Paleo Ketogenic Diet

You Probably Don’t Need to Be on that Gluten-free Diet

You can directly support Healthcare Triage on Patreon: If you can afford to pay a little every month, it really helps us to continue producing great content.
This is another one of those videos that I expect many of you to hate. Gluten is surprisingly polarizing. Of course, most of the evidence that many of you will throw at me are anecdotes. And we all know that the plural of “anecdote” is not “data”. So let’s talk about gluten, and whether a gluten-free diet is for you. “Spoiler” – for the vast majority of you, the answer is “no”.

For those of you who want to read more or see references, look here:

John Green — Executive Producer
Stan Muller — Director, Producer
Aaron Carroll — Writer
Mark Olsen — Graphics



  1. This guy's a joke! He rants about the prices of the moronic gluten-free diet craze, but look at the hideous costs of his own profession!

    Me? My shopping is limited to the outside walls of the food store where least processed foods are displayed

  2. I don't eat a gluten free diet by any means, but I do often opt for gluten free products over non-gluten free. Why? Because of taste. I don't really like the way most gluten-y things taste – for example I hate the taste and consistency of pasta and only like bread if it is completely toasted/stale/crunch, never chewy or soft – and I find that most products without gluten are yummier to eat.

    …Is it possible just not particularly like most proteins? I'm also a vegetarian solely for taste preferences. Meat just tastes gross and I don't like the texture. I know I need protein obviously, and I do try to get it from other sources like nuts that I do like, but a lot of things containing protein just aren't very good to me….I also dislike all beans.

  3. Great video. I'm a coeliac and hate the gluten free diet. I don't think just cause it says gluten free it is healthy. Most of the good gluten free food is full of junk normal people wouldn't eat if they actually read labels. The day I can stop eating gluten free will be the best day of my life.

  4. Of course, the study that set off this fad trend involved only 34 patients, which makes it very hard to know whether those results would be applicable to the larger, general public. In addition, he makes a point in this video that the challenge study that was performed showed no evidence of specific or dose dependent effects of gluten. Despite this, that are still large groups of people who believe that they are "gluten intolerant", and spending a ridiculous amount of money on a fad diet that makes them believe that they feel better. This behavior continues to even influence others around them to support the "gluten is evil" trend that is currently taking place. The research has shown that this is not the case, and most of those with a self-diagnosed celiac sensitivity do not meet criteria, and the rest have symptoms that are poorly controlled, even on a gluten-free diet. The most interesting portion of this video is the fact that those individuals who believe that their gluten-free diet is leading them to consume healthier products may actually being doing quite the opposite; the studies he reviewed showed that gluten-free products are often higher in carbohydrates and fats, and lower in protein, fiber, vitamins and minerals. Remember: if you believe that you have celiac disease or a wheat allergy, this should be diagnosed by your DOCTOR, who has been trained to make that decision.

  5. As someone who was unaware of what celiac disease was prior the up rise of a gluten free society fad, I am internally troubled by what has spiraled out of this movement. As for people who live with celiac disease, that cannot be enjoyable, although I am happy for you that now supermarkets are bursting at the seams with food for you to eat. Unfortunately this has a flip side, and that side is the complete neglect people in the general public have for facts or the medical research. Considering the initial study that started the idea of 'gluten intolerance' only contained 34 people and was scraping the barrel for conclusive results that alone should be a warning that the results are not definitive. Not only was the initial study rather inconclusive, the head researcher set up a more in-depth, more scientific study to reexamine his results, although at this time, he reported no significant results. (Wait, actually nothing? Yep, nothing.) I get it, people want to be their own doctor and diagnose themselves and all of their friends with varying degrees of gluten intolerance. Although there is a minor problem, most members of the general public are not physicians. If you think there is something wrong with your GI tract, you should visit a doctor. There really is a reason some humans go to school for 12 years after high school. Furthermore, when the issue of the placebo effect is mentioned, everyone turns into anecdotal Annie who happens to have her PhD in psychology. Just because you think not eating gluten alleviated all of your stomach upset, does not mean that is scientific, and frankly, it doesn’t really mean that any pain was alleviated at all. It really is mind blowing how many people will conform to the masses and then openly refute not only trained professionals such as physicians, but also the science those professionals use to explain their reasoning. That is truly what worries me, not the consistency of someone’s stool while not eating gluten, but rather the metaphorical stool that comes forth from their mouths.

  6. I tried the gluten free thing for a while to deal with some chronic heartburn I was having. Didn't really have any consistent improvements.

    I've since switched to a lactose free diet and it seems to be going pretty well. Thankfully lactose is much easier to avoid than Gluten.

  7. The “Gluten-free” diet in America has become very popular, even for those who don’t have Celiac’s disease. Celiac’s disease is an actual allergy to Gluten. The only people who should not be consuming gluten are those who have Celiac’s disease, or those with gluten sensitivity. Products that are gluten-free need to add something into the product to replace the gluten; this substitution is usually xanthan or guar gum. These products are worse for you than gluten. The gluten free diet is very popular among people now who aren’t even allergic to it. Gluten is not bad for you unless you are allergic or sensitive to it, therefore if you are not, you should not be on a gluten free diet.

  8. I completely agree with this video. My best friend has celiacs disease. She is on a fully gluten-free diet, as she should be. However, I have three other close friends who do not have celiacs and claim to be "gluten intolerant." While I let them run with the idea, I do not think that the self-diagnosed gluten intolerance is reasonable, but rather a way of fitting in with the current trend.My friends even eat gluten in social settings quite often for someone with an intolerance. A few weeks after three of my friends diagnosed themselves, more of my friends did the same. I agree that if you have celiacs disease or are allergic to wheat, by all means please do not eat gluten. On the other hand, I think "gluten intolerant" people need to either be diagnosed or admit they are just trying to fit in with the fad diet.

  9. Thank you very much, I have Lupus and it's been suggested several times that No gluten would cure me. I never bought into it, it seemed like a fad to me. I have no more doubt.

  10. As my partner almost certainly has celiac (has had multiple diagnostic tests), I'm on board with more people eating gluten free, because even at the current volume, the food is brutally expensive.

  11. Try eating a few slices of sourdough bread. It has 3 ingredients, unlike processed breads with 20+, this difference is more likely to cause health issues than gluten.

  12. All I know is that when I eat food that contains gluten, even on accident and without knowing I have until later, I feel like crap for about eight hours afterward, sick to my stomach, and unable to think clearly. It's been this way for about 6 years, and I'd just rather not change my diet back to contain gluten. Besides, I mostly cook vegetables, rice, beans, and lean meats, and generally eat a lot healthier than I did before I went gluten-free. I don't really care if it's scientifically supported, or if it's just a fad. I don't eat gluten-free substitute food, as most of it is terrible. I just feel a lot better when I don't eat gluten.

  13. what I find sad is that people have lost the ability to know their food. It is not necessary to wait for a big agro/food company to develop gluten free products to eat gluten free. Their is more than wheat and other gluten cereals in the world of mother nature. I can happily eat non-gluten without resorting to any 'fad' products. The world is bursting with natural non-gluten products, i.e. naturally occurring in nature without factory transformation. Always has been.

  14. Is there any new data out there for you to review. I really enjoy your perspective, and this video seemed to get a lot of traction, Please make another!

  15. What a bunch of clickbait. 3:40 the celiac foundation website states that those with gluten intolerance (non-celiac) are diagnosed based on rechallenge/dechallenge from eating gluten. A health care professional isn't going to provide any test to confirm this. Sensitivity has also been estimated with prevalence of 1%.

  16. he purportedly sets out to clear up the facts on gluten and try and distinguish the craze surrounding gluten free from the scientific evidence which set it off – in many ways a good cause: there are probably people who are needlessly limiting their diets when they might be better off trying other approaches to resolving their health problems. However, his wording, whilst factually correct, reeks of cynisism towards anecdotal evidence, and rigid adherence to the medical system which, although fantastic in many ways, is not as accurate nor as knowledgeable as we like to believe. The complex workings of the gut in particular is an extremely cutting edge science, and is unfortunately far from accurate. Rejection of anecdotal evidence blinds doctors and patients to vast stores of knowledge and experience. Although the wheat hasn't been sifted from the chaff when it comes to verifying claims, and suspicion regarding reliability is therefore justified, testimonies from people trying gluten free simply cannot be unanimously rejected as suspicious or caused by placebo purely on the basis that they haven't been 'officially' verified by doctors. To deny a person's experience purely on the basis that it hasn't (yet) been explained by doctors is blind, patronising, and unfortunately potentially quite harmful. So I take issue with this guy's attempt to brush over anecdotal evidence, and persuade viewers that they 'shouldn't be on that gluten free diet'. The facts are important, and obviously the title is click bait as well. But choosing to accept only the facts with the official stamp of approval from the medical community is blinkered and harmful. It should be remembered that it is often anecdotal evidence that prompts research and discoveries in the first place. If millions of people claim to feel better on a gluten free diet, the task is not to criticise and scoff, but to ask why.

  17. My mother has always had issues with her stomach, its been confirmed to not be irritable bowel nor celiac or any allergy. It seems to be stress related and she is to be frank a drama-queen. She decided to go gluten-free a few months ago and has claimed feeling better, I'm thinking this is probably placebo as my mother still manages to eat non-loaf breads, gluten-rich brown bread, and brown rice and somehow believe she is on a gluten-free diet.

  18. Is it true that gluten is an inflammatory? I have psoriasis and psoriatic arthritis, and in hopes that I could get rid of some inflammation, I cut out gluten. Are you telling me that I could have been drinking beer and eating delicious pasta this whole time? Asking for a friend.

  19. I really liked this video, as I have a close family member with Celiac Disease. It’s hard to find things that we can eat together because she has a very specific diet that she has to follow. However, I wish that people would stop following this fad because they think it is healthier for them. Our bodies are able to process gluten naturally, unless you have an intolerance. Gluten-Free diets don’t really help you at all. A lot of people think gluten is really bad for them, when it really isn’t.

  20. I never knew what gluten-free was until I took a nutrition class my sophomore year of college. I learned how in people with celiac disease, the gluten destroys the hairlike fibers in your intestine causing absorption of nutrients to lessen or stop all together. I know many people with celiac disease who are gluten-free, I have a sorority sister who has a severe sensitivity to gluten and I've heard of gluten allergies. There's not a doubt in my mind that gluten-free options need to be available. But my absolute, hands-down biggest pet peeve is when people who don't have these dietary issues say they are gluten-free and when I ask them why, it never fails that I get the response of "gluten is bad for you". No, its not. It's only unhealthy for people who have celiac, gluten sensitivities or an allergy. In the nutrition class I mentioned earlier, we watched a documentary about a man who went out into New York and found people who were on this fad diet and asked them all the same question, "What is gluten?" Not a single person knew what gluten was, yet they were on this diet. It just shows how uneducated people are on health these days. Quite honestly, I find people who go on this diet because they "heard gluten is bad for you" are idiots. This brings me to the saying your mom would mention when your reasoning was because so and so did it. "If so-and-so jumped off a bridge, would you?" I feel so strongly about this because this shows people could potentially make bad decisions for their health just because of word of mouth and not because of factual evidence. I actually didn't talk to a roommate of mine for a week after talking about going on a gluten-free diet because I was disgusted by the fact that a health major who was in a nutrition class fell into the trap of a fad diet.

  21. The diseases produced from gluten are serious, so it really grinds my gears when someone jumps on the bandwagon of a gluten free diet without knowing the reason people do it. The hype of this diet just goes to show how naïve we are. When one person does something, we all have to do it. I understand that it’s under diagnosed and so it makes people want to be sure that they are not affected from gluten, but I bet at least a third of the people on a gluten free diet don’t know what gluten is or why there’re on the diet.

  22. I understand that a lot of people need to be on this diet and that it was developed in order to help people with the Celiac disease. It is so annoying though when people go on gluten free diets just as a "health nut" concern. Most of them don't even know what gluten does for you. Sometimes it just seems like they want to be gluten free so they can say it, but then their diet suggests that they obviously don't understand what has gluten: beer, pasta, or even pickles. If you think you need a gluten free diet then go to the doctor first so you aren't excluding this from your diet in vain.

  23. I sympathize with those with a true diagnosis of Celiac's disease. Working in a restaurant has made the gluten fad extremely annoying. People are constantly ordering gluten free items but then still eating the bread or order dessert so I know they are not true Celiac sufferers. We are extremely careful in the preparation of gluten free entrees and sides. Everything is cooked in a separate area with different utensils to avoid cross-contamination. If you don't truly have a problem with gluten then this is a very time consuming process. This fad I think has made it easier for actual sufferers because now they have more selection of food items in restaurants and grocery stores. This i think makes their life feel more normal. I have intestinal issues and was put on a gluten free diet; it was extremely expensive and I felt little difference. I do believe more people are having issues with wheat because we consume so much of it. American wheat has been altered so much and our bodies aren't meant to digest that much. I'd rather pay for organic and still get to enjoy my non-quinoa pasta.

  24. Obviously this guy is not gluten intolerant, if he was then he, like many of us who suffer, would know the effects on our digestive system. I know what gluten does to me, and the health benefits of avoiding it. I note he doesn't talk about the differing types of gluten, the prevalence of high gluten in commercially grown wheat and the low gluten strains such as spelt. Could it be that the exceptionally high volume of gluten in modern diets is a contributing factor? Our hunter / gatherer digestive systems has not fully adapted to modern gluten rich diet perhaps? Calling it a fad when there's obviously way more research to be done is a naive viewpoint, more science than opinion please.

  25. We're the people in the study tested for Celiacs or Wheat Allergies before they were accepted in the study? I was diagnosed with Celiac Disease about two years ago. When I look back I see the possibility that I had silent Celiac Disease for years, perhaps decades. I would get canker sores and pains in my sides and back for years. Only when the classic symptoms and weight loss kick in did I start to suspect something. The blood test and endoscop confirmed it. So after going GF and getting the weight loss and intestinal damage under control, I noticed that I no longer get canker sores or those odd pains in my back and sides.

    The point I want to make here is that some of you with a gluten sensitivity may actually have silent Celiacs Disease! Ask your doctor to do the blood test to make sure. If your doctor doesn't think it's necessary, then you can get it done yourself through an online lab. The full Celiac Panel is generally under $200. I get the transglutaminase IGA test done to check how well I'm holding to a gluten free diet and it only cost about $80. So if you want peace of mind, get tested, then follow up every five to ten years. I wish I would have known to do this earlier, but now I'm making sure my adult children are getting tested, and I will remind them to do so ever few years.

Leave a Reply

Your email address will not be published. Required fields are marked *

Please confirm that you are not a robot :) *

Social media & sharing icons powered by UltimatelySocial