The Dr. and the Blivet — How big’s your bag?

Blivet, if I’m not mistaken, is a term coined by ( geez, I’ve forgotten his name, and I’m remembering how he physically grabbed and shook a friend around, remembering a book name, Slaughterhouse 5,  what’s his name?  something, Kurt? . . . ) Vonnegut? Anyway, blivet means:

10 pounds of sh*t in a 5 pound bag.

The FDA is being sued for failure to regulate glutens in medicines.

Maybe the Consumer’s Healthcare Products Association ( CHPA ) has some ideas.

Yes, they certainly do. I just wish more of them were actually helpful. The chasing of the chicken with its head cut off is a bit much.

The normal or typical method of treating an autoimmune disease is immunosuppression with medication. And, it seems, as long as the medication is in a liquid form, it’ll be okay for those with celiac disease. Eye drops, nasal sprays, injectables — liquid things are fine. However, if the celiac is prescribed a pill by a doctor, the doctor won’t know if the pill is gluten free  ( GF ), not even to 20ppm. The celiac, as the patient, will need to figure it out. This may leave the celiac between a rock and a hard spot, so

Good luck!

It’s good to start your gluten free pharmaceutical research by visiting Steve Plogstead’s web site GlutenFreeDrugs. It’s a straight ahead site containing information the clinical pharmacist, Plogstead, and celiacs have gathered.  Plogstead has been investigating gluten in pharmaceutical manufacturing since 1995. He suggests awareness of how pharmaceutical manufacturing differs from food manufacturing, for instance each has its own definition of “starch.”

The source of starch, according to Plogstead, for pharmaceuticals could be wheat, corn, potatoes, or tapioca.

How food manufactures differentiate “modified starch” by stating ” corn modified starch” — and he’d advise to discern how pharmaceuticals define  modified starch, sodium starch glycolate,( usually from potatoes ), or  pre gelatinized starch ( usually from corn ), but food manufacturers would precede any, or all, of these with the word “corn,” if any were derived from corn.

Maybe something, let’s say corn, causes villous atrophy just as gluten does. Does the celiac then need to know if the HOADQ receptor reacted to the corn? While having a reaction should the celiac know if DQ2 or DQA, or both, are causing an inflammatory autoimmune reaction? That seems like a lot to know, but it’s not out of bounds, or is it?

The fact that there are over a thousand drugs listed on GlutenFreeDrugs.com is not lost on me, but it does make me feel, somehow, lost even though finding the website leans towards help, health, and happiness. The site won’t bog you down in advertisements or product placements. A more annotated new list may be more suitable to your research.

In any case, the use of a pill will be generally sketchy.

Nothing may be the only thing that is 100% gluten free.