It has to do with the genetic altering of the wheat that we grow/consume in the USA. Most countries have stricter standards of what can be done to the food supply, or don't have the means to genetically alter food variants that don't occur naturally on the planet in an effort to drive up profits and drive down prices.
My wife has gluten intolerance issues. Her mouth will immediately begin to burn and her stomach will inflate to where it looks like she is 7-8 months pregnant if she consumes anything with gluten in the US. However, when we travel outside of the US she can generally consume products that contain gluten without issue.
Basically American corporations have been allowed to put the shittiest shit into the food chain, pass along the medical expense to the consumers, rake in profits, and the supposed agencies we have that are tasked with protecting consumers are beyond useless.
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