It Has To Be Me Episode

THE TRUTH ABOUT GLUTEN

Meghan Donnelly, MS, RDN, CDN

Episode #34: December 26th, 2024

THE GOLD FROM THIS EPISODE

“Gluten is a storage protein found in wheat, barley, and rye. The long complicated protein structure is difficult to digest, and we don’t have enzymes to break it down.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“Celiac disease is an autoimmune disorder where gluten is the known trigger.  celiac disease. A strict lifelong adherence to a gluten-free diet is the only treatment.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“There are over 200 symptoms of celiac disease and many are not the typical digestive problems. The average time from symptoms to diagnosis is 4 to 7 years, and people get diagnosed in their 60’s and 70’s.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“Celiac Disease is diagnosed by a blood test and a follow-up endoscopy. Non-Celiac Gluten Sensitivity can look a lot like Celiac Disease, but there is no biomarker so diagnosis is symptom-based. The overall treatment plan is similar, but may not need to be as strict.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“The gas, bloating, and other digestive distress that you may experience from eating wheat, barley and rye may be due to the gluten, but your discomfort could also be due to FODMAPs. It’s important to know the cause of your discomfort because the treatment plan is different, and may be less restrictive.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“A gluten-free diet is a recommended strategy for autoimmune thyroid conditions such as Graves disease and Hashimoto's.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“Digestive problems are common during menopause, and gluten is a known trigger food for menopause symptoms. Removing gluten can reduce digestive distress as well as hot flashes and sweats.” 

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

“You can maintain a healthy gluten-free diet with balanced nutrition. If you look after your gut health, and consume a variety of fruits, vegetables, nuts, seeds, beans, and grains, you're unlikely to develop nutrient deficiencies.”

Meghan Donnelly, MS, RDN, CDN

Dietitian from the Celiac Disease Foundation

in THIS EPISODE

  • What’s the deal with gluten and why have all things gluten-free blown up? Meghan Donnelly, lead dietitian for the Skinny60® health programs and director of health communications at the Celiac Disease Foundation does a deep-dive into what gluten is and how it impacts our health.

  • We get into why gluten is difficult to digest, and how a gluten-free diet has become a recommended strategy for many digestive and autoimmune conditions.

  • Meghan lays out the surprising statistics that make clear how many people can improve their quality of life by avoiding gluten or reducing it in their diets. Celiac disease affects 1% of people; about 10% present with non-celiac gluten sensitivity; 10 to 15% suffer from IBS; over 12% develop thyroid disease. And, gluten is a known trigger food for menopause symptoms.

  • She adds that many of the conditions in which gluten plays a known or suspected role have multiple and varied symptoms, so they can go undiagnosed or misdiagnosed, sometimes for decades. In addition, gluten is not always the culprit. Many digestive issues are traced to FODMAPs—fermentable carbohydrates found in many foods.

  • Meghan notes that gluten-free isn’t a one-size-fits-all solution, and emphasizes the bio-individual nature of health and nutrition. Understanding the cause of your discomfort and getting an accurate diagnosis is essential for formulating an effective treatment.

  • Choosing to reduce gluten or to go gluten-free is a proactive strategy for wellbeing and vitality. As gluten is not an essential nutrient and there is no enzyme to digest it, a gluten-free diet can be a healthy way of eating if we take in balanced nutrition.

TESS'S TAKEAWAYS

  • Gluten is a storage protein found in wheat, rye, and barley.

  • Many foods contain gluten beyond bread, pasta, and grains.

  • Gluten is a complex protein our bodies have no enzyme to digest.

  • There are over 200 symptoms of celiac disease, and many go beyond the gut.

  • Non-Celiac Gluten Sensitivity has no biomarker. Diagnosis is symptom-based.

  • Going gluten-free is an effective strategy for managing autoimmune and thyroid conditions.

  • Going gluten-free is a top intervention practitioners recommend for IBS.

  • Gluten is a common trigger food for menopause symptoms.

  • A gluten-free diet can be healthy with balanced nutrition.

ABOUT MEGHAN

Meghan Donnelly, MS, RDN, CDN, is a registered dietitian specializing in gastrointestinal nutrition, and is Director Of Health Communications at the Celiac Disease Foundation

Her experience spans clinical practice, nutrition counseling, medical nonprofits, and the food industry.

In her private practice at Nutmeg Nutrition, Meghan helps her clients establish a balanced and joyful relationship with food, particularly when managing digestive disorders (IBS and SIBO), food intolerances, gluten-related conditions (celiac disease), and disordered eating.  

She also provides nutrition counseling for heart health, kidney disease, weight management, and food intolerances. Monash University certified, she guides clients on Low-FODMAP diets.  

As lead dietitian for Skinny60®, Meghan provides nutrition education and support for participants in the 60-Day Reset.