The vast majority of people who avoid gluten don’t have celiac disease or even a gluten sensitivity, but as reader Rachel can attest, there’s a big upside to the proliferation of all the GF products and menus fueled by the fad (even as Hamblin noted the downsides):
I found out 10 years ago this month that I had Celiac. I was having horrible stomach pain, reflux, ulcers, etc, and at 19 I had zero quality of life. My biopsy came back positive for Celiac but my blood-work was negative, so my doctors weren’t sure at the time how to diagnose me.
Going gluten-free 10 years ago was one of the most overwhelming and terrifying things I had ever experienced. My doctor flat told me I could continue to eat gluten but I would most likely develop colon cancer by the time I was 40.
I was living in Nashville, where everything was fried, I had no family around me, and nothing was labeled on food items. I remember crying in the grocery store because I had no idea what to buy. I thought, “Am I ever going to be able to eat a sandwich again??” I ate corn tortillas, hummus, eggs, and cheese for an entire month until I found some resources on Celiac.
As there has been a lot more awareness of Celiac over the years and even a cool factor to being gluten free, I have found it much easier to live this way without getting sick. I have traveled around the world and all over the U.S. and it’s been almost a non-issue with many places. I’m grateful for the awareness.
(Also, as a helpful hint, if I get gluten in my meal, I’ve found that sipping Apple Cider Vinegar in water helps alleviate the symptoms. I’m note a doctor, but it helps tremendously.)
On the flip side, I tend to get many disparaging looks when I ask for a gluten free menu, if something has gluten in it, or when I tell people I’m not able to eat it. In fact, I'm more likely to not tell someone and either go hungry or try to figure out an alternative option because of the negative responses.
I know that Celiac is genetic, and though I don’t have children right now, I worry about if they will inherit the gene and whether or not I should start them on a gluten-free diet as babies. I guess I’ll just have to take it one day at a time, but all I know is that I’ll still be gluten free even when it’s not a cool thing to do.
You asked, so here’s my gluten-free story (safe for Celiacs to read):
I’m not a Celiac, but I do have Crohn’s disease, an inflammatory autoimmune disorder which often causes similar symptoms in the digestive tract. When I was first diagnosed with Crohn’s, a course of steroids followed by immunosuppressive drugs was enough to keep me in relatively good health.
Slowly, though, my symptoms returned. After two years, I was again underweight and anemic (a six-foot-tall male in my twenties, I weighed about 130 pounds at my lightest), with chronic, debilitating stomach pains and other symptoms which made my life very hard.
Friends who hadn’t seen me in months asked about my health as soon as they laid eyes on me. On more than one occasion, I experienced stomach cramps so severe I vomited until there was nothing left but bile. Occasionally, upon standing up too quickly, my vision would fade and my head would spin until I fell to the ground or found something to hold onto. These weren’t the kind of symptoms that can be alleviated through the placebo effect.
People suggested going gluten-free, but I resisted it until I was desperate for many of the reasons laid out in James Hamblin’s piece (much of which I still agree with). But it worked. The pain receded. My digestion improved. I gained 30 pounds, leaving me thin, but not skeletally so.
I asked my gastroenterologist about this, and they suggested I pursue a low-FODMAP diet, which restricts foods like wheat which contain sugars that ferment during digestion. It kept the worst of the symptoms at bay and, along with my medicine, kept my inflammation at a low level. Eventually, even that low level of inflammation caused enough complications that I was put on more powerful medicine, but I've never again been as sick as I was.
In the end, it wasn’t the gluten that bothered me; it was the wheat itself. I found I could drink gluten-free beer, for example, but only the kind that was made from sorghum or other wheat substitutes. Wheat beer with the gluten removed still made me sick, and trace amounts of gluten never bothered me at all. But despite the fact that I wasn’t a Celiac, the availability of gluten-free products was a huge boon for me.
I appreciate what you, James, and TheAtlantic are trying to do by educating the public on these issues. There’s so much pseudoscience surrounding this topic that I’m sometimes embarrassed to admit that I prefer to avoid wheat. But to suggest, by omission or otherwise, that Celiacs are the only people who can benefit from the explosion of gluten-free products ignores the clinical and day-to-day experiences of a great number of people, and I think that’s worth mentioning.
This reader’s on the same page:
Credible sources place the percent of Americans with celiac as high as 1-in-35. But that understates the problem by ignoring people who are allergic to wheat but do not have celiac.
Since I was young my fingers swell (not subtly) when I eat wheat products, and it seems to be more likely to happen with products that are known to be high in gluten (like pizza). Yet I test negative for celiac.
Is the test imperfect? Am I allergic to wheat? I’ve no idea, but it is not a trivial matter. I’m afraid we are in another of those moments when experts think they know it all, while there is much more to be learned.
A reader in Bend, Oregon, is far from gluten-free but nevertheless provides some good, er, food for thought:
Some people have commented that the increased gluten sensitivity in recent decades is due to modern, hybrid wheat varieties, high processing, added gluten, and/or a move away from traditional bread dough fermentation. Michael Pollan’s view was summarized in The Huffington Post piece “Michael Pollan Wants You To Eat Gluten”:
Pollan goes on to say that some people would do well to experiment with fermentation. More specifically, he thinks fermented sourdough is a smart alternative for a healthy gut. Fermented foods in general have been found to be beneficial for gut health, but sourdough bread has a more specific benefit, according to Pollan.
“[The] tradition of fermenting flour with sourdough breaks down the peptides in gluten that give people trouble,” he said. “Anecdotally, I’ve heard from lots of people that when they eat properly fermented bread, they can tolerate it.”
There is some emerging research to support Pollan’s perspective: A 2008 study fed subjects with gluten intolerances either sourdough or regular bread. Similarly, a very small 2012 study fed sourdough to participants with celiac, finding few to no physical side effects.
There are essentially two ways to turn flour into bread. The first is the way it was done for most of human history: let the flour absorb as much water as possible and give it time to ferment, a process that allows yeast and bacteria to activate the dough. Kneading then binds the two proteins that come together to form gluten.
Most of the bread consumed in the United States is made the other way: in place of hydration, fermentation, and kneading, manufacturers save time by relying on artificial additives and huge industrial mixers to ram together the essential proteins that form gluten. . . . Most bakers, even those who would never go near an industrial mixing machine, include an additive called vital wheat gluten to strengthen the dough and to help the loaf rise.
I’m lucky; I can eat plenty of gluten and stay extremely healthy. I even eat seitan sometimes, which is pure wheat gluten. Yum.
[Avoiding gluten] has not been shown (in placebo-controlled studies) to benefit people who do not have the disease. Celiac disease is known to affect about one percent of people. Yet in a global survey of 30,000 people last year, fully 21 percent said that “gluten free” was a “very important” characteristic in their food choices. Among Millennials, the number is closer to one in three. The tendency to “avoid gluten” persists across socioeconomic strata, in households earning more than $75,000 just the same as those earning less than $30,000, and almost evenly among educational attainment. The most common justification for doing so: “no reason.”
He goes on to detail the downsides of gluten-free replica products. A reader responds with a solid bit of advice:
As someone who has had a lifelong gluten allergy (and gave it to two of my three kids), the increased “trendiness” is a mixed bag. Yes, it mean more choices, but it also means that people think my disease is just a trendy lifestyle choice and not a real thing. My general recommendation is not to use too many wheat substitutes. Instead of a gluten-free sandwich, have a salad or meat and veg. Instead of beer, have wine or hard liquor.
One of my part-time jobs right out of college, while interning and waiting tables, was doing research for a book that my roommate and his celiac-suffering business partner were putting together to help people travel and dine out gluten free. This was late 2004, and I had never heard of gluten, nor had any peers I talked to about the research gig. So over the past decade it’s been remarkable to see how rapidly and widespread “gluten free” has become. Now my best friend is GF, for dermatological reasons, as is my mother, who swears that her GF diet has snuffed out some mild health problems—and she’s been a nurse for 40 years, so she’s very science- and health-oriented. Here’s another gluten-free reader who works in the sciences:
I work in human research. Getting people to keep accurate records of what they eat, or to maintain a specific diet for a long enough time without keeping them in a lab environment 24/7 is incredibly difficult if not impossible. I am gluten-free due to promising science on Hashimoto’s thyroiditis (I am not celiac). If you have a problem linked to inflammation, it makes sense to see if going gluten-free can reduce that inflammation.
In the future, as more and more studies are done, they may find the culprit is other than gluten, or that gluten without other natural enzymes in food that’s more alive or containing more of the plants original components might be healthier.
As an N of 1, if I eat gluten now, I get depressed the next day. I don’t seem to have any other negative symptoms as others with celiac do. There is no other “cure” for Hashimotos, but I tend to have fewer symptoms of Hashimotos (lethargy, weight gain, skin issues) when I remain gluten free. I went off it for a while, started eating gluten again, and gained 20 lbs. But this might be also attributable to the fact that more foods were available (i.e. a whole pan of brownies).
I am realistic and yet still making the best choice for myself. I can understand if others are concerned it’s a harmful fad, but there also might actually be something to it, and so I don’t think it should be readily dismissed either.
Neither does this reader:
I recall Nobel prize winner Dr. Barry Marshall commenting that half of what is taught in academic gastroenterology is flat wrong. [CB note: I couldn’t quickly find that quote, but here’s a Kathryn Schulz interview with Marshall about how he was right about ulcers when everyone else was wrong.] So it was not surprising to find see solid research in the last few weeks showing that common reflux medications, proton pump inhibitors, pushed so hard by gastroenterologists, are strongly linked to dementia and cardiac dysfunction. [CB: Here’s a recent report along those lines.]
I have been gluten free for a dozen years. I am not celiac, don’t even have the DNA for it. Prior to going gluten free, which was against gastroenterologists advice, I suffered from chronic severe reflux and GI problems daily and was becoming overweight. Within months after going strictly gluten free, every trace of reflux and GI distress disappeared and over 12 years have never returned. Within six months of going gluten free, I lost the 35 excess pounds I was carrying and have stayed at my ideal weight ever since.
My toughest problem in going gluten free was weaning myself off the proton pump inhibitors that GI docs had pushed on me. What they failed to tell me is that if you start these meds and go off them, you get rebound hyper-acidity at double your pre-med levels, and that lasts a couple of months. Great for pharma marketers. I used an Internet protocol from Jacob Teitelbaum MD to wean myself off PPIs in a couple of months. Never a hint of reflux since, in a dozen years.
I wonder what is motivating the recent quasi-academic push back against gluten-free living? So many such as myself have found gluten-free living to resolve a host of problems even though not celiac. I wonder if the financial interests involved are pushing back. But then I recall Hanlon's razor: “Never attribute to malice that which is explained by incompetence.”
I know through experience that GF people love to talk about going gluten free, so if you’d like to sound off on the subject, drop us an email. Update from a reader with some quick advice:
To those out there (like myself) who are gluten free to decrease inflammation, I caution you about the risk of added sugar in products labeled as GF. What has helped me is to not eat processed GF foods as much as possible and focus on fruits, veggies, nuts, good fats and protein. It is not easy because I often feel deprived. Hence my new focus on detoxing myself off the sugar as much as I can without adding another feeling of deprivation. Sigh.
Despite the easing of taboos and the rise of hookup apps, Americans are in the midst of a sex recession.
These should be boom times for sex.
The share of Americans who say sex between unmarried adults is “not wrong at all” is at an all-time high. New cases of HIV are at an all-time low. Most women can—at last—get birth control for free, and the morning-after pill without a prescription.
If hookups are your thing, Grindr and Tinder offer the prospect of casual sex within the hour. The phrase If something exists, there is porn of it used to be a clever internet meme; now it’s a truism. BDSM plays at the local multiplex—but why bother going? Sex is portrayed, often graphically and sometimes gorgeously, on prime-time cable. Sexting is, statistically speaking, normal.
“Rich people don’t get their own ‘better’ firefighters, or at least they aren’t supposed to.”
As multiple devastating wildfires raged across California, a private firefighting crew reportedly helped save Kanye West and Kim Kardashian’s home in Calabasas, TMZ reported this week. The successful defense of the $50 million mansion is the most prominent example of a trend that’s begun to receive national attention: for-hire firefighters protecting homes, usually on the payroll of an insurance company with a lot at risk.
The insurance companies AIG and Chubb have publicly talked about their private wildfire teams. AIG has its own “Wildfire Protection Unit,” while Chubb—and up to a dozen other insurers—contract with Wildfire Defense Systems, a Montana company that claims to have made 550 “wildfire responses on behalf of insurers,” including 255 in just the past two years. Right now in California, the company has 53 engines working to protect close to 1,000 homes.
Peter Navarro—a business-school professor, a get-rich guru, a former Peace Corps member, and a former Democrat—is among the most important generals in Trump’s trade war.
“No one’s more careful about what they buy,” Peter Navarro told me recently. The director of the Office of Trade and Manufacturing Policy was explaining that he reads labels closely and avoids products made in China. “People need to be mindful of the high cost of low prices,” he said. In Navarro’s telling, those cheap flip-flops are supporting an authoritarian state, and that cut-rate washing machine might be mortgaging America’s future.
Such wariness of foreign goods is not just one man’s consumer preference—it’s United States policy. In the past year, the Trump administration has embarked on a trade war with sweeping geopolitical aims: The entire government now has a mandate, if a murky one, to make China play by the rules—and also to slow its rise. Trump has slapped tariffs on hundreds of billions of dollars’ worth of goods imported from the People’s Republic. And China is not the only front in the war. To aid American businesses and stop other countries from growing at America’s expense, the administration has renegotiated the North American Free Trade Agreement and initiated bilateral talks with the European Union, Japan, and other allies.
“Anti-Left” still beats “anti-Trump” in Texas, Georgia, and Florida, and in many other places besides.
As the mail-in votes are counted and the recounts finished, the Democratic advantage in the 2018 elections grows and grows.
In the House, the biggest swing to the Democrats since Watergate on the strength of a 7 percent advantage in total votes cast.
In the Senate, Republican gains capped at perhaps two instead of the election-night projection of four.
Large pickups in state legislatures, in ways that offer Democrats hope of halting or even reversing the gerrymandering and voter suppression imposed after 2010.
In light of these changes, should we revisit immediate post-election analysis that struck a more muted note? I wrote then:
The midterm elections delivered a less than fully satisfying result for Democratic voters, but an ideal outcome for the Democratic Party.
For Democrats, Election Night must have felt like the world’s slowest championship baseball game. Runner on base; runner on base; strike out; runner on base; run scored; fly out—and so through the night.
Some progressives are blaming a single demographic group for a string of losses in the midterm elections—but that distorts the actual results.
After Democrats gained a House majority, causing most of them to celebrate the biggest check on Donald Trump’s power since he was elected, a tiny faction in the progressive coalition reacted in anger and frustration, fixating on races that would have made their “wave” even bigger: Beto O’Rourke in Texas, Andrew Gillum in Florida, Stacey Abrams in Georgia.
In all these Democratic defeats, there was an easily identifiable group that voted overwhelmingly against the progressive candidate: Republicans. But members of this progressive faction did not lash out at Republicans. They instead directed their ire at another group, defined by race and sex. They lashed out at white women.
Each year, local governments spend nearly $100 billion to move headquarters and factories between states. It’s a wasteful exercise that requires a national solution.
The Amazon HQ2 saga had all the hallmarks of the gaudiest reality TV. It was an absurd spectacle, concluding with a plot twist, which revealed a deep and dark truth about the modern world.
Fourteen months ago, Amazon announced a national beauty contest, in which North American cities could apply to win the honor of landing the retailer’s second headquarters. The prize: 50,000 employees and the glory of housing an international tech giant. The cost? Just several billion dollars in tax incentives and a potential face-lift to the host city. Then last week, in a classic late-episode shock, several news outlets reported that Amazon would split its second headquarters between Crystal City, a suburban neighborhood near Washington, D.C., and Long Island City, in Queens, New York.
Weeks ago, Super Typhoon Yutu devastated the Northern Mariana Islands, which are home to tens of thousands of Americans. Mainland outlets paid little attention.
Several hours before Super Typhoon Yutu struck the morning of October 25, Harry Blanco was making final preparations for the storm. He boarded up the windows of his house, secured loose objects outside, gathered his valuables in a backpack, and locked his black Labrador, Lady, in the laundry room, where he felt she’d be safe. Then, he—along with thousands of his neighbors in the Northern Mariana Islands—waited in their homes. The remote American territory in the western Pacific would soon face the biggest storm to hit U.S. soil since 1935.
As night fell, Yutu swept toward Blanco’s village on the island of Saipan. The howling outside intensified, and Blanco’s partially wooden home began to buckle in the sustained 180-mph winds. “The house started shaking,” recalls Blanco, a 56-year-old retired U.S. Army colonel. “I started getting scared because it was not fully concrete.” But his bathroom was, so he retreated there. Just after midnight, the roof that covered half of his house was ripped off, and Blanco felt the furious winds trying to suck him up into the air. “I jumped in the bathtub,” he said. “I was holding myself down using the spout ... It was wet, so it was slippery.”
It is best not to diagnose the president from afar, which is why the federal government needs a system to evaluate him up close.
President Donald Trump’s decision to brag in a tweet about the size of his “nuclear button” compared with North Korea’s was widely condemned as bellicose and reckless. The comments are also part of a larger pattern of odd and often alarming behavior for a person in the nation’s highest office.
Trump’s grandiosity and impulsivity have made him a constant subject of speculation among those concerned with his mental health. But after more than a year of talking to doctors and researchers about whether and how the cognitive sciences could offer a lens to explain Trump’s behavior, I’ve come to believe there should be a role for professional evaluation beyond speculating from afar.
I’m not alone. Viewers of Trump’s recent speeches have begun noticing minor abnormalities in his movements. In November, he used his free hand to steady a small Fiji bottle as he brought it to his mouth. Onlookers described the movement as “awkward” and made jokes about hand size. Some called out Trump for doing the exact thing he had mocked Senator Marco Rubio for during the presidential primary—conspicuously drinking water during a speech.
The members may not be capable of uniting to block the Democrats' legislative agenda—or their investigations of President Trump.
Old habits die hard.
As House Republicans settle into their new status in the minority—a post in which members typically unify to obstruct policy proposals from the majority—intraparty tensions remain as strong as ever, and could spell trouble for the GOP’s efforts to reclaim the chamber sooner rather than later.
In a conference-wide election on Wednesday, Republicans anointed their leaders for the 116th Congress. Outgoing Majority Leader Kevin McCarthy won minority leader with 159 votes, besting House Freedom Caucus co-founder Jim Jordan, who won 43. Rounding out the party’s top three positions, Republicans also elected Steve Scalise as minority whip and Liz Cheney as conference chair, a position once held by her father, former Vice President Dick Cheney.