Does A Gluten-Free Diet Help With Weight Loss?

If you've been anywhere near a television, magazine, or blog lately, you have probably heard about celebrities who are on a 'gluten-free' diet to lose weight. You may even know someone who has "cut out the gluten" to lose weight. Perhaps you have even seen some positive results.

Going on a gluten-free diet CAN help you lose weight and may even give you a boost in your energy levels. Does that mean we should all run out and stock up on all those great gluten-free products at the grocery store? Not necessarily. Let's look at some simple facts and misconceptions about the gluten-free diet.

Celiac Disease Explained

4 gluten sources. Top: High-gluten wheat flour. Right: European spelt. Bottom: Barley. Left: Rolled rye flakes. (Photo credit: Wikipedia)

The gluten-free diet, eating a diet devoid of gluten, is very helpful for those who are either diagnosed with celiac disease or are gluten sensitive or intolerant. To know where you fit on that scale, you would need a blood test. Celiac disease is diagnosed with a blood test; gluten sensitivity can not be diagnosed with a blood test.  However, a person can determine if they are sensitive to gluten by documenting how they feel after eating food with gluten and eating food without gluten.

If you are diagnosed with celiac disease, it means that gluten (the proteins found in wheat, rye, and barley products) inflames the small intestine, destroying the finger-like protrusions (the villi) which transport nutrients from the food in the small intestine into the bloodstream. When the villi are destroyed, the body can not absorb the nutrients it needs, causing malnourishment which results in many health concerns.

Someone diagnosed with celiac disease should not eat any foods containing any gluten in any form. This is for health reasons, and not for weight loss.

Weight Loss Explained

A person who has celiac disease may be thin, especially in the early stages. Weight loss may occur in people with celiac disease as a result of nutrients not being absorbed properly.

Aside from people with celiac disease, you may see other people lose weight who are on a gluten-free diet. There are a number of reasons for this weight loss which may have little to do with whether or not gluten is in or out of their diet. Let me explain.

When someone says they have cut gluten out of their diet to lose weight, they may actually be saying they have eliminated bread, pasta, bagels, crackers, and all those 'gluteny' foods. An elimination of processed foods - and especially those high in simple carbohydrates - will help facilitate weight loss. If you replace your bagel for breakfast with fresh fruit to eliminate gluten, you are simply eating a healthier diet which could result in weight loss.

Reading labels when on a gluten-free diet can become almost fanatical. Being aware of all the added sugars, fats, and carbs will help you make smarter, healthier choices. Depending on what foods are eliminated, and what they are replaced with, a person who is eating a gluten-free diet may make better food choices because they are better  informed.

Weight Gain Explained

When the gluten-free diet is used as a weight loss tool, there may also be weight gain as an unpleasant consequence. There are a few reasons this may occur.

Eliminating grains from your diet (wheat, barley, rye, etc.) can mean a drastic cut back in fiber. You need dietary fiber in your diet to prevent constipation. If your body is not working right, your metabolism will slow and you will begin to gain weight instead of lose weight. You can help correct this by remembering that not all grains are forbidden on a gluten-free diet. Be sure to include plenty of safe fiber (brown rice, quinoa, whole oats, fresh vegetables and fruit, etc.) in your diet to maintain a healthy dose of dietary fiber in your digestive tract.

A choice of savoury and sweet gluten free crepes (Photo credit: Wikipedia)

Adding prepackaged gluten-free specialty foods is not the answer to the weight gain dilemma, either. Refined gluten-free flour is still refined flour; no fiber and little nutrition. Many of these packaged foods are less filling because they lack fiber, and they are loaded with sugar and fat to make up for the missing flavor.

Another odd side-effect of gluten-free eating to lose weight is people may become unaware of how much they're eating. We see many people eating gigantic portions of gluten-free foods because, after all, it's good for you. Well, not necessarily. Special gluten-free bread, pasta, and crackers are oftentimes very high in carbohydrates with very little fiber to offset the carb count. Calories may be very high, as well. So, if you're thinking "gluten-free equals healthier" you need to think again and read the labels. A big plate of gluten-free spaghetti is still a big plate of carbs!

Energy Boost Explained

It is true that some people get a nice little energy boost when they eliminate gluten from their diet. That may be in part to the elimination of carbohydrate-loaded foods like pasta and bread. When we overload on carbs and don't work it off with exercise, we get sluggish.

Replacing carb-loaded foods with fresh fruits and vegetables will help you feel lighter and more energetic. However, as mentioned, if you start replacing wheat bread and pasta with specialty gluten-free versions of the same foods, the high carb count in those foods, combined with the less than impressive fiber count, will eventually slow you down again.

In Conclusion

If you want to lose weight and enjoy an energy boost, you may get results with a gluten-free diet.  However, you have to do the work, read the labels, and be very aware of portion control.  You also have to remember that processed foods, gluten-free or not, are still processed foods. The flour used is refined, nutrients are removed, and the calories, carbs, sugars, and fat should always be questioned. For best results, cook your own meals from scratch at home.

Remember, too, that if you are eliminating a food group from your diet, you must consult with your doctor or health professional to determine what nutrients you will need to be watching. If your diet typically included whole grain wheat bread, cereal, or pasta, then you need to have another source of the nutrients and fiber those foods provided.

The gluten-free diet is intended for people who have celiac disease. If you feel you exhibit some of the symptoms, please see your doctor and ask for the blood test needed for diagnosis. If you simply feel better when you don't eat wheat, barley, or rye products, then by all means don't eat them. You may still want to consult with your doctor if this is the case.

If you want to lose weight and feel more energetic, you can try eliminating gluten from your diet and see how you feel. Just remember that to experiment with a gluten-free diet for weight loss is a process that needs to be carefully observed. Always check with your doctor first, then proceed slowly and wisely. Replace gluten-containing foods with fresh, healthy, natural alternatives, and you may indeed see a positive difference in your health as well as your weight.

Eating Out On A Gluten Free Diet

The first thing most folks do when they or someone in their family is diagnosed with celiac disease is clean out their own pantry and refrigerator. Their mission is to wipe out all the gluten in the vicinity.

(Photo credit: Whatsername?)

Of course, that is an excellent first step. But we all know we don't eat at home 100 percent of the time. Whether for convenience sake or for fun, eating out at a restaurant is a part of most people's lives.

Eliminating gluten from your diet does not mean you can never walk into a restaurant again. It does mean you'll have to do a bit of research, learn the menu, and get to know the staff well. It might sound like a lot of work, but if you don't want to miss out on some of your favorite restaurants, it will be well worth the effort. 
Let's take a look at a few suggestions for handling a meal out when you are eating gluten-free.

Check the Menu

Most restaurants now offer an online menu. Go ahead and start there. Scroll through the menu to find any offerings that are marked 'gluten-free' or 'GF.'  Be sure to make a list so you are ready when the time comes to call the restaurant for more information or to order when you get there.

Call the Restaurant

With menu in hand, give the restaurant a call and ask to speak with the general manager or kitchen manager. Be sure to call during the off-peak hours, not during the lunch or dinner rush. Choose a few specific items on the menu and ask about the ingredients and how it is prepared to avoid cross-contamination. A good manager will be happy to discuss this with you. If not, find another restaurant. It's not worth the chance you would be taking with your health to get rushed or incomplete answers.

Chat with the Staff

If you go to a restaurant without doing the first two steps, you will need to have a talk with the server or manager before you order. Tell him or her that you need a gluten-free meal. Ask them to point out items they recommend, then be very specific about how the food is prepared. You can't expect your server to be absolutely up on all the gluten-free do's and don'ts, so you have to know your stuff, and know what to ask.

Honey vs Vinegar

You know the saying; "You catch more flies with honey than vinegar."  Well, not very appetizing when talking about eating out, but I wanted to make a point. Restaurant managers and servers are busy people. They are trying to serve everyone well and keep everyone happy.  For that reason, it is best to be patient and polite as your server gets you the information you need.

Restaurant advertising gluten-free menu. (Photo credit: MookieLuv)

Of course, you should ask all the questions you need to arrive at a good decision when it comes to ordering a meal away from home. And, of course, you should be very specific about what you need to know. This may frustrate your server, so it's best to let him or her know right up front that you will have a lot of questions about how the food is prepared. That way a manager may be called to your table right away to avoid some of the back-and-forth in trying to find answers for you.

If the restaurant staff is not able (or willing) to take the time to answer your questions, then it's time to bid a polite farewell and find another restaurant.

Watch Out for Surprise Gluten

It's amazing how many strange places gluten can be found. We have learned to watch out for gluten in packaged foods we bring home, but who would think that pancake batter would be added to make omelets fluffier at a restaurant? Did you know that wheat flour may be added to salad dressing to make it creamier, and that meat may be marinated in soy sauce?  Soy sauce may also be added to a variety of foods to make it richer looking and saltier. French fries may be deep fried in the same vat with breaded chicken. These are all areas to check carefully.

The good news is, most respectable restaurants now offer at least some gluten-free choices on their menu. They are also aware of cross-contamination issues. If your favorite restaurant is behind the times, have a nice chat with the manager or owner and see if you can catch them up. Gluten-free diets are not going to disappear, and restaurants will be eager to please when they see their guests walk out the door.

Be persistent with your questions, in a polite way, and soon you'll be enjoying an ever-increasing choice of gluten-free meals away from home.

Is It Celiac Disease Or Gluten Sensitivity?

This month we're going to address going gluten free. First we'll delve into some health issues associated with gluten (a protein found in wheat and some other grains), and then we'll share some helpful tips for avoiding gluten, and preparing gluten-free meals. Throughout the month we will also be sharing lots of tasty gluten-free recipes you can make at home yourself from scratch. If you suffer from gluten sensitivity or gluten-related health problems, you will want to stay tuned throughout the month of April - help (and health) is on the way!

There is a lot of talk about eating a gluten-free diet these days. It may be a bit confusing to the casual observer, especially when the term 'celiac disease' is thrown into the mix.

Does everyone on a gluten-free diet have celiac disease? Do you need to be diagnosed with celiac disease to start a gluten-free diet? Is it important to know if you have celiac disease or not?

Endoscopic image of duodenum in individual with celiac disease, showing scalloping of the folds and cracked-mud appearance of the mucosa. (Photo credit: Wikipedia)

What defines celiac disease is damage to the small intestine. When a person with celiac disease eats the protein gluten, it damages the 'villi' of the small intestine. This damage  makes it almost impossible for nutrients to be absorbed into the body and bloodstream, which leads to a nutrient imbalance and malnourishment. 

If left untreated, celiac disease can lead to osteoporosis, thyroid disease, infertility, cancer, and other diseases and conditions. Celiac disease is a hereditary autoimmune disease. For these reasons, being tested for celiac disease may be in your, and your family's, best interest.

It's true that 'celiac disease' and 'gluten sensitivity' both present similar symptoms, making the diagnosis process lengthy sometimes. However, the only way to diagnose celiac disease is with a blood test and, if warranted, a biopsy. Diagnosis based on symptoms alone will not be enough when celiac disease is suspected.

Celiac disease and gluten sensitivity are treated the same; a gluten-free diet. There are currently no medications to treat either condition. However, complications from untreated celiac disease (as mentioned above) may result in further treatment for related conditions.

The good news is that both conditions can be treated successfully simply by changing your dietary habits. Once a gluten-free diet is followed for several weeks, both people with celiac disease and people who have gluten sensitivity will feel relief from their symptoms. If they return to a diet with gluten, the symptoms will return.

Some of the symptoms that present for both celiac disease and gluten sensitivity are as follows:

• abdominal pain
• bloating and gas
• diarrhea
• constipation
• fatigue
• skin rash
• mouth sores
• numb feet and/or hands
• weight loss
• weight gain
• poor growth
• bone fractures
• thinning tooth enamel or discoloration

A variety of foods made from wheat, and containing gluten. (Photo credit: Wikipedia)

You can see why diagnosing celiac disease can take years! These symptoms may be explained in many different ways, and may manifest differently in different people - or even at different times in the same person. But, what's important to understand is that if you suffer more than a few of these symptoms, and they are persistent, you will want to talk to your doctor or other health professional.

Is it important to know whether you have celiac disease or have gluten sensitivity? If these symptoms are new to you, and avoiding gluten makes the symptoms disappear, you can discuss this with your doctor to see if you have all the information you need to start a gluten-free lifestyle.

However, if these symptoms have been plaguing you for some time, or if you have any conditions outside of these symptoms, you want to ask your doctor to test you for celiac disease. Since celiac disease is hereditary and it does cause small intestine damage, having a diagnosis may make you and your family more aware of the risks. That knowledge may also be what you need to stay focused and vigilant with your health and the health of your family.

Be sure to check back later this week for some tasty gluten-free recipes to start off your new gluten-free diet!