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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
  • 0

    BLOGGER FAKES CANCER AND CLAIMS GLUTEN-FREE DIET CURE IN BOOK AND APP


    Jefferson Adams

    Celiac.com 04/23/2015 - Not only did a gluten-free diet and lifestyle changes NOT cure Australian "wellness" blogger Belle Gibson of terminal brain cancer, but the 23-year-old is admitting that she never actually had cancer in the first place.


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    An unrelated fake mugshot. Photo: CC--Stephanie CarterGibson published a book and even created a popular cellphone app, "The Whole Pantry," and in the process made at least $300,000 from people who also hoped to cure cancer or other ailments by changing their diet. She had promised to donate a portion of those proceeds to cancer charity, but apparently kept all the money, which proved to be the catalyst for her subsequent downfall.

    Deeper scrutiny and investigation of Gibson's claim revealed that she never actually had cancer in the first place.

    Since being revealed as a fraudster, Gibson, 23, claimed that she had been taken in by a German "magnetic therapist" who told her she had cancer in various internal organs, which she never bothered to investigate further before starting a business based on how a change to a gluten-free diet had cured her.

    Now, Gibson is in the news for admitting to the Australian Women's Weekly that she never had brain cancer either.

    Is it worse that she claimed a gluten-free diet cured her cancer, or that she never had cancer in the first place? 

    Sources:


    Image Caption: An unrelated fake mugshot. Photo: CC--Stephanie Carter
    0


    User Feedback

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    "Is it worse that she claimed a gluten-free diet cured her cancer, or that she never had cancer in the first place? "

     

    Claiming a GFD cured her cancer may have convinced some people with cancer to try a GFD instead of legitimate medical treatment so, IMO, offering hope you know is false qualifies as worse.

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  • Related Articles

    Jefferson Adams
    Celiac.com 10/11/2010 - Halloween is upon us again, and for parents of children who must avoid gluten, a simple walk down the store candy aisle can present a daunting challenge: How to know with certainty which candies, especially seasonal candies, are safe for kids on a gluten-free diet?
    The good news this year is that awareness of gluten-sensitivity and gluten-free issues is on the rise, and more parents are demanding gluten-free candy choices. Also, more manufacturers are now identifying their candies as gluten-free, giving parents and trick-or-treaters a wider range of choices.
    It's easy to find gluten-free specialty candies from a reliable source. But, since more mainstream treats are common on Halloween night, it's helpful to know which ones are safe.
    Below you will find the latest gluten-friendly and gluten-free lists of candies which were current as of the date of this article. Below that you will also find a list of unsafe, NON-gluten-free candies, and a partial list of manufacturers with links to their websites. Remember, the list is meant to be used as a gauge, and is not meant to be authoritative or comprehensive. Adjust your vigilance according to your own sensitivity levels, or those of your children.
    Gluten-friendly and Gluten-Free (Safe) Candy and Treats for Halloween

    3 Musketeers fun size
    3 Musketeers Mint with dark chocolateA
    Act II Popcorn Balls
    Albert’s Gummy Eyeballs
    Albert’s Iced Halloween pops (lollipops)
    Almond Joy fun size bars
    Amanda's Own Confections Chocolate shapes and chocolate lollipops
    Annie's Organic Bunny Fruit Snacks
    Applehead, Grapehead, Cherryhead,
    B
    Baby Ruth
    Bazooka Big Mix (includes bubble gum, bubble gum filled candy, candy chews, and bubble gum filled lollipops)
    Betty Crocker Fruit by the Foot Wicked Webs Berry Wave mini feet
    Betty Crocker Halloween fruit flavored snacks – “Gluten Free”
    Bit•O•Honey
    Butterfinger fun size
    Big Blow bubblegum
    Black Forest Gummy Tarantulas
    Black Forest Gummy Fun Bugs Juicy Oozers
    Bubbly lollipop + gum
    C
    Candy Checkers (made for Target)
    Caramel Apple Pops (lollipops made by Tootsie Roll)
    Charleston Chew fun size
    Charms Blow Pops
    Charms Candy Carnival Package (Blow Pops, Sugar Babies, Zip a Dee mini pops, Sugar Daddy, Pops, Sugar Mama Caramel, Tear Jerkers sour bubble gum, Blow Pop Bubble Gum)
    Charms Fluffy Stuff Spider Web cotton candy
    Chewy Atomic Fireballs
    Chewy Lemonheads and Friends
    Child’s Play
    Colombina Scary Eyeballs bubblegum
    Colombina Fizzy Pops
    Comix Mix Candy Sticks (Tom and Jerry, Flintstones, Scooby Doo, Teenage Mutant Ninja Turtles, Popeye) – “Gluten Free”
    Cracker Jack caramel coated popcorn and peanuts
    Disney Halloween Candy Mix (jelly beans, gummies, candy bracelets and candy characters from Cars, Tinkerbell and Toy Story)
    Dove pieces (Dark Chocolate, Milk Chocolate, Peanut Butter Milk Chocolate, Caramel Milk Chocolate)
    D
    Dots Gumdrops – including Candy Corn Dots (candy corn flavored), Ghost Dots (assorted fruit flavored), and Bat Dots (blood orange flavored)
    Dubble Bubble bubblegum
    Dum Dum Lollipops (including Shrek Pops) – “This product does not contain peanuts, tree nuts, milk, eggs, wheat or gluten. It has been manufactured on dedicated equipment.”
    Dum Dum Chewy Pops – “This product does not contain peanuts, tree nuts, milk, eggs, wheat or gluten. It has been manufactured on dedicated equipment.”
    F
    Farley’s Kiddie Mix (includes Smarties, SweetTarts, Now and Later, Jaw Breakers, Super Bubble and Lolli-pops)
    Ferrara Pan Caramels
    Ferrara Pan Lemonhead & Friends candy mix (includes Applehead, Cherryhead, Grapehead, Chewy Lemonhead & Friends, Chewy Atomic Fireball, and Red Hots)
    Florida’s Natural Healthy Treats Nuggets, Sour String, Fruit Stiks – “Gluten Free”
    Fright Fingers Popcorn Kit
    Frankford’s Bugs Gummy Candy
    Frankford’s Gummy Body Parts
    Frankford’s Marshmallow Pals
    Fun Dip
    Fun Dip Sour
    G
    Game Night boxes of candy game pieces (includes Operation, Sorry!, Monopoly, Life, and Clue)
    Grave Gummies (Yummy Gummies)
    Gummy Pirate Choppers
    H
    Heath milk chocolate English toffee bar snack size
    Hershey’s Kisses - Milk Chocolate Only!!
    Hershey’s Milk Chocolate snack size bars (1.55 ounce)
    Hershey’s Milk Chocolate with Almonds snack size bars
    Hot Tamales – “Gluten Free”
    Humphrey Popcorn Balls
    J
    Jelly Belly beans are gluten-free and dairy-free
    Jolly Rancher hard candy and Doubles Candy
    Jolly Rancher lollipops and sticks
    Jr. Mints fun size
    Jujyfruits
    Just Born marshmallow treats
    K
    Kellogg’s Spongebob Squarepants fruit flavored snacks
    Kraft Jet-Puffed Boo Mallows marshmallows
    L
    Lemonheads
    LiveSavers Gummies
    M
    M&M’s – original, peanut, peanut butter
    Mars M&M's (all EXCEPT Pretzel M&M's)
    Mars Dove chocolate products (all)
    Mars Munch Nut bar
    Mars Snickers & Snickers Dark bars
    Mallo Cup
    Marvel Heroes Candy Sticks (Hulk, Spiderman, Wolverine) – “Gluten Free.”
    Melster Peanut Butter Kisses
    Milk Duds
    Mike and Ike – “Gluten Free”
    Mini Mentos
    Mini Sour Dudes Straws
    Monstaz Pops (jack-o-lantern lollipops)
    Monster Hunt plastic monster eggs filled with candy bones, skulls and pumpkins (made for Target)
    Mounds dark chocolate fun size bars
    Mr. Goodbar
    N
    Necco’s Sky Bar 4 in 1 chocolate bar
    Necco Wafers
    Necco Mary Janes
    Necco Mary Jane Peanut Butter Kisses
    Necco Sweethearts Conversation Hearts (available for Valentine's Day only)
    Necco Canada Mint & Wintergreen Lozenges
    Necco Haviland Thin Mints and Candy Stix
    Necco Clark Bars
    Necco Skybars
    Necco Haviland Peppermint & Wintergreen Patties
    Necco Candy Eggs
    Necco Talking Pumpkins (available at Halloween only)
    Necco Squirrel Nut Caramels and Squirrel Nut Zippers
    Necco Banana Split and Mint Julep Chews
    Necco Ultramints
    Nestle Milk Chocolate fun size bars
    Nestle Baby Ruth
    Nestle Bit-O-Honey
    Nestle Butterfinger (but NOT the Butterfinger Crisp or the Butterfinger Stixx)
    Nestle Goobers
    Nestle Nips (both regular and sugar-free)
    Nestle Oh Henry!
    Nestle Raisinets and Sno-Caps
    Nestle Wonka Pixy Stix
    Nestle Wonka Laffy Taffy
    Nestle Wonka Lik-M-Aid Fun Dip
    Nestle Wonka Spree
    O
    Operation Gummy Candy
    P
    Palmer Peanut Butter Cups
    Pay Day peanut caramel bar snack size
    Peanut M&M’s
    Pearson’s Bun candy -  maple and roasted peanuts
    Peeps Jack-o-lanterns, Ghosts and Chocolate Mousse Cats – “Gluten Free”
    Pez candy – “Gluten Free”
    Pop Rocks
    Pixie Stix
    R
    Rain•Blo Bubble Gum Eyes of Terror
    Raisinets
    Red Hots
    Reese’s Fast Break candy bars and snack size
    Reese’s Peanut Butter Cups snack size and miniatures
    Reese’s Peanut Butter Pumpkins
    Reese’s Pieces
    Reese’s Select Peanut Butter Cremes
    Reese’s Select Clusters
    Reese’s Whipps
    Rolo chocolate covered caramels
    S
    Sixlets
    Skeleton Pops (lollipops)
    Skittles fun size – “Gluten Free”
    Skittles Crazy Cores fun size – “Gluten Free”
    Skittles Sour fun size – “Gluten Free”
    Smarties – the small pastel-colored candies sold in rolls, not Nestle’s chocolate version) – “Contains none of the following: gluten (from wheat, barley, oats and rye), milk, egg, fish, crustacean shellfish, tree nuts, wheat, peanuts, or soy beans.”
    Snickers
    Snickers Fudge bar
    Sour Patch
    Starburst Fruit Chews fun size – “Gluten Free”
    Starburst Gummibursts and Sour Gummibursts – “Gluten Free”
    Sugar Babies
    Sugar Daddy Caramel Pops
    Super Bubble bubble gum
    Swedish Fish treat size
    Sweethearts conversation hearts Forbidden Fruits (candy packaging of The Twilight Saga, New Moon the movie)
    Sweet’s Candy Corn Taffy – “This product is Gluten Free”
    T
    Tootsie Pops (original and miniatures)
    Tootsie Rolls midgies and snack bars
    Transformers Candy Mix – gummy shields, fruit chews, candy shields, gum rocks
    W
    Warheads – Extreme Sour hard candy and Sour QBZ chewy cubes
    Wonka Bottlecaps
    Wonka Chocolate Laffy Taffy
    Wonka Giant Chewy Nerds Jelly Beans
    Wonka Giant Pixy Stix
    Wonka Gobstopper Everlasting
    Wonka Gobstopper Chewy
    Wonka Laffy Taffy Ropes
    Wonka Mix-Ups
    Wonka Monster Mix-Ups – SweetTarts Skulls and Bones, Spooky Nerds, Howlin’ Laffy Taffy
    Wonka Nerds – carry a cross contamination warning on the Spooky Nerds orange and fruit punch flavors
    Wonka Pixy Stix
    Wonka Runts
    Wonka Runts Chewy
    Wonka SweetTarts
    Wonka Sweetarts (regular)
    Wonka Sweetarts Chew
    Wonka Sweetarts Giant Chewy
    Wonka Sweetarts Mini Chew
    Wonka Sweetarts Chewy Twists
    Wonka Sweetarts Shockers
    Wonka Tart N Tinys,
    Wonka Tart N Tinys Chew
    Wonka SweetTarts Boo Bag Mix (SweetTart Chews were OK, but other packages in the bag were labeled with a cross-contamination warning. See list below.)
    X
    X-scream Mouth Morphers Fruit Gushers – “Gluten Free”
    Y
    York Peppermint Patties Pumpkins
    Z
    Zed Candy Skulls and Bones (fruit flavored hard candy)


    With all these selections, finding some good, gluten-free candy should be a snap. As always, be sure to read labels, as some ingredients can vary.
    **WARNING! THESE UNSAFE CANDIES CONTAIN GLUTEN:
    AIRHEADS
    Airheads Xtremes Rolls contains wheat flourANNABELLE’S
    Rocky Road – contains barley malt and wheat flour
    BRACH'S
    All Brach's candy should be considered NOT gluten-free
    HERSHEY
    Kit Kat – contains wheat
    Twizzlers – contains wheat
    Whoppers –  contains barley malt and wheat flour
    MARS and WRIGLEY
    Milky Way –  contains barley malt
    Twix –  contains wheat
    NESTLE
    Butterfinger Crisp –  contains wheat flour
    Crunch –  contains barley malt, “made on equipment that also processes wheat.”
    Wonka Oompas and the Wonka Bar are NOT gluten-free.
    WONKA
    Sweetarts Gummy Bugs –  contains wheat/gluten
    Sweetarts Rope –  contains wheat/gluten
    Oompas
    Wonka Bar

    Here is a partial list of major candy manufacturers and how to contact them:

    Contact Hershey's at 800-468-1714. Contact Jelly Belly at 800-522-3267. Contact Just Born at 888-645-3453 Contact Mars Chocolate at 800-627-7852. Contact Necco at 781-485-4800. Contact Nestle USA at 800-225-2270. Other resources:
    About.com Surefoodliving.com DivineCaroline.com

    Tina Turbin
    Celiac.com 02/07/2011 - Maintaining a diet completely free of gluten can be a challenge for celiac disease patients, especially when it comes to avoiding cross-contamination. Currently there is only one treatment for celiac disease, an autoimmune reaction caused by exposure to gluten, a protein found in wheat, barley, and rye—and this treatment is the elimination of gluten from the diet. Despite our best efforts, gluten can sneak its way into our food, making us quite ill. While home testing kits are available to test food for gluten, these can be an inconvenience when dining out and can only detect 10 ppm of gluten or more. A recent article published by USA Today has made waves in the gluten-free world, making us aware of another method of testing for gluten—using gluten-detecting dogs.
    The article featured Hollie Scott and her dog, two-year-old Elias, a Beaceron who is also an AKG Grand Champion. Hollie Scott is a celiac whose reaction to gluten is particularly serious; even just the tiniest amount of the substance in her food can give her the symptoms of a severe stomach flu for several weeks. Scott attends the University of Missouri, where her dog attends classes and social functions with her and keeps her company at restaurants and on buses, trains, and airplanes.
    Elias was trained in Slovenia over the course of many weeks for his gluten detection training. Now he has the capability of detecting gluten in all sorts of hot and cold foods.  According to USA Today, “Teaching a dog to be alert to the scent of gluten is much more complicated than most scent-detection training, because gluten comes in so many forms.” Gluten can appear in bread and cereal products and can be processed in many different ways. It can also appear in less obvious products as binders or thickeners, in foods such as salad dressing and even in products such as Play-doh and lipstick.
    How does Elias do his job? Scott places a cover punctured with holes over the item while Elias sniffs it. Scott also practices with him on a daily basis, giving him gluten-containing items to test for her. When Elias detects gluten, he pulls the item away, and if there’s nothing to worry about, he looks away. Getting a gluten-detection dog may not be an option for many of us celiacs, but vigilantly reading labels, contacting companies, and clearly communicating with servers, chefs, and hosts can greatly reduce the risk of cross-contamination. Another option is a testing kit such as EZ Gluten® by ELISA Technologies, which is sensitive enough to detect 10 ppm in your food. Unfortunately, as USA Today says, “even hyper-vigilance isn't a 100% guarantee.” If you are particularly sensitive to gluten, as is Scott, getting a gluten-detection dog may be a smart idea. Perhaps in the future, gluten-detection dogs may be more widely used.
    With an increase in research and awareness, we have not only witnessed an increase in celiac disease diagnosis, but also several advancements, for instance the availability of products such as home gluten testing kits, home celiac testing kits, and gluten-digesting enzyme formulas, which have all contributed toward making gluten-free living less of a challenge. Gluten-detecting dog training is yet another advancement, which I hope will have a positive impact on the lives of severe celiac cases such as Hollie Scott.  
    Resources:

    ELISA Technologies: EZ Gluten® http://www.elisa-tek.com/ez%20gluten.htm Gluten Free Society: Gluten Detecting Dogs http://www.glutenfreesociety.org/gluten-free-society-blog/gluten-detecting-dogs/ Two Little Cavaliers: Gluten Detection Dog  http://blogs.dogtime.com/two-little-cavaliers/2011/01/gluten-detection-dog USA Today: Pet Talk: Show dog knows his business, and his gluten http://www.usatoday.com/yourlife/pets/dogs/2011-01-11-pettalk11_ST_N.htm 

    Jefferson Adams
    Celiac.com 01/31/2012 - Barley is used to make most traditionally brewed commercial beer, but whether the finished product contains significant amounts of gluten has remained unresolved.
    A number of breweries have been labeling certain of their barley-brewed beers as 'low gluten." The breweries have contended that the brewing process eliminates or reduces the gluten content in beer to levels that make it acceptable for people with sensitivity to gluten.
    Perhaps unsurprisingly, a recent study of sixty commercial beers has debunked the idea that the beer brewing process eliminates gluten or reduces it to levels insignificant for people with celiac disease or gluten-intolerance.
    Beers tested in a new study, including some brands labeled "low-gluten," contain hordein, the form of gluten found in barley, at levels that could trigger symptoms in patients with celiac disease, according to researchers.
    You can find the full study to address this controversy over the gluten content of beer in ACS' Journal of Proteome Research.
    In their article, Michelle Colgrave and colleagues explain that celiac disease affects over than 2 million people worldwide.
    They explain that their study faced an initial challenge because  detecting gluten in malted products using existing tests was difficult, as the tests were largely inaccurate. So the scientists developed a highly accurate new test for hordein, the gluten component in barley-based beers.
    As many expected, their analysis of 60 commercial beers found that eight labeled "gluten-free" did not contain gluten. All eight of the commercial beers labeled 'gluten-free' were, in fact, gluten-free.
    But most regular, commercial beers had significant levels of gluten. Most alarming was that discovery that the two beers labeled as "low-gluten" each contained about as much gluten as a regular beer.
    With the market for gluten-free products continuing to expand rapidly, it is no surprise that products may slip onto the market which are targeted at people with celiac disease or gluten-intolerance, but which actually contain levels of gluten that are unacceptable and potentially harmful to people who are sensitive to the proteins.
    The problem is partly compounded by a lack of consistent standards for what constitutes "gluten-free," or what levels best address the needs of people with celiac disease and gluten-intolerance.
    That leaves the burden for making decisions about what products are safe or not safe largely up to consumers, who must rely on a loose patchwork of manufacturers and product certification organizations that are, hopefully, knowledgeable, scientific and reliable. When science is hazy, room exists for spurious.
    The lesson here is that commercial gluten-free beers seem to be genuinely gluten-free, and safe for people with celiac disease and gluten-intolerance, while anything labeled 'low gluten' is potentially bad news.
    Source:
    ACS' Journal of Proteome Research

    Jefferson Adams
    Celiac.com 06/19/2014 - Congratulations, you’ve begun to eat gluten-free! However, just because a product is gluten-free doesn't mean that it is automatically healthier than gluten-containing counterpart.
    So, before you go patting yourself on the back for embracing gluten-free food, keep in minds that many gluten-free products are no healthier than their gluten-containing counterparts. Like many regular commercial products, many gluten-free foods are hiding one or more of these dirty secrets in plain sight on their labels.
    Many gluten-free products, especially baked goods, are made with high amounts of sugar, salt, refined ingredients, fillers, fats, and even gluten contamination. Here are a few common offenders:
    Sugar—Many gluten-free products are high in sugar. In fact, many gluten-free foods contain more sugar than their gluten-containing counterparts. Salt—To make up for what they lack in flavor, many gluten-free foods contain as much or more salt than their gluten-containing counterparts. Refined ingredients—Just like many regular commercial food products, many gluten-free products are contain highly processed ingredients. Preservatives—Just like many regular food products. Many gluten-free products contain preservatives. Fats—Because gluten-free flours don’t bind with fats the same way as wheat flour does, many gluten-free products, especially baked goods, include vegetable oils or other refined fats to try to mimic their gluten-containing counterparts. This can make them no better in terms of nutrition. Gluten Contamination—In a recent test of grocery products claiming to be gluten-free, a number of products actually showed levels of gluten that were above the federally allowed maximum of 20 parts per million. Check the label, especially with prepared, processed or refined foods. Meantime, I’ll be thinking up a list of examples to go with these categories. Share your own examples or comments below.

  • Recent Articles

    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.
    Source:
    fdfworld.com

    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

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    WHAT IS CELIAC DISEASE?
    Celiac disease is an autoimmune condition that affects around 1% of the population. People with celiac disease suffer an autoimmune reaction when they consume wheat, rye or barley. The immune reaction is triggered by certain proteins in the wheat, rye, or barley, and, left untreated, causes damage to the small, finger-like structures, called villi, that line the gut. The damage occurs as shortening and villous flattening in the lamina propria and crypt regions of the intestines. The damage to these villi then leads to numerous other issues that commonly plague people with untreated celiac disease, including poor nutritional uptake, fatigue, and myriad other problems.
    Celiac disease mostly affects people of Northern European descent, but recent studies show that it also affects large numbers of people in Italy, China, Iran, India, and numerous other places thought to have few or no cases.
    Celiac disease is most often uncovered because people experience symptoms that lead them to get tests for antibodies to gluten. If these tests are positive, then the people usually get biopsy confirmation of their celiac disease. Once they adopt a gluten-free diet, they usually see gut healing, and major improvements in their symptoms. 
    CLASSIC CELIAC DISEASE SYMPTOMS
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    LESS OBVIOUS SYMPTOMS
    Celiac disease can often less obvious symptoms, such fatigue, vitamin and nutrient deficiencies, anemia, to name a few. Often, these symptoms are regarded as less obvious because they are not gastrointestinal in nature. You got that right, it is not uncommon for people with celiac disease to have few or no gastrointestinal symptoms. That makes spotting and connecting these seemingly unrelated and unclear celiac symptoms so important.
    NO SYMPTOMS
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

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

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

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

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

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

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

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

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

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

    ASSOCIATED DISEASES
    The most common disorders associated with celiac disease are thyroid disease and Type 1 Diabetes, however, celiac disease is associated with many other conditions, including but not limited to the following autoimmune conditions:
    Type 1 Diabetes Mellitus: 2.4-16.4% Multiple Sclerosis (MS): 11% Hashimoto’s thyroiditis: 4-6% Autoimmune hepatitis: 6-15% Addison disease: 6% Arthritis: 1.5-7.5% Sjögren’s syndrome: 2-15% Idiopathic dilated cardiomyopathy: 5.7% IgA Nephropathy (Berger’s Disease): 3.6% Other celiac co-morditities include:
    Crohn’s Disease; Inflammatory Bowel Disease Chronic Pancreatitis Down Syndrome Irritable Bowel Syndrome (IBS) Lupus Multiple Sclerosis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Psoriasis Rheumatoid Arthritis Scleroderma Turner Syndrome Ulcerative Colitis; Inflammatory Bowel Disease Williams Syndrome Cancers:
    Non-Hodgkin lymphoma (intestinal and extra-intestinal, T- and B-cell types) Small intestinal adenocarcinoma Esophageal carcinoma Papillary thyroid cancer Melanoma CELIAC DISEASE REFERENCES:
    Celiac Disease Center, Columbia University
    Gluten Intolerance Group
    National Institutes of Health
    U.S. National Library of Medicine
    Mayo Clinic
    University of Chicago Celiac Disease Center

    Jefferson Adams
    Celiac.com 04/17/2018 - 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