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      Frequently Asked Questions About Celiac Disease   04/07/2018

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes
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    WHAT IS CELIAC DISEASE?
    Celiac disease is an autoimmune condition that affects around 1% of the population. People with celiac disease suffer an autoimmune reaction when they consume wheat, rye or barley. The immune reaction is triggered by certain proteins in the wheat, rye, or barley, and, left untreated, causes damage to the small, finger-like structures, called villi, that line the gut. The damage occurs as shortening and villous flattening in the lamina propria and crypt regions of the intestines. The damage to these villi then leads to numerous other issues that commonly plague people with untreated celiac disease, including poor nutritional uptake, fatigue, and myriad other problems.
    Celiac disease mostly affects people of Northern European descent, but recent studies show that it also affects large numbers of people in Italy, China, Iran, India, and numerous other places thought to have few or no cases.
    Celiac disease is most often uncovered because people experience symptoms that lead them to get tests for antibodies to gluten. If these tests are positive, then the people usually get biopsy confirmation of their celiac disease. Once they adopt a gluten-free diet, they usually see gut healing, and major improvements in their symptoms. 
    CLASSIC CELIAC DISEASE SYMPTOMS
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    LESS OBVIOUS SYMPTOMS
    Celiac disease can often less obvious symptoms, such fatigue, vitamin and nutrient deficiencies, anemia, to name a few. Often, these symptoms are regarded as less obvious because they are not gastrointestinal in nature. You got that right, it is not uncommon for people with celiac disease to have few or no gastrointestinal symptoms. That makes spotting and connecting these seemingly unrelated and unclear celiac symptoms so important.
    NO SYMPTOMS
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

    CELIAC DISEASE VS. GLUTEN INTOLERANCE
    Gluten intolerance is a generic term for people who have some sort of sensitivity to gluten. These people may or may not have celiac disease. Researchers generally agree that there is a condition called non-celiac gluten sensitivity. That term has largely replaced the term gluten-intolerance. What’s the difference between celiac disease and non-celiac gluten-sensitivity? 
    CELIAC DISEASE VS. NON-CELIAC GLUTEN SENSITIVITY (NCGS)
    Gluten triggers symptoms and immune reactions in people with celiac disease. Gluten can also trigger symptoms in some people with NCGS, but the similarities largely end there.

    There are four main differences between celiac disease and non-celiac gluten sensitivity:
    No Hereditary Link in NCGS
    Researchers know for certain that genetic heredity plays a major role in celiac disease. If a first-degree relative has celiac disease, then you have a statistically higher risk of carrying genetic markers DQ2 and/or DQ8, and of developing celiac disease yourself. NCGS is not known to be hereditary. Some research has shown certain genetic associations, such as some NCGS patients, but there is no proof that NCGS is hereditary. No Connection with Celiac-related Disorders
    Unlike celiac disease, NCGS is so far not associated with malabsorption, nutritional deficiencies, or a higher risk of autoimmune disorders or intestinal malignancies. No Immunological or Serological Markers
    People with celiac disease nearly always test positive for antibodies to gluten proteins. Researchers have, as yet, identified no such antobodies or serologic markers for NCGS. That means that, unlike with celiac disease, there are no telltale screening tests that can point to NCGS. Absence of Celiac Disease or Wheat Allergy
    Doctors diagnose NCGS only by excluding both celiac disease, an IgE-mediated allergy to wheat, and by the noting ongoing adverse symptoms associated with gluten consumption. WHAT ABOUT IRRITABLE BOWEL SYNDROME (IBS) AND IRRITABLE BOWEL DISEASE (IBD)?
    IBS and IBD are usually diagnosed in part by ruling out celiac disease. Many patients with irritable bowel syndrome are sensitive to gluten. Many experience celiac disease-like symptoms in reaction to wheat. However, patients with IBS generally show no gut damage, and do not test positive for antibodies to gliadin and other proteins as do people with celiac disease. Some IBS patients also suffer from NCGS.

    To add more confusion, many cases of IBS are, in fact, celiac disease in disguise.

    That said, people with IBS generally react to more than just wheat. People with NCGS generally react to wheat and not to other things, but that’s not always the case. Doctors generally try to rule out celiac disease before making a diagnosis of IBS or NCGS. 
    Crohn’s Disease and celiac disease share many common symptoms, though causes are different.  In Crohn’s disease, the immune system can cause disruption anywhere along the gastrointestinal tract, and a diagnosis of Crohn’s disease typically requires more diagnostic testing than does a celiac diagnosis.  
    Crohn’s treatment consists of changes to diet and possible surgery.  Up to 10% of Crohn's patients can have both of conditions, which suggests a genetic connection, and researchers continue to examine that connection.
    Is There a Connection Between Celiac Disease, Non-Celiac Gluten Sensitivity and Irritable Bowel Syndrome? Large Number of Irritable Bowel Syndrome Patients Sensitive To Gluten Some IBD Patients also Suffer from Non-Celiac Gluten Sensitivity Many Cases of IBS and Fibromyalgia Actually Celiac Disease in Disguise CELIAC DISEASE DIAGNOSIS
    Diagnosis of celiac disease can be difficult. 

    Perhaps because celiac disease presents clinically in such a variety of ways, proper diagnosis often takes years. A positive serological test for antibodies against tissue transglutaminase is considered a very strong diagnostic indicator, and a duodenal biopsy revealing villous atrophy is still considered by many to be the diagnostic gold standard. 
    But this idea is being questioned; some think the biopsy is unnecessary in the face of clear serological tests and obvious symptoms. Also, researchers are developing accurate and reliable ways to test for celiac disease even when patients are already avoiding wheat. In the past, patients needed to be consuming wheat to get an accurate test result. 
    Celiac disease can have numerous vague, or confusing symptoms that can make diagnosis difficult.  Celiac disease is commonly misdiagnosed by doctors. Read a Personal Story About Celiac Disease Diagnosis from the Founder of Celiac.com Currently, testing and biopsy still form the cornerstone of celiac diagnosis.
    TESTING
    There are several serologic (blood) tests available that screen for celiac disease antibodies, but the most commonly used is called a tTG-IgA test. If blood test results suggest celiac disease, your physician will recommend a biopsy of your small intestine to confirm the diagnosis.
    Testing is fairly simple and involves screening the patients blood for antigliadin (AGA) and endomysium antibodies (EmA), and/or doing a biopsy on the areas of the intestines mentioned above, which is still the standard for a formal diagnosis. Also, it is now possible to test people for celiac disease without making them concume wheat products.

    BIOPSY
    Until recently, biopsy confirmation of a positive gluten antibody test was the gold standard for celiac diagnosis. It still is, but things are changing fairly quickly. Children can now be accurately diagnosed for celiac disease without biopsy. Diagnosis based on level of TGA-IgA 10-fold or more the ULN, a positive result from the EMA tests in a second blood sample, and the presence of at least 1 symptom could avoid risks and costs of endoscopy for more than half the children with celiac disease worldwide.

    WHY A GLUTEN-FREE DIET?
    Currently the only effective, medically approved treatment for celiac disease is a strict gluten-free diet. Following a gluten-free diet relieves symptoms, promotes gut healing, and prevents nearly all celiac-related complications. 
    A gluten-free diet means avoiding all products that contain wheat, rye and barley, or any of their derivatives. This is a difficult task as there are many hidden sources of gluten found in the ingredients of many processed foods. Still, with effort, most people with celiac disease manage to make the transition. The vast majority of celiac disease patients who follow a gluten-free diet see symptom relief and experience gut healing within two years.
    For these reasons, a gluten-free diet remains the only effective, medically proven treatment for celiac disease.
    WHAT ABOUT ENZYMES, VACCINES, ETC.?
    There is currently no enzyme or vaccine that can replace a gluten-free diet for people with celiac disease.
    There are enzyme supplements currently available, such as AN-PEP, Latiglutetenase, GluteGuard, and KumaMax, which may help to mitigate accidental gluten ingestion by celiacs. KumaMax, has been shown to survive the stomach, and to break down gluten in the small intestine. Latiglutenase, formerly known as ALV003, is an enzyme therapy designed to be taken with meals. GluteGuard has been shown to significantly protect celiac patients from the serious symptoms they would normally experience after gluten ingestion. There are other enzymes, including those based on papaya enzymes.

    Additionally, there are many celiac disease drugs, enzymes, and therapies in various stages of development by pharmaceutical companies, including at least one vaccine that has received financial backing. At some point in the not too distant future there will likely be new treatments available for those who seek an alternative to a lifelong gluten-free diet. 

    For now though, there are no products on the market that can take the place of a gluten-free diet. Any enzyme or other treatment for celiac disease is intended to be used in conjunction with a gluten-free diet, not as a replacement.

    ASSOCIATED DISEASES
    The most common disorders associated with celiac disease are thyroid disease and Type 1 Diabetes, however, celiac disease is associated with many other conditions, including but not limited to the following autoimmune conditions:
    Type 1 Diabetes Mellitus: 2.4-16.4% Multiple Sclerosis (MS): 11% Hashimoto’s thyroiditis: 4-6% Autoimmune hepatitis: 6-15% Addison disease: 6% Arthritis: 1.5-7.5% Sjögren’s syndrome: 2-15% Idiopathic dilated cardiomyopathy: 5.7% IgA Nephropathy (Berger’s Disease): 3.6% Other celiac co-morditities include:
    Crohn’s Disease; Inflammatory Bowel Disease Chronic Pancreatitis Down Syndrome Irritable Bowel Syndrome (IBS) Lupus Multiple Sclerosis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Psoriasis Rheumatoid Arthritis Scleroderma Turner Syndrome Ulcerative Colitis; Inflammatory Bowel Disease Williams Syndrome Cancers:
    Non-Hodgkin lymphoma (intestinal and extra-intestinal, T- and B-cell types) Small intestinal adenocarcinoma Esophageal carcinoma Papillary thyroid cancer Melanoma CELIAC DISEASE REFERENCES:
    Celiac Disease Center, Columbia University
    Gluten Intolerance Group
    National Institutes of Health
    U.S. National Library of Medicine
    Mayo Clinic
    University of Chicago Celiac Disease Center
    Jefferson Adams
    Celiac.com 04/19/2018 - Previous genome and linkage studies indicate the existence of a new disease triggering mechanism that involves amino acid metabolism and nutrient sensing signaling pathways. In an effort to determine if amino acids might play a role in the development of celiac disease, a team of researchers recently set out to investigate if plasma amino acid levels differed among children with celiac disease compared with a control group.
     
    The research team included Åsa Torinsson Naluai, Ladan Saadat Vafa, Audur H. Gudjonsdottir, Henrik Arnell, Lars Browaldh, and Daniel Agardh. They are variously affiliated with the Institute of Biomedicine, Department of Microbiology & Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; the Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; the Department of Pediatric Gastroenterology, Hepatology and Nutrition, Karolinska University Hospital and Division of Pediatrics, CLINTEC, Karolinska Institute, Stockholm, Sweden; the Department of Clinical Science and Education, Karolinska Institute, Sodersjukhuset, Stockholm, Sweden; the Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden; the Diabetes & Celiac Disease Unit, Department of Clinical Sciences, Lund University, Malmö, Sweden; and with the Nathan S Kline Institute in the U.S.A.
    First, the team used liquid chromatography-tandem mass spectrometry (LC/MS) to analyze amino acid levels in fasting plasma samples from 141 children with celiac disease and 129 non-celiac disease controls. They then crafted a general linear model using age and experimental effects as covariates to compare amino acid levels between children with celiac disease and non-celiac control subjects.
    Compared with the control group, seven out of twenty-three children with celiac disease showed elevated levels of the the following amino acids: tryptophan; taurine; glutamic acid; proline; ornithine; alanine; and methionine.
    The significance of the individual amino acids do not survive multiple correction, however, multivariate analyses of the amino acid profile showed significantly altered amino acid levels in children with celiac disease overall and after correction for age, sex and experimental effects.
    This study shows that amino acids can influence inflammation and may play a role in the development of celiac disease.
    Source:
    PLoS One. 2018; 13(3): e0193764. doi: & 10.1371/journal.pone.0193764
    Jefferson Adams
    Celiac.com 04/18/2018 - To the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service animals.
    If you’ve flown anywhere lately, you may have seen them. People flying with their designated “emotional support” animals. We’re not talking genuine service animals, like seeing eye dogs, or hearing ear dogs, or even the Belgian Malinois that alerts its owner when there is gluten in food that may trigger her celiac disease.
    Now, to be honest, some of those animals in question do perform a genuine service for those who need emotional support dogs, like veterans with PTSD.
    However, many of these animals are not service animals at all. Many of these animals perform no actual service to their owners, and are nothing more than thinly disguised pets. Many lack proper training, and some have caused serious problems for the airlines and for other passengers.
    Now the major airlines are taking note and introducing stringent requirements for service animals.
    Delta was the first to strike. As reported by the New York Times on January 19: “Effective March 1, Delta, the second largest US airline by passenger traffic, said it will require passengers seeking to fly with pets to present additional documents outlining the passenger’s need for the animal and proof of its training and vaccinations, 48 hours prior to the flight.… This comes in response to what the carrier said was a 150 percent increase in service and support animals — pets, often dogs, that accompany people with disabilities — carried onboard since 2015.… Delta said that it flies some 700 service animals a day. Among them, customers have attempted to fly with comfort turkeys, gliding possums, snakes, spiders, and other unusual pets.”
    Fresh from an unsavory incident with an “emotional support” peacock incident, United Airlines has followed Delta’s lead and set stricter rules for emotional support animals. United’s rules also took effect March 1, 2018.
    So, to the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service and emotional support animals.
    Source:
    cnbc.com
    Jefferson Adams
    Celiac.com 04/17/2018 - Could the holy grail of gluten-free food lie in special strains of wheat that lack “bad glutens” that trigger the celiac disease, but include the “good glutens” that make bread and other products chewy, spongey and delicious? Such products would include all of the good things about wheat, but none of the bad things that might trigger celiac disease.
    A team of researchers in Spain is creating strains of wheat that lack the “bad glutens” that trigger the autoimmune disorder celiac disease. The team, based at the Institute for Sustainable Agriculture in Cordoba, Spain, is making use of the new and highly effective CRISPR gene editing to eliminate the majority of the gliadins in wheat.
    Gliadins are the gluten proteins that trigger the majority of symptoms for people with celiac disease.
    As part of their efforts, the team has conducted a small study on 20 people with “gluten sensitivity.” That study showed that test subjects can tolerate bread made with this special wheat, says team member Francisco Barro. However, the team has yet to publish the results.
    Clearly, more comprehensive testing would be needed to determine if such a product is safely tolerated by people with celiac disease. Still, with these efforts, along with efforts to develop vaccines, enzymes, and other treatments making steady progress, we are living in exciting times for people with celiac disease.
    It is entirely conceivable that in the not-so-distant future we will see safe, viable treatments for celiac disease that do not require a strict gluten-free diet.
    Read more at Digitaltrends.com , and at Newscientist.com
    Jefferson Adams
    Celiac.com 04/16/2018 - A team of researchers recently set out to investigate whether alterations in the developing intestinal microbiota and immune markers precede celiac disease onset in infants with family risk for the disease.
    The research team included Marta Olivares, Alan W. Walker, Amalia Capilla, Alfonso Benítez-Páez, Francesc Palau, Julian Parkhill, Gemma Castillejo, and Yolanda Sanz. They are variously affiliated with the Microbial Ecology, Nutrition and Health Research Unit, Institute of Agrochemistry and Food Technology, National Research Council (IATA-CSIC), C/Catedrático Agustín Escardin, Paterna, Valencia, Spain; the Gut Health Group, The Rowett Institute, University of Aberdeen, Aberdeen, UK; the Genetics and Molecular Medicine Unit, Institute of Biomedicine of Valencia, National Research Council (IBV-CSIC), Valencia, Spain; the Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire UK; the Hospital Universitari de Sant Joan de Reus, IISPV, URV, Tarragona, Spain; the Center for regenerative medicine, Boston university school of medicine, Boston, USA; and the Institut de Recerca Sant Joan de Déu and CIBERER, Hospital Sant Joan de Déu, Barcelona, Spain
    The team conducted a nested case-control study out as part of a larger prospective cohort study, which included healthy full-term newborns (> 200) with at least one first relative with biopsy-verified celiac disease. The present study includes 10 cases of celiac disease, along with 10 best-matched controls who did not develop the disease after 5-year follow-up.
    The team profiled fecal microbiota, as assessed by high-throughput 16S rRNA gene amplicon sequencing, along with immune parameters, at 4 and 6 months of age and related to celiac disease onset. The microbiota of infants who remained healthy showed an increase in bacterial diversity over time, especially by increases in microbiota from the Firmicutes families, those who with no increase in bacterial diversity developed celiac disease.
    Infants who subsequently developed celiac disease showed a significant reduction in sIgA levels over time, while those who remained healthy showed increases in TNF-α correlated to Bifidobacterium spp.
    Healthy children in the control group showed a greater relative abundance of Bifidobacterium longum, while children who developed celiac disease showed increased levels of Bifidobacterium breve and Enterococcus spp.
    The data from this study suggest that early changes in gut microbiota in infants with celiac disease risk could influence immune development, and thus increase risk levels for celiac disease. The team is calling for larger studies to confirm their hypothesis.
    Source:
    Microbiome. 2018; 6: 36. Published online 2018 Feb 20. doi: 10.1186/s40168-018-0415-6
    Dr. Ron Hoggan, Ed.D.
    Celiac.com 04/14/2018 - There is a revolutionary new book about gluten sensitivity and celiac disease, written by Dr. Gordon Heinrichs, D.C. (whose article appears in this issue). His careers as a medical laboratory technologist, then a chiropractor, have uniquely located him to see gluten's impact on health in an entirely new way. His book critiques relevant scientific explorations and discoveries and the ensuing clinical practices. Titled "Celiac Disease & Gluten Sensitivity: A troubled past, but a promising future", this exciting book is a breath of fresh air in the field of gluten sensitivity and celiac disease. Dr. Heinrichs' thoughtful analysis of relevant data combined with the application of practical common sense explodes some of the common medical myths that claim to distinguish gluten sensitivity from celiac disease. He also explores conventional wisdom around dietary experimentation, and offers a rational approach to diagnosing gluten sensitivity. 
    The evidence Heinrichs provides raises questions about the view that we should continue to eat gluten until we can visit a gastroenterologist and get a biopsy taken. He also challenges the belief that HLA analysis is beneficial for those who are aware that gluten causes some or all of their health problems. 
    After a preview of the final draft, I can confidently predict that anyone who is interested in thoughtful, objective, and health promoting insights into gluten's impact on human health will be intrigued and motivated by the offerings of this inexpensive, powerful new ebook. I recommend it without reservation. It is very well researched and written and is now available on Amazon. I hope it will become the new best seller among books that explore the gluten syndrome.
    Betty Wedman-St Louis, PhD, RD
    Celiac.com 04/13/2018 - Is cannabis gluten-free? That is a frequent question I receive now that over 50%  of the United States has approved medical cannabis and some states have also included recreational cannabis. Let's begin be describing cannabis as an oral medicine that has been used since the Chinese treatise on pharmacology described Emperor Shen Nung in 2737 BCE using it. 
    In 1850 cannabis was listed in the U.S. Pharmacopoeia as a cure for many ailments. By the early 1900's Squibb Company, Eli Lilly and Park-Davis were manufacturing drugs produced from marijuana for use as antispasmodics, sedatives, and analgesics (pain medication).
    Today, hemp seed and hemp oil products are widely available. They provide CBD or cannabidiol - the non-psychoactive cannabinoid from various Cannabis sativa strains grown for high CBD levels. In order to be legal in the U.S. these products must contain less than 0.3% THC, the psychoactive cannabinoid in cannabis. CBD products can be consumed as capsules, tinctures, "gummy" chewables, lollipops, and numerous edibles like brownies, chocolates, and granola bars.
    The nutritive value of cannabis is presently described as that of hemp seed since no scientific analysis of Cannabis sativa has been done. Hemp is one of the world's most nutritious foods with high quality protein and essential fatty acids found in its seeds. Hemp contains all eight essential amino acids and can be sprouted for use in salads and shakes.
    Celiacs with protein allergies to eggs and soy need to be cautious when adding hemp and CBD products to their diet regimes. The major proteins in hemp are albumen and edestin. Hemp is a nut so those celiacs with nut sensitivities need to consider that. Others may be limiting their lectin intake and need to limit CBD products until processing evaluations can indicate levels resulting in the products.
    CBD oils contain linoleic and linolenic fatty acids which are important in reducing inflammation. They can be used in salad dressings, mashed potatoes and substituted for olive oil in recipes. Since these essential fatty acids must be obtained in the diet, using hemp or cannabis CBD products can enhance health.
    Cannabis products- particularly CBD- have been overlooked by individuals needing symptom relief from neurological (Parkinson's, ALS, Multiple Sclerosis, migraine), immune (cancer), and gastrointestinal disorders (Crohn's disease, IBS). When choosing cannabidiol-CBD products be sure to check that they have been tested for pesticides, heavy metals, and microbiological contaminants. 
    Today, more hemp is sold to pet owners as bird seed than used by humans. But as more individuals learn of the botanical benefits of cannabis, they should consider adding it to their diet and supplement regime. My book, Cannabis-A Clinician's Guide (CRC Press 2018) reviews the science and clinical uses of cannabis along with how to use it in recipes.  
    admin
    Celiac.com 03/30/2018 - As most people know already, “al dente” is an Italian term that describes how pasta should be prepared—not too hard, and not too soft. Konjac Angel Hair Zero Calorie Pasta by Konjac Foods comes ready-to-eat in 8.8 ounce packages that are filled with water, so the noodles are kept wet and ready-to-eat within the package, and despite this, the Konjac noodles are still perfectly al dente—firm but not soft. 
    Remarkably these noodles are marketed as “0 Calories,” and are free of sugar, fat, soy, and gluten. Their only ingredients are konjac glucomannan fiber, calcium hydroxide, and purified water. For those who don't know,  konjac glucomannan (KGM) is “a water-soluable dietary fiber derived from the root of the konjac plant.” It is known as “moyu” or “juruo” in China, and “konnyaku” or “shirataki noodles” in Japan.
    Besides being a great noodle choice for those on a gluten-free diet, Konjac noodles are also ideal for people on weight-loss or diabetic diets, as they are high in fiber and contain zero calories. Amazingly, the shelf life of these individual serving-sized packages is one full year at room temperature, so you can feel free to stock up on them.
    Konjac Foods also makes “Konjac Gucomannan Powder” in 500g packages. One teaspoon of the konjac powder can be added to 8 ounces of your favorite drink, including in smoothies. The dietary fiber in konjac flour is also water soluble, and according to the maker it has: “a greater potential to reduce postprandial blood glucose, insulin, and serum lipid levels than insoluble fiber.” 
    I tried both products, and found that the noodles were an excellent substitute for rice noodles in my homemade ramen. I also tried the noodles as a spaghetti replacement, and although they had a different texture than I'm used to, I really enjoyed it. The powder can be added as a fiber supplement to foods, drinks, and shakes, and I tried it in a smoothie. 
    Anyone who is dieting to lose weight, on a gluten-free or diabetic diet, or just looking for a more healthy noodle substitute (that won't spike your blood sugar) will appreciate these Konjac Foods products.  
    For more info visit their site.
    Jefferson Adams
    Celiac.com 04/12/2018 - Some parents are are apparently feeding their children a dangerous bleach-like concoction in an effort to ‘cure’ autism. The concoction, misleadingly called miracle mineral solution or master mineral solution or MMS, has been around for many years, with proponents claiming it can cure multiple illnesses and medical conditions. It cannot. There is currently no cure for autism, just as there is currently no cure for celiac disease. 
    While researchers have found no direct link between autism and celiac disease, studies have confirmed a strong association between autism and the presence of antibodies to gluten. There is also at least one case of celiac disease presenting as autism. In fact, the most commonly requested dietary intervention for Autism spectrum disorder (ASD) is a gluten-free and casein free diet. Among medical professionals however, the top treatment choice for autism still remains Applied Behavior Analysis. 

    Still, those medical realities don’t seem to stop people from making dangerously false claims about the alleged benefits of MMS, including the false claim that MMS can ‘cure’ autism.
    Those false claims have led to well-meaning, if misguided parents from using the concoction in the desperate belief that it will ‘cure’ their children of autism. Most recently, an Indiana mother recently gained media attention after allegedly using MMS on her autistic daughter in an effort to ‘cure’ her autism. According to the mother, she got the idea from a Facebook group.
    MMS is an unlicensed product that is basically a concoction of sodium chlorite and citric powder, known to make up chlorine bleach. It is potentially dangerous and offers no cure for autism, celiac disease, or any other medical condition. MMS is medically useless and dangerous.  High doses of the product could lead to nausea, diarrhea, vomiting, and dehydration. 
    In fact, in 2010, the FDA released a warning that describes the mixture as a potent bleach used for stripping textiles and industrial water treatment. In the warning, FDA recommends that consumers stop using the MMS immediately and throw it away. "There is no proper scientific evidence of any kind that any products 'cure' autism and these products are dangerous," says The National Autistic Society.
    If you or a loved one suffers from autism, or from celiac disease, please consult a medical professional. Do not use potentially dangerous home treatments, especially those you learn about online.
    Jefferson Adams
    Spring may have officially sprung, but there’s still snow on the ground in much of the country, so this delightful fish and potato stew may be just the thing to warm the tummies of the hungriest eaters. Based on similar dishes prepared by Italian fishermen after a long day on the water, this gluten-free stew is easy to make and certain to please.
    Ingredients:
    1½ pounds fresh or frozen cod fish (or other white fish), cut in 1 x 1½-inch pieces 2 celery stalks, diced 2 red potatoes, diced 1 large white potato, diced 1 28 ounce can of Italian chopped tomatoes, including juice 1 8 ounce bottle of clam juice 4 cups of chicken broth 1 tablespoon olive oil 1 large onion, diced 6 garlic cloves, minced 1 bay leaf ½ teaspoon dried thyme 1 teaspoon dried oregano ½ cup flat Italian parsley, chopped juice from 1 large lemon, deseeded salt and pepper, to taste Directions:
    In a large soup pot, heat oil and add onion, garlic, celery and potato. 
    Season with thyme, oregano, salt and pepper. 
    Sauté for about 10 minutes until slightly softened. 
    Add tomatoes, clam juice, lemon juice and broth. 
    Bring to a boil and then let simmer for about 20 minutes, until potatoes are firm, but tender. 
    Add fish pieces and stir gently. 
    Cook for another 15-20 minutes until fish is firm, but tender. 
    Add salt and pepper to taste.
    Serve with toasted gluten-free bread or crackers.
    Jefferson Adams
    Celiac.com 04/10/2018 - Celiac disease is a multi-system disorder with manifestations that may result in psychiatric disorders. Does that mean that celiac disease patients are more likely to take psychotropic drugs than other gastrointestinal patients? A team of researchers recently set out to assess the prevalence of medication use to treat psychiatric disorders in celiac disease patients compared to other gastrointestinal patients.
    The research team included Haley M. Zylberberg, Jonas F. Ludvigsson, Peter H. R. Green, and Benjamin Lebwohl. They are variously affiliated with the Division of Digestive and Liver Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, USA; the Department of Medical Epidemiology and Biostatistics, Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden; the Department of Pediatrics, Örebro University Hospital, Örebro, Sweden; the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA; and with the Celiac Disease Center at Columbia University in New York, NY, USA.
    For their cross-sectional study, the team compiled data on patients undergoing esophago-gastroduodenoscopy over 9-years at a celiac disease referral center. They then compared rates of psychotropic medication use among 1,293 celiac disease patients to a control group of 1,401 patients with abdominal pain or reflux.
    Average patient age was 48.4 years, nearly 70% were female, and 22.7% used some sort of psychotropic medication. Overall, the team found no difference between rates of psychotropic medication use among celiac disease patients compared to control subjects.
    However, they did find that people with celiac disease were more likely to use antidepressants. This was confirmed using both univariate and multivariate analysis. Psychotropic medication use was not connected with either the duration or mode of presentation of celiac disease.
    So, even though the data show that celiac disease patients may use more antidepressants, they use psychotropic medications at similar rates as those with other gastrointestinal diseases. 
    From these data, the study team suggests that researchers should try to assess whether people with celiac disease suffer from mood disorders that are not treated with medications.
    Source:
    BMC Psychiatry. 2018; 18: 76. Published online 2018 Mar 27. doi:  10.1186/s12888-018-1668-0
    Jefferson Adams
    Celiac.com 04/09/2018 - Children with obstructive sleep apnea (OSA) often have enlarged tonsils and adenoids. Additionally, lymphatic hyperplasia, an increase in the number of normal cells that are contained in lymph nodes, is common to both OSA and celiac disease. Lymphoid hyperplasia is usually due to an infection with bacteria, viruses, or other types of germs and is part of the body's reaction to the infection.  A team of researchers recently set out to investigate the effect of a gluten-free diet on OSA symptoms in children with celiac disease.

    The research team included A Yerushalmy-Feler, R Tauman, A Derowe, E Averbuch, A Ben-Tov, Y Weintraub, D Weiner, A Amir, H Moran-Lev, and S Cohen. They are variously affiliated with the Pediatric Gastroenterology Unit, the Pediatric ENT Unit, and the Pediatric Sleep Center at "Dana-Dwek" Children's Hospital, Tel Aviv Sourasky Medical Center in Tel Aviv, Israel; and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    The team recruited children with celiac disease from ages 2-18 before the children began a gluten-free diet. As a control group, the team included children with negative celiac serology who underwent gastrointestinal endoscopies for other reasons.  All participants completed a validated OSA-related symptoms questionnaire and the pediatric sleep questionnaire (PSQ) at the start of the study, and again 6 months later. 
    The team recruited thirty-four children with celiac disease, along with twenty-four control subjects. Both groups were similar in terms of gender, body mass index or season at recruitment between the two groups.  The control group showed more OSA-related symptoms compared to the celiac group, both at recruitment and at the 6-month follow-up. Both groups showed significant improvement in PSQ scores at the 6-month follow-up, but improvement was significantly higher in the celiac group compared to the control group.
    Kids with celiac disease had fewer OSA-related symptoms than control subjects, but they had much higher levels of symptom improvement once they were on a gluten-free diet. 
    Overall, the data from this study suggests that a gluten-free diet provides strong improvement of OSA-related symptoms in children with celiac disease.
    Source:
    BMC Pediatr. 2018 Feb 7;18(1):35. doi: 10.1186/s12887-018-1039-5.
    Jefferson Adams
    Celiac.com 04/07/2018 - Looking for a sumptuous, easy-to-make gluten-free, egg-free dessert that will knock the socks off your guests? Try this variation on a fabulous dark chocolate mousse recipe courtesy of Maria Speck. Not only is this mousse quicker and easier to make than the fluffier traditional version, but dark chocolate lovers will really eat it up. 
    Ingredients:
    6 ounces high-quality dark chocolate with 70% cacao, finely chopped 1 cup whole milk Greek-style yogurt ½ cup whole milk 1 or 2 tablespoons Grand Marnier, or other orange liqueur, to taste 4 teaspoons orange marmalade  Directions:
    Place the chocolate into a medium heatproof bowl. 
    In a small heavy-bottomed saucepan, bring the milk just to a boil over medium heat. 
    Pour the hot milk over the chocolate, and let it sit for a couple of minutes. 
    Use a spatula or a wooden spoon to stir the mix until smooth. 
    In a small bowl, use a risk or fork to beat the Greek yogurt until smooth. 
    Fold the yogurt into the chocolate mixture using a spatula until thoroughly combined, then stir in the Grand Marnier. 
    Spoon the mousse into four small serving cups, cover with plastic wrap, and chill at least an hour, until firm. They can last up to a day in the refrigerator.
    Spoon a teaspoon of marmalade onto each cup and serve chilled.
    Sarah Curcio
    Celiac.com 04/06/2018 - For many individuals, the movie Peter Rabbit is a longtime, favorite children’s story. Unfortunately, the 2018 version that has been recently created by Sony Pictures has taken this story and changed it into something extremely controversial for the food allergy community. 
    As an overview, the movie pokes fun of individuals with food allergies, particularly anaphylactic shock, which is a life-threatening allergic reaction. Basically, the rabbits discover that the male human is highly allergic to blackberries and they plot to use it against him. In addition, the rabbits make it a point of saying, they hope they don’t receive any letters about the topic of food allergies and give a wink towards the screen. 
    Now if that was not bad enough, the movie provides children with false information. They show that once an EpiPen is administered the individual will be completely well, get right back up and resume normal activities with no problems at all. However, that is completely, 100 percent inaccurate information. You’ll still have to get to the hospital immediately for further treatment, so you can breathe, control severe hives, etc. 
    A lot of people feel that this is definitely, without a shadow of a doubt, food allergy bullying because of the insensitivity the film is presenting. Simply just turn on your computers, and browse through social media, specifically Twitter and YouTube. You will even find the trending hashtag #BoycottPeterRabbit all over the internet. 
    However, even with all this negative feedback from parents and food allergy charities, Sony Pictures did not pull this specific scene from their movie. They did decide to make an official public apology, but that was all. There was no donation made to any organization to help benefit food allergy awareness, advocacy, education or research. 
    Advertising Product-Review
    Celiac.com 04/06/2018 - There is a good reason why GlutenTox Home test kits have been around for so long—they work really well—and, like this Web site, have withstood the test of time. 
    In addition to the GlutenTox Home test kit, they also make a “GlutenTox Pro” kit which is designed for food manufacturers, restaurants, food retailers, etc., to be able to quickly test foods, ingredients, batches, surfaces, etc.
    I decided to test my daughter's hot breakfast cereal, which is a pre-packaged oatmeal mixture that is sold at Costco. She loves it, but my concern is the “manufactured in a facility that also processes wheat” disclaimer on the label, and the fact that the oats are not certified gluten-free.
    The testing process took only a few minutes to carry out, and I was fully expecting to be the bearer of bad news and have to tell my daughter that it contains gluten. I was, however, quite surprised to find that the cereal tested gluten-free down to 5 parts per million.
    The fact that GlutenTox test kits, both the “Home” and “Pro” versions, can test down to 5 parts per million is amazing—this is as accurate as modern professional labs! The kits are perfect for home or professional use, and it's clear that GlutenTox test kits will continue to be a great choice for those who demand a highly sensitive test for gluten.
    For more info visit their site.
    Jefferson Adams
    Looking for something easy, off-beat, nutritious and gluten-free? Well, look no further than these baked sweet potato chips. Just grab a couple sweet potatoes, slice, bake slightly and then toast to desired crispness. Add your ingredients of choice, and chow down.
    Ingredients:
    2-4 sweet potatoes Almond butter, peanut butter, or sunflower seed butter Blueberries Pomegranate seeds Directions:
    Heat your oven to 350°F.
    Use a knife, or vegetable slicer to slice your sweet potatoes to about ¼-inch thick.
    Place a wire baking rack on top of a large baking sheet and then place each slice on the wire rack.
    Bake for 20-25 minutes until they start to get soft, but tender enough to toast up later.
    Lightly toast each slice to desired crispness, then add almond, peanut or sunflower seed butter and top with blueberries or pomegranate seeds, as desired. 
    Dig in!
    Storage tip: Cool any extra slices, pop them into a glass container, and store them in the fridge for up to a few days.
    Jefferson Adams
    Celiac.com 04/04/2018 - Meal kits are a growing business segment, and an increasingly popular part of dinner for many busy working people. Meal kits typically include the ingredients necessary to make a complete meal, delivered to your door on a regular basis. For example, a company called  gFoodNow offers a variety of Gluten-Free Mealkits starting a only $6.99 per serving.  
    Another company called Green Chef has now included gluten-free meal options. Business Insider’s Connie Chen recently tried Green Chef’s meal offerings, and wrote about her experience for the magazine.
    In the interest of transparency, Business Insider openly declares that it has an affiliate partnerships with Green Chef, which provides them with revenue. As such, their review should be taken with a grain of salt.  That said, the idea of a reliable, good quality meal kit that is gluten-free, easy to prepare and tasty to eat will likely interest more than a few people with celiac disease.
    The meals Chen tried for one week included Orange Dijon Chicken, Hawaij-Rubbed Steak, and Red Lentil Tikka Masala. Each kit came with a recipe card that listed all meal ingredients, including known allergens, as well as the basic tools required to prepare each meal. 
    The meals can be prepared with simple kitchen tools, including a knife, pot, measuring cup, sauté pan, baking sheet, oil, salt, and pepper.
    In addition to offering gluten-free meal kits, Green Chef offers six more two-person meal kits at the following price points:
     
    Omnivore, $11.99/meal Carnivore, $13.49/meal Gluten-free, $13.49/meal Vegan, $11.99/meal Paleo, $14.99/meal Vegetarian, $10.49/meal Keto, $14.99/meal Chen did not try the gluten-free meal kits, but instead tried the omnivore kits. We have yet to try Green Chef, but look forward to reaching out to the company. If you have tried Green Chef’s gluten-free meals, we would love to hear about your experience.
    Meantime, you can browse all of Green Chef’s meal plans here.
    You can read Connie Chen's report for Business Insider here.
    Jefferson Adams
    Celiac.com 04/03/2018 - A gluten-free diet is crucial to avoiding problems associated with celiac disease. However, many gluten-free foods come with drawbacks that are important to understand.
    Also, not all gluten-free food is created equal, not all gluten-free foods are healthy, and simply going gluten-free may not resolve all of your issues. Here are some things to keep in mind about a gluten-free diet:
    Gluten-Free food is more expensive than food made with wheat flour. In fact, gluten-free substitutes are about twice as expensive as standard foods. They are more costly to make, and they sell in lower volume, which pushes up retail prices. Like many of their non-gluten-free counterparts, gluten-free foods can be highly processed. Processed foods can promote inflammation, which is one of the things that people with celiac disease are trying to avoid. Gluten-Free does not automatically mean nutritious. In fact, gluten-free food is generally less nutritious than similarly processed foods made with wheat flour. Foods that are naturally gluten-free will generally be healthier than gluten-free substitutes. That may seem obvious, but if you look at the gluten-free food aisle in your local store, you will see many highly processed foods that are not any better than their gluten-containing counterparts in terms of general nutrition. Gluten-free foods are often higher in carbohydrates and calories than their non-gluten-free counterparts. Gluten-Free food is higher in salt than its non-gluten-free counterparts. Recent products tests show that most gluten-free snacks tested are far saltier than their non-gluten-free alternatives. Of 106 products surveyed, researchers found that many gluten-free snacks have up to five times more salt than non-gluten-free counterparts.  Gluten-Free food is higher in fat than its non-gluten-free counterparts. Gluten-Free food is higher in sugar than its non-gluten-free counterparts. Gluten-Free ingredients don’t always mean gluten-free food. The news is riddled with stories about gluten contamination in restaurants, pizza joints, etc., that claim to use gluten-free ingredients. Examples of companies that rolled out gluten-free pizza only to be met with complaints by people with celiac disease include: California Pizza Kitchen, Domino’s pizza, and Papa John’s, among others. The longer you avoid gluten, the more sensitive you may become. For many people with celiac disease, the longer they avoid gluten, the more sensitive they become. This can mean stronger, more lengthy reactions to seemingly minor gluten ingestion, so be careful. A gluten-free diet will not reverse osteoporosis, or iron and calcium deficiency. If your celiac disease progressed for a long time before your diagnosis, then the odds are much more likely that you have suffered from osteoporosis, iron and calcium deficiency. A gluten-free diet alone will not reverse osteoporosis, or calcium deficiency. In such cases, you will need to consult your doctor for proper treatment. Osteoporosis is especially problematic in women with celiac disease.
    Jefferson Adams
    Celiac.com 04/02/2018 - Exactly how hard is it for people with celiac disease to faithfully follow a gluten-free diet? Anyone who’s ever tried to completely avoid gluten for any length of time likely has a story to tell about accidental gluten consumption, and the consequences that follow. It’s not at all uncommon for gluten-free celiacs to be exposed to low levels of gluten that can trigger symptoms and cause persistent intestinal histologic damage.
    To gain an understanding of gluten consumption across a wide population of celiac patients, a team of researchers recently set out to determine how much gluten people eat when they are trying to follow a gluten-free diet. 
    The team included Jack A Syage, Ciarán P Kelly, Matthew A Dickason, Angel Cebolla Ramirez, Francisco Leon, Remedios Dominguez, and Jennifer A Sealey-Voyksner. They are variously affiliated with ImmunogenX in Newport Beach, CA, the Beth Israel Deaconess Medical Center at Harvard Medical School in Boston MA, and with Biomedal in Seville, Spain.
    The team began by analyzing data from previous clinical studies. That meta-analysis focused on data from a clinical study of gluten in stool and urine in celiac patients, a second study on non-celiac populations; and an analysis of data from trials for the investigational therapeutic latiglutenase. 
    As part of the stool and urine studies the team included controlled gluten challenges. They then applied a calibration factor that allowed normal ingestion of gluten to be computed from the urine and stool measurements. They determined gluten consumption by estimating how much gluten was eliminated from patients’ diets due to a trial effect that resulted in improved histology, even in the placebo group.
    Using the stool test, the team estimated the average inadvertent exposure to gluten by celiac disease individuals on a GFD to be about 150–400 mg/d, while they estimated the median exposure to be about 100–150 mg/d. Using the urine test, those numbers showed an average exposure of about 300–400 mg/d, with a median of about 150 mg/d. 
    Meanwhile, data analyses showed that celiac patients with moderate to severe symptoms showed that patients ingested substantially more than 200 mg/d of gluten.
    The data indicate that many gluten-free celiacs regularly consume enough gluten to trigger symptoms and perpetuate gut damage.
    Source:
    The American Journal of Clinical Nutrition, Volume 107, Issue 2, 1 February 2018
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    Grindstone Bakery was founded in 1999 by Mario Repetto. Mario started in a small "garage" in Santa Rosa, California, experimenting with alternatives to modern wheat and creating fermentation cultures for an authentic sourdough process. Our fermentation cultures are the result of years of capturing and experimenting with different combinations of the wild lactic acid bacteria naturally present in the Sonoma Wine Country environment. We call them “Sonoma Cultures”. Each one has a particular ecosystem of several lactic acid bacteria strains allowing us to create different breads with a relatively lower acid content than most sourdoughs, rich in flavor and color and resistant to spoilage without the use of preservatives.
    Ancient Bread Making for Health and Delight
    Stone milling is the oldest, slowest, and best method of grinding Whole Grains. It is a gentle and cool process that preserves every good part of the grain. All the protein, oils, antioxidants and vitamins from the germ, all the sugars and starches from the endosperm, and the tiny bits of bran rich in antioxidants and fiber are there. Nothing is added and nothing is taken away.
    We slowly grind our Whole Grains using a small natural pink granite stone mill that never overheats the flour. We transform it into living dough within hours of being ground.
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    Whole Grains are seeds coming from plants that, over millions of years, have developed the capacity to synthesize myriad phytochemicals that help them resist pathogens, parasites and predators, or attract beneficial organisms. We call these beneficial phytochemicals antioxidants. Our modern understanding on how they function in plants is helping us to discover the mechanisms by which Whole Grains benefit human health beyond basic nutrition. More than 8,000 phytochemicals have been identified, but a large number still remain unknown.
    For more info visit: grindstonebakery.com.
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    Celiac.com 04/01/2018 - We believe food has the power to change people, planet and community health. Join our green food revolution. Together we explore how food decisions affect people, planet and community.
    Our Vision:
    To create the most admired food company by creating local food system and driving the  food revolution.
    Our Mission:
    To accelerate the world's transition to sustainable food consumption. By Planning Meals. By Reducing food waste.  Gluten-Free Mealkit Choices:
    American Green Goddess Quinoa Bowl Chopped MealKit French Quinoa Bowl Chopped MealKit Italian Buckwheat Bowl Chopped Mealkit  Asian Buckwheat Bowl Chopped MealKit Mexican Wild Rice Burrito Bowl Chopped Mealkit Visit our Web site for more details.
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    Celiac.com 04/01/2018 - As anyone with celiac disease knows, gluten can certainly be lethal over the long term.  We have also learned that even without having the genetic risk of developing full blown celiac disease, that gluten can induce a cluster of health problems that are not restricted only to the gut.  These disorders are called NCGS; or, "Non Celiac Gluten Sensitivity" and; unlike celiac, are mediated by the innate immune system, not the adaptive or specific immune system.
    The innate immune system includes many factors that form our first line of defense; including, skin barriers, protective chemicals in tears and other bodily fluids; and, importantly, a class of white blood cells that attack perceived threats and also engulf and destroy invaders.  The result of activation of the innate immune system (especially, if it's chronic, as it is when we react to something we eat regularly) is the release of toxic and inflammatory mediators as well as tissue and DNA damaging free radicals, into the surrounding areas of the body.
    Alessio Fasano from Harvard, and colleagues, working at various cell biology labs at NIH, have demonstrated that a certain type of innate immune cell, the neutrophil, becomes activated by exposure to gluten.  Activated neutrophils can cause extensive tissue damage and play a role in many diseases; including things like Alzheimer's disease, arthritis, skin rashes, diabetes, overweight, gastro-enteritis, breathing difficulty, damage to the heart and even pre-eclampsia in females.  If a person has the celiac risk genes, this neutrophil activation following gluten exposure can lead to activation of the cytotoxic T-lymphocytes (CTL's) cells that effect the destruction of intestinal villi.
    Other foods besides gluten, actually any food, can activate the innate immune system.  Man does not live (nor die) by bread alone.
    The Alcat Test offered by Cell Science Systems, Corp., measures the response of innate immune cells following exposure to foods and other substances.  It's been validated in studies from Yale School of Medicine and other institutions. In recognition of Celiac Awareness Month, now thru May 31, Cell Science Systems will offer a free genetic screen for celiac genes (HLA DQ 2 and DQ8) when you purchase an Alcat Test. Cover all bases! Go to GutHealth.com or, CellScienceSystems.com for details; or, call 1(800) US-ALCAT – (800) 872 5228.
    For more info visit their site.
    Jefferson Adams
    Celiac.com 03/31/2018 - If you’re gluten-free and need chocolate chip cookies, and you need them in a hurry, then this recipe for flourless chocolate chip cookies is your new best friend. Just toss some white beans, almond, peanut or sunflower butter together with a few other simple ingredients, toss them on a parchment covered baking sheet, and violá, gluten-free chocolate chip satisfaction.
    Ingredients:
    1.33 ounce 70-85% dark chocolate bar, broken 1 can white beans (drained, rinsed) ⅓ cup almond butter, peanut butter or sunflower seed butter 2 tablespoons honey or maple syrup 1½ tablespoons vanilla extract ¼ teaspoon sea salt ¼ teaspoon baking powder ¼ teaspoon baking soda ¼ teaspoon xanthan gum Instructions:
    Heat oven to 350F.  
    Use a food processor to blend all ingredients except chocolate.  
    Take care to blend all of the white beans thoroughly, until smooth.  
    Transfer to a mixing bowl and stir in dark chocolate pieces.  
    Spoon dough onto baking sheets lined with parchment paper.  
    Bake for 20-25 minutes, until golden brown.
    Makes 12 regular cookies or 24 mini cookies.
    Jefferson Adams
    Celiac.com 03/30/2018 - The latest Gluten-Free Food Market Report offers a comprehensive global market evaluation, including enabling technologies, key trends, market drivers, challenges, standardization, regulatory landscape, opportunities, future road map, value chain, ecosystem player profiles and strategies. The report also includes global gluten-free investment forecasts from 2017 to 2022.
    The report covers top gluten-free manufacturers, including General Mills, Hain Celestial Group, Dr. Schar, Freedom Foods, Gruma, Kellogg, Kraft Heinz, Doves Farm, Amy’s Kitchen, Blue Diamond Growers, Enjoy Life Foods, Boulder Brands, and Bob’s Red Mill.
    The report focuses on the global market for gluten-free food products, especially in North America, China, Europe, Southeast Asia, Japan, India. 
    The report is divided into sections based on manufacturers, regions, type and application, and covers the categories of bakery, confectionery, cereals and snacks. It is targeted at supermarkets and hypermarkets, convenience stores, speciality stores, online retailers, other relevant retailers.
    The report offers analyses of the global Gluten-Free Food market and its commercial landscape, along with insights into the Gluten-Free Food production processes, major issues, and solutions that may help manufacturers to mitigate product development risk.
    It is designed to provide readers with a comprehensive understanding of the most relevant forces driving and restraining the gluten-free food market and their projected impact.
    Readers of the report will gain potentially valuable information about the market strategies being embraced by major gluten-free businesses, along with projected directions in the gluten-free food market.
    Anyone curious about the report may request a sample.
    Dr. Vikki Petersen D.C, C.C.N
    Celiac.com 03/29/2018 - Fatigue is the most common symptom plaguing a majority of patients. Trouble sleeping, weight issues, PMS, headaches, fertility or libido issues, and achy joints are also very common and can all be affected by hormonal imbalance that continues after gluten has been removed from the diet.  The trouble with trying to resolve such symptoms is that the root cause can vary. If every patient with fatigue had a thyroid problem, it would be easy to correct because we would know exactly where to look. 
    If you're gluten intolerant you may have suffered from some of the complaints listed above prior to discovering your celiac disease or gluten sensitivity. But perhaps now, despite your gluten-free diet, some of these same symptoms continue to plague you.  If so, read on.
    Let's review the list of symptoms and add a few more:
    Fatigue Trouble sleeping Weight trouble PMS Migraines Infertility or miscarriage Achy joints or muscles Allergies Light headedness Frequent illness Asthma While the list is long, believe it or not, there is a common cause to all of them.  I'm not saying it's the only cause, but what I do wish to discuss is the reason why someone can be found gluten intolerant, successfully institute a gluten-free diet, yet continue to suffer from many of the above symptoms.
    There are two glands in your body called the adrenal glands. They sit atop each of your kidneys and they are the masters of multi-tasking! If I asked you if one part of your body was responsible for:
    Giving you energy, maintaining your weight, keeping your immune system strong, maintaining stable mood, anti-aging, controlling sleep quality, assisting with hormonal balance, keeping allergies at bay and more…what would you say? 
    You might think to yourself that if there was one type of body part responsible for all those things then you had better start treating it well! You'd be very right in your analysis.
    As you've probably guessed the aforementioned adrenal glands are responsible for that very long list and, unfortunately, those very same adrenal glands tend to be quite stressed in the gluten intolerant individual.
    Why? Because adrenal glands are sensitive to, and get very stressed with, unstable blood sugar. Stable blood sugar comes from eating healthy food that your body finds nourishing. As you well know if you're gluten intolerant, gluten, for you, is a poison. Therefore years of eating gluten created unstable blood sugar and thereby put a tremendous strain on your adrenal glands.
    Because of the many, many jobs that the adrenal glands do, simply removing gluten as a stressor is typically insufficient to restore them to normal function. They need to be 're-set' with a nutritional and dietary program, to restore their good health. This explains why many who are gluten intolerant continue to suffer with the symptoms mentioned above.
    Therefore, even if your gluten intolerance has been diagnosed and you've instituted a strict gluten-free diet, if you haven't also found a clinician who understands and specializes in restoring health and function to the adrenal glands, you may very well continue to suffer with symptoms associated with adrenal stress.
    The good news is that the treatment to normalize adrenal function is not at all difficult. It is a completely natural program, when done correctly, involving no dangerous drugs or surgery. There are lab tests to determine the level of adrenal malfunction occurring but these are functional specialized lab tests rather than traditional ones. I mention this because I want to ensure that there is no confusion created when I mention adrenal function lab testing.
    The adrenal glands can become diseased but the disease isn't common. If you ask your traditional doctor to test for adrenal malfunction he or she will test for adrenal disease – once again a rare occurrence – and will likely pronounce your adrenal glands 'fine'. What I am discussing is malfunction vs. disease, two very different conditions. While adrenal gland disease is rare, adrenal gland malfunction is extremely common. It is this latter condition that we are discussing here. 
    This is an important distinction because I want to make sure that if you are suffering from adrenal fatigue that you aren't given a 'clean bill of health' incorrectly. Unfortunately this happens often. If it took you a while to receive a diagnosis of gluten intolerance then you will understand this phenomenon. Sadly this area of health is fraught with misunderstanding and it is the patient who suffers, often unnecessarily.
    If you need any help finding a clinician to help you, feel free to contact me. Normalizing adrenal function is one of our areas of expertise and patients visit us for treatment, at our destination clinic, from across the country, as well as internationally. If we cannot find a clinician close to you that specializes in this then we are more than happy to see you here. The good news is that the treatment is natural and inexpensive.
    I look forward to hearing from you.

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  • Recent Articles

    Jefferson Adams
    Celiac.com 04/19/2018 - Previous genome and linkage studies indicate the existence of a new disease triggering mechanism that involves amino acid metabolism and nutrient sensing signaling pathways. In an effort to determine if amino acids might play a role in the development of celiac disease, a team of researchers recently set out to investigate if plasma amino acid levels differed among children with celiac disease compared with a control group.
     
    The research team included Åsa Torinsson Naluai, Ladan Saadat Vafa, Audur H. Gudjonsdottir, Henrik Arnell, Lars Browaldh, and Daniel Agardh. They are variously affiliated with the Institute of Biomedicine, Department of Microbiology & Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; the Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; the Department of Pediatric Gastroenterology, Hepatology and Nutrition, Karolinska University Hospital and Division of Pediatrics, CLINTEC, Karolinska Institute, Stockholm, Sweden; the Department of Clinical Science and Education, Karolinska Institute, Sodersjukhuset, Stockholm, Sweden; the Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden; the Diabetes & Celiac Disease Unit, Department of Clinical Sciences, Lund University, Malmö, Sweden; and with the Nathan S Kline Institute in the U.S.A.
    First, the team used liquid chromatography-tandem mass spectrometry (LC/MS) to analyze amino acid levels in fasting plasma samples from 141 children with celiac disease and 129 non-celiac disease controls. They then crafted a general linear model using age and experimental effects as covariates to compare amino acid levels between children with celiac disease and non-celiac control subjects.
    Compared with the control group, seven out of twenty-three children with celiac disease showed elevated levels of the the following amino acids: tryptophan; taurine; glutamic acid; proline; ornithine; alanine; and methionine.
    The significance of the individual amino acids do not survive multiple correction, however, multivariate analyses of the amino acid profile showed significantly altered amino acid levels in children with celiac disease overall and after correction for age, sex and experimental effects.
    This study shows that amino acids can influence inflammation and may play a role in the development of celiac disease.
    Source:
    PLoS One. 2018; 13(3): e0193764. doi: & 10.1371/journal.pone.0193764
    Jefferson Adams
    Celiac.com 04/18/2018 - To the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service animals.
    If you’ve flown anywhere lately, you may have seen them. People flying with their designated “emotional support” animals. We’re not talking genuine service animals, like seeing eye dogs, or hearing ear dogs, or even the Belgian Malinois that alerts its owner when there is gluten in food that may trigger her celiac disease.
    Now, to be honest, some of those animals in question do perform a genuine service for those who need emotional support dogs, like veterans with PTSD.
    However, many of these animals are not service animals at all. Many of these animals perform no actual service to their owners, and are nothing more than thinly disguised pets. Many lack proper training, and some have caused serious problems for the airlines and for other passengers.
    Now the major airlines are taking note and introducing stringent requirements for service animals.
    Delta was the first to strike. As reported by the New York Times on January 19: “Effective March 1, Delta, the second largest US airline by passenger traffic, said it will require passengers seeking to fly with pets to present additional documents outlining the passenger’s need for the animal and proof of its training and vaccinations, 48 hours prior to the flight.… This comes in response to what the carrier said was a 150 percent increase in service and support animals — pets, often dogs, that accompany people with disabilities — carried onboard since 2015.… Delta said that it flies some 700 service animals a day. Among them, customers have attempted to fly with comfort turkeys, gliding possums, snakes, spiders, and other unusual pets.”
    Fresh from an unsavory incident with an “emotional support” peacock incident, United Airlines has followed Delta’s lead and set stricter rules for emotional support animals. United’s rules also took effect March 1, 2018.
    So, to the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service and emotional support animals.
    Source:
    cnbc.com
    admin
    WHAT IS CELIAC DISEASE?
    Celiac disease is an autoimmune condition that affects around 1% of the population. People with celiac disease suffer an autoimmune reaction when they consume wheat, rye or barley. The immune reaction is triggered by certain proteins in the wheat, rye, or barley, and, left untreated, causes damage to the small, finger-like structures, called villi, that line the gut. The damage occurs as shortening and villous flattening in the lamina propria and crypt regions of the intestines. The damage to these villi then leads to numerous other issues that commonly plague people with untreated celiac disease, including poor nutritional uptake, fatigue, and myriad other problems.
    Celiac disease mostly affects people of Northern European descent, but recent studies show that it also affects large numbers of people in Italy, China, Iran, India, and numerous other places thought to have few or no cases.
    Celiac disease is most often uncovered because people experience symptoms that lead them to get tests for antibodies to gluten. If these tests are positive, then the people usually get biopsy confirmation of their celiac disease. Once they adopt a gluten-free diet, they usually see gut healing, and major improvements in their symptoms. 
    CLASSIC CELIAC DISEASE SYMPTOMS
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    LESS OBVIOUS SYMPTOMS
    Celiac disease can often less obvious symptoms, such fatigue, vitamin and nutrient deficiencies, anemia, to name a few. Often, these symptoms are regarded as less obvious because they are not gastrointestinal in nature. You got that right, it is not uncommon for people with celiac disease to have few or no gastrointestinal symptoms. That makes spotting and connecting these seemingly unrelated and unclear celiac symptoms so important.
    NO SYMPTOMS
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

    CELIAC DISEASE VS. GLUTEN INTOLERANCE
    Gluten intolerance is a generic term for people who have some sort of sensitivity to gluten. These people may or may not have celiac disease. Researchers generally agree that there is a condition called non-celiac gluten sensitivity. That term has largely replaced the term gluten-intolerance. What’s the difference between celiac disease and non-celiac gluten-sensitivity? 
    CELIAC DISEASE VS. NON-CELIAC GLUTEN SENSITIVITY (NCGS)
    Gluten triggers symptoms and immune reactions in people with celiac disease. Gluten can also trigger symptoms in some people with NCGS, but the similarities largely end there.

    There are four main differences between celiac disease and non-celiac gluten sensitivity:
    No Hereditary Link in NCGS
    Researchers know for certain that genetic heredity plays a major role in celiac disease. If a first-degree relative has celiac disease, then you have a statistically higher risk of carrying genetic markers DQ2 and/or DQ8, and of developing celiac disease yourself. NCGS is not known to be hereditary. Some research has shown certain genetic associations, such as some NCGS patients, but there is no proof that NCGS is hereditary. No Connection with Celiac-related Disorders
    Unlike celiac disease, NCGS is so far not associated with malabsorption, nutritional deficiencies, or a higher risk of autoimmune disorders or intestinal malignancies. No Immunological or Serological Markers
    People with celiac disease nearly always test positive for antibodies to gluten proteins. Researchers have, as yet, identified no such antobodies or serologic markers for NCGS. That means that, unlike with celiac disease, there are no telltale screening tests that can point to NCGS. Absence of Celiac Disease or Wheat Allergy
    Doctors diagnose NCGS only by excluding both celiac disease, an IgE-mediated allergy to wheat, and by the noting ongoing adverse symptoms associated with gluten consumption. WHAT ABOUT IRRITABLE BOWEL SYNDROME (IBS) AND IRRITABLE BOWEL DISEASE (IBD)?
    IBS and IBD are usually diagnosed in part by ruling out celiac disease. Many patients with irritable bowel syndrome are sensitive to gluten. Many experience celiac disease-like symptoms in reaction to wheat. However, patients with IBS generally show no gut damage, and do not test positive for antibodies to gliadin and other proteins as do people with celiac disease. Some IBS patients also suffer from NCGS.

    To add more confusion, many cases of IBS are, in fact, celiac disease in disguise.

    That said, people with IBS generally react to more than just wheat. People with NCGS generally react to wheat and not to other things, but that’s not always the case. Doctors generally try to rule out celiac disease before making a diagnosis of IBS or NCGS. 
    Crohn’s Disease and celiac disease share many common symptoms, though causes are different.  In Crohn’s disease, the immune system can cause disruption anywhere along the gastrointestinal tract, and a diagnosis of Crohn’s disease typically requires more diagnostic testing than does a celiac diagnosis.  
    Crohn’s treatment consists of changes to diet and possible surgery.  Up to 10% of Crohn's patients can have both of conditions, which suggests a genetic connection, and researchers continue to examine that connection.
    Is There a Connection Between Celiac Disease, Non-Celiac Gluten Sensitivity and Irritable Bowel Syndrome? Large Number of Irritable Bowel Syndrome Patients Sensitive To Gluten Some IBD Patients also Suffer from Non-Celiac Gluten Sensitivity Many Cases of IBS and Fibromyalgia Actually Celiac Disease in Disguise CELIAC DISEASE DIAGNOSIS
    Diagnosis of celiac disease can be difficult. 

    Perhaps because celiac disease presents clinically in such a variety of ways, proper diagnosis often takes years. A positive serological test for antibodies against tissue transglutaminase is considered a very strong diagnostic indicator, and a duodenal biopsy revealing villous atrophy is still considered by many to be the diagnostic gold standard. 
    But this idea is being questioned; some think the biopsy is unnecessary in the face of clear serological tests and obvious symptoms. Also, researchers are developing accurate and reliable ways to test for celiac disease even when patients are already avoiding wheat. In the past, patients needed to be consuming wheat to get an accurate test result. 
    Celiac disease can have numerous vague, or confusing symptoms that can make diagnosis difficult.  Celiac disease is commonly misdiagnosed by doctors. Read a Personal Story About Celiac Disease Diagnosis from the Founder of Celiac.com Currently, testing and biopsy still form the cornerstone of celiac diagnosis.
    TESTING
    There are several serologic (blood) tests available that screen for celiac disease antibodies, but the most commonly used is called a tTG-IgA test. If blood test results suggest celiac disease, your physician will recommend a biopsy of your small intestine to confirm the diagnosis.
    Testing is fairly simple and involves screening the patients blood for antigliadin (AGA) and endomysium antibodies (EmA), and/or doing a biopsy on the areas of the intestines mentioned above, which is still the standard for a formal diagnosis. Also, it is now possible to test people for celiac disease without making them concume wheat products.

    BIOPSY
    Until recently, biopsy confirmation of a positive gluten antibody test was the gold standard for celiac diagnosis. It still is, but things are changing fairly quickly. Children can now be accurately diagnosed for celiac disease without biopsy. Diagnosis based on level of TGA-IgA 10-fold or more the ULN, a positive result from the EMA tests in a second blood sample, and the presence of at least 1 symptom could avoid risks and costs of endoscopy for more than half the children with celiac disease worldwide.

    WHY A GLUTEN-FREE DIET?
    Currently the only effective, medically approved treatment for celiac disease is a strict gluten-free diet. Following a gluten-free diet relieves symptoms, promotes gut healing, and prevents nearly all celiac-related complications. 
    A gluten-free diet means avoiding all products that contain wheat, rye and barley, or any of their derivatives. This is a difficult task as there are many hidden sources of gluten found in the ingredients of many processed foods. Still, with effort, most people with celiac disease manage to make the transition. The vast majority of celiac disease patients who follow a gluten-free diet see symptom relief and experience gut healing within two years.
    For these reasons, a gluten-free diet remains the only effective, medically proven treatment for celiac disease.
    WHAT ABOUT ENZYMES, VACCINES, ETC.?
    There is currently no enzyme or vaccine that can replace a gluten-free diet for people with celiac disease.
    There are enzyme supplements currently available, such as AN-PEP, Latiglutetenase, GluteGuard, and KumaMax, which may help to mitigate accidental gluten ingestion by celiacs. KumaMax, has been shown to survive the stomach, and to break down gluten in the small intestine. Latiglutenase, formerly known as ALV003, is an enzyme therapy designed to be taken with meals. GluteGuard has been shown to significantly protect celiac patients from the serious symptoms they would normally experience after gluten ingestion. There are other enzymes, including those based on papaya enzymes.

    Additionally, there are many celiac disease drugs, enzymes, and therapies in various stages of development by pharmaceutical companies, including at least one vaccine that has received financial backing. At some point in the not too distant future there will likely be new treatments available for those who seek an alternative to a lifelong gluten-free diet. 

    For now though, there are no products on the market that can take the place of a gluten-free diet. Any enzyme or other treatment for celiac disease is intended to be used in conjunction with a gluten-free diet, not as a replacement.

    ASSOCIATED DISEASES
    The most common disorders associated with celiac disease are thyroid disease and Type 1 Diabetes, however, celiac disease is associated with many other conditions, including but not limited to the following autoimmune conditions:
    Type 1 Diabetes Mellitus: 2.4-16.4% Multiple Sclerosis (MS): 11% Hashimoto’s thyroiditis: 4-6% Autoimmune hepatitis: 6-15% Addison disease: 6% Arthritis: 1.5-7.5% Sjögren’s syndrome: 2-15% Idiopathic dilated cardiomyopathy: 5.7% IgA Nephropathy (Berger’s Disease): 3.6% Other celiac co-morditities include:
    Crohn’s Disease; Inflammatory Bowel Disease Chronic Pancreatitis Down Syndrome Irritable Bowel Syndrome (IBS) Lupus Multiple Sclerosis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Psoriasis Rheumatoid Arthritis Scleroderma Turner Syndrome Ulcerative Colitis; Inflammatory Bowel Disease Williams Syndrome Cancers:
    Non-Hodgkin lymphoma (intestinal and extra-intestinal, T- and B-cell types) Small intestinal adenocarcinoma Esophageal carcinoma Papillary thyroid cancer Melanoma CELIAC DISEASE REFERENCES:
    Celiac Disease Center, Columbia University
    Gluten Intolerance Group
    National Institutes of Health
    U.S. National Library of Medicine
    Mayo Clinic
    University of Chicago Celiac Disease Center
    Jefferson Adams
    Celiac.com 04/17/2018 - Could the holy grail of gluten-free food lie in special strains of wheat that lack “bad glutens” that trigger the celiac disease, but include the “good glutens” that make bread and other products chewy, spongey and delicious? Such products would include all of the good things about wheat, but none of the bad things that might trigger celiac disease.
    A team of researchers in Spain is creating strains of wheat that lack the “bad glutens” that trigger the autoimmune disorder celiac disease. The team, based at the Institute for Sustainable Agriculture in Cordoba, Spain, is making use of the new and highly effective CRISPR gene editing to eliminate the majority of the gliadins in wheat.
    Gliadins are the gluten proteins that trigger the majority of symptoms for people with celiac disease.
    As part of their efforts, the team has conducted a small study on 20 people with “gluten sensitivity.” That study showed that test subjects can tolerate bread made with this special wheat, says team member Francisco Barro. However, the team has yet to publish the results.
    Clearly, more comprehensive testing would be needed to determine if such a product is safely tolerated by people with celiac disease. Still, with these efforts, along with efforts to develop vaccines, enzymes, and other treatments making steady progress, we are living in exciting times for people with celiac disease.
    It is entirely conceivable that in the not-so-distant future we will see safe, viable treatments for celiac disease that do not require a strict gluten-free diet.
    Read more at Digitaltrends.com , and at Newscientist.com
    Jefferson Adams
    Celiac.com 04/16/2018 - A team of researchers recently set out to investigate whether alterations in the developing intestinal microbiota and immune markers precede celiac disease onset in infants with family risk for the disease.
    The research team included Marta Olivares, Alan W. Walker, Amalia Capilla, Alfonso Benítez-Páez, Francesc Palau, Julian Parkhill, Gemma Castillejo, and Yolanda Sanz. They are variously affiliated with the Microbial Ecology, Nutrition and Health Research Unit, Institute of Agrochemistry and Food Technology, National Research Council (IATA-CSIC), C/Catedrático Agustín Escardin, Paterna, Valencia, Spain; the Gut Health Group, The Rowett Institute, University of Aberdeen, Aberdeen, UK; the Genetics and Molecular Medicine Unit, Institute of Biomedicine of Valencia, National Research Council (IBV-CSIC), Valencia, Spain; the Wellcome Trust Sanger Institute, Hinxton, Cambridgeshire UK; the Hospital Universitari de Sant Joan de Reus, IISPV, URV, Tarragona, Spain; the Center for regenerative medicine, Boston university school of medicine, Boston, USA; and the Institut de Recerca Sant Joan de Déu and CIBERER, Hospital Sant Joan de Déu, Barcelona, Spain
    The team conducted a nested case-control study out as part of a larger prospective cohort study, which included healthy full-term newborns (> 200) with at least one first relative with biopsy-verified celiac disease. The present study includes 10 cases of celiac disease, along with 10 best-matched controls who did not develop the disease after 5-year follow-up.
    The team profiled fecal microbiota, as assessed by high-throughput 16S rRNA gene amplicon sequencing, along with immune parameters, at 4 and 6 months of age and related to celiac disease onset. The microbiota of infants who remained healthy showed an increase in bacterial diversity over time, especially by increases in microbiota from the Firmicutes families, those who with no increase in bacterial diversity developed celiac disease.
    Infants who subsequently developed celiac disease showed a significant reduction in sIgA levels over time, while those who remained healthy showed increases in TNF-α correlated to Bifidobacterium spp.
    Healthy children in the control group showed a greater relative abundance of Bifidobacterium longum, while children who developed celiac disease showed increased levels of Bifidobacterium breve and Enterococcus spp.
    The data from this study suggest that early changes in gut microbiota in infants with celiac disease risk could influence immune development, and thus increase risk levels for celiac disease. The team is calling for larger studies to confirm their hypothesis.
    Source:
    Microbiome. 2018; 6: 36. Published online 2018 Feb 20. doi: 10.1186/s40168-018-0415-6