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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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    Cindy Fuchser

    • Journal of Gluten Sensitivity Spring 2012 Issue

    Celiac.com 04/16/2014 - I am writing this because I just attended my first brown bag lunch session at Palomar Medical Center  (PMC) and was nearly black balled for my audacity to speak out against what the lecturing registered dietitian said when she made the statement “ a gluten-free diet (GFD) is a fad diet that will cause harm by depriving the body of needed vitamins and minerals” and that “no one should follow this diet unless they have been formally diagnosed with celiac disease”.  I want to demonstrate that a GFD is not harmful in any way and that it may be a superior diet for many people, even those who have not been “diagnosed” with celiac disease.

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    Photo: CC--Tony FischerI was attending the lecture because I have been dismayed by the nutritional information being sent to employees via e-mail at PMC. I am passionate about health and nutrition and thought that by attending I would be able to voice my opinions and create a dialog so everyone would become more knowledgeable about food and  possibly improve the quality and content of future information about nutrition.  What I got was not what I expected. My opinions were not wanted and I was immediately told that the 30 minute lecture did not allow time for my questions and objections. I have a Bachelor of Science in nursing and it was the first time in my life I have ever felt like the “teacher” was the only authority on the subject and there was no room for discussion.  Two women from the front of Grey Bill auditorium told me in no uncertain terms to shut up and that I would be dealt with later.     

    The topic March 30, 2011 was on “Fad Diets” and though she did not discuss any fad diets in depth, the registered dietitian did, at the outset, make the statement as outlined above.  I immediately pointed out that there are many whole grain products someone on a GFD may consume which would provide nutrients similar to those found in wheat.  But the speaker insisted that people fallowing a GFD would likely not know about other grains and thus would be lacking B-complex vitamins and minerals such as zinc, iron and copper.

    A gluten-free diet in no way short changes you of these vital nutrients and it should not be assumed this hospital’s employees are too ignorant to be aware of the various gluten-free grains that are available. Certainly, inaccurate information should not be presented in  an arena where people are gathering to learn about their health and where that misinformation may be passed on to patients  and their families.  I have heard that registered dietitians and the food industry are a little too closely linked and now I  have now experienced it first hand.

    The food industry has, for years, been altering the foods we eat to make them look or taste better. They have been changing textures and adding colors with their armory of food additives.  Now, however, there is mounting evidence that this manipulation of food and it’s over abundance in the standard American diet (commonly labeled SAD ) has taken its toll on our health.  Food industries are out to make a profit, but do we have to help them by misleading our employees about food?  Gluten is, after all, not only present in grain products where you would expect it, as the primary protein in wheat, but in nearly all processed foods contain gluten - otherwise known as vegetable protein, hydrolyzed vegetable protein, hydrolyzed plant protein, malt, malt flavorings and  vegetable gum (to name just a few of its many aliases).  Gluten is used in seasonings, condiments, processed meats, commercial soups, broths, ice cream  and nearly all packaged foods found at your typical super-market.  Thus, giving up gluten is giving up highly processed foods. In other words, a gluten-free diet is based primarily on whole foods.  Furthermore, gluten-free grains such as amaranth, quinoa and wild rice, among many others, are  far superior to wheat in their vitamin and mineral content. Hence my inability to sit quietly and listen to the misinformation that was being presented.

    Finally, I tried to point out that getting a celiac diagnosis from a western trained  physician is not easy.  There are far too many ailments that, while caused by gluten intolerance , are diagnosed as a host of other illnesses.  So many conditions, in fact, that it would be impractical to list them all, but here are just a few: colitis, irritable bowel syndrome, constipation, diarrhea, flatulence, mouth ulcers, abdominal pain, anemia, ataxia, epilepsy, fatigue, depression, arthritis, autism, autoimmune disorders, ear infections, eczema, headaches, heartburn, irritability, neurological disorders, psychiatric disorders, hypoglycemia, diabetes, migraines, osteoporosis, sinus problems.... the list goes on and on. What doctor is going to order an intestinal biopsy when you are reporting symptoms of depression?

    It usually takes between seven and ten years of suffering with a multitude of symptoms before a diagnosis of celiac disease is made and it is estimated that 1% of the population suffers from celiac disease but most remain undiagnosed. Therefore, it would be wise to remove gluten from your diet if you are experiencing unexplained symptoms and you wish to find a cure instead of simply covering up the symptoms with the various pharmaceuticals western trained physicians will prescribe for you.  Even if celiac disease is not the cause, you may benefit from the healthier lifestyle offered by a whole foods diet free of artificial food additives.

    Image Caption: Photo: CC--Tony Fischer

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    Guest Marisha


    I agree with much of this article, however, I shop in the "natural foods" aisle at my store to purchase gluten-free products and there are a lot of "junk foods" and "processed foods", chips, cookies, ice creams, candy, etc. labeled gluten-free. I've had to remind myself that just because something is labeled "gluten-free" and is technically safe for me to consume, that does not automatically make it "healthy". Also, the rice and potato flours used in many gluten-free products are highly glycemic (shoot blood sugar high) and should be eaten in moderation and seek out other gluten-free grains/starches like quinoa and millet, etc. A person on a gluten-free diet (just like on a non-gluten-free diet) must make a concerted effort to eat a balanced diet that's based on whole foods... just because it's "gluten-free" does not ensure that on its own.

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    Guest Donnie


    This is a good article for the most part. However, my son has been a cook in three different hospital kitchens, and most of the staff are clueless about gluten-free, and lactose-free diets. The hapless patients are highly likely to get fed foods that make them sick. People with severe food allergies don't fare any better. My son tried to tell the staff in one hospital, that scraping wheat based gravy off of a food does not make it gluten free. That didn't work. He did the best he could to serve safe foods to patients with restricted diets, when he was doing the cooking. I have celiac and severe food allergies, and would never eat hospital food again. I got sick from them in the past, and nothing seems to have changed for the better.

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    Guest Lynn Holtmeyer


    I have been gluten free since my diagnosis in 2009. I am an RN and feel the same as the nurse in this article. My health has improved dramatically. No more osteoporosis, elevated liver enzymes, and my thyroid has returned to normal function. I still have episodes of DH.

    My blood work is the best it has been in 15 years. As a matter of fact my vitamin and mineral profiles are excellent now compared to pre-diagnosis of celiac. I had to be my own advocate and request testing after doing my own research.

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    Guest KA MAaree


    I almost got heart palpitations reading this. It is not a rare incidence and makes me so angry!


    The ADA (or whatever they call themselves now) is part of big pharma and big agra (see where their funding dollars come from if you think I am being hyperbolic).


    Fortunately this site are getting the word out that gluten sensitivity is a separate issue from celiac.


    Too bad they have blinders on.

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    Guest babsesl


    Me, too! I would have been able to diagnose this disease in myself instead of the doctors telling me that there was nothing wrong with me.

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    Guest Linda


    It is unfortunate that many Registered Dietitians are uninformed regarding gluten's many negative (and often hidden) dangers. They do a great disservice to the public they serve. Kudos to you for speaking up. It is also unfortunate that gluten-free diets have been labeled as fads and that the media has twisted the importance of going gluten-free. It makes it that much harder for those of us who must be gluten-free.

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    Guest Kathy


    Thank you for this article. I am amazed by the response I frequently get when I mention my son and I are on a gluten free diet because we both have celiac disease. I am often made to feel embarrassed and have had people tell me that we are only doing it because it is the trendy diet of the moment. The public needs to be educated, and the health care industry should be leading the way. When I was diagnosed, my doctor told me to never eat gluten again. That was the extent of the teaching I received. No follow up, no further testing for nutritional deficiencies. My son is being followed by the children's hospital and they have a celiac clinic and have done a wonderful job with his care. Please continue to try to educate your peers. Thank you!

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    Guest Susan


    What an excellent article and so accurate! I lost my faith in registered dieticians when one repeatedly insisted to my celiac son that he had to consume dairy products even though we told her we thought they bothered him. Within ten minutes of Internet research, I learned that many celiacs (some say 30 to 40%) can't eat dairy either because their bodies perceive the protein casein in dairy as if it was gluten.

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    Guest Patricia Tribastone


    As a former dietitian we were taught that celiac disease was a rare condition. However I personally suffered for years with depression, migraine headaches, inflammation, and an overall feeling of ill health. It was not until my daughter was diagnosed with a gluten related disorder that I began to research this condition, and realized that was what was affecting my own health. Since adopting the gluten free diet I have recovered from the many ailments that were plaguing me, and now enjoy very good health. The gluten free diet is not a fad, and dietitian and general practitioners are doing a great disservice to their patients by not understanding the scope of this condition.

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    Guest Adonnya


    As a celiac and a patient, I feel the hospitals have left out of patient care nutrition. When I was in for surgery, the dietitian said they could not provide any gluten-free or dairy free food for me to eat! I had to have my family bring in my meals. Years ago, when I worked at a hospital, the food was prepared fresh, not shipped in like it is now. This is not a fad! I almost died from eating gluten in the hospital! They couldn't figure it out until I asked if the bread they served me was gluten-free! I got an oops, sorry. I told them it was not an oops, it was life and death!

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    Guest C Nelson


    I thank you for this article. And, yes, outraged! I'm so tired of people believing this is a fad, not for me! I'm not a celiac, but my sister was born with it. I, however, medically needed to be gluten free. I end up in the emergency room with severe cramping if I eat gluten these days. Tell that dietician I'll come to her hospital emergency room next time. Within hours I develop Irritable Bowel Symtom pain which lasts hours and is agony, AGONY, the entire time.

    I became gluten free in 2010 after friends suggestion to research this because of my celiac sister. Financially I had to let go of the psychiatric meds I'd been taking for 12 years for panic/anxiety. I went off the medication easily with no panic/anxiety in the 4 years since; after a life time of that condition as well as IBS. I'm also finally 'regular' (eh hem) for the first time in my life, less irritable & moody, my emotions are not as intensely overwhelming and I've noticed an increased capacity to read and understand technical reports I'd shy away from most of my life. I'm outraged at the medical community, my life could have been so different; certainly better self esteem. I encourage you to speak up often and don't let ignorance get to you!

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    Guest celiacmom


    Thank you for speaking up, Cindy! It angers me that celiac has been turned into a fad-I've been this way for 10 years now. Plus, I became dairy and casein intolerant 7 years ago. Just a heads up when shopping...the grocery stores are busy capitalizing on the increase of "gluten-free" food purchases. Read the fine print!! Many of the store brands are produced on shared equipment and cannot be certified gluten-free. Ignorance runs high on cross-contamination issues as well.

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    Guest Carrie


    Yes it is possible to get all the important nutrients on a gluten-free diet, too many people believe that all of those gluten free items in restaurants and in the grocery aisle are healthier than their gluten-containing counterparts. But most are made with white rice, potato starch or corn, which do not contain many essential nutrients. While a gluten-free diet is absolutely necessary for people with celiac disease and gluten-free intolerance, it is not necessarily healthier than a gluten-free diet for those who don't need it. It can be made to be just as healthy or even healthier with careful effort, but for most people who are adopting a gluten-free diet simply because they think it will be better for them, it is not.

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    A completely gluten-free diet is currently the only proven treatment for celiac disease. Talk with your doctor before making any changes to your gluten-free diet for celiac disease treatment.


    Jefferson Adams
    Celiac.com 05/16/2014 - More than half of U.S. chain restaurants plan to expand their gluten-free menus in the next year, according to a national menu price survey by restaurant supply-chain co-op SpenDifference.
    "Operators recognize that a growing number of customers have health-related dietary restrictions, and they are revamping their menus to include choices for them, as well as for those who simply want more healthful choices,” said SpenDifference president and CEO Maryanne Rose.
    Currently, 55 percent of restaurants surveyed serve gluten-free menu items. According to the new survey, the majority of those businesses will be expanding that selection in the coming year.
    The survey supports projections that indicate that the demand for gluten-free menu items “will be with us for a long time," said Rose.
    The findings are included in SpenDifference's third menu price survey, which for the first time asked chain-restaurant operators about their plans to offer more healthful menu options.
    Read more at: Fastcasual.com.

    Jefferson Adams
    Celiac.com 03/31/2015 - Here is Celiac.com's list of Gluten-free and Gluten-safe Candy for Easter 2015.
    Below the list of SAFE candy, you will find a list of UNSAFE, NON–gluten–free candies, along with a partial list of major candy makers with links to their company websites.
    Please keep in mind that this list is not complete, or definitive, and should only be used as a guideline.
    Before eating any candy on the list, be sure to read labels, check manufacturer’s information, and gauge your purchases according to your own sensitivity levels, or those of your children.
    Check manufacturer websites for official information on any specific products.
    For a comprehensive list of gluten-free candy and manufacturers, see Celiac.com’s Gluten-free and Gluten-safe Halloween Candy.
    Almond Joy Eggs Andes Creme de Menthe Thins B
    Baby Ruth original and fun size Bazooka Big Mix (contains bubble gum, bubble gum filled candy, candy chews, and bubble gum filled lollipops) Bazooka Ring Pops Bazooka Push Pops Bazooka Baby Bottle Pops Bit•O•Honey Big Blow bubblegum Bubbly lollipop and gum Butterfinger bar, original and fun size C
    Cadbury Caramel Eggs Cadbury Caramello Bunnies Cadbury Creme Eggs Cadbury Dairy Milk Chocolate Bunny Cadbury Dairy Milk Buttons Chicks Cadbury Easter Egg Trail Pack Cadbury Egg Heads Cadbury hollow milk chocolate egg filled with Cadbury mini-eggs Cadbury Mini Caramel Eggs Cadbury Mini Chocolate Eggs Cadbury Mini Crème Eggs Cadbury Mini Daim Eggs Cadbury Mini Eggs Cadbury Orange Creme Eggs Carousel Bubble Gum Eggs Carousel Easter Egg Surprise Lollipops Charms Blow Pops and Blow Pop Minis Cry Baby Eggs D
    Dairy Good Easter bunnies (chocolate flavored, foil-wrapped) Dairy Good Easter eggs (chocolate eggs) Dairy Good Chocolate and White Chocolate Crosses Disney Princess plastic eggs with candy and stickers inside Dove Chocolates Dove Chocolate Eggs Dove Fairy Bunny hollow milk chocolate Dove Solid Chocolate Bunnies, milk chocolate Ingredients Dove Solid Chocolate Bunnies, dark chocolate Dove Truffle Eggs Dubble Bubble Eggs (egg-shaped bubble gum) and Speckled Bubble Gum E
    Easter Bunny Egg-head family filled with Power Candy F
    Farley’s Kiddie Mix—contains Now & Laters, Jawbreakers, Super Bubble bubble gum, Tootsie Roll Midgees, Sassy Tarts and Smarties Florida Natural Healthy Treats fruit snacks eggs Frankford Marshmallow Chicks and Bunnies G
    Gimbal’s candies H
    Haribo Gold-Bears Heath milk chocolate English toffee bar and snack size - contains almonds Hershey’s Milk Chocolate Bunnies, Springtime Flowers, and Crosses Hershey’s milk chocolate hollow egg with candy-coated milk chocolate eggs inside Hershey’s candy-coated milk chocolate eggs Hershey’s Solid Milk Chocolate Speedy Bunny and Princess Bunny Hershey’s milk chocolate hollow Bunny Hershey’s milk chocolate eggs Hershey’s Special Dark chocolate eggs Hershey’s Marshmallow Eggs Hershey’s Blisschocolate candy Hershey’s Bliss milk chocolate eggs with a meltaway center Hershey’s Bliss dark chocolate eggs Hershey’s Bliss Hollow Milk Chocolate Bunny Hershey’s Kisses Hershey’s Kisses filled with Caramel Hershey’s Kisses with Almond Hershey's Nuggets (Milk Chocolate, Milk Chocolate with Almonds, Milk Chocolate with Toffee and Almonds, Special Dark, Special Dark with Almonds), Hershey's Skor Toffee Bars Hot Tamales J
    Jelly Beans—Top gluten-free brands include: Jelly Belly Jelly Beans Just Born Jelly Beans Just Born Marshmallow Treats  K
    Kellogg’s Spongebob Squarepants fruit flavored snacks Kinder Surprise Eggs L
    Lemon Delight; Lime Delight; Mystery Flavored Marshmallow Chicks; Orange Delight; Party Cake; Sour Watermelon; and Sweet Lemonade Flavored Marshmallow Chicks
    Lifesaver hard candies—Original and Pastels Lifesaver Eggsortment (including jellybeans, gummies and pops) Lifesaver Gummies—Original, and Bunnies and Eggs M
    Melster Chocolate Flavored Marshmallow Bunnies M&M’s—Original, Peanut, Speck-tacular Eggs, and Bunny Mix M&M’s Easter Pastel Colored Coconut M&M’s Mike and Ike Berry Blast Mike & Ike Jelly Beans Mike and Ike Lemonade Blends Mike and Ike Original Mike and Ike Zours Mounds Eggs N
    Nestle’s Nest Eggs (EXCEPT Crunch Nest Eggs) Nestle’s milk chocolate Nest Eggs Nestle’s creamy caramel Nest Eggs Nestle’s Butterfinger chocolate Nest Eggs Nestle’s Butterfinger Creme Eggs P
    Palmer Holiday Candy Palmer’s Bunny Bites foil-wrapped eggs—all flavors Palmer’s Baby Binks hollow milk chocolate bunny Palmer’s Bunnyettes (milk chocolate) Palmer’s Butter Cream Flavored eggs Palmer’s Carrot Patch Pete Palmer’s Fudge Filled Big Ears Palmer’s Hollow Bunnies Palmer’s Little Beauty milk chocolate bunny Palmer’s Milk Chocolate Flavored and premium milk chocolate eggs Palmer’s Peanut Butter Filled chocolate eggs Palmer Poppin’ Rockin’ Egg (hollow egg filled with Pop Rocks) Palmer’s Soft Caramel Cups Palmer’s Super Sports Balls Peeps Chocolate Dipped Marshmallow Chicks Peeps Chocolate Mousse Flavored Marshmallow Chicks Peeps Chocolate Covered Marshmallow Chicks Peeps Chocolate Mousse Flavored Marshmallow Bunnies Peeps Decorated Marshmallow Eggs Peeps Large Marshmallow Bunny Peeps Marshmallow Bunnies—Yellow, lavender, pink, orange, green, blue, and white Peeps Mystery Flavored Marshmallow Bunnies Peeps Original Marshmallow Chicks—Yellow, white, orange, green, pink, blue, and lavender Peeps Flavored Chicks, including:Blue Raspberry; Bubble Gum; Peeps milk chocolate covered marshmallow PEZ candy Pixy Stix Green Grass (Wonka) Giant Pixy Stix (Wonka) Pop Rocks in plastic egg PLASTIC EGGS WITH ASSORTED CANDY
    Bee Flowers and Fairies Egg Hunt (contains Smarties, Super Bubble bubble gum, Taffy Werks, Jelly Bean Werks, and Lemonheads) Bee Sport Ball Eggs (contains Smarties, Super Bubble bubble gum, Taffy Werks, Jelly Bean Werks, and Lemonheads) Bee Noah’s Ark Easter Egg Hunt (contains Smarties, Super Bubble bubble gum, Taffy Werks, Jelly Bean Werks, and Lemonheads) Bug Collector Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Peace and Love Egg Hunt (contains Ferrara Pan jellybeans, Red Hots, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Dress Up Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Farm Friends Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Game Time Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Glow in the Dark Egg Hunt (contains Ferrara Pan jellybeans, Red Hots, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Mmmm…Cupcakes Egg Hunt (contains Ferrara Pan jellybeans, Red Hots, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Nighttime Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Outdoor Adventure Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Pet Shop Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Rainforest Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) Speedster Cars Candy Filled Egg Hunt (contains Ferrara Pan jellybeans, Tropical Chewy Lemonhead and Friends, Chewy Lemonhead and Friends, Jaw Busters) R
    Reese’s Peanut ButterChocolate candy Reese’s Easter Assortment Eggs (including peanut butter eggs, white peanut butter eggs, and miniatures)—EXCEPT the foil-wrapped mini eggs, which contain gluten Reese’s Peanut Butter Cup miniatures Reese’s Pieces Pastel Eggs Reese’s Peanut Butter Eggs—large and small size, EXCEPT the foil-wrapped mini eggs, which contain gluten Reese’s Reester Bunny—large size only! Mini-sized unsafe Ring pops Russel Stover Pectin Jelly Beans  S
    See’s Candies—See’s candies do not contain gluten Sixlets Skittles eggs and fun-size Smarties candy rolls Snickers mini’s Sour Patch Bunnies Spree Jelly Beans—Cherry, Lemon and Green Apple Surf Sweets Jelly Beans Starburst fruit chews—All Original and Easter-themed Starburst candy, including jelly beans and special Easter candy packages Starburst Jellybeans—original, tropical, and red fruits Swedish Fish Eggs soft and chewy candy Sunny Seed Drops chocolate covered sunflower seeds T
    Teenee Beanee Jelly Beans—including Americana Medley, Country Retreat, and Island Breeze flavored packages Easter-themed Tootsie Roll candy, including Dubble Bubble Easter egg-shaped bubble gum, Tootsie Pops, Charms Blow Pops and Charms Candy Carnival products W
    Wonka Giant Chewy Nerds Jelly Beans Wonka Everlasting Gobstopper Eggbreakers Wonka Fun Dip Wonka Giant Pixy Stix Wonka Hoppin’ Nerds Wonka Runts Freckled Eggs Wonka Egg Hunt with a Golden Egg (contains Nerds, Laffy Taffy, and SweeTarts) Wonka Egg Hunt Zero Gravity (contains Nerds, Laffy Taffy, and SweeTarts) Wonka Egg Hunt Hard 2 Find (contains Nerds, Runts, and SweeTarts) Y
    York Peppermint Patties Z
    Zachary real chocolate Marshmallow Eggs Zachary solid milk chocolate Bunnies Zipperz Lollipops WARNING! THESE UNSAFE CANDIES CONTAIN OR MAY CONTAIN GLUTEN:
    Airheads Candies are “Manufactured in a facility that processes wheat flour.” Airheads Xtremes Rolls contains wheat flour ANNABELLE’S
    Abba Zabba—Contains: peanuts, soybean oil and soy lecithin, wheat/gluten Big Hunk—Made in a facility that uses peanuts, tree nuts and wheat Look—Contains wheat/gluten Rocky Road, Rocky Road Mint, Rocky Road Dark—Contain wheat/gluten U-No—Contains wheat/gluten AMERICAN LICORICE CO.
    Sour Punch Sticks, Twists, Bits, Bites, Straws—Contains wheat/gluten Red Vines—all varieties contain wheat/gluten, including Black, Natural and Fruit Vines B
    All Brach's candy should be considered NOT gluten–free! Please be careful, as I have seen Brach's candies included on gluten-free safe lists! C
    Child’s Play Easter Mix—Made in a facility that uses peanuts, tree nuts and wheat Chick Feed sunflower seeds “May contain wheat, peanuts, and tree nuts.” F
    Ferrero Rocher candy—Contains wheat/gluten Frankford Cookies and Creme Eggs—Contains wheat/gluten Frankford Crispy Eggs (milk chocolate flavored)—Contains wheat/gluten, and made in a facility that uses peanuts and wheat. Frankford solid milk chocolate bunny—Made in a facility that uses peanuts and wheat H
    Black Licorice Wheels Brixx Fruity Pasta Konfekt and Pontefract Cakes Red Licorice Wheels Sour S’ghetti HERSHEY
    Hershey’s miniatures—Label states: “May contain wheat.” Hershey’s Cookies ‘n’ Creme egg—Contains wheat/gluten Hershey’s Bliss (Milk Chocolate, Milk Chocolate with Almonds, Milk Chocolate with Meltaway Center, White Chocolate with Meltaway Center, Milk Chocolate with Raspberry Meltaway Center, Dark Chocolate) – No gluten ingredients, but not on Hershey’s official gluten-free list Hershey's Good & Plenty Hershey’s Mr. Goodbar fun size K
    Kit Kat Bunny Ears and Kit Kat minis—Contains wheat/gluten L
    Lindt Chocolate — Lindt US website states that they “cannot guarantee that Lindt chocolate is gluten free.” M
    Mayfair Kid’s Play basket stuffers (including Fuit Chews, Teaberry Gumballs, Spout Bubble Log, Atomic Fireballs, Super Bubble bubble gum, Easter Pops, Jawbreakers, Airheads, Lemonhead, and Smarties—Made in a facility that uses peanuts, tree nuts and wheat Mighty Malts Speckled Malted Milk Eggs —Contains wheat/gluten Milky Way minis—Contains wheat/gluten Milky Way Bunnies—Contains wheat/gluten N
    Butterfinger Crisp or Butterfinger Stixx—Contain wheat/gluten Crunch—Contains wheat/gluten Nestle Butterfinger Egg with pieces in chocolate—Contains wheat/gluten Nestle Crunch Nest Eggs—Contains wheat/gluten Hundred Grand Bar—Contains wheat/gluten P
    PAAS eggs—Contains wheat/gluten Palmer’s Double Crisp chocolate candy (including Bunnies, Bunnyettes, Pops, Chick a Dees, Bunny Munny and Eggs)—Contain wheat/gluten Palmer’s Lil’ Crispy chocolate bunny—Contains wheat/gluten Palmer’s My Little Bunny—Contains wheat/gluten Palmer’s Cookies ‘n Creme Eggs—Contains wheat/gluten Palmer’s Crispy Peanut Butter flavored eggs—Contains wheat/gluten Palmer’s Eggbert Double Crisp—Contains wheat/gluten Palmer’s Quax hollow milk flavored candy duck (“The Yummy Ducky”) Peter Rabbit real milk chocolate bunny—Made in a facility that uses peanuts, tree nuts and wheat Peter Rabbit hollow milk chocolate bunny—Made in a facility that uses peanuts, tree nuts and wheat R
    Reese’s milk chocolate and peanut butter eggs (mini eggs foil-wrapped individually)—Contains wheat/gluten Reese’s mini-Reester Bunnies—Contains wheat/gluten Russell Stover chocolate candy—Made in a facility that uses peanuts, tree nuts and wheat S
    Snickers Eggs—Label states: May contain tree nuts, egg, and wheat. Snickers Creme Sports Eggs—Label states: May contain tree nuts, egg, and wheat. SpongeBob Squarepants Eggs plastic egg with sour candy and stickers—Made in a facility that uses peanuts, tree nuts and wheat SpongeBob Squarepants gummy Krabby Patties—Made in a facility that processes peanuts, tree nuts and wheat SweetTart Gummy Bunnies (Wonka)—Contains wheat/gluten T
    Trolli Gummi Bunnies—Made in a facility that processes peanuts, tree nuts and wheat Twix—Contains wheat/gluten Twizzlerscandy—Contains wheat/gluten Twizzlers Tweeters—Contains wheat/gluten Twizzlers Rainbow Twists—Contains wheat/gluten Twizzlers Strawberry Mini Bars—Contains wheat/gluten Twizted Strawberry Blast pull-n-peel candy—Contains wheat/gluten W
    Whitman’s Sampler—Made in a facility that processes peanuts, tree nuts and wheat Whoppers Robin Eggs, including mini-Robbin Eggs—Contains wheat/gluten Wonka’s Eggs—Made in a facility that processes peanuts, tree nuts and wheat Wonka Easter Nerds Rope—Made in a facility that processes peanuts, tree nuts and wheat Wonka Mix-Ups (including SweeTart chews, Laffy Taffy, SweeTarts, and Nerds)—Made in a facility that processes peanuts, tree nuts and wheat Wonka Oompas and the Wonka Bar are NOT gluten–free. CANDY MANUFACTURERS
    Here is a partial list of major candy manufacturers and how to contact them:
    Adams & Brooks – 213-749-3226 American Licorice Co. – 866-442-2783 BEE International – 619-710-1800 Ferrara Candy Company – 888-247-9855 Ferrero Rocher – 732-764-9300 FLIX – 847-647-1370 Gimbal’s Fine Candies – 888-841-9373 Goetze’s Candy Company – 410-342-2010 Hershey's – 800–468–1714. Here's a link to Hershey's official gluten-free list. Impact Confections – 303-626-2222 Jelly Belly – 800–522–3267 Just Born – 888–645–3453. Here's a link to Just Born Gluten-free FAQs Kraft Foods – 877-535-5666 Mars Chocolate – 800–627–7852 Necco – 781–485–4800 Nestle USA – 800–225–2270 Palmer – 610 372-8971 Pearson's – 800–328–6507 PEZ – 203.795.0531 Pop Rocks – 770-399-1776 Tootsie Roll – 773–838–3400 Additional information and lists of gluten-free safe and unsafe candies can be found at:
    About.com Celiaccentral.com Celiacfamily.com DivineCaroline.com Surefoodliving.com Foodallergyfeast Medpedia Glutenfreefacts

  • Recent Articles

    Connie Sarros
    Celiac.com 04/21/2018 - Dear Friends and Readers,
    I have been writing articles for Scott Adams since the 2002 Summer Issue of the Scott-Free Press. The Scott-Free Press evolved into the Journal of Gluten Sensitivity. I felt honored when Scott asked me ten years ago to contribute to his quarterly journal and it's been a privilege to write articles for his publication ever since.
    Due to personal health reasons and restrictions, I find that I need to retire. My husband and I can no longer travel the country speaking at conferences and to support groups (which we dearly loved to do) nor can I commit to writing more books, articles, or menus. Consequently, I will no longer be contributing articles to the Journal of Gluten Sensitivity. 
    My following books will still be available at Amazon.com:
    Gluten-free Cooking for Dummies Student's Vegetarian Cookbook for Dummies Wheat-free Gluten-free Dessert Cookbook Wheat-free Gluten-free Reduced Calorie Cookbook Wheat-free Gluten-free Cookbook for Kids and Busy Adults (revised version) My first book was published in 1996. My journey since then has been incredible. I have met so many in the celiac community and I feel blessed to be able to call you friends. Many of you have told me that I helped to change your life – let me assure you that your kind words, your phone calls, your thoughtful notes, and your feedback throughout the years have had a vital impact on my life, too. Thank you for all of your support through these years.

    Jefferson Adams
    Celiac.com 04/20/2018 - A digital media company and a label data company are teaming up to help major manufacturers target, reach and convert their desired shoppers based on dietary needs, such as gluten-free diet. The deal could bring synergy in emerging markets such as the gluten-free and allergen-free markets, which represent major growth sectors in the global food industry. 
    Under the deal, personalized digital media company Catalina will be joining forces with Label Insight. Catalina uses consumer purchases data to target shoppers on a personal base, while Label Insight works with major companies like Kellogg, Betty Crocker, and Pepsi to provide insight on food label data to government, retailers, manufacturers and app developers.
    "Brands with very specific product benefits, gluten-free for example, require precise targeting to efficiently reach and convert their desired shoppers,” says Todd Morris, President of Catalina's Go-to-Market organization, adding that “Catalina offers the only purchase-based targeting solution with this capability.” 
    Label Insight’s clients include food and beverage giants such as Unilever, Ben & Jerry's, Lipton and Hellman’s. Label Insight technology has helped the Food and Drug Administration (FDA) build the sector’s very first scientifically accurate database of food ingredients, health attributes and claims.
    Morris says the joint partnership will allow Catalina to “enhance our dataset and further increase our ability to target shoppers who are currently buying - or have shown intent to buy - in these emerging categories,” including gluten-free, allergen-free, and other free-from foods.
    The deal will likely make for easier, more precise targeting of goods to consumers, and thus provide benefits for manufacturers and retailers looking to better serve their retail food customers, especially in specialty areas like gluten-free and allergen-free foods.

    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.
    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.

    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. 
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    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.
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

    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? 
    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.
    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.

    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.

    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.
    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.

    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