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by alexnaoumidis 2159 days ago
As someone with Celiac disease I know where you’re coming from but you’re conflating two different conditions.

Celiac disease occurs when your immune system damages your stomach lining in response to eating gluten. It’s why a strict gluten free diet is required. Many gluten contain foods also contain FODMAPs but that’s not what’s causing the immune response.

IBS on the other hand is a functional condition which means it’s problem with how the gut works but doesn’t lead to any damage of the gut/stomach lining. Instead, it’s thought that visceral hypersensitivity could be at play, where the nerves in the gut are overreacting to the gas and expansion caused by the fermentation of FODMAPs. By avoiding FODMAPs you limit this process and reduce symptoms - it’s thought that GDH helps with this process from the top-down and that’s potentially why the Monash study (creators of the Low FODMAP diet) found the response rate was so similar between the two treatment groups.

1 comments

People with celiac often have IBS and are often misdiagnosed with IBS. [1] They are not disjoint problems and often difficult to differentiate. It seems really reckless to offer this as a treatment without requiring people to consult a physician for a proper diagnosis.

1. https://www.beyondceliac.org/celiac-disease/related-conditio...

Nerva is for people have been diagnosed with IBS, not for people who have self-diagnosed themselves. I definitely agree, many conditions present similar symptoms like IBD, celiac disease etc so it’s important people are properly diagnosed before attempting any management options including the low FODMAP diet and GDH.

Nerva isn’t a treatment, it’s a program that teaches people self-regulation skills and relaxation exercises that can help them self-manage their symptoms.