Sorry, Your Gluten Sensitivity Is Actually A Fructan Intolerance

Your Gluten Sensitivity Is Actually A Fructan Intolerance

Millions of people voluntarily avoid gluten, a protein found in wheat-based foods like bread, cereal and pasta.

Those with a wheat allergy, celiac disease (about 1% of the population) and certain other autoimmune conditions get very sick if they eat it.

However, an extra 12% of people report digestive symptoms after eating gluten-containing foods… despite not having a wheat allergy or celiac disease.

But new research from Norway suggests it’s not gluten that causes issues for these people… it’s a FODMAP called fructan.

What Is A Fructan and Fructan Intolerance?

What is low FODMAP and who is it for?Fructans are a type of short-chain carbohydrate often referred to as FODMAPs.

They can cause unpleasant digestive symptoms for sensitive people, especially those with irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD).

Fructans occur in large quantities in:

  • wheat, barley and rye
  • garlic
  • onions
  • chickpeas
  • dates and prunes
  • raisins
  • watermelon

Those who experience digestive problems after eating fructans very likely have a fructan intolerance. It’s basically the same concept as those with a lactose intolerance who eat dairy, or those with a fructose intolerance who eat honey.

Summary: Fructans are a type of carbohydrate often referred to as FODMAPs. They are likely to cause strong digestive symptoms in those who are fructan intolerant. Rich sources of fructans include wheat, garlic, onion, chickpeas and more.

Non-Celiac Gluten Sensitivity (NCGS) Is Not Your Issue

Non-Celiac Gluten Sensitivity (NCGS) Is Not Your IssueNon-celiac gluten sensitivity (NCGS) or “gluten intolerance” is the term used to describe those who react negatively to wheat foods but don’t have celiac disease.

NCGS is a real thing, but about 4 in 5 people who think they have it don’t.

A recent review study of data from 1312 adults found only 16% of those who respond positively to a gluten-free diet actually have a gluten sensitivity (1).

The remainder of people have other sensitivities or a nocebo response to gluten, which means they react to non-gluten foods as well.

FODMAP researchers suspected that these people might actually be sensitive to fructans, as they are found in many foods with gluten, such as bread and pasta.

New Study Confirms This Theory

A new Norwegian study published in Gastroenterology looked at 59 people who did not have celiac disease yet found digestive relief with a gluten-free diet (2).

Subjects were randomly assigned to eat seemingly identical muesli bars with either gluten, fructans, or neither (placebo) for seven days.

They then crossed over into a different group, until they had completed all three bar diets and recorded their digestive symptoms.

Researchers found that symptoms of IBS, especially bloating, were 15% worse after eating the fructan muesli bar compared to placebo.

IBS symptoms gluten vs fructan study

Interestingly, the gluten bar had no effect on symptoms, which suggests gluten is not the culprit after all.

Lead author Gry Skodje believes these findings strongly support the idea that fructans in wheat are the trigger of digestive symptoms, not gluten.

It also helps explain why researchers have been left stumped trying to figure out how gluten causes issues for non-celiacs.

Ideally, the next step would be a larger study that controls the participants outside food intake as well.

Summary: Research shows 4 in 5 people who believe they are sensitive to gluten are actually not. A new clinical trial suggests the likely cause of their digestive symptoms are fructans, which are also found in wheat.

It’s Not The Gluten, But Gluten-Free Will Still Help You

Gluten FreeThe reason a gluten-free diet helps you feel better – even though you aren’t sensitive to gluten – is simple.

Gluten-free grains are automatically low in FODMAPs (including fructans).

Likewise, the removal of gluten from wheat also removes the majority of FODMAPs. That’s why low FODMAP diet plans are gluten-free.

So by choosing gluten-free breads, pastas and cereal, people have inadvertently been cutting out their fructans as well, leading to symptom relief.

For this reason avoiding gluten can still be particularly useful for those with fructan intolerance.

The Problem With A Gluten-Free Diet

However, a gluten-free diet may be overly restrictive of gluten-containing foods that are low in fructans.

For example, sourdough bread has gluten but its fermentation process removes the fructans. Soy sauce also contains gluten but is low in fructans. Beer comes to mind as well.

These are off-limits on a gluten-free diet, yet unnecessary to restrict for the vast majority.

The other issue is that most people with digestive issues don’t ever fully recover on a gluten-free diet. This is because FODMAPs (including fructans) are the likely culprit and a low FODMAP diet is what’s actually required.

If you’re still unsure about your perceived gluten sensitivity, try this:

Think about if you’ve ever had excessive gas, bloating or diarrhea several hours after eating a lot of garlic, chickpeas (hummus), dates or watermelon…

It’s the fructans.

 

Sorry, Your Gluten Sensitivity Is Actually A Fructan Intolerance pinterest

Comments

  1. Renata Barco Leme says:

    My mother is 95 years old and a couple of years ago developed IBD with diarrhea. Presently her diet is quite restricted as she avoids sugar, several types of vegetables (carrots especially). She eats every morning a french roll with fresh white cheese. She’s tried FODMAPS diets but not quite successfully, because everytime she tries to reintroduce the restricted foods she presents diarrhea. She’s living on oil-free rice, beef and chayote (pear squash), cooked apple and sugar-free jelly, guava juice. I recently discovered that she may present fructose sensitivity and the reason for the diarrhea may be minor infections spread through the bowel. We really don’t know anymore how to make her diet less monotonous and avoid malnutrition. It was suggested that the reason for this diarrhea might be pancreas aging, so that she is not producing sufficient pancreatic enzymes. It´s getting quite difficult.

    • Take a look at this list of good and bad foods for your mother.
      Apples are high in fructans for instance, so bad for her.
      https://www.ibsdiets.org/fodmap-diet/fodmap-food-list/
      The website is just a shell for advertising, but the list is easy to use.
      There are many ways to test what foods are good or bad, however the devil is in the details.
      Every ingredient must be reviewed in every food.
      I’m working on an easy way to stabilize a diet and validate the Fructan mal-absorption issues.
      Also remember that onions and garlic are bad and very hard to easily remove from her diet.
      JB

    • Joe Leech, Dietitian says:

      Hi Renata, sorry to hear about your mother. If you haven’t already seen one, a dietitian specialising in this area may be of help. Good luck

    • Cheryl Williams says:

      omit the apple, high in fructose

  2. Apples are very high in FODMAPS, I’d be careful with that… I’ve been following the Specific Carbohydrate Diet to successfully relieve diarrhea I layer the FODMAP diet over SCD and it works. I would recommend a very good quality digestive enzyme because you are right- she won’t have the enzyme activity to enable proper digestion. Please see if she is anemic and ask for a calprotectin test to discover if she has bowel inflammation. Monotony is far better than constantly feeling sick. I like the Nikken brand 4:20 Digestive Enzymes but any should help. Ask her doctor for testing of her B12 and if she isn’t taking an active folate & B12 or vitamin D please give them to her, she will benefit greatly.

    • bhupendra pattni says:

      Hi Kelly: What exactly Digestive Enzyme you talking about and does it help to solve
      Fructan/Fructose problem? Please advise where can I get this DE,THANKS!

  3. Marc Müller says:

    Hi,

    fructans as well as other oligosaccharides are referred to be so called soluble dietary fibres and a part of healthy diet. In Japan they are used as sweetener since early nineties and there are no drawbacks appeared. So my question is: is one, very thin study enough to justify the evilness of oligosaccharides? Monash University in Australia seems to play with the term FODMAP and crucifies oligosaccharides, but I couldn’t find any facts on their website. So whole thing looks like nonsense.

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