• Join our community!

    Do you have questions about celiac disease or the gluten-free diet?

  • Ads by Google:
     




    Get email alerts Subscribe to Celiac.com's FREE weekly eNewsletter

    Ads by Google:



       Get email alertsSubscribe to Celiac.com's FREE weekly eNewsletter

  • Member Statistics

    71,808
    Total Members
    3,093
    Most Online
    Poolamom
    Newest Member
    Poolamom
    Joined
  • Announcements

    • admin

      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
  • 0

    COMMON MISUNDERSTANDINGS OF GLUTEN-FREE ALCOHOLIC BEVERAGES


    Gryphon Myers


    • Journal of Gluten Sensitivity Winter 2013 Issue


    Celiac.com 07/16/2013 - Gluten has a way of popping up in some very unexpected products.  Peers (whether online or otherwise) are sometimes our best resource for information regarding these oft-overlooked gluten-containing products, but sometimes speculation gets passed along the grapevine as fact. This has led to some very believable, but ultimately questionable rumors. Alcohol in particular has some of the most persistent rumors regarding gluten content. This is likely because the processes involved with alcohol production are confusing and widely misunderstood. With this article, I hope to address and clear up a few of the most persistent gluten-free alcohol misunderstandings that you've certainly heard before.


    Ads by Google:




    ARTICLE CONTINUES BELOW ADS
    Ads by Google:



    Photo: CC--Rob IretonMisunderstanding #1: “Not all wine is gluten-free: some vintners age their wine in barrels that are sealed with a wheat paste. This paste contaminates the wine, making it dangerous for consumption by celiac disease sufferers.”

    This is a big one. Wine is naturally gluten-free, but the fact that some vintners use wheat paste to seal their barrels has led many to cut wine out of their diets as a precautionary measure. It's a plausible idea, as some vintners do in fact use wheat paste to seal their barrel heads. However, there are a few key points here that you should consider before cutting wine out of your diet entirely:

     

    1. Because the Tobacco Tax and Trade Bureau currently disallows gluten-free labeling of alcoholic beverages if the producer used “storage materials that contained gluten,” any wine that is labeled gluten-free was aged using a barrel alternative and carries no risk of contamination.
    2. Wines that aren't labeled gluten-free might still be aged using barrel alternatives. Roughly speaking, the more expensive ($12+) Cabernet Sauvignons, Merlots, Zinfandels and red blends are more likely to be aged in oak barrels (and for a longer period of time).
    3. The amount of wheat paste used to seal barrel heads is minimal. It is not the staves of the barrels that are sealed with a wheat flour paste, but the barrel heads.  Furthermore, most wineries thoroughly pressure wash all barrels with boiling hot water before they are used. The last thing vintners want is a contaminated product.

    In order to lay this contamination issue to rest, Tricia Thompson tested a single winery's Cabernet Sauvignon and Merlot, which she was told by the winery were their two wines that spent the most time in wheat-sealed oak barrels. She tested each wine four times: twice with the Sandwich R5 ELISA test, and twice with the competitive R5 ELISA test. The competitive R5 ELISA is the current standard for detecting hydrolyzed (broken down) gluten, while the sandwich R5 ELISA is the current standard for detecting non-hydrolyzed gluten (1). Combined, the tests can reliably test for any possible form of gluten contamination.

    Both extractions of both wines came back with the lowest possible results for both tests:

    • Cabernet Sauvignon
      Sandwich R5 ELISA extraction 1: < 5 ppm gluten
      Sandwich R5 ELISA extraction 2: < 5 ppm gluten
      Competitive R5 ELISA extraction 1: < 10 ppm gluten
      Competitive R5 ELISA extraction 2: < 10 ppm gluten
    • Merlot
      Sandwich R5 ELISA extraction 1: < 5 ppm gluten
      Sandwich R5 ELISA extraction 2: < 5 ppm gluten
      Competitive R5 ELISA extraction 1: < 10 ppm gluten
      Competitive R5 ELISA extraction 2: < 10 ppm gluten

    Conclusion: Wine that is aged in oak barrels contains less gluten than we are currently capable of testing for, whether hydrolyzed or not.

    At this point, a lot of people will begin to shake their heads: “If wine is gluten-free, then why do I get sick when I drink __________ wine?” The likely answer is that you are reacting to something else! Many winemakers use egg whites as a clarifying agent. The amount of egg used is far more substantial than any wheat paste that might have leaked into the wine, so if you know eggs are a problem, this is likely what you are reacting to.  

    If you don't have a problem with eggs, you could also be reacting to sulfites. Many people have problems with them, and some winemakers use them as preservatives.
    Sometimes, it's best to go out and get information directly from the winemaker. They can tell you more about their aging process, and shed light on what may or may not be making you sick.


    Misunderstanding #2: “Distilled spirits that are derived from gluten-containing ingredients can be contaminated with gluten. Only distilled spirits made from non-gluten-containing ingredients, like potatoes, are safe for consumption by celiacs.”

    This idea was likely propagated due to a misunderstanding of the distillation process. Here, I will refer to Megan Tichy, Ph.D's highly informative and clearly written description of the distillation process (2). It is a great read for those who are unclear on the process, and makes it very evident why all distilled spirits are gluten-free by definition.

    To borrow Dr. Tichy's analogy, the distillation process is like boiling a kettle of water with sand at the bottom of it. Let's say you were to collect the water that boiled away as steam using a condensing tube. After boiling the entire kettle away, you would be left with a kettle with nothing but sand at the bottom of it, and a second container of pure distilled water.  There is no way the distilled water could contain any sand, as sand doesn't evaporate. In the same way, gluten doesn't evaporate, and gets left at the bottom of the 'kettle' during distillation. The likelihood of distilled alcohol being contaminated with gluten is about the same as the likelihood of you getting sand in your new cup of perfectly clean water: it would almost have to be intentional! Also keep in mind that many spirits are double, or even triple distilled. Gluten contamination over the course of a single distillation is already highly unlikely, but after consecutive distillations, it is virtually impossible.

    To this, you might ask, “But what if they were to add other ingredients afterward? Those might contain gluten, right?” That's a perfectly valid concern, and yes, you should be concerned about any added ingredients. However, distilled spirits are almost always marketed based on their purity; this is why they go to all the trouble of double and triple distilling in the first place! Manufacturers of spirits want the most concentrated alcoholic product possible, so it is not exactly in their best interest (nor in common practice) to go adding more ingredients. Even so, you should always be mindful of ingredients lists, and cross check them against a reliable gluten-containing ingredients list (such as ours [3]).

    Despite the fact that distilled spirits derived from grains are necessarily gluten-free, some people still seem to have problems with them. I don't have a ready explanation for this, as scientifically, it doesn't make sense. Celiac disease is triggered by gluten, and distilled alcohol contains no gluten. Here is a quick checklist to help rule out reasons why you may or may not react to such drinks:
    [ ] Have you checked for cross contamination possibilities (glass, container, ice cubes, dish washing liquid, drying towel, etc.)?
    [ ] Are you sure that you do not react to distilled alcoholic beverages that are not derived from grains (e.g. potato vodka)? (It could be a reaction to potent alcohol in general.)
    [ ] Did you pour the drink yourself?
    [ ] Are you sure you are not adding anything to the drink that could be cross contaminated or contain gluten?
    [ ] Have you checked the ingredients list against a reliable gluten-containing ingredients list?
    [ ] Have you considered any other allergies you have or might have?
    [ ] Have you contacted the manufacturer for their official response regarding gluten content?

    Oftentimes (especially soon after adopting GFD), the gut is still sensitive and cannot handle alcohol at high proof levels. If you had a bad experience with distilled spirits derived from grain early on in your GFD regimen, you might want to consider giving it another try after your villi have had a chance to heal. You really should not have a reaction once your gut is adjusted to the gluten-free diet. I know it is hard to trust a product derived from wheat, but distillation really, truly does remove all gluten, and it does so every single time.

    Misunderstanding # 3: “'Low gluten' or 'gluten-removed' beers are unsafe, as gluten tests underestimate gluten content in beer. This is because the brewing process breaks the gluten molecules down into pieces that are too small for gluten tests to detect, but are still harmful.”


    This is a point of fierce contention in the gluten-free community, and probably the most confusing argument to follow, as it all surrounds the validity of a variety of super scientific testing procedures. There isn't even a clear answer or 'winner' here, but I'm going to try and break all the information down for you, so you can make an informed decision about these products for yourself.

    The main beef that people seem to have with gluten-removed beers is that they are derived from gluten-containing ingredients, and the gluten removal process is oftentimes undisclosed. This is an offshoot of the same distrust people feel toward distilled spirits, though perhaps a little more warranted given the fact that distillation is a very well documented and 100% reliable form of gluten removal, whereas as far as we know, these brewers are removing gluten using magic and fairy dust.

    The reality is that these brewers (Widmer Brothers, Estrella Damm, Lammsbraeu, to name a few) are removing the gluten from their beer using one or the other, or perhaps a combination of two methods: filtration, and enzymes. Superfine filters can remove gluten particles from the beer, while added enzymes can target gluten particles, causing them to break down to a harmless state more quickly.

    Whatever their methods, these beers need to have their gluten content verified using scientific testing procedures in order to be considered safe for consumption by celiacs. This is where things start to get murky.

    As Tricia Thompson, MS, RD writes on her blog, Gluten-Free Dietitian, the current standard for testing gluten content in foods is a sandwich ELISA test (4). The R5 and omega-gliadin versions of the test are the most widely used, and both have been validated in collaborative trials.

    While sandwich ELISA tests are reliable for detecting gluten in heated and non-heated food items, they are notoriously unreliable for detecting hydrolyzed gluten. Many see this as reason not to trust gluten-removed beers: the fermentation process hydrolyzes gluten in beer, so sandwich ELISA tests cannot accurately quantify their gluten content. If the test is unreliable, we are back where we started, with a once-gluten-containing product that has supposedly been rendered gluten-free by unexplained and unverifiable means; it's a hard pill to swallow!

    However, the sandwich R5 ELISA's weaknesses are well documented and widely known. Most of these brewers are using an entirely different test that was specifically designed to detect partial gluten fragments (peptides) that may still be harmful to the gluten-sensitive. The competitive R5 ELISA is the standard test used to detect these peptides, and although it has not been validated yet, many published studies have found the competitive R5 ELISA to be a reliable indicator of hydrolyzed gluten (5) (6) (7).

    This would all seem well and good since many of these beers test well under the proposed FDA limit of 20ppm gluten content with the competitive R5 ELISA. (As an aside, studies have shown 20 ppm to be an adequately conservative standard for most celiacs [8]). Unfortunately, the discussion doesn't end there. A recent Australian study tested a broad range of both beers brewed from alternate grains (sorghum, millet, etc.), and gluten-removed beers, and found that most gluten-removed beers contained significant levels of barley gluten (hordein) fragments, while beers brewed with alternative grains did not (9). 

    Many have inferred two things from this study: 1) gluten-removed beers are unsafe, and 2) R5 ELISA testing under-reports, or is incapable of testing for the barley gluten, hordein. I would posit that these are both hasty conclusions to make, as the study begs the following questions:

    How much gluten are we talking about?
    It isn't entirely clear from the study what 'significant' levels are, as it quantifies hordein levels on a relative scale, but not in terms of ppm. Yes, it is clear from the study that truly gluten-free beers contain less hordein than gluten-removed beers. It would also seem that some hordein families are just as present in gluten-removed beers as in standard beers whose brewers make no claims as to their gluten content. But this does not mean that any of the beers are over the 20ppm standard. The study actually states that the gluten-removed beers were tested to under 10 ppm, but then indirectly implies that they were not actually under that threshold. This is not necessarily true though! One recent study found that around 50% of standard beers on the market actually test to under 20 ppm gluten content (10). In other words, the average gluten content of beer is lower than you might think. Just because gluten-removed beers may be closer to the average on the study's relative scale than might look safe, this does not mean they contain gluten at levels that would be harmful to the average celiac. Furthermore, the toxicity of hordein and hordein peptides for celiacs still hasn't been conclusively quantified (11).


    Is R5 ELISA really that unreliable?
    The study also makes some interesting claims about the limits of R5 ELISA testing procedures. Specifically, it claims that “The R5 antibody is unable to accurately detect and quantify barley gluten (hordeins) in beer.” This is a slightly misleading statement. It is true that the sandwich R5 ELISA can be inaccurate when detecting hordein levels, but it actually overestimates them, so long as they are not hydrolyzed. Furthermore, that is the sandwich ELISA; there is much evidence to suggest that the competitive R5 ELISA provides an accurate measurement of hordein peptides (6) (7) (12). Conversely, this study employed multiple reaction monitoring mass spectrometry, a testing procedure that has not been validated for gluten testing of foods or fermented alcoholic beverages. I would say that the competitive R5 ELISA has a more proven track record when it comes to testing for hydrolyzed gluten in beer.

    What does it all mean then? Should I drink gluten-removed beer or not?
    Well, that's up to you, of course. As I said before, this is a hotly debated and highly contentious issue in the gluten-free world right now, so I'm hesitant to take one side or the other. If you suffer from refractory sprue, or some other severe form of gluten intolerance, I would advise you to stay away, as the risk simply isn't worth it for you. For more mild sufferers of celiac disease or wheat sensitivity though, if you really miss the taste of beer and gluten-free beers just aren't doing it for you, there is no solid evidence to discredit the results of competitive R5 ELISA testing. Find a beer that is batch tested to under 20 ppm using this test (not sandwich R5 ELISA, though it wouldn't hurt if it was tested by both), try a few sips, and see if you react.

    I've tried to provide all the key information so you can make an informed decision about these beers for yourself, but it never hurts to do your own research! Just know that there are a lot of biased and outdated sources out there; the more recent and scientific the study, the better!

    References:
    (1) Thompson, Tricia, MS, RD. “Wine Aged in Oak Barrels Sealed with Wheat Paste: Test Results for Gluten Contamination.” GlutenFreeDietitian.com, 10 Oct. 2012. Web. 20 Dec. 2012.
    (2) Tichy, Megan, PhD. “Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free?” Celiac.com, 26 Aug. 2009. Web. 20 Dec. 2012.
    (3) Adams, Scott. “Unsafe Gluten-Free Food List (Unsafe Ingredients).” Celiac.com, 27 Nov. 2007. Web. 20 Dec. 2012.
    (4) Thompson, Tricia, MS, RD. “Standards for testing food for gluten: Issues that need addressing.” GlutenFreeDietitian.com, 6 Aug. 2012. Web. 20 Dec. 2012.
    (5) Thompson, Tricia, MS, RD. “Beer: Why it is so hard to assess fermented and hydrolyzed products for gluten.” GlutenFreeDietitian.com, 24 Jul. 2012. Web. 20 Dec. 2012.
    (6) Gessendorfer, Benedict, et al. “Preparation and characterization of enzymatically hydrolyzed prolamins from wheat, rye, and barley as references for the immunochemical quantitation of partially hydrolyzed gluten.” Analytical and Bioanalytical Chemistry 395.6 (Nov. 2009): 1721-1728. Web. 20 Dec. 2012.
    (7) Haas-Lauterbach, S, et al.”Gluten fragment detection with a competitive ELISA.” Journal of AOAC International 95.2 (2012): 377-381. Web. 20 Dec. 2012.
    (8) Thompson, Tricia, MS, RD. “How much gluten is 20 parts per million?” GlutenFreeDietitian.com, n.d. Web. 20 Dec. 2012.
    (9) Colgrave, Michelle, et al. “What is in a Beer? Proteomic Characterization and Relative Quantification of Hordein (Gluten) in Beer.” Journal of Proteome Research 11.1 (2012): 386-396. Web. 20 Dec. 2012.
    (10) Cane, Sue. “Gluten-free beer 2011. How is it made? How is its gluten content tested? And is it really safe for coeliacs?” FoodsMatter.com, 2011. Web. 20 Dec. 2012.
    (11) Thompson, Tricia, MS, RD. “Barley enzymes in gluten-free products.” GlutenFreeDietitian.com, Jun. 2009 (updated 3 Feb. 2011). Web. 20 Dec. 2012.
    (12) Guerdrum, Lindsay, Bamforth, Charles. “Levels of gliadin in commercial beers.” Food Chemistry  129.4 (2011): 1783-1784. Web. 20 Dec. 2012.


    Image Caption: Photo: CC--Rob Ireton
    0


    User Feedback

    Recommended Comments

    Guest Martin

    Posted

    I find it wrong advice to promote safety of alcoholic drinks to celiac patients on the basis of gluten content. The main risk with any alcohol (regardless of the gluten content) is that it increases intestinal permeability which allows gluten to cross to the blood stream and trigger autoimmune reaction. Without the permeability issue (caused by alcohol + other dietary and lifestyle choices) the celiac disease may never have developed.

    Share this comment


    Link to comment
    Share on other sites
    Guest Justin

    Posted

    Good article. One problem with celiac disease that is very relevant here is that not every gluten exposure leads to a 'reaction,' yet villous damage may still be occurring. Celiac disease can be insidious; in fact, the majority of the time it is--it's why delay between onset of symptoms and eventual diagnosis with celiac disease averages about 8 years. I was anemic twice in the span of three years before I was diagnosed, and I never had another symptom until just prior to the diagnosis. Many celiacs feel more sensitive to gluten once they've gone gluten-free for a while but you don't have to strain credulity to think an asymptomatic exposure to gluten could occur that could still result in damage. I had an Omission beer last night with no reaction, but I know it's a calculated risk, so I do it infrequently.

    Share this comment


    Link to comment
    Share on other sites

    I have celiac disease, and I won't drink alcohol made from wheat. I don't trust it. I am allergic to corn, and had severe reactions to alcohol distilled from corn. I also react to distilled vinegar made from corn. Just about all other highly corn allergic people report reactions to them, too. But the so-called experts claim that it is not possible. Maybe the distilled alcohol made from wheat wouldn't trigger my celiac symptoms, but I would rather err on the side of caution, given my experience with allergic reactions to distilled corn alcohol and vinegar. We are the only valid experts when it comes to what these products do to us, since we are the only ones who live in our bodies. Experience trumps opinion, any day. If people know that something makes them sick, then common sense suggests that they should avoid it.

    Share this comment


    Link to comment
    Share on other sites

    Great article. Very informative.

     

    I obtained a list of "regular" beers that a Swedish gluten research team published several years ago. It shows how may Parts Per Milion (PPM) each of the "regular" beers had. As referenced in this article, there were several that came in at less than 20 PPM (the European standard for Gluten Free labeling). However, most of the beer they tested were European brands. While there were some North American brands, it was not an extensive list.

     

    Does anyone know if there is a similar list for North American/Mexican beer?

    Share this comment


    Link to comment
    Share on other sites
    Guest Jared M.

    Posted

    Great article! I know of this study that showed many regular beers to have low levels of hordein. It was performed by an Australian research team. Unfortunately, their published document does not list the brands of the beers, only the types. It appears that the majority of barley-based ales and lagers came in very low in ppm (some at the same levels as gluten-free beers), while barley-based stouts came in considerably higher, but still generally below 20 ppm. The wheat-based beers were well above 20 ppm.

     

    If anyone is interested in reading this document, just google "australian study beer gluten". The result on the plosone web site is what you want.

    Share this comment


    Link to comment
    Share on other sites
    Guest Gryphon

    Posted

    I find it wrong advice to promote safety of alcoholic drinks to celiac patients on the basis of gluten content. The main risk with any alcohol (regardless of the gluten content) is that it increases intestinal permeability which allows gluten to cross to the blood stream and trigger autoimmune reaction. Without the permeability issue (caused by alcohol + other dietary and lifestyle choices) the celiac disease may never have developed.

    That's a great point - you should write an article for us about it!

    Share this comment


    Link to comment
    Share on other sites
    Guest Maggie

    Posted

    I have heard before that gluten doesn't survive the distilling process--(but) thanks for the analogy!:) My question is, when dining out alone, I always get a regular menu along with a gluten-free, to get prices, and I noticed at Outback Steakhouse, they list Irish Coffee with Bailey's Irish Creme on their "regular" menu, but not on their gluten-free menu. Would that be a case of there being something "other" in it that wouldn't be gluten-free?

    Share this comment


    Link to comment
    Share on other sites
    Guest Gryphon

    Posted

    I have heard before that gluten doesn't survive the distilling process--(but) thanks for the analogy!:) My question is, when dining out alone, I always get a regular menu along with a gluten-free, to get prices, and I noticed at Outback Steakhouse, they list Irish Coffee with Bailey's Irish Creme on their "regular" menu, but not on their gluten-free menu. Would that be a case of there being something "other" in it that wouldn't be gluten-free?

    This topic from our forums addresses Bailey's: http://www.celiac.com/gluten-free/topic/64658-baileys-irish-creamgluten-free/

    Share this comment


    Link to comment
    Share on other sites
    Guest JustinCase

    Posted

    Excellent information. I am currently looking in a beer called New Grist. The brewer is Lakefront. It only says it is made of Sorghum and Rice Extract. Does not state it is gluten-free, but was recommended by a member of Celiac Sprue Assoc., Restaurateur. I have drank a half bottle initially with no reaction; but the second half, I wasn't too sure. The article suggests to me, maybe I should let this one go. Just in case.

    Share this comment


    Link to comment
    Share on other sites
    Excellent information. I am currently looking in a beer called New Grist. The brewer is Lakefront. It only says it is made of Sorghum and Rice Extract. Does not state it is gluten-free, but was recommended by a member of Celiac Sprue Assoc., Restaurateur. I have drank a half bottle initially with no reaction; but the second half, I wasn't too sure. The article suggests to me, maybe I should let this one go. Just in case.

    New Grist beer is safe for me...but the taste reminds me of Redbridge (Anheuser-Busch's attempt to market to celiacs); it's God awful.

    Share this comment


    Link to comment
    Share on other sites

    Very good overview. I have only one objection and that is on your recommendation to "more mild sufferers of celiac disease..." on deglutenized beers. "try a few sips, and see if you react". This implies a direct connection between symptoms and damage to the intestine. I and many other Celiacs do not have discernable symptoms, but the damage would still be there. It makes me wonder if it is wise for any Celiac to use symptoms as a guide. The best practice for Celiacs is to avoid all gluten at all cost.

    Share this comment


    Link to comment
    Share on other sites

    If you don't want to take chances, new Planet beer is an excellent choice for a gluten-free beer. They strictly control the whole brewing process to ensure no contamination from any source.

    Share this comment


    Link to comment
    Share on other sites
    Guest Allen Haynes, DC

    Posted

    I find it wrong advice to promote safety of alcoholic drinks to celiac patients on the basis of gluten content. The main risk with any alcohol (regardless of the gluten content) is that it increases intestinal permeability which allows gluten to cross to the blood stream and trigger autoimmune reaction. Without the permeability issue (caused by alcohol + other dietary and lifestyle choices) the celiac disease may never have developed.

    Excellent point about promoting the safety of alcohol, but I disagree about the cause of the permeability issue. Zonulin has been shown to regulate permeability. Based on Dr. Fasano's research, we know that the two most powerful triggers to open the Zonulin door are gluten and gut bacteria in the small intestine.

     

    Unfortunately it takes more than adopting a gluten free diet. There are numerous lifestyle changes necessary, including avoiding alcohol.

    Share this comment


    Link to comment
    Share on other sites


    Your content will need to be approved by a moderator

    Guest
    You are commenting as a guest. If you have an account, please sign in.
    Add a comment...

    ×   Pasted as rich text.   Paste as plain text instead

      Only 75 emoticons maximum are allowed.

    ×   Your link has been automatically embedded.   Display as a link instead

    ×   Your previous content has been restored.   Clear editor

    ×   You cannot paste images directly. Upload or insert images from URL.


  • Popular Contributors

  • Ads by Google:

  • Who's Online   19 Members, 0 Anonymous, 1,078 Guests (See full list)

  • Related Articles

    admin
    Abyssinian Hard (Wheat triticum durum)
    Alcohol (Spirits - Specific Types)
    Atta Flour
    Barley Grass (can contain seeds)
    Barley Hordeum vulgare
    Barley Malt
    Beer (most contain barley or wheat)
    Bleached Flour
    Bran
    Bread Flour
    Brewer's Yeast
    Brown Flour
    Bulgur (Bulgar Wheat/Nuts)
    Bulgur Wheat
    Cereal Binding
    Chilton
    Club Wheat (Triticum aestivum subspecies compactum)
    Common Wheat (Triticum aestivum)
    Cookie Crumbs
    Cookie Dough
    Cookie Dough Pieces
    Couscous
    Criped Rice
    Dinkle (Spelt)
    Disodium Wheatgermamido Peg-2 Sulfosuccinate
    Durum wheat (Triticum durum)
    Edible Coatings
    Edible Films
    Edible Starch
    Einkorn (Triticum monococcum)
    Emmer (Triticum dicoccon)
    Enriched Bleached Flour
    Enriched Bleached Wheat Flour
    Enriched Flour
    Farik
    Farina
    Farina Graham
    Farro
    Filler
    Flour (normally this is wheat)
    Freekeh
    Frikeh
    Fu (dried wheat gluten)
    Germ
    Graham Flour
    Granary Flour
    Groats (barley, wheat)
    Hard Wheat
    Heeng
    Hing
    Hordeum Vulgare Extract
    Hydroxypropyltrimonium Hydrolyzed Wheat Protein
    Kamut (Pasta wheat)
    Kecap Manis (Soy Sauce)
    Ketjap Manis (Soy Sauce)
    Kluski Pasta
    Maida (Indian wheat flour)
    Malt
    Malted Barley Flour
    Malted Milk
    Malt Extract
    Malt Syrup
    Malt Flavoring
    Malt Vinegar
    Macha Wheat (Triticum aestivum)
    Matza
    Matzah
    Matzo
    Matzo Semolina
    Meripro 711
    Mir
    Nishasta
    Oriental Wheat (Triticum turanicum)
    Orzo Pasta
    Pasta
    Pearl Barley
    Persian Wheat (Triticum carthlicum)
    Perungayam
    Poulard Wheat (Triticum turgidum)
    Polish Wheat (Triticum polonicum)
    Rice Malt (if barley or Koji are used)
    Roux
    Rusk
    Rye
    Seitan
    Semolina
    Semolina Triticum
    Shot Wheat (Triticum aestivum)
    Small Spelt
    Spirits (Specific Types)
    Spelt (Triticum spelta)
    Sprouted Wheat or Barley
    Stearyldimoniumhydroxypropyl Hydrolyzed Wheat Protein
    Strong Flour
    Suet in Packets
    Tabbouleh
    Tabouli
    Teriyaki Sauce
    Timopheevi Wheat (Triticum timopheevii)
    Triticale X triticosecale
    Triticum Vulgare (Wheat) Flour Lipids
    Triticum Vulgare (Wheat) Germ Extract
    Triticum Vulgare (Wheat) Germ Oil
    Udon (wheat noodles)
    Unbleached Flour
    Vavilovi Wheat (Triticum aestivum)
    Vital Wheat Gluten
    Wheat, Abyssinian Hard triticum durum
    Wheat Amino Acids
    Wheat Bran Extract
    Wheat, Bulgur
    Wheat Durum Triticum
    Wheat Germ Extract
    Wheat Germ Glycerides
    Wheat Germ Oil
    Wheat Germamidopropyldimonium Hydroxypropyl Hydrolyzed Wheat Protein
    Wheat Grass (can contain seeds)
    Wheat Nuts
    Wheat Protein
    Wheat Triticum aestivum
    Wheat Triticum Monococcum
    Wheat (Triticum Vulgare) Bran Extract
    Whole-Meal Flour
    Wild Einkorn (Triticum boeotictim)
    Wild Emmer (Triticum dicoccoides)
    The following items may or may not contain gluten depending on where and how they are made, and it is sometimes necessary to check with the manufacturer to find out:
    Amp-Isostearoyl Hydrolyzed Wheat Protein4
    Artificial Color4
    Baking Powder4
    Clarifying Agents4
    Coloring4
    Dry Roasted Nuts4
    Emulsifiers4
    Enzymes4
    Fat Replacer4
    Gravy Cubes4
    Ground Spices4
    Hydrolyzed Wheat Gluten4
    Hydrolyzed Wheat Protein4
    Hydrolyzed Wheat Protein Pg-Propyl Silanetriol4
    Hydrolyzed Wheat Starch4
    Hydrogenated Starch Hydrolysate4
    Hydroxypropylated Starch4
    Miso4
    Natural Juices4
    Non-dairy Creamer4
    Pregelatinized Starch4
    Protein Hydrolysates4
    Seafood Analogs4
    Seasonings4
    Sirimi4
    Soba Noodles4
    Soy Sauce4
    Soy Sauce Solids4
    Sphingolipids4
    Stabilizers4
    Starch1, 4
    Stock Cubes4
    Suet4
    Tocopherols4
    Vegetable Broth4
    Vegetable Gum4
    Vegetable Protein4
    Vegetable Starch4
    Vitamins4
    Wheat Starch5
    1) If this ingredient is made in North America it is likely to be gluten-free. 4) Can utilize a gluten-containing grain or by-product in the manufacturing process, or as an ingredient. 5) Most celiac organizations in the USA and Canada do not believe that wheat starch is safe for celiacs. In Europe, however, Codex Alimentarius Quality wheat starch is considered acceptable in the celiac diet by most doctors and celiac organizations. This is a higher quality of wheat starch than is generally available in the USA or Canada.

    admin

    Rice and soy beverages because their production process may utilize barley enzymes. Bad advice from health food store employees (i.e., that spelt and/or kamut is/are safe for celiacs). Cross-contamination between food store bins selling raw flours and grains (usually via the scoops). Wheat-bread crumbs in butter, jams, toaster, counter, etc. Lotions, creams and cosmetics (primarily for those with dermatitis herpetaformis). Stamps, envelopes or other gummed labels. Toothpaste and mouthwash. Medicines: many contain gluten. Cereals: most contain malt flavoring, or some other non-gluten-free ingredient. Some brands of rice paper. Sauce mixes and sauces (soy sauce, fish sauce, catsup, mustard, mayonnaise, etc.). Ice cream. Packet & canned soups. Dried meals and gravy mixes. Laxatives. Grilled restaurant food - gluten contaminated grill. Fried restaurant foods - gluten contaminated grease. Ground spices - wheat flour is sometimes used to prevent clumping.

    admin
    Celiac.com 02/20/2015 - Here is Celiac.com's most up-to-date list of gluten-free beers and alcoholic beverages.
    The gluten status of the products listed below is accurate at the present time. However, as product formulations can change without notice, it is best to verify gluten-free product status by checking the ingredients yourself, or by contacting the manufacturer.
    Unless gluten is added after distillation, all distilled alcohols are gluten-free. However, US labeling laws prohibit beverages that use cereal grains at any point in the manufacturing process from advertising themselves as 'gluten-free.'
    Many people with celiac disease choose to avoid distilled beverages that use cereal grains in the manufacturing process, while many others drink them with no adverse effects.
    So, when you do see a 'gluten-free' label on a distilled beverage, it means that no gluten ingredients have been used at any point in the production process.
    A List of Naturally Gluten-free Beers
    Anheuser-Busch Redbridge Bard's Gold Bard's Tale Beer Brasserie Dupont Forêt Libre Brasseurs Sans Gluten Glutenberg Blanche Brunehaut Bio Ambrée Brunehaut Blonde Bio Brunehaut Blanche Burning Brothers Brewing Coors Peak Dogfish Head Craft Brewed Ales: Tweason'ale Drummond Gluten Free Epic Brewing Company: Glutenator Ghostfish Brewery Glutenberg American Pale Ale Glutenberg Blonde Glutenberg Belgian Double Glutenberg India Pale Ale Glutenberg Rousse Green's Discovery Amber Ale Green's Endeavour Green's Enterprise Dry-Hopped Lager Green's India Pale Ale Green's Quest Tripel Blonde Ale Ground Breaker Corsa Rose Gold Ale Ground Breaker IPA No. 5 Ground Breaker Dark Ale Ipswich Ale Brewery: Celia Saison Joseph James Brewing Fox Tail Lakefront New Grist Ginger Style Ale Lakefront New Grist Pilsner Style Minhas Lazy Mutt Gluten Free Mongozo Premium Pilsener New Planet Belgian Style Ale New Planet Blonde Ale New Planet Pale Ale New Planet Raspberry Ale New Planet Seclusion IPA New Planet Tread Lightly Session Ale Nickel Brook Gluten Free Nouvelle France La Messagère Nouvelle-France Messagère Aux Fruits Nouvelle-France Messagère Red Ale Schnitzer Bräu Hirse Lemon Schnitzer Bräu Hirse Premium Sprecher Brewing Company's Shakparo Ale Steadfast Beer gluten-free Blonde and Pale Ales Steadfast Beer Company's Oatmeal Cream Stout To Øl Reparationsbajer Gluten Free Whistler Forager A List of Gluten-Removed Beers
    Alley Kat Scona Gold Kölsch Brunehaut Bio Tripel Estrella Damm Daura Estrella Damm Daura Marzen Lammsbräu Glutenfrei Lager Beer Mikkeller American Dream Gluten Free Mikkeller Green Gold Gluten Free Mikkeller I Wish Gluten Free IPA Mikkeller Peter, Pale And Mary Gluten Free New Belgium Glutiny brand Golden and Pale Ales Short's Brewing Space Rock Stone Delicious IPA Sufferfest Brewing Company Pale Ale and Lager Widmer Omission Lager Widmer Omission IPA Widmer Omission Pale Ale Wold Top Against The Grain Wold Top Marmalade Porter Wold Top Scarborough Fair IPA Gluten-Free Hard Cider
    Most ciders are fermented from apples or other fruits. Most are safe, however, some add barley for enzymes and flavor. Read labels!
    Gluten-free hard cider brands include:
    Ace Pear Cider Angry Orchard Blue Mountain Cider Company Blackthorn Cider Bulmer's Hard Cider Crispin Cider (including Fox Barrel products) Gaymer Cider Company Harpoon Craft Cider J.K. Scrumpy's Organic Hard Cider Lazy Jack's Cider Magner's Cider Newton's Folly Hard Cider Original Sin Hard Cider Spire Mountain Draft Cider Strongbow Cider Stella Artois Apple and Pear Hard Cidre Woodchuck Woodpecker Cider Gluten-Free Wine
    All wines, including brandy, champagne, cognac, port wine, sherry, and vermouth are safe for celiacs.
    Gluten-Free Wine Coolers
    The majority of wine coolers are made from barley products. 
    Gluten-free versions include: 
    Bartle & Jaymes - all EXCEPT malt beverages Boones - all EXCEPT their malt beverages Other Gluten-Free Alcoholic Brews, Wines and Spirits Include
    Brandy Campari Champagne Cognac—made from grapes Cointreau Grappa Midori Prosecco Khalua Coffee Liquer Kirschwasser (cherry liqueur) Old Deadly Cider Sambuca Vermouth Gluten-Free Distilled Alcohols
    Unless gluten is added after distillation, all distilled alcohols are free of gluten. However, US labeling laws prohibit beverages that use cereal grains at any point in the manufacturing process from advertising themselves as 'gluten-free.'
    So, when you do see a 'gluten-free' label on a distilled beverage, it means that no gluten ingredients have been used at any point in the production process.
    Gluten-Free Gin
    Most gins are made with gluten-containing cereal grains. The final distilled product does not contain gluten, but cannot be advertised or labeled as gluten-free. Many people with celiac disease choose to avoid these beverages, while many others drink them with no adverse effects.
    Gluten-free gin brands include:
    Cold River Gin—distilled from potatoes Brands of standard gin include:
    Aviation American Gin Beefeater Bombay Bombay Sapphire Boodles British Gin Booth's Gin  Gordon's Leopolds Gin New Amsterdam Gin Seagram's Tanqueray Gluten-Free Rum
    Distilled from sugar cane, most rums are gluten-free and safe for celiacs. Beware of pre-made drink mixes, such as those intended for piña coladas — many of these contain gluten ingredients as flavoring.
    Gluten-free rum brands include:
    Appleton Estate Jamaica Rum Bacardi—only Gold, Superior, 151, and flavored Bayou Rum Bundaberg Rum Captain Morgan Rum Cruzan Rum Malibu Rum Mount Gay Rum Meyer's Rum Gluten-Free Sake
    Fermented with rice and Koji enzymes. The Koji enzymes are grown on Miso, which is usually made with barley. The two-product separation from barley, and the manufacturing process should make it safe for celiacs.
    Gluten-Free Tequila
    Made from the agave cactus, all tequilas are gluten-free and safe for celiacs.
    Gluten-free tequila brands include:
    1519 Tequila 1800 Tequila Cabo Wabo Cazadores Chimayo Don Julio El Jimador Herradura Hornitos Jose Cuervo Patron Sauza Gluten-Free Vodka
    Vodkas distilled from potatoes, gluten-free grains or other gluten-free ingredients contain no gluten ingredients and can be labeled as gluten-free.
    Gluten-free vodka brands include:
    Corn Vodka—Deep Eddy, Nikolai, Rain, Tito's, UV Grape Vodka—Bombora, Cooranbong Potato Vodka—Boyd & Blair, Cirrus, Chase, Chopin, Cold River Vodka, Cracovia, Grand Teton, Karlsson's, Luksusowa, Monopolowa, Schramm Organic, Zodiac Rice Vodka—Kissui Sugar Cane—Downunder, DOT AU Vodkas distilled from cereal grains include:
    Many vodkas made with gluten-containing cereal grains. The final product does not contain gluten, but cannot be advertised or labeled as gluten-free. Many people with celiac disease choose to avoid these beverages, while many others drink them with no adverse effects.
    Barley Vodka—Finlandia Grain Vodka—Absolwent, Blavod, Bowman's, Fleischmann's, Orloff, Polonaise, SKYY, Smirnoff, Stolichnaya,  Wheat Vodka—Absolut, Bong Spirit, Danzka, Grey Goose, Hangar One, Ketel One, P.i.n.k Vodka Rye Vodka—Belvedere, BiaÅ‚a Dama, Platinka, Sobieski, Starka, Wisent, Wyborowa, Xellent Swiss, Å»ubrówka Gluten-Free Whiskey
    Nearly all whiskeys are made with gluten-containing cereal grains. The final product does not contain gluten, but cannot be advertised or labeled as gluten-free. Many people with celiac disease choose to avoid whiskey, while many others drink it with no adverse effects.
    Gluten-free whiskey brands include:
    Queen Jennie Whiskey, by Old Sugar Distillery is made entirely from sorghum Whiskeys distilled from cereal grains include:
    Bourbon—Benjamin Prichard's, Booker's, Buffalo Trace, Jim Beam, Early Times, Ezra Brooks, Jefferson's Bourbon, Knob Creek, Makers Mark, Old Crow, Old Forester, Old Grand-Dad Canadian Whiskey—Alberta Premium, Black Velvet, Canadian Club, Crown Royal, Tenesse Whiskey—Jack Daniels, George Dickel. Irish Whiskey—Bushmills, Jameson, Kilbeggan, Redbreast, Tullamore Dew Japanese Blended Whiskey—Hibiki, Kakubin, Nikka,  Japanese Single Malt Whiskey—Hakushu, Yamazaki, Yoichi Rye Whiskey—Alberta Premium, Bulleitt Scotch Whiskey Blends—Ballentine's, Bell's, Black Grouse, Chivas Regal, Cutty Sark, Dewar's, Famous Grouse, Johnnie Walker, Teacher's, Whitehorse Scotch Whiskey Single Malts—Bowmore, Glenfiddich, Glen Grant, The Glenlivet, Glenmorangie, Highland Park, Knockando, Lagavulin, Laphroaig, Macallan, Monkey Shoulder, Singleton, Talisker  Taiwanese Whiskey—Kavalan Classic Gluten-Free Drink Mixes
    Club Extra Dry Martini (corn & grape) Club Vodka Martini (corn & grape) Coco Casa and Coco Lopez Brands: Cream of Coconut Jose Cuervo Brand: Margarita Mix and All Jose Cuervo Blenders Master of Mixes Brand: Tom Collins, Whiskey Sour, Strawberry Daiquiri, Sweet & Sour Mixer, and Margarita Mix Mr. & Mrs. T—Except Bloody Mary Mix TGI Friday's Brand: On The Rocks, Long Island Ice Tea, Margarita, Mudslide, Pina Colada, and Strawberry Daiquiri. TGI Friday's Club Cocktails including: Gin Martini, Manhattan, Screwdriver, Vodka Martini, and Whiskey Sour mix. Other Gluten-free Beverages Mixes & Cooking Alcohol
    Club Tom Collins—made with corn Diamond Jims Bloody Mary Mystery Holland House - all EXCEPT Teriyaki Marinade and Smooth & Spicy Bloody Mary Mixes Mead—made from honey Mistico: Jose Cuervo Mistico—agave and cane Ouzo - made from grapes and anise Spice Islands - Cooking Wines - Burgundy, Sherry and White Also Godiva products contain gluten as do Smirnoff FMB's, Twisted V, and Smirnoff Ice.

    Megan Tichy

    What is Gluten?
    Gluten is a huge molecule held together by smaller molecules linked together called amino acids. A very tiny part of the gluten molecule can initiate a response. If each amino acid that makes up gluten is represented as a single letter that very tiny part would be: SGQGSFQPSQQ. There are other sequences of amino acids that cause a reaction in gluten sensitive individuals, but the point is, as tiny as this fragment is with respect to the entire gluten protein, it is still HUGE with respect to the size of ethanol (the stuff you are drinking).
    What is Alcohol?
    The alcohol you drink is ethanol. Ethanol is smaller than the size of the smallest amino acid in the smallest fragment of gluten that has been shown to initiate an autoimmune reaction. More specifically, ethanol is about 10 atomic mass units smaller than just the G in the sequence shown above.
    What are Amino Acids?
    The G is glycine, and by the way, each of these amino acids (represented by letters) by themselves is safe, and sold at most health food stores. For example Q = glutamine (yes, “L-glutamine,” the same amino acid mentioned in a recent post and used to heal intestinal damage). If the protein is viewed as beads on a string, then one of those beads might be good for you, but certain sequences strung together can initiate an allergic reaction of many types from acute peanut allergy to less-than-obvious gluten sensitivity.
    What is Distillation?
    When a distillation is performed, pure ethanol is separated away from all of the other “stuff” that forms as a result of fermentation. This is because ethanol is volatile (meaning it becomes a gas in the distillation process). Imagine a vat of fermentation products, you heat it, and only the volatile molecules like ethanol enter a tube attached to the vat. This tube is not just any tube - it is a curved condensation tube! Here is what it does: While the heated gas form of ethanol floats into it (because that is what gases do), the molecules are cooled and condense back into a liquid, and fall into a new sparkling clean vessel containing the stuff that intoxicates you and any other volatiles. So the fancier distillation columns that are actually used industrially also purify the ethanol away from other volatiles. Gluten does not stand a chance of “crossing over” because it is not volatile.
    Here is a simplified analogy. Let's say you put some sand in the bottom of your tea kettle. If you take the spout off your tea kettle, and attach a condensing tube to the opening (a curved tube would be the simplest type of condensing tube but there are many elaborate types), you could distill your water away from the sand. The condensing tube would be curved so as to open into a new clean pot. Let us pretend that the sand is gluten and the water is ethanol. When you heat to the boiling point, the liquid becomes gas so it travels into the condenser, cools and becomes liquid, then falls into the clean pot.
    Now having read that, is there any way that the new clean pot would contain any sand? No, and distilled alcohol (ethanol) does not contain any gluten. Remember, gluten is not volatile. Another non-volatile compound is table salt. So you could perform a distillation at home, with salt water. Has anyone ever inadvertently done this? Boiled a pot of salt water, perhaps to make some Tinkyada pasta, and walked away to do something else. You came back to find your pot almost empty with white crusty stuff (salt) all inside the pot.
    So the gluten is left behind in a distillation process. If malt is added to the distilled product it will be disclosed on the ingredients label.
    What is Vinegar?
    Vinegar is formed by fermentation in a similar way that ethanol is formed by fermentation. The process is to take ethanol and ferment it with bacteria. Later, there is a filtration to remove the bacteria. Rarely, vinegar is fermented from wheat-based alcohol. “Distilled vinegar,” gets its name from the fact that it was fermented from distilled alcohol.
    Why is Vinegar Still Questioned?
    The answer could be, perhaps, because so many people report a reaction to it and vinegar-based products. The never-ending fear is that cross-contamination during the fermentation process is leading to barely detectable amounts of gluten in the finished product (by barely detectable, I mean in terms of commercially available tests). Since the vinegar is rarely distilled post fermentation from the ethanol, the “messy” nature of the second fermentation step could pose a problem, especially for highly sensitive individuals. If the alcohol gets all used up by the bacteria, the bacteria go on to form carbon dioxide and water from the vinegar. So alcohol is periodically added in the fermentation process. Conceivably, one “shortcut” would be to just add beer at this juncture. Adding beer or some other form of cheap malted alcohol would keep the culture alive, and increase the “quality” and yield of the vinegar. Another fear is that the bacterial “mother” as it is called, contains trace gluten through cross-contamination. Claims that these practices actually take place are unsubstantiated by evidence.
    Why are Distilled Spirits Still Questioned?
    That is a good question, I do not know.Take a Short Quiz on this Topic:
    You bought mustard and pickles at the grocery store. These products contain “distilled vinegar” according to the ingredients labels, and the label does NOT say “contains: wheat.” Are the mustard and pickles gluten-free? Rum, gin, whiskey, and vodka are distilled beverages. If they are not flavored with something that contains wheat (would be declared on the label), rye, or barley (usually in the form of “malt”), are they gluten-free?  What is wrong with the following statements (they have all been cut and pasted from various blogs and forums on the topic of celiac disease)?a. “Most alcohols are distilled in such a way that any wheat gluten is no longer present.”b. “Even trace amounts of gluten that make it past the filter system can be harmful.”c. “It seems improbable to me, too, that gliadin could survive the distillation process.”

    Answers:
    Yes, unless you have reason to believe otherwise, in which case you should simply avoid them.
    Yes.
    3a. All alcohols, if distilled, have been removed from any type of gluten.
    3b. Distillation is nothing like a filtration. We are not separating small from large, there is no filter. Filtration would be like how your coffee pot separates water from the coffee grains. A tear in the filter would result in a big problem, right? Filtration is a separation based on size, distillation is a separation based on volatility.
    3c. Do we care whether gliadin (a name given to part of wheat gluten) “survives” the process or not? No, because it has been left behind to stew in its own juices in the distillation pot. Your stuff (the ethanol) has floated away, and entered a new, clean pot. Some people have this idea that we heat the fermented mixture to smithereens and it somehow decomposes the molecules of gluten. Clearly, such a process would be ineffective or else we could simply “cook,” “roast,” “fry,” or “burn” the gluten out of our foods, and we know that we cannot do that.

    Gryphon Myers
    Celiac.com 10/22/2012 - Wine is naturally gluten-free, making it a go-to alcoholic drink for sufferers of celiac disease. However, some vintners use oak barrels sealed with wheat paste, which has made some people wonder if it is really gluten-free. An article posted by Tricia Thompson, MS, RD on her Gluten-Free Watchdog website may have finally put this worry to rest, as she has done a series of sandwich R5 ELISA and competitive R5 ELISA tests of various wines aged in such barrels.
    So there's a wine you'd like to try, but you've heard that wine can be cross contaminated from the wheat paste some vintners use to seal oak barrels. The first thing to consider before spending too much time researching is that the Tobacco Tax and Trade Bureau currently disallows gluten-free labeling of alcoholic beverages if the producer used “storage materials that contained gluten.” This means any wine that is labeled as gluten-free was aged using a barrel alternative, and thus carries no danger of cross-contamination.
    Another factor to consider is that while many wineries still use oak barrels, barrel alternatives are highly common as well. Roughly speaking, the more expensive ($12+) Cabernet Sauvignons, Merlots, Zinfandels and red blends are more likely to be aged in oak barrels (and for a longer period of time).
    For those wines that are fermented in barrels, most wineries thoroughly pressure wash all barrels with boiling hot water before they are used. Additionally, it is not the staves of the barrels that are sealed with a wheat flour paste, but the barrel heads. The amount used to seal the head is minimal. Even so, the possibility of cross contamination has been a lingering question.
    To get a sense of just how risky this cross contamination might be, Tricia Thompson tested a single winery's Cabernet Sauvignon and Merlot, which were the two wines that spent the most time in wheat-sealed oak barrels. She tested each wine four times: twice with the Sandwich R5 ELISA test, and twice with the competitive R5 ELISA test. The competitive R5 ELISA is the current standard for testing for hydrolyzed (broken down) gluten (as would be found in fermented products), while the sandwich R5 ELISA would detect any non-hydrolyzed gluten (as from a wheat paste).
    Both extractions of both wines came back with the lowest possible results for both tests:
    Cabernet Sauvignon
    Sandwich R5 ELISA extraction 1: < 5 ppm gluten Sandwich R5 ELISA extraction 2: < 5 ppm gluten Competitive R5 ELISA extraction 1: < 10 ppm gluten Competitive R5 ELISA extraction 2: < 10 ppm gluten Merlot
    Sandwich R5 ELISA extraction 1: < 5 ppm gluten Sandwich R5 ELISA extraction 2: < 5 ppm gluten Competitive R5 ELISA extraction 1: < 10 ppm gluten Competitive R5 ELISA extraction 2: < 10 ppm gluten Thompson's findings indicate that even wine that is aged in wheat-glue-sealed oak barrels contains less gluten than we are currently capable of testing for, whether hydrolyzed or not. If you're still skeptical, you can always do your own research and find out which of your favorite wines are aged using barrel alternatives.
    Source:
    http://www.glutenfreedietitian.com/newsletter/2012/10/10/gluten-content-of-wine-aged-in-oak-barrels-sealed-with-wheat-paste/

  • 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