Moodle at CCNM

Celiac disease made a splash with the gluten-free diet craze. Gluten is now almost a household word, however celiac disease continues to be underdiagnosed in the US and around most of the world. Celiac disease is a common condition effecting 1% of the population, yet in the United States we have only diagnosed an estimated 15%-20% of all celiacs. Research is robust on celiac disease and the complexities continue to be revealed. Dr Shaver will guide you on an update of the recent research on celiac disease with brief mention of the non-autoimmune disorder of non-celiac gluten sensitivity, in the areas of pediatrics and adolescents, Research on pharmaceutical treatment advancements in celiac disease will be discussed.

The gluten-free diet is a frequent staple in a practitioner’s list of modalities to use for a myriad of conditions. “Try a gluten-free diet” or “go gluten-free” has become a common phrase heard even between friends and neighbors, nutritionists and bloggers. However, a gluten-free diet (GFD) is a medical prescription for celiac disease. When prescribing a GFD prior to testing for celiac disease, a practitioner is unwittingly denying that patient a chance at revealing the root cause of symptoms and revealing a life-long/permanent systems-damaging autoimmune process with grave associated repercussions. We wouldn’t ask a non-type 1 diabetic to try insulin – it’s inappropriate. As conscientious practitioners, the medical community needs to be diagnosing celiac disease better and appropriately, or thoroughly ruling it out, prior to prescribing a GFD. Dr Shaver will present the top 10 reasons why prescribing a GFD is unethical in the absence of first performing thorough testing for celiac disease, from high risks of developing other unidentified autoimmune diseases to repercussions amid an entire family tree, to increase risks for cancers in celiacs who continue undiagnosed.

In your practice, 6% of your patients, or more, have Non-Celiac Gluten Sensitivity (NCGS). Confused the difference between NCGS, non-celiac wheat sensitivity, gluten allergy, wheat food sensitivity, wheat allergy and celiac disease? Dr Shaver discusses diagnosis and reviews the research about this relatively new condition, named in 2011. There are important ethical issues to discuss with your patient prior to prescribing any of the current gluten-free diets (Keto, Paleo, Low Fodmap, Anti-Inflammatory, Wahls, etc.) if one has not thoroughly tested for NCGS and celiac disease.

In this overview of Small Intestinal Bacterial Overgrowth Dr. Shaver outlines the various signs and symptoms, their causes as well as the underlying causes of SIBO. The breath and serum testing options are discussed as well as the analyses thereof. Treatment option include pharmaceuticals such as rifaximin, metronidazole and neomycin, as well as antibiotics which do not seem to fully address SIBO such as amoxicillin, and ciprofloxacin. The many herbal antibiotics are reviewed as will be the elemental diet, with attention to when to prescribe such antifungals as nystatin and fluconazole, or herbal equivalents. When to use prokinetics such as prucalopride, erythromycin and naltrexone will is also discussed. Foods that play a role and various diets are reviewed. There are various associated diseases and syndromes linked to SIBO as well as obstacles to successful treatment and when to prescribe medications such as nitazoxanide, tinidazole, albendazole, mebendazole, metronidazole.

The gluten-free diet is a frequent staple in a practitioner’s list of modalities to use for a myriad of conditions. “Try a gluten-free diet” or “go gluten-free” has become a common phrase heard even between friends and neighbors, nutritionists and bloggers. However, a gluten-free diet (GFD) is a medical prescription for celiac disease. When prescribing a GFD prior to thoroughly testing for celiac disease, a practitioner is unwittingly denying that patient a chance at revealing the root cause of symptoms and a life-long/permanent systems-damaging inflammatory autoimmune process with grave associated repercussions. We wouldn’t ask a non-type 1 diabetic to “try insulin” – it’s inappropriate. As conscientious practitioners, the medical community needs to be diagnosing celiac disease appropriately, or thoroughly ruling it out, prior to prescribing a GFD. Dr. Shaver presents the top reasons why prescribing a GFD is unethical in the absence of first performing thorough testing for celiac disease, from high risks of developing other unidentified autoimmune diseases to repercussions amid an entire family tree, to increase risks for cancers in celiacs who continue undiagnosed

The gluten-free diet is a frequent staple in a practitioner’s list of modalities to use for a myriad of conditions. “Try a gluten-free diet” or “go gluten-free” has become a common phrase heard even between friends and neighbors, nutritionists and bloggers. However, a gluten-free diet (GFD) is a medical prescription for celiac disease. When prescribing a GFD prior to testing for celiac disease, a practitioner is unwittingly denying that patient a chance at revealing the root cause of symptoms and revealing a life-long/permanent systems-damaging autoimmune process with grave associated repercussions. We wouldn’t ask a non-type 1 diabetic to try insulin – it’s inappropriate. As conscientious practitioners, the medical community needs to be diagnosing celiac disease better and appropriately, or thoroughly ruling it out, prior to prescribing a GFD. Dr Shaver will present the top 10 reasons why prescribing a GFD is unethical in the absence of first performing thorough testing for celiac disease, from high risks of developing other unidentified autoimmune diseases to repercussions amid an entire family tree, to increase risks for cancers in celiacs who continue undiagnosed.