The Dark Sides of DIY Elimination Dieting
Many professionals are wary of the elimination-diet trend. Maybe they're troubled by the health problems that can result from DIY elimination dieting, or from the lack of empirical evidence that it actually does what its supporters claim [source: Nassauer].
Ineffectiveness may partly result from the absence of complementary medical diagnostic tools, like blood and skin-prick tests [source: FARE]. And professionals' extensive knowledge of the processes at work in food reactions naturally makes them better equipped to interpret the subjective data the diet generates.
Human error is likely part of the problem, too. Without intensive research, it can be hard to know exactly what's in the foods we buy, so eliminated foods may not actually be eliminated [source: Woznicki]. People may not have the time to keep detailed records during the reintroduction phase.
Those who end up feeling worse on the diet may mistakenly think they haven't been on it long enough, or haven't eliminated enough foods, when in fact it might be the lack of certain foods that's making them sick [source: Freuman].
Adverse health impacts are a concern. Some people neglect to incorporate nutritional substitutes for eliminated foods, which can result in nutritional deficiencies and gastrointestinal problems [source: Freuman]. Elimination dieting can trigger a relapse in someone with a history of eating disorders [source: Nassauer]. It also can cause people to delay seeking expert medical help for serious problems. Some major medical conditions present with similar symptoms to food intolerance, and DIY elimination dieting may delay diagnosis [source: MCS Aware]. In people with severe allergic reactions to foods, a delay increases the risk of suffering life-threatening reactions they're not fully equipped to alleviate [source: WebMD].
Besides that, elimination diets are pretty harmless.
Actually, they can do some good, if not always the good for which they're designed. It's possible the oceans of anecdotal evidence for elimination diets' success can be attributed to one little side effect of the process: paying very close attention to what we eat. Generally speaking, this leads to eating healthier [source: Wagner College]. Add in the fact that most elimination diets make fast food, junk food, refined sugar, alcohol and countless other damaging foods off limits, and feeling less, well, icky after a few weeks is a likely outcome.
Ultimately, whether an elimination diet reveals a hidden allergy or just a better way of eating seems beside the point. Feeling better is feeling better. Everything else is gluten-free, sugar-free, dairy-free icing.
Author's Note: How Elimination Diets Work
I struggled with whether or not to mention psychosomatic food reactions in this article. In my research, I found that there was time (in the 20th century, no less) when all food allergies were believed to be psychosomatic – all in the sufferers' minds. They were referred to psychologists, not allergists. Considering the amount of controversy surrounding what appears to be the sudden increase in negative food reactions, I didn't want to be seen as propagating the idea that those reactions aren't legitimate medical problems. In the end, though, I decided it was worth noting and just put it off to side. It's a simple fact: In some cases, responses to "problem foods" really are psychologically mediated, and there's no reason not to explore that possibility if physical diagnostic methods fail. Feeling better is feeling better.
More Great Links
- Food Allergy Research & Education: About Food Allergies
- From Detox to Elimination Diets, Skipping Sugar May Be the Best Bet – WLRN, Jan. 19, 2015
- Gluten Intolerance May Not Exist -- Forbes, May 15, 2014
- Aubrey, Allison. "From Detox to Elimination Diets, Skipping Sugar May Be the Best Bet." WLRN. Jan. 19, 2015. (March 25, 2015) http://wlrn.org/post/detox-elimination-diets-skipping-sugar-may-be-best-bet
- American College of Allergy, Asthma and Immunology (ACAAI). "Latex Allergy." (April 3, 2015) http://acaai.org/allergies/types/skin-allergies/latex-allergy
- American College of Allergy, Asthma and Immunology (ACAAI). "Types of Allergies: Food Allergy." Allergist. 2014. (April 15, 2015) http://acaai.org/allergies/types/food-allergies
- Caldwell, Deborah. "7 Surprising Facts About Food Sensitivities." The Huffington Post – The Blog. March 20, 2015. (March 25, 2015) http://www.huffingtonpost.com/dr-deborah-caldwell/7-surprising-facts-about-_b_6902802.html
- The Celiac Disease Center. "What's the difference between celiac disease, gluten intolerance, non-celiac gluten sensitivity and wheat allergy?" The University of Chicago. (March 30, 2015) http://www.cureceliacdisease.org/archives/faq/what-is-the-difference-between-gluten-intolerance-gluten-sensitivity-and-wheat-allergy
- The Cleveland Clinic. "Problem Foods: Is it an Allergy or Intolerance?" (March 26, 2015) http://my.clevelandclinic.org/health/diseases_conditions/hic_Allergy_Overview/hic_Food_Allergies/hic_Problem_Foods_Is_it_an_Allergy_or_Intolerance
- Food Allergy Research and Education (FARE). "Food Elimination Diet." (March 23, 2015) http://www.foodallergy.org/diagnosis-and-testing/food-elimination-diet
- Freuman, Tamara Duker. "When Elimination Diets Backfire." U.S. News & World Report. April 14, 2014. (March 23, 2015) http://health.usnews.com/health-news/blogs/eat-run/2014/04/15/when-elimination-diets-backfire
- Institute of Food Technologists (IFT). "What is the Difference Between a Food Allergy, Food Intolerance and Food Sensitivity?" (March 30, 2015) http://www.ift.org/knowledge-center/learn-about-food-science/food-facts/food-allergens.aspx
- Jacob, Aglaée. "Elimination Diet Protocols." Today's Dietitian. July 2013. (March 30, 2015) http://www.todaysdietitian.com/newarchives/070113p10.shtml
- Kerr, Michael. "MSG Allergy." Healthline. May 4, 2012. (April 3, 2015) http://www.healthline.com/health/allergies/msg#1
- Mattheis, Christine. "14 Non-dairy Foods That Are High in Calcium." Health. (April 13, 2015) http://www.health.com/health/gallery/0,,20845429,00.html
- The Mayo Clinic. "Anaphylaxis." (March 30, 2015) http://www.mayoclinic.org/diseases-conditions/anaphylaxis/basics/definition/con-20014324
- The Mayo Clinic. "Food allergy: Symptoms." Feb. 12, 2014. (April 3, 2015) http://www.mayoclinic.org/diseases-conditions/food-allergy/basics/symptoms/con-20019293
- The Mayo Clinic. "Food allergy: Tests and diagnosis." Feb. 12, 2014. (April 3, 2015) http://www.mayoclinic.org/diseases-conditions/food-allergy/basics/tests-diagnosis/con-20019293
- MCS (Multiple Chemical Sensitivity) Aware. "Elimination Diets." (April 3, 2015) http://www.mcs-aware.org/food-intolerance/135-elimination-diets
- Medical News Today. "What is food intolerance? What causes food intolerance?" Sept. 9, 2014. (April 3, 2015) http://www.medicalnewstoday.com/articles/263965.php#how_is_food_intolerance_diagnosed_or_confirmed
- Nassauer, Sarah. "More People Pick Elimination Diets to Discover Food Sensitivities." The Wall Street Journal. April 16, 2014. (March 23, 2015) http://www.wsj.com/articles/SB10001424052702304117904579503481133359744
- Pomeroy, Steven Ross. "Gluten Intolerance May Not Exist." Forbes. May 15, 2014. (March 26, 2015) http://www.forbes.com/sites/rosspomeroy/2014/05/15/non-celiac-gluten-sensitivity-may-not-exist/
- UW Integrative Medicine. "Elimination Diet." University of Wisconsin School of Medicine and Public Health. (March 26, 2015) http://integrativemedicine.arizona.edu/file/11270/handout_elimination_diet_patient.pdf
- Voo, Jocelyn. "What is a Detox Diet?" Fitness Magazine. March 2009. (March 25, 2015) http://www.fitnessmagazine.com/weight-loss/plans/detox/the-truth-about-detox-diets/
- Wagner College. "One simply rule for healthy holiday eating: 'Pay attention.'" Dec. 14, 2014. (April 3, 2015) http://wagner.edu/psychology/psychology-news/one-simple-rule-for-healthy-holiday-eating-pay-attention/
- Watts, Merritt. "Elimination Diets: A Primer." Details. March 1, 2013. (March 23, 2015) http://www.details.com/body-health/diet/201303/foods-to-exclude-from-your-diet-versus-moderation
- WebMD. "Food Allergy, or Something Else?" Nov. 16, 2014. (March 30, 2015) http://www.webmd.com/allergies/foods-allergy-intolerance
- WebMD. "What's an Elimination Diet?" Nov. 18, 2014. (March 23, 2015) http://www.webmd.com/allergies/guide/allergies-elimination-diet
- WholeHealth Chicago (WHC), The Center for Integrative Medicine. "Food Sensitivity Elimination Diet." April 1, 2010. (April 3, 2015) http://wholehealthchicago.com/2010/04/01/allergy-elimination-diet/
- Woznicki, Katrina. WebMD. "Food Allergies: 5 Myths Debunked." WebMD. May 21, 2010. (March 25, 2015) http://www.webmd.com/allergies/features/food-allergy-myths