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    • Scott Adams

      Frequently Asked Questions About Celiac Disease   04/24/2018

      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 is Celiac Disease and the Gluten-Free Diet? 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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    Arthritis and Celiac Disease


    Scott Adams

    Arthritis may be an allergic response to materials in the food supply. Diet revision may be helpful in reducing the activity of inflammatory arthritis and in some instances may halt the progression of the disease. There are many patterns of arthritis. A group of related joint and connective disorders have been called rheumatic diseases. All these diseases are immune-mediated, and all are expressions of inflammation in connective tissues. Inflammation damages joints and surrounding tissues resulting in loss of function and deformities. Variations in the patterns of these diseases reflect the many possibilities for immune damage to disturb and distort structure and function. Severity ranges from mildly painful, chronic activity to drastic, disabling disease. Rheumatoid arthritis, often severe and disabling, is the dominant rheumatic disease that can attack all joints in the body.


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    Rheumatoid arthritis is often considered to be an autoimmune disease. Our idea is that no disease is just internally generated and must involve outside contributions. Arthritis is often associated with inflammatory bowel disease. The mechanisms of food allergy link abnormal Gastrointestinal Tract (GIT) function with immune attacks on connective tissue. In all arthritic patients, normal GIT function should be rigorously sought by adaptive dietary adjustments.

    Simple allergic arthritis is a definite entity that is often not recognized as a food allergy. Typically, a dramatic, acute, and painful swelling develops in one or more joints asymmetrically. Eating a food, either an unusual food eaten for the first time or sometimes a regular food eaten in excess usually brings on the joint inflammation. This presentation is similar to and often confused with gout. Any food can cause allergic arthritis. Staple foods such as milk, eggs, and wheat (rye, oats, barley), coffee, beef, pork, and food additives are the most common food triggers. Carinini and Brostroff reviewed the concepts of and evidence for food-induced arthritis. They stated:

    Despite an increasing interest in food allergy and the conviction of innumerable patients with joint disease that certain foods exacerbate their symptoms, relatively little scientific attention has been paid to this relationship. Abnormalities of the gastrointestinal tract are commonly found in rheumatic disease...Support for an intestinal origin of antigens comes from studies of patients whose joint symptoms have improved on the avoidance of certain foods antigens, and become worse on consuming them. These have included patients with both intermittent symptoms, palindromic rheumatism and more chronic disease.

    In another study, 33 of 45 patients with rheumatoid arthritis improved significantly on a hypoallergenic diet. The authors concluded: Increasing numbers of scientific studies suggest that dietary manipulation may help at least some rheumatoid patients and perhaps the greatest need now is for more careful and well-designed research so that preconceptions may be put aside and role of diet, as a specific or even a nonspecific adjunctive therapy, may be determined.

    Unfortunately, dairy products, wheat and its close relatives, oats, barley, and rye, have proved to be a major problem in the diets of our patients. There are many possible reasons for cereal grains to become pathogenic. Hypersensitivity mechanisms triggered by grain proteins, collectively called Gluten, are the likely cause of the illnesses related to intake of cereal grains. Gluten is a mixture of individual proteins classified in two groups, the Prolamines and the Glutelins. The prolamine fraction of gluten concerns us the most when grain intolerance is suspected. The prolamine, Gliadin, seems to be a problem in celiac disease; gliadin antibodies are commonly found in the immune complexes associated with this disease. Recently marketed grains, spelt and kamut, are wheat variants (despite claims to the contrary) and are likely to cause problems similar to other wheat varieties.

    A wheat gluten mechanism has been studied in rheumatoid arthritis patients. The clinical observation is that wheat ingestion is followed within hours by increased joint swelling and pain. Little and his colleagues studied the mechanism, as it developed sequentially following gluten ingestion. Dr. Parke and colleagues concurred with this explanation of the gut-arthritis link in their report of three patients with celiac disease and rheumatoid arthritis. The mechanism involves several stages:

    • GIT must be permeable to antigenic proteins or peptide fragments, derived from digested gluten.
    • The food antigens appear in the blood stream and are bound by a specific antibody (probably of IgA or IgG, not IgE class), forming an antigen-antibody complex, a circulating immune complex (CIC).
    • The antigen-antibody complex then activates the rest of the immune response, beginning with the release of mediators - serotonin is released from the blood platelets.
    • Serotonin release causes symptoms as it circulates in the blood stream and enhances the deposition of CICs in joint tissues.

    Once in the joint, the immune complexes activate complement, which in turn damages cells and activates inflammation. More inflammation results in more pain, swelling, stiffness, and loss of mobility.

    Arthritis is usually treated with salicylates or related anti-inflammatory drugs generally referred to as NSAIDs. These drugs alleviate the terrible pain of active arthritis but do not favorably affect the outcome of the disease. All anti-arthritic medication can produce asthma or chronic rhinitis and a variety of allergic skin rashes. Gastrointestinal surface irritation, bleeding, and ulceration are routine problems of anti-arthritic medication.

    The first attack of joint swelling and pain should be treated as an urgent problem to be solved. Inflammation may damage joints. Often NSAIDs and physiotherapy are the only treatments prescribed and inflammation is given every opportunity to ravage tissues. We have seen countless patients, just treated with NSAIDs, who progressed rapidly to a severe disabling disease, often with poor pain control. In unlucky patients, severe deformities of joints accumulate in the first few months of a severe attack. There is a trend to recommend more aggressive treatments, using drugs that impair the immune response. The best drug is prednisone, but it is seldom used because it has long-term side effects which scare both physicians and patients. Prednisone is often a magic drug that relieves terrible pain and suffering often in the first 48 hours of therapy. Beyond prednisone, there is a grab bag of immune suppressant drugs to treat arthritis-chloroquine, penicillamine, gold and methotrexate have emerged as the favored drug therapies. All these drugs have impressive side effects and great potential for toxicity.

    Our preference is to try to stop the inflammatory activity as soon as possible with diet revision. All inflammation is likened to a fire. You get out the fire-extinguishers and go to work. No matter what pattern the immune attack assumes, our standard defense can be tried first. The Core Program method of diet revision is used. Food is replaced with an elemental nutrient formula, ENFood, for a clearing period of 10 to 20 days. Prednisone and/or NSAIDs are drug options during the clearing period and then the dosage is reduced after pain and swelling have subsided. Improvement is followed by slow food reintroduction (see Core Program). Each returning food is carefully screened for arthritis- triggering effects. You hope that food allergy caused the problem and that food control can be successful controlling the disease in the long- term. Nothing is lost by taking this approach and complete control of the disease can sometimes be obtained. If strict food control proves to be inadequate, then other drug treatments can be instituted.

    End Notes/Sources:

    • Carinini C, Brostroff J. Gut and joint disease. Annals of Allergy 1985;55:624-625.
    • Darlington et al. Lancet Feb 1 1986;236-238.
    • Keiffer M et al. Wheat gliadin fractions and other cereal antigens reactive with antibodies in the sera of of celiac patients. Clin Exp Immunol 1982;50:651-60.
    • Little C, Stewart AG, Fennesy MR. Platelet serotonin release in rheumatoid arthritis: a study in food intolerant patients. Lancet 1983;297-9.
    • Parke AI et al. Celiac disease and rheumatoid arthritis.
    • Annals of Rheum Dis 1984;43:378-380.
    • Voorneveld CR, Rubin LA Disease-modifying antirheumatic drugs: early use is better. Medicine North Amer. Oct 1991 3177-3184.

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    Recommended Comments

    Guest Nelda Fletcher

    Posted

    My daughter suffers from celiac and rheumatoid arthritis, and I read anything I can on this subject. She has recently changed rheumatologists, and this doctor suspects that her arthritis is food-related. When she was diagnosed 13 years ago, there was no information on this connection, so I'm grateful that this is being studied!

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    Guest liz thornber

    Posted

    Good article, where can I get information on the core plan in your article, as I have celiac disease and chronic arthritis?

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    Guest jennifer

    Posted

    After countless doctors visits with little help I have come to the conclusion that I most likely have celiac disease. I have taken myself off gluten while my new rheumatologist confirms this diagnosis. While conducting my own research I have found that many celiacs have a low B12 level causing anemia and many of the problems associated with celiacs. I have been taking 100% Himylain goji juice (no I do not sell it) and have experienced great relief from the symptoms. It is expensive but it has been well worth the cost. I suggest anyone with joint and muscle pain to try it. I have tried some of the less expensive generic brands but the don't seem to work. It is amazing the roller coaster ride I have been on for the last year and I am so thankful that there is so much information available on the internet. If not for the web I think I would still be in a great deal of pain and not able to function from day to day.

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    Well done!!! As a person with personal and hereditary Celiac and Rheumatoid Arthritis and as a professional who often assists others with these conditions via homeopathy & diet I know the info out there well. Yours is the best, most comprehensive article I've seen. Wish you would suggest seeing a qualified alternative practitioner - homeopath, ND, herbalist... whatever a person feels will help them best, in addition to diet. Best, Ellen

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    Guest Oliver Mendez

    Posted

    Good article! I'm celiac and I didn't know that arthritis was related to this...thanks.

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    Guest Anna Dzondzua

    Posted

    Great article, thank You very much for this. I'll send it to my son's rheumatologist. Pity that in our country celiac is completely ignored...

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    Guest Helen

    Posted

    I found out that I have the celiac disease three years ago. I watch my diet carefully to avoid gluten. Last fall after being on a trip in which I walked allot, I had pain in my knees. I didn't know that it had anything to do with the celiac disease. In March I took another trip in which I walked a lot. My knees have been hurting allot. I'm going to the doctor tomorrow. I'm glad I read this article - I'm going to print it and show him. Thanks!

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    Guest Kathy

    Posted

    I have celiac and thought I was doing well on my diet until joint pain in my hands, elbows, knees and feet slowly joined in about six months ago. Good to read this info.

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    Guest Kung Fu Man

    Posted

    Firstly, great article. I have been suffering for about 2.5 years now and the medical system failed me. I have done a lot of self research and thanks to articles like this I have learned that my pain (knees, elbows, ankles, wrists, shortness of breath, bloating etc.) is due to my diet. I have eliminated dairy, soy, gluten and eggs in the past week or so and I am feeling a lot of relief. I am planning to take a food intolerance test soon to confirm. Thanks again and best wishes to all.

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    Guest Patricia Coxhead

    Posted

    What an excellent article. I have been diagnosed with Palindromic Rheumatism and it is now under control with eliminating Gluten from my diet.

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    Guest Stewart Edgington

    Posted

    About one year ago I developed psoriatic arthritis. I pointed this out to my internist who insisted that I just was having discomfort with osteoarthritis. I pointed to all the appropriate symptoms and correlations and so she looked it up and asked one more question. Then she said, 'oh, you have psoriatic arthritis.' I was sent to a rheumatologist who wanted to put me on methotrexate. I have type I diabetes and did not feel I needed any addition suppression of my immune system. Then I a new client came into my office. She is a widow whose husband had had rheumatoid arthritis. She is a widow because of the methotrexate. I have two sisters with full blown celiac disease. So I consulted a naturopathic doctor. She suggested several possibilities including an auto immune response to gluten. I tried going gluten free and my symptoms have decreased by about 90%. Any time I have inadvertently consumed even a tiny amount of gluten the arthritis returns. Then this past Sunday I decided to test a single beer. Alas, the symptoms returned severely for two days and only now, 5 days latter am I approaching becoming symptom free again. I suspect there are other things I should eliminate but gluten seem to be the monster for me.

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    Guest rob secker

    Posted

    Very helpful...I have just been diagnosed with Celaic and after two days gluten free my joint pain has improved greatly

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    Guest Paul R. Dierks

    Posted

    Anyone with passion cannot be ignored for a noble effort. You all will soon learn my name. Sheer genetic dietary evolution and genetic markers do not lie. The riddle is solved. My apologies if I offend the Vegans, but we are evolved carnivore. Not omnivore. We eat herbivore and fish. Without these accurate proteins, we as a species will suffer. This will no longer be hidden.With just the 2 markers of DQ2 and 8 make up nearly 40% of the USA. They now have at least 10 markers that are known gluten intolerant. DQ1 through 9 and a possible HLA A24. The only thing that can kill me is glutonite!Any nutritionist will tell you, mimic the diet of the bear, only add potato and rice! Follow the diet of your evolutionary origins. Paul R. Dierks. Proud celiac!

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    Guest Linda

    Posted

    I am finding that diet is such an important factor in solving health issues. I have become lactose intolerant in my middle years. I have found that my three children are all lactose sensitive. Two of my brother's children have been recently diagnosed with celiac disease. My sister who helped our family identify our lactose issues has gone gluten free. I am seeing that there may be more than dairy issues with me as I hit my funny bone in the summer and now 7 months later I still have 'tennis elbow'. After reading this article I will be watching carefully to see what happens to my elbow pain as I cut out the gluten.

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    Guest Christie

    Posted

    I was diagnosed with psoriatic arthritis two years ago. I was in so much pain and suffered for 18 months. I am was on Enbrel and Methrotrexate. They helped but did not do enough. I soon realized I also had Candida and went on a strict diet - no sugars, no gluten for 6 months. Alas, the pain went away, my chronic fatigue disappeared! I got my life back! In the past 3 months, I have added just a little bit of sugar back - mostly in the form of fructose. I also experimented with bringing back the gluten and every time I did the aches and the flair-ups came back. No doctor ever told me to consider eliminating gluten to help my arthritis during the first 18 months of misery! Cutting out the gluten and the night shade vegetables (which I did too) has been life changing! Anyone with arthritis needs to give it a try. This is a great article. I wish I had read it 2 years ago.

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    Guest merryweather

    Posted

    Taking proteolytic enzymes, such as Wobenzym, or serrapeptase or nattokinase can also help eliminate unwanted protein fragments and circulating immune complexes. There has been quite a lot of research into this. People suffer less pain after taking proteolytic enzymes instead of NSAIDs for these conditions. I can testify to this from personal experience. I have a little arthritis in one hand and am now trying a bread-free experiment to see if this helps.

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    Guest bill

    Posted

    Specific Carbohydrate Diet -- Check in out -- It works -- Whole food diet -- No gluten, no grains, no sugars, no starches. Eat whole, natural meats, vegetables and fruits.

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    Guest Linda

    Posted

    It was February since I came upon this article for my severe elbow pain. With in 3-4 days of changing my diet, my pain was 90% better.

    I had been suffering for 7 months and came upon this article in the night when I could not sleep because of the pain. I painted my daughter's room on President's Day and didn't think till the next day that my elbow didn't hurt. In addition I had what I called a brain fog where I was so scattered and forgetful that I thought I was in the early stages of memory loss. I was anxious and worried more than I use to be. Now I seem to have more clarity again. I did not test high on a blood test for celiac yet still had symptoms. The last thing I wanted to do was change my diet especially after being told by my sister that I might have some concerns. Her blood test was insignificant as well but had high numbers on a stool test. She changed her 4 year old son's diet as he had very aggressive behavior. He is now a pleasant yet still active child after finding additional corn, soy, sugar and additive triggers in addition to gluten and lactose.

    I know I keep going on but there is more. In March we found that I am pregnant! An unexpected blessing! I am 45 and our youngest is 7 years old. We have been relying on 'timing' for birth control and all of the sudden I change my diet and I'm pregnant. I do have a history of endometriosis, which is inflammatory. I have been sensitive to wheat in my previous pregnancies but never thought to exclude it from my diet. I usually vomit the first 3-4 months of pregnancy with a revisit to pukesville about every two weeks until delivery. I have not thrown up even once. Just lucky? I'm not going back to gluten to test it. It's not worth the health risks to me or the baby. I'm also interested to see if this baby will be a 10lb or 10lb + like my last two. Lots of speculation on my part but the results cannot be ignored.

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    Guest mayra

    Posted

    My daughter suffers from celiac and rheumatoid arthritis, and I read anything I can on this subject. She has recently changed rheumatologists, and this doctor suspects that her arthritis is food-related. When she was diagnosed 13 years ago, there was no information on this connection, so I'm grateful that this is being studied!

    was her RA food-related? i didn't even know that excisted. thank you.

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    Taking proteolytic enzymes, such as Wobenzym, or serrapeptase or nattokinase can also help eliminate unwanted protein fragments and circulating immune complexes. There has been quite a lot of research into this. People suffer less pain after taking proteolytic enzymes instead of NSAIDs for these conditions. I can testify to this from personal experience. I have a little arthritis in one hand and am now trying a bread-free experiment to see if this helps.

    Did this regime help you? I have severe RA and now after being on Enbrel and Methotrexate for over a year am looking for another answer besides these toxic drugs. Also, I have had severe cramping the past 4 months and am trying an experiment today. Please let me know how it helped you.

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    I was diagnosed with psoriatic arthritis two years ago. I was in so much pain and suffered for 18 months. I am was on Enbrel and Methrotrexate. They helped but did not do enough. I soon realized I also had Candida and went on a strict diet - no sugars, no gluten for 6 months. Alas, the pain went away, my chronic fatigue disappeared! I got my life back! In the past 3 months, I have added just a little bit of sugar back - mostly in the form of fructose. I also experimented with bringing back the gluten and every time I did the aches and the flair-ups came back. No doctor ever told me to consider eliminating gluten to help my arthritis during the first 18 months of misery! Cutting out the gluten and the night shade vegetables (which I did too) has been life changing! Anyone with arthritis needs to give it a try. This is a great article. I wish I had read it 2 years ago.

    Is the nightshade thing an absolute???

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    Guest Michelle

    Posted

    Did this regime help you? I have severe RA and now after being on Enbrel and Methotrexate for over a year am looking for another answer besides these toxic drugs. Also, I have had severe cramping the past 4 months and am trying an experiment today. Please let me know how it helped you.

    I've had severe RA from the onset, nearly nine years ago. I've been on nearly every drug out there for RA, most recently a combo of Enbrel and Mobic, which worked amazingly. I'd been told repeatedly that stress contributes greatly to the severity of RA, but didn't really believe it much, till I switched jobs nearly a year ago. Since then I have been able to slowly go off of the Enbrel, while adding Omega-3's to help control the symptoms. It worked great until about a month ago (month 5 of no Enbrel). I have also had severe allergies most of my life, I broke out with a serious rash yesterday and have an appointment with my PCP later today. I'm planning to ask about a correlation with celiac or other food allergy. I have a good friend who was diagnosed with celiac about two years ago, and hadn't known about it before then, but after researching it have wondered if maybe that's been my problem all along. Does anyone know if an elevated SED rate is linked to celiac?

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    Guest Mechal Sobel

    Posted

    I think this is a fine article. The notes mention an article by Gail Darlington, however I strongly recommend Darlington's book DIET AND ARTHRITIS: A COMPREHENSIVE GUIDE TO CONTROLLING ARTHRITIS THROUGH DIET. Darlington details the way in which to test your reactions to foods, and build a healthy individualized diet, a way that proved very successful for me.

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    Guest George D.M.

    Posted

    Excellent information, great site.

    Oats, kidney bean and Beer flares up my joint pain. I will have stiff finger and palm, starts with left hand first and then right foot. If we keep off these items then there will be no pain.

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    It is this new ability to decipher the complex language of protein shapes that has fueled their progress. UCSF’s DeGrado is using these new breakthroughs to search for new medicines that will be more stable, both on the shelf and in the body. He is also looking for new ways to treat Alzheimer’s disease and similar neurological conditions, which result when brain proteins fold incorrectly and create toxic deposits.
    Meanwhile, Baker’s is working on a single vaccine that would protect against all strains of the influenza virus, along with a method for breaking down the gluten proteins in wheat, which could help to generate new treatments for people with celiac disease. 
    With new computing power, look for progress on the understanding, design, and construction of brain proteins. As understanding, design and construction improve, look for brain proteins to play a major role in disease research and treatment. This is all great news for people looking to improve our understanding and treatment of celiac disease.
    Source:
    Bloomberg.com

    Jefferson Adams
    Celiac.com 05/21/2018 - Just a year ago, Starbucks debuted their Canadian bacon, egg and cheddar cheese gluten-free sandwich. During that year, the company basked in praise from customers with celiac disease and gluten-sensitivity for their commitment to delivering a safe gluten-free alternative to it’s standard breakfast offerings.
    But that commitment came to an ignoble end recently as Starbucks admitted that their gluten-free sandwich was plagued by  “low sales,” and was simply not sustainable from a company perspective. The sandwich may not have sold well, but it was much-loved by those who came to rely on it.
    With the end of that sandwich came the complaints. Customers on social media were anything but quiet, as seen in numerous posts, tweets and comments pointing out the callous and tone-deaf nature of the announcement which took place in the middle of national Celiac Disease Awareness Month. More than a few posts threatened to dump Starbucks altogether.
    A few of the choice tweets include the following:  
    “If I’m going to get coffee and can’t eat anything might as well be DD. #celiac so your eggbites won’t work for me,” tweeted @NotPerryMason. “They’re discontinuing my @Starbucks gluten-free sandwich which is super sad, but will save me money because I won’t have a reason to go to Starbucks and drop $50 a week,” tweeted @nwillard229. Starbucks is not giving up on gluten-free entirely, though. The company will still offer several items for customers who prefer gluten-free foods, including Sous Vide Egg Bites, a Marshmallow Dream Bar and Siggi’s yogurt.
    Stay tuned to learn more about Starbucks gluten-free foods going forward.

    Jefferson Adams
    Celiac.com 05/19/2018 - Looking for a nutritious, delicious meal that is both satisfying and gluten-free? This tasty quinoa salad is just the thing for you. Easy to make and easy to transport to work. This salad of quinoa and vegetables gets a rich depth from chicken broth, and a delicious tang from red wine vinegar. Just pop it in a container, seal and take it to work or school. Make the quinoa a day or two ahead as needed. Add or subtract veggies as you like.
    Ingredients:
    1 cup red quinoa, rinsed well ½ cup water ½ cup chicken broth 2 radishes, thinly sliced 1 small bunch fresh pea sprouts 1 small Persian cucumber, diced 1 small avocado, ripe, sliced into chunks Cherry or grape tomatoes Fresh sunflower seeds 2 tablespoons red wine vinegar  Kosher salt, freshly ground pepper Directions:
    Simmer quinoa in water and chicken broth until tender.
    Dish into bowls.
    Top with veggies, salt and pepper, and sunflower seeds. 
    Splash with red wine vinegar and enjoy!

    Jefferson Adams
    Celiac.com 05/18/2018 - Across the country, colleges and universities are rethinking the way they provide food services for students with food allergies and food intolerance. In some cases, that means major renovations. In other cases, it means creating completely new dining and food halls. To document both their commitment and execution of gluten-free and allergen-free dining, these new food halls are frequently turning to auditing and accreditation firms, such as Kitchens with Confidence.
    The latest major player to make the leap to allergen-free dining is Syracuse University. The university’s Food Services recently earned an official gluten-free certification from Kitchens with Confidence for four of the University’s dining centers, with the fifth soon to follow.
    To earn the gluten-free certification from Kitchens with Confidence, food services must pass a 41 point audit process that includes 200 control check points. The food service must also agree to get any new food item approved in advance, and to submit to monthly testing of prep surfaces, to furnish quarterly reports, and to provide information on any staffing changes, recalls or incident reports. Kitchens with Confidence representatives also conduct annual inspections of each dining center.
    Syracuse students and guests eating at Ernie Davis, Shaw, Graham and Sadler dining centers can now choose safe, reliable gluten-free food from a certified gluten-free food center. The fifth dining center, Brockway, is currently undergoing renovations scheduled for completion by fall, when Brockway will also receive its certification.
    Syracuse Food Services has offered a gluten-free foods in its dining centers for years. According to Jamie Cyr, director of Auxiliary Services, the university believes that the independent Gluten-Free Certification from Kitchens with Confidence will help ease the anxiety for parents and students.”
    Syracuse is understandably proud of their accomplishment. According to Mark Tewksbury, director of residence dining operations, “campus dining centers serve 11,000 meals per day and our food is made fresh daily. Making sure that it is nutritious, delicious and safe for all students is a top priority.”
    Look for more colleges and universities to follow in the footsteps of Syracuse and others that have made safe, reliable food available for their students with food allergies or sensitivities.
    Read more.

    Zyana Morris
    Celiac.com 05/17/2018 - Celiac disease is not one of the most deadly diseases out there, but it can put you through a lot of misery. Also known as coeliac, celiac disease is an inherited immune disorder. What happens is that your body’s immune system overreacts to gluten and damages the small intestine. People who suffer from the disease cannot digest gluten, a protein found in grain such as rye, barley, and wheat. 
    While it may not sound like a severe complication at first, coeliac can be unpleasant to deal with. What’s worse is it would lower your body’s capacity to absorb minerals and vitamins. Naturally, the condition would cause nutritional deficiencies. The key problem that diagnosing celiac is difficult and takes take longer than usual. Surprisingly, the condition has over 200 identified symptoms.
    More than three million people suffer from the coeliac disease in the United States alone. Even though diagnosis is complicated, there are symptoms that can help you identify the condition during the early stages to minimize the damage. 
    Here is how you can recognize the main symptoms of celiac disease:
    Diarrhea
    In various studies conducted over years, the most prominent symptom of celiac disease is chronic diarrhea.
    People suffering from the condition would experience loose watery stools that can last for up to four weeks after they stop taking gluten. Diarrhea can also be a symptom of food poisoning and other conditions, which is why it makes it difficult to diagnose coeliac. In certain cases, celiac disease can take up to four years to establish a sound diagnosis.
    Vomiting
    Another prominent symptom is vomiting.  
    When accompanied by diarrhea, vomiting can be a painful experience that would leave you exhausted. It also results in malnutrition and the patient experiences weight loss (not in a good way though). If you experience uncontrolled vomiting, report the matter to a physician to manage the condition.
    Bloating
    Since coeliac disease damages the small intestine, bloating is another common system. This is due to inflammation of the digestive tract. In a study with more than a 1,000 participants, almost 73% of the people reported bloating after ingesting gluten. 
    Bloating can be managed by eliminating gluten from the diet which is why a gluten-free diet is necessary for people suffering from celiac disease.
    Fatigue
    Constant feeling of tiredness and low energy levels is another common symptom associated with celiac disease. If you experience a lack of energy after in taking gluten, then you need to consult a physician to diagnose the condition. Now fatigue can also result from inefficient thyroid function, infections, and depression (a symptom of the coeliac disease). However, almost 51% of celiac patients suffer from fatigue in a study.
    Itchy Rash
    Now the chances of getting a rash after eating gluten are slim, but the symptom has been associated with celiac disease in the past. The condition can cause dermatitis herpetiformis, which causes a blistering skin rash that occurs around the buttocks, knees, and elbows. 
    A study found out that almost 17% of patients suffering from celiac disease might develop dermatitis herpetiformis due to lack of right treatment. Make sure you schedule an online appointment with your dermatologist or visit the nearest healthcare facility to prevent worsening of symptoms.
    Even with such common symptoms, diagnosing the condition is imperative for a quick recovery and to mitigate the long-term risks associated with celiac disease. 
    Sources:
    ncbi.nlm.nih.gov  Celiac.com ncbi.nlm.nih.gov  mendfamily.com