Views & Reviews From the Frontline

Bad medicine: food intolerance

BMJ 2013; 346 doi: (Published 30 January 2013) Cite this as: BMJ 2013;346:f529
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

“Do you believe that non-coeliac gluten sensitivity exists?” In a recent poll on, 66% of the 941 well educated respondents said that they did—despite the lack of objective scientific evidence.1 2 Many doctors themselves have a gluten-free diet for many reasons, such as heart, bowel, and joint problems; migraine; or just to be generally “healthier.” Modern medicine has a thick veneer of science and evidence, but underneath it is really just opinion.

Non-coeliac gluten sensitivity is just one of many “food intolerances.” Allergy …

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