient that the person has learned to live along with it, until they discover they can eat without any trouble, if there's no gluten
*sometimes lingual inflammation
*ancient anemia
*calcium deficiency
*emotional instability, malaise, even tetany crises

The general state of these persons is always poor ; they are tired, they are smaller than average and their complexion is abnormally pigmented
Around 1/3 of adults have suffered from intolerance to gluten during childhood, but for the most part, they only had minor "acceptable" symptoms which evolved through highs and lows during lifetime, without ever being identified.
What brings late recognition of their intolerance is an increase in their symptoms, favored by organ alteration or intercurrent diseases.

Intolerance to gluten in persons suffering from other digestive disorders

When an exterior cause comes to disturb the intestinal functioning, tolerance to gluten can temporarily be altered. The same applies for milk and dairy products.
After intestinal infections, a diarrhea can linger, a digestive discomfort more or less important can persist, the weight can stagnate.
The abolition of gluten can be beneficial during the transitory time of regeneration.
A similar situation can be observed during important intestinal parasitosis, or pancreas diseases.

The traps of the no-gluten diet

Cereals for children can be found, which are called rice flour or maize flour. But their formula CAN contain a small amount of wheat flour. A single guarantee - the mention "without gluten"

The same remark can be done for a whole list of food which can hide gluten if they don't carry the mention "no gluten". Such as :
- ready made breakfasts
- convalescent food
- custard powder
- instant desserts
- breadcrumbs
- meringues
- cheese spread
- all canned meat
- patés
- forcemeat, mince,
- sausages,
- canned dried beans
- ready cooked vegetables
- packet or brick soups
- chocolates, candies, ice creams, fruit jelly
- mustard
- mayonnaise in a tube
- tomato sauce
- sauces and ready made soups
- celery salt, powder pepper
- powder curry
- beer
NB: let's remind that wheat flour is present in nearly all industrial preparations

Inoffensive food

rice, soya, corn (polenta), tapioca, potato and potato flour, wine, meats, low fat ham, fish (not breaded), eggs, fresh and dry vegetables, all fruits, nuts, almonds, halzelnuts, all oil bodies (of quality), sugar, honey, bitter cocoa, all exempt from GMO and preferably organic.

Conclusion

This disease can be fatal, but still can be easily cured in a spectacular manner by a strict, simple diet.
One can find, in pharmacies and organic shops, products (such as biscuits, pasta, etc) guaranteed without gluten. But they are generally expensive and it is not necessary to resort to them. If medicine gives few information on this disease which partially touches more people than one could thought it's because, in this domain, there are no meds to sell.
 
I figured I should put my two cents in since a good part of my family is gluten intolerant.

Michel Dogna said:
This disease has a family character, though its mode of transmission is not simple. According to estimations, 1 out of 3000 persons is concerned.
[...] It seems to be transmitted as a genetic risk which can be potentialised by internal or external factors
Seems to me it's the same thing I heard as "roll-of-the-dice-heredity". For what is of my family one of my parents is gluten-intolerant but not the other, and the result is that most of my siblings have symptoms if they eat some. Lucky for me I don't have any, but one of my sisters has pretty extreme reactions.

One good thing that can be said about it is that in order to keep to the diet you have to cook everything at home, so you end up eating healthier without even trying.

About that 1 in 3000 figure: back when I was a kid and my mom found out about coeliac disease, I was told 1 out of 10 people had it, only very few of them know it. I have no idea wether it's true or false but I think it might be a possibility.
 
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