Nutritional Concepts 
Dear Valued Subscriber,
This Week's Highlights:
-Celiac's Don't Heal?
-Drugs to Lower Diabetes Risks Disappoint.
-Fruit Theory Debunked.
-First Lady's Fat Fervor.

Celiac's Don't Heal?
According to a report from Mayo Clinic researchers that appears in The American Journal of Gastroenterology, when celiac disease is diagnosed in adulthood, mucosal (villi) damage may never completely resolve. In a small study of 165 adults followed over ten years, only 35% had mucosal recovery after follow-up biopsies within two years of diagnosis, even while following a gluten-free diet. An additional 23% eventually did have mucosal healing.

Seventeen patients died during the first ten years of follow-up. Of the eleven who had follow-up biopsies, all but one still had mucosal damage in the last biopsy. Cancer was the most common cause of death.

Putting it Into Perspective
While this would seem to be extremely discouraging news for celiac sufferers, I guess we must be doing something really extraordinary at Nutritional Concepts. We have not witnessed those kinds of results. With our standard gluten-free protocol, ideal healing micronutrients, adequate protein for repair, probiotic therapy, digestive enzymes, and avoidance of gluten-free products that contain cornstarch, my proactive, dedicated clients usually heal beautifully. They have the follow-up celiac blood tests and biopsies to prove it!


Drugs to Lower Diabetes Risks Disappoint.
The results from a landmark federal study presented in the New England Journal of Medicine brings yet more disappointment to diabetics. Adding statin drugs (Lipitor, Zocor used in this study) and fibrates (TiCor used in this study) to drive down blood-pressure and blood-fats lower than current targets did not prevent heart attacks and  strokes, and in some cases, caused harmful side effects.

While experts say that nobody should go off their medication based upon the results of this study, the President of the American Heart Association says that healthy diets and lifestyles need to be major points of emphasis in lowering diabetes and obesity risk.

Dearth of Diet and Lifestyle Services
If a recent poll of 290 primary care doctors is any indication, there is a major shortage of health professionals who can emphasize healthy diets and lifestyles. While 89% believe it is their responsibility to help their patients shed weight, 72% of doctors said that nobody in their office has been trained to deal with weight problems. Doctors often lack the education to accurately give nutritional advice themselves (many take only one nutrition course in medical school).

Insurance reimbursement is the another issue. Doctors would prefer to spend a lot more time focusing on diet and lifestyle with their patients if insurance paid as much for these services as they do other tests and procedures.

I'm Here for You
While I have lost count of how many people I have seen over my career, many are still reluctant to come because they have to pay out of pocket and submit to insurance themselves. Little do they know it is the best advice money can buy.

That said, it has been encouraging to see insurance reimbursing for my services over the last several years (if accompanied with a doctor's diagnosis).


Fruit Theory Debunked.
Eating Fruit on an Empty Stomach Not Necessary.
Believe it or not, I get this question a lot. The theory has been circulating for years as a viral email. It goes back to a book written 15 years ago by the Diamonds who advocated food combining. They suggested eating fruit alone, in the morning, and never right after a meal. They claimed that the combing fruit with other food would cause gas and bloating by fermenting in the stomach.

The theory could not be more wrong. Eating fruit in this fashion will cause hunger and most likely, low blood sugar. The human body was designed to digest all foods together. If you cannot, it is sign that you may need digestive enzymes.

First Lady's Fat Fervor.
First Lady Michelle Obama's crusade to curb childhood obesity in the United States seems to be getting off to a good start. Her tough love approach when speaking recently to the Grocery Manufacturers Association (Big Food) was evident when she said pointedly, "We need you not just to tweak around the edges, but to entirely rethink the products you're offering, the information that you provide about these products, and how you market those products to children." I know the Secretary of Agriculture could not speak to the GMA that way.

If Big Food makes even some of the changes the First Lady is asking for, it would save the taxpayer a lot more money than any health care legislation could.

I wanted to stand up and cheer when I heard her warn Big Food "against tricks such as replacing fat with another no-no such as salt or adding a gram of fiber to a product already loaded with calories." I couldn't have said it better myself!

We'll know by the end of the President's first term if companies like Kraft Foods and Coco Cola will pay lip service to the First Lady's plea, or make significant, tangible changes.

Have a happy, healthy day.

Bonnie, Steve, and the staff at Nutritional Concepts
Robust Villi | Celiac Villi
1535 Lake Cook Road
Suite 204
Northbrook, IL 60062
For 25 years, bringing the wellness of tomorrow, today.

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