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    Chain Restaurants Expanding Gluten-free Menus


    Jefferson Adams

    Celiac.com 05/16/2014 - More than half of U.S. chain restaurants plan to expand their gluten-free menus in the next year, according to a national menu price survey by restaurant supply-chain co-op SpenDifference.


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    "Operators recognize that a growing number of customers have health-related dietary restrictions, and they are revamping their menus to include choices for them, as well as for those who simply want more healthful choices,” said SpenDifference president and CEO Maryanne Rose.

    Currently, 55 percent of restaurants surveyed serve gluten-free menu items. According to the new survey, the majority of those businesses will be expanding that selection in the coming year.

    The survey supports projections that indicate that the demand for gluten-free menu items “will be with us for a long time," said Rose.

    The findings are included in SpenDifference's third menu price survey, which for the first time asked chain-restaurant operators about their plans to offer more healthful menu options.

    Read more at: Fastcasual.com.

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    Guest Steve

    Posted

    Not much to this article, and the link for more doesn't go anywhere. I think that its getting dangerous that so many restaurants are offering gluten free items. Do they really know what it means? Are they taking steps to prevent cross-contamination? It's nice that Subway and other places like pizza places are offering gluten free, but I don't think they are very concerned with cross contamination at all. These two types of establishments pull toppings and condiments from bins that are cross contaminated with gluten. Example: A Subway worker handles their standard bread rolls and reaches into the toppings bins to make a standard sandwich. For gluten free orders, that worker washes their hands, puts on clean gloves, and reaches into the same bins to top your sandwich. At least they are doing it all in front of you. When a restaurant prepares food out of sight in a kitchen, you have no idea if they are taking any precautions at all. I hope that everyone understands that you will ALWAYS get some level of cross contamination when you eat at a restaurant, unless their menu is entirely gluten free.

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    Guest Vicki

    Posted

    Not much to this article, and the link for more doesn't go anywhere. I think that its getting dangerous that so many restaurants are offering gluten free items. Do they really know what it means? Are they taking steps to prevent cross-contamination? It's nice that Subway and other places like pizza places are offering gluten free, but I don't think they are very concerned with cross contamination at all. These two types of establishments pull toppings and condiments from bins that are cross contaminated with gluten. Example: A Subway worker handles their standard bread rolls and reaches into the toppings bins to make a standard sandwich. For gluten free orders, that worker washes their hands, puts on clean gloves, and reaches into the same bins to top your sandwich. At least they are doing it all in front of you. When a restaurant prepares food out of sight in a kitchen, you have no idea if they are taking any precautions at all. I hope that everyone understands that you will ALWAYS get some level of cross contamination when you eat at a restaurant, unless their menu is entirely gluten free.

    I couldn't agree more with Steve's comments...on a recent trip to McDonald's , not my choice, but my 4 year old Granddaughter's, I ordered a grilled chicken sandwich, and when it was brought to me, it had a breaded chicken on top, and when I informed the girl of the error, she went to the food counter and told them it was to be a grilled chicken not breaded, they proceeded to take it off and replace it with the grilled...totally contaminating the salad...total lack of concern when I explained to the girl that I would still not be able to eat it , and why-- I think a lot of it comes down to the owners and educating employees of what it means and how sick you can make a person. I normally bring my own food when I eat out, just to avoid any problems.

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    Guest Teresa

    Posted

    I also agree with Steve and Vicki. If the employees do not understand about cross- contamination then I think that the restaurant should not be able to claim that they offer gluten free options.

    Don't get me wrong. I'd love to have someone else cooking for me but I usually regret it after the fact.

    Hopefully we can educate more people then our chances of eating out as a celiac will be less of a game of Russian roulette.

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    Guest Judy

    Posted

    I couldn't agree more with Steve's comments...on a recent trip to McDonald's , not my choice, but my 4 year old Granddaughter's, I ordered a grilled chicken sandwich, and when it was brought to me, it had a breaded chicken on top, and when I informed the girl of the error, she went to the food counter and told them it was to be a grilled chicken not breaded, they proceeded to take it off and replace it with the grilled...totally contaminating the salad...total lack of concern when I explained to the girl that I would still not be able to eat it , and why-- I think a lot of it comes down to the owners and educating employees of what it means and how sick you can make a person. I normally bring my own food when I eat out, just to avoid any problems.

    To my knowledge, the grilled chicken at McDonalds is NOT

    gluten free.

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    Guest Mike

    Posted

    This is to Vicki above...if you read McDonald's ingredients, it doesn't matter if they used grilled or breaded chicken to ruin your salad, either way you would have gotten glutened as McDonald's "grilled chicken breast" has WHEAT as one of the ingredients (fillers).

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    Guest Donna

    Posted

    I personally do not trust restaurants as they have no idea about cross contamination. It is easier to take my own or eat before I leave home.

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    Guest Steve

    Posted

    Not much to this article, and the link for more doesn't go anywhere. I think that its getting dangerous that so many restaurants are offering gluten free items. Do they really know what it means? Are they taking steps to prevent cross-contamination? It's nice that Subway and other places like pizza places are offering gluten free, but I don't think they are very concerned with cross contamination at all. These two types of establishments pull toppings and condiments from bins that are cross contaminated with gluten. Example: A Subway worker handles their standard bread rolls and reaches into the toppings bins to make a standard sandwich. For gluten free orders, that worker washes their hands, puts on clean gloves, and reaches into the same bins to top your sandwich. At least they are doing it all in front of you. When a restaurant prepares food out of sight in a kitchen, you have no idea if they are taking any precautions at all. I hope that everyone understands that you will ALWAYS get some level of cross contamination when you eat at a restaurant, unless their menu is entirely gluten free.

    OK, the link works now.

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    Guest babsesl

    Posted

    And watch out for Boston Market. I've been contaminated three times and won't go back. I thought I had finally found a good take-out option.

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    Guest Graciela

    Posted

    I personally do not trust restaurants as they have no idea about cross contamination. It is easier to take my own or eat before I leave home.

    I agree with Donna. So much easier to eat at home. People just don't understand what happens when a celiac eats gluten. My mother, RIP, would get ill within minutes of having eaten the slightest bit of gluten. It was just horrible for her.

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    Guest Scott

    Posted

    Not much to this article, and the link for more doesn't go anywhere. I think that its getting dangerous that so many restaurants are offering gluten free items. Do they really know what it means? Are they taking steps to prevent cross-contamination? It's nice that Subway and other places like pizza places are offering gluten free, but I don't think they are very concerned with cross contamination at all. These two types of establishments pull toppings and condiments from bins that are cross contaminated with gluten. Example: A Subway worker handles their standard bread rolls and reaches into the toppings bins to make a standard sandwich. For gluten free orders, that worker washes their hands, puts on clean gloves, and reaches into the same bins to top your sandwich. At least they are doing it all in front of you. When a restaurant prepares food out of sight in a kitchen, you have no idea if they are taking any precautions at all. I hope that everyone understands that you will ALWAYS get some level of cross contamination when you eat at a restaurant, unless their menu is entirely gluten free.

    I totally agree. I am very happy that more and more people are finally being diagnosed with celiac and realizing that they are gluten sensitive. The difference in food choices now and 12 years ago is unbelievable. The problem, however, is that as it becomes more "popular" people are trying to cash in on it and are looking at gluten allergies rather than celiac and not worrying about cross-contamination. Unfortunately, when eating out you can only be so careful and ask so many questions. The give and take is that there used to be less options but you could feel very comfortable about the options because they clearly knew what celiac was, but now there are more options but are much less trustworthy because people are just sticking "gluten free" on it if there are no gluten ingredients regardless of cross contamination.

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    Sources:
    1. Toft M, Dietrichs E. Aggravated stuttering following subthalamic deep brain stimulation in Parkinson’s disease--two cases. BMC Neurol. 2011 Apr 8;11:44.
    2. Tani T, Sakai Y. Stuttering after right cerebellar infarction: a case study. J Fluency Disord. 2010 Jun;35(2):141-5. Epub 2010 Mar 15.
    3. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    4. Jäncke L, Hänggi J, Steinmetz H. Morphological brain differences between adult stutterers and non-stutterers. BMC Neurol. 2004 Dec 10;4(1):23.
    5. Kell CA, Neumann K, von Kriegstein K, Posenenske C, von Gudenberg AW, Euler H, Giraud AL. How the brain repairs stuttering. Brain. 2009 Oct;132(Pt 10):2747-60. Epub 2009 Aug 26.
    6. Galantucci S, Tartaglia MC, Wilson SM, Henry ML, Filippi M, Agosta F, Dronkers NF, Henry RG, Ogar JM, Miller BL, Gorno-Tempini ML. White matter damage in primary progressive aphasias: a diffusion tensor tractography study. Brain. 2011 Jun 11.
    7. Lundgren K, Helm-Estabrooks N, Klein R. Stuttering Following Acquired Brain Damage: A Review of the Literature. J Neurolinguistics. 2010 Sep 1;23(5):447-454.
    8. [No authors listed] Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1988. A 52-year-old man with persistent watery diarrhea and aphasia. N Engl J Med. 1988 Oct 27;319(17):1139-48
    9. Molteni N, Bardella MT, Baldassarri AR, Bianchi PA. Celiac disease associated with epilepsy and intracranial calcifications: report of two patients. Am J Gastroenterol. 1988 Sep;83(9):992-4.
    10. http://ezinearticles.com/?Food-Allergy-and-Stuttering-Link&id=1235725 
    11. http://www.craig.copperleife.com/health/stuttering_allergies.htm 
    12. https://www.celiac.com/forums/topic/73362-any-help-is-appreciated/
    13. Ford RP. The gluten syndrome: a neurological disease. Med Hypotheses. 2009 Sep;73(3):438-40. Epub 2009 Apr 29.
    14. Hadjivassiliou M, Gibson A, Davies-Jones GA, Lobo AJ, Stephenson TJ, Milford-Ward A. Does cryptic gluten sensitivity play a part in neurological illness? Lancet. 1996 Feb 10;347(8998):369-71.

    Jefferson Adams
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    Source:
    Journal of Clinical Pathologyhttp://dx.doi.org/10.1136/jclinpath-2018-205023

    Jefferson Adams
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    To get solid data on the issue, the team conducted a cohort study among ARB initiators in 5 US claims databases covering numerous health insurers. They used Cox regression models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for enteropathy‐related outcomes, including celiac disease, malabsorption, concomitant diagnoses of diarrhea and weight loss, and non‐infectious enteropathy. In all, they found nearly two million eligible patients. 
    They then assessed those patients and compared the results for olmesartan initiators to initiators of other ARBs after propensity score (PS) matching. They found unadjusted incidence rates of 0.82, 1.41, 1.66 and 29.20 per 1,000 person‐years for celiac disease, malabsorption, concomitant diagnoses of diarrhea and weight loss, and non‐infectious enteropathy respectively. 
    After PS matching comparing olmesartan to other ARBs, hazard ratios were 1.21 (95% CI, 1.05‐1.40), 1.00 (95% CI, 0.88‐1.13), 1.22 (95% CI, 1.10‐1.36) and 1.04 (95% CI, 1.01‐1.07) for each outcome. Patients aged 65 years and older showed greater hazard ratios for celiac disease, as did patients receiving treatment for more than 1 year, and patients receiving higher cumulative olmesartan doses.
    This is the first comprehensive multi‐database study to document a higher rate of enteropathy in olmesartan initiators as compared to initiators of other ARBs, though absolute rates were low for both groups.
    Source:
    Alimentary Pharmacology & Therapeutics

    Jefferson Adams
    Celiac.com 06/12/2018 - A life-long gluten-free diet is the only proven treatment for celiac disease. However, current methods for assessing gluten-free diet compliance are lack the sensitivity to detect occasional dietary transgressions that may cause gut mucosal damage. So, basically, there’s currently no good way to tell if celiac patients are suffering gut damage from low-level gluten contamination.
    A team of researchers recently set out to develop a method to determine gluten intake and monitor gluten-free dietary compliance in patients with celiac disease, and to determine its correlation with mucosal damage. The research team included ML Moreno, Á Cebolla, A Muñoz-Suano, C Carrillo-Carrion, I Comino, Á Pizarro, F León, A Rodríguez-Herrera, and C Sousa. They are variously affiliated with Facultad de Farmacia, Departamento de Microbiología y Parasitología, Universidad de Sevilla, Sevilla, Spain; Biomedal S.L., Sevilla, Spain; Unidad Clínica de Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, Spain; Celimmune, Bethesda, Maryland, USA; and the Unidad de Gastroenterología y Nutrición, Instituto Hispalense de Pediatría, Sevilla, Spain.
    For their study, the team collected urine samples from 76 healthy subjects and 58 patients with celiac disease subjected to different gluten dietary conditions. To quantify gluten immunogenic peptides in solid-phase extracted urines, the team used a lateral flow test (LFT) with the highly sensitive and specific G12 monoclonal antibody for the most dominant GIPs and an LFT reader. 
    They detected GIPs in concentrated urines from healthy individuals previously subjected to gluten-free diet as early as 4-6 h after single gluten intake, and for 1-2 days afterward. The urine test showed gluten ingestion in about 50% of patients. Biopsy analysis showed that nearly 9 out of 10 celiac patients with no villous atrophy had no detectable GIP in urine, while all patients with quantifiable GIP in urine showed signs of gut damage.
    The ability to use GIP in urine to reveal gluten consumption will likely help lead to new and non-invasive methods for monitoring gluten-free diet compliance. The test is sensitive, specific and simple enough for clinical monitoring of celiac patients, as well as for basic and clinical research applications including drug development.
    Source:
    Gut. 2017 Feb;66(2):250-257.  doi: 10.1136/gutjnl-2015-310148.