Food sensitivity
Diagnosis
When you eat something that doesn’t agree with you, you wonder: do I have a food allergy or a food sensitivity? Here’s a clue: if you can eat a small amount of the food without ill effects, or if you can prevent a reaction (say, by popping lactase enzyme pills before ice cream) it’s likely a food sensitivity. Food sensitivities don’t trigger the “classic” immune response and aren’t life threatening, but they can cause fatigue, nausea, bloating, diarrhea, and other icky symptoms. Plus, non-allergy reactions to food can be delayed by hours or even days. So, what causes a food sensitivity in the first place? First off, any food or ingredient can trigger a reaction. Sometimes, the cause is additives and preservatives, such as sulfites in wine, dried fruits, and canned goods. It may also be linked to stress or irritable bowel syndrome. One solu-tion: an elimination diet, which involves removing suspected trigger foods from your diet for a couple of weeks and then adding them back in, one by one, to identify the culprit/s. Food sensitivities, by definition, are slippery to define and study, and testing is controversial. Take non-celiac gluten sensitivity (NCGS), which is associated with intestinal problems or other symptoms but is not celiac disease. Researchers aren’t sure how to test for it, but practitioners generally recommend an elimination diet that cuts out wheat, dairy, and other foods that are considered “general suspects.” This type of diet definitely takes discipline, but it can be really helpful in determining if other symptoms, like acne, joint pain, fatigue, brain fog, and facial puffiness, are caused by foods. If you’ve been experiencing food sensitivities—and all the un-comfortable symptoms that go along with them—you might actually be very ready to do what’s necessary to discover your triggers!
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