Mayo Clinic - Mayo Clinic Going Gluten-FREE

Published by Time Home Entertainment Inc.

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All rights reserved. No part of this book may be reproduced in any form or by any means without the prior written permission of the publisher, except for brief quotations in connection with reviews written specifically for inclusion in magazines or newspapers, or limited excerpts strictly for personal use.

2014 Mayo Foundation for Medical Education and Research (MFMER)

ISBN-10: 0-8487-4388-1

ISBN-13: 978-0-8487-4388-8

Library of Congress Control Number: 2014946271

Mayo Clinic Going Gluten-Free is intended to supplement the advice of your personal physician, whom you should consult regarding individual medical conditions. MAYO, MAYO CLINIC, and the Mayo triple-shield logo are marks of Mayo Foundation for Medical Education and Research.

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MAYO CLINIC

Medical Editor

Joseph A. Murray, M.D.

Associate Medical Editor

Jacalyn A. See, L.D.

Managing Editor

Karen R. Wallevand

Contributors

Imad Absah, M.D.

Rachel A. H. Bartony

Alicia C. Bartz

Julie A. Buchholtz, L.D.

Manish J. Gandhi, M.D.

Kevin G. Kaufman

Vandana Nehra, M.D.

Jennifer K. Nelson, RDN, L.D.

Miguel A. Park, M.D.

John A. Schaffner, M.D.

Richard J. Seime, Ph.D., L.P.

Melissa R. Snyder, Ph.D.

Suzanne P. Sobotka

Maria I. Vazquez Roque, M.D.

Laura Hamilton Waxman

Editorial Director

Paula Marlow Limbeck

Product Manager

Christopher C. Frye

Art Director

Richard A. Resnick

Illustrators and Photographers

Joanna R. King

Malgorzata B. (Gosha) Weivoda

Research Librarians

Amanda K. Golden

Deirdre A. Herman

Proofreaders

Miranda M. Attlesey

Donna L. Hanson

Julie M. Maas

Indexer

Steve Rath

Administrative Assistant

Beverly J. Steele

TIME HOME ENTERTAINMENT INC.

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Jim Childs

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Margot Schupf

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Vandana Patel

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Carol Pittard

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Megan Pearlman

Associate General Counsel

Simone Procas

Senior Manager, Business Development & Partnerships

Nina Fleishman Reed

OXMOOR HOUSE

Editorial Director

Leah McLaughlin

Creative Director

Felicity Keane

Art Director

Christopher Rhoads

Executive Food Director

Grace Parisi

Managing Editor

Elizabeth Tyler Austin

Assistant Managing Editor

Jeanne de Lathouder

Special thanks to Greg A. Amason,

Allyson Angle, Katherine Barnet, Jeremy

Biloon, Susan Chodakiewicz, Rose

Cirrincione, Jacqueline Fitzgerald, Christine

Font, Jenna Goldberg, Hillary Hirsch, David

Kahn, Mona Li, Amy Mangus, Amy

Migliaccio, Nina Mistry, Dave Rozzelle,

Ricardo Santiago, Adriana Tierno,

Vanessa Wu

Cover design by Christopher Rhoads

My journey with celiac disease started in Galway in the West of Ireland, where celiac disease was remarkably common in the 1960s and 70s. My alma mater, the National University of Ireland in Galway, became a center for celiac disease research. As a medical student and intern, I regarded celiac disease as part of the medical landscape; it seemed to be as commonplace as hypertension or heart disease. It left me with the impression that celiac disease was far more common than perhaps was known at the time. My journey with celiac disease continued in Dublin, and I can vividly recall the last patient that I diagnosed before leaving Ireland to come to America. It was a young woman who had few, if any, gastrointestinal symptoms. I also recall my mentor telling me that this would likely be the last patient with celiac disease I would see because the disease was rare in the United States.

My move across the Atlantic wasnt to follow celiac disease but to pursue my interest in other gastrointestinal disorders. But in the Iowa cornfields, I discovered celiac disease. Its rare that a single patient can so influence a career, but at The University of Iowa I met a woman who broke the mold for how celiac disease was supposed to act. She was overweight not underweight, had constipation not diarrhea, lost weight on a gluten-free diet and gained weight when she ate gluten.