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      Frequently Asked Questions About Celiac Disease   04/24/2018

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What is Celiac Disease and the Gluten-Free Diet? What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes
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    GLUTEN-FREE DINING


    Melissa Blanco

    This article originally appeared in the Fall 2009 edition of Journal of Gluten Sensitivity.


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    Celiac.com 12/11/2009 - I recently embarked on a quest for family-friendly restaurants that offered gluten-free selections.  I explained this vision to my husband and three children as we set the rules of our experiment: five family members to eat at five restaurants during a five week period.  The challenge - the children were to choose the restaurant, the chosen restaurant couldn’t sell Happy Meals or have a drive-thru window and the restaurant had to be a franchise rather than a local venue.  Additionally, the mom, me, and the only celiac in the family, had the option of not eating if it might compromise her small intestines.  Here is what we discovered:

    Restaurant # 1: Applebee’s
    My children chose to eat at Applebee’s on a Sunday afternoon for lunch.  The atmosphere was friendly and a plentiful kids’ menu was offered.  With over 1900 restaurants nationwide and in 15 other countries, according to the company website, it seems there is an Applebee’s almost everywhere.  Additionally, Applebee’s offers a Weight Watcher’s menu for restaurant patrons who are counting points, which led me to hope an allergy/gluten-free menu would also be provided.

    After we were seated, I perused the menu to read this statement, “To our guests with food sensitivities or allergies.  Applebee’s cannot ensure that menu items do not contain ingredients that might cause an allergic reaction.  Please consider this when ordering.”

    I spoke to a manager and asked if a gluten-free menu was available.  I was informed, “Applebee’s policy is not to guarantee allergy-free food.  Our company does not carry a gluten-free menu, but we can modify food.  For example, we can prepare grilled chicken breast strips for kids, rather than giving them breaded chicken fingers.  Again, we don’t guarantee the food will not come in contact with the allergen.”

    Restaurant #2: Red Robin
    The next stop on our restaurant expedition was Red Robin, which also offers an extensive children’s menu.  According to the company website, there are over 430 Red Robin restaurants, in North America.  After we were seated in our booth, I asked our server if a gluten-free menu was available.  She immediately went to the kitchen and returned with a printed Wheat/Gluten Allergen menu.  Printed on the top of the menu was the statement, “Red Robin relied on our suppliers’ statements of ingredients in deciding which products did not contain certain allergens.  Suppliers may change the ingredients in their products or the way they prepare their products, so please check this list to make sure that the menu item you like still meets your dietary requirements.  Red Robin cannot guarantee that any menu item will be prepared completely free of the allergen in question.”

    Gluten-free offerings were grouped in the following categories: salads; salad dressings; burgers; chicken burgers; entrees; and available side dishes.  The Kids’ menu offered a beef patty burger, turkey patty, and chicken-on-a-stick.  It stated: “Kids may also select from any items listed on the Wheat/Gluten menu as adult items to custom design a wheat/gluten free meal for your child.  This menu is current and valid until 10/1/09.”

    I was informed by our server that when a customer orders from the gluten-free menu, an allergy alert is put on their ticket and the area of food preparation is cleaned to avoid cross-contamination.  Additionally, the fries are prepared in oil specifically designated for fries, and those with a gluten allergy should avoid the fry seasoning.

    I ordered off of the Red Robin gluten-free menu and personally recommend the Crispy Chicken Tender Salad with grilled chicken rather than crispy, no garlic bread, and the honey mustard dressing.

    Restaurant #3: Garlic Jim’s Famous Gourmet Pizza
    It was a Friday evening and my children decided they really wanted to eat pizza for dinner.  This led us to almost break our fast food rule by ordering carryout from a pizza restaurant.  Ordering pizza is an extreme challenge for those suffering from gluten intolerance. Therefore, I had to do my research ahead of time.  I called Papa John’s, Domino’s, Papa Murphy’s and Pizza Hut to confirm that gluten-free pizza is not offered, at any of these pizza chains.  I did find a pizza franchise in my state, called Garlic Jim’s, which offers a gluten-free crust. 

    According to the chain website, “Garlic Jim’s is proud to be the first pizza chain accredited for gluten free food service by the Gluten Intolerance Group of North America.”  Garlic Jim’s Famous Gourmet Pizza is currently located in seven states including; Washington, Oregon, California, Idaho, Colorado, Tennessee, and Florida.

    I was informed at the restaurant that the gluten-free crust is covered with sauce in a separate area in order to avoid cross contamination although the toppings are put on in the same location where wheat-based crusts are prepared.  Different pans and utensils are used in the preparation of this gluten-free thin crust which costs three dollars more than their traditional pizzas.  The restaurant also posts a sign stating that although they do offer gluten-free pizza, they cannot guarantee the pizza will not come in contact with allergens.

    I recommend the gluten-free pepperoni pizza, and can attest that pizza has never tasted so good.

    Restaurant #4:  The Old Spaghetti Factory
    The Old Spaghetti Factory was established in 1969, and as of today, boasts 39 locations nationwide.  I was quite pleased to discover, when my children chose to eat at The Old Spaghetti Factory, that they offer gluten-free pasta.  Before being seated, I inquired at the hostess desk if a gluten-free menu was available and I was presented with a laminated copy. 

    Each entré includes complimentary salad, bread, and ice cream. Obviously, those with gluten intolerance need to give the bread a pass, but there are viable options available for the remainder of the meal.  Gluten-free salad dressings include pesto and vinaigrette—hold the croutons on the salad.  The main course is a rice pasta with the following sauce choices: marinara; meat; mushroom; mizithra cheese, and; brown butter.  Diners also have the option of adding gluten-free sausage and sliced chicken breast to their meal.  For dessert, a choice of spumoni or vanilla ice cream is offered. 

     I ordered the Manager’s Favorite pasta, which includes a combination of two sauces.  I chose gluten-free pasta topped with marinara sauce and mizithra cheese.  My dinner also included a salad with vinaigrette dressing and spumoni for dessert. 

    Restaurant #5: Outback Steakhouse
    Our final dining choice was the Outback Steakhouse which, according to the company’s website, is an Australian Steakhouse with over 950 locations worldwide.  I was offered a gluten-free menu that is nearly as large as the main menu.  Offerings included appetizers, steaks, chicken, seafood, salads, side dishes, and even a brownie dessert.  The entire gluten-free menu is available on the Outback Steakhouse website, www.outback.com .

    Our server was very knowledgeable of gluten intolerance. I ordered off of the gluten-free menu.  When ordering salads, it is recommended that you request that they be mixed separately to avoid cross contamination.  Overall, it was a very pleasant dining experience for my entire family, with a plentiful menu for me and an ample kids’ menu.

    I would certainly recommend what I ordered— Victoria’s Filet with a baked potato and a salad without croutons.  I passed on the bread which accompanies every meal.  It was a pleasant dining experience at what is quite possibly the restaurant that has set the current gold standard for gluten-free dining.

    Overall, our experiment was a great success with four of the five restaurants we visited offering gluten-free menus.  I advise diners to be cautious wherever they eat because even if a company offers gluten-free options you must also take into account the knowledge of the chef preparing your food and the server assisting you.  It is encouraging that major restaurant chains are acknowledging the need to modify their menus for those suffering from gluten intolerance.  Good luck and happy dining.


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    Guest Carol Parker

    Posted

    I appreciate articles like this. We travel from NB to Florida each year and finding a place I can eat is difficult. I am lucky my husband is very caring but I sure would like to have more places to eat so he has a larger choice. I LOVE THE OUTBACK!!

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    Guest Kindra Nelson

    Posted

    My 7 year old daughter has celiac and I have a hard time finding places we can go to eat. Our favorites are Red Robin and Chpitole. I didn't know that the Spaghetti Factory was gluten free. Thank you so much for sharing this with us!!

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    Guest K. Doramus

    Posted

    We have visited all the same restaurants and found the same results. A gluten-free menu is available at Olive Garden and the mixed grill is excellent, another restaurant with gluten free menu is P. F. Chang and it has great gluten free offerings for those that love Chinese food.

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    Casey's also offers a list of gluten free options in their restaurants--just ask the hostess when you are being seated. They list the regular menu items that are safe as well as a selection of items that can modified to ensure they meet our dietary needs.

     

    If you like fish, the Maui Maui is fabulous!

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    Thank you for this article. We have a little girl that has been very sick. She just turned 2 and we found out that she has celiac. I found this to be very helpful for us. We have two other children and finding places to eat that are really "gluten free" is a challenge. Thank you

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    Guest Angie

    Posted

    I no longer eat at Applebee's because of the gluten ambivalence. I do however find that most restaurants are really willing to make accommodations if you ask. Red Lobster and Cracker Barrel have been very accommodating! Outback is my favorite gluten-free place to eat. I love that Thunder from Down under!

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    Guest Marcel Génetay

    Posted

    Over here in Sweden, it is the national policy of McDonald's and Burger King to have gluten-free hamburger bread available in all their restaurants. This has been the case for at least five years now. And since summer this year, Pizza Hut has been offering gluten-free pizza crusts at all their Swedish restaurants.

     

    I know this is the case in several other European countries, at least when it comes to the hamburger chains.

     

    We celiacs as consumers really need to start putting pressure on these chains if we want change. It is absurd that I can waltz into any McDonald's restaurant in, say, Sweden or Finland and order a gluten-free hamburger without any confusion, and not do the same in for example the U.K. or the U.S.

     

    Surely they are losing millions of potential customers each year, which ought to be a compelling argument, if nothing else is...

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    Guest Rachel

    Posted

    Thank you so much for this article. My sister lives in NE and when we visited Philadelphia for NCECA last year for her ceramic art show, we went to The Old Spaghetti Factory. I ordered salad out of precaution and found the staff to be very attentive to my needs. Now that I know they offer gluten free pasta as well, I may have to ask if their pasta contains corn as I am also allergic to that as well as milk, yeast, wheat, corn, and hot dogs!

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    I live in Oklahoma, and there is a chain here (it's in a few other states as well) called Mazzio's that offers a gluten-free pizza. It's not on the menu, and you have to ask for it. My doctor told me about it. I tried it and it was pretty good! I just wanted to share in case anyone had a Mazzio's nearby.

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    Guest Shannon

    Posted

    My 7 year old daughter has celiac and I have a hard time finding places we can go to eat. Our favorites are Red Robin and Chpitole. I didn't know that the Spaghetti Factory was gluten free. Thank you so much for sharing this with us!!

    If your child likes Chuck E Cheese, many of them now offer gluten-free pizza.

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    Guest Shanon

    Posted

    If you live in the Oklahoma area of Tuttle or Newcastle, another place I just ran across was called Pizza 360 off of highway 37 that now offers gluten-free pizza. It was VERY yummy!!

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    Jefferson Adams
    Celiac.com 04/23/2018 - A team of researchers recently set out to learn whether celiac disease patients commonly suffer cognitive impairment at the time they are diagnosed, and to compare their cognitive performance with non-celiac subjects with similar chronic symptoms and to a group of healthy control subjects.
    The research team included G Longarini, P Richly, MP Temprano, AF Costa, H Vázquez, ML Moreno, S Niveloni, P López, E Smecuol, R Mazure, A González, E Mauriño, and JC Bai. They are variously associated with the Small Bowel Section, Department of Medicine, Dr. C. Bonorino Udaondo Gastroenterology Hospital; Neurocience Cognitive and Traslational Institute (INECO), Favaloro Fundation, CONICET, Buenos Aires; the Brain Health Center (CESAL), Quilmes, Argentina; the Research Council, MSAL, CABA; and with the Research Institute, School of Medicine, Universidad del Salvador.
    The team enrolled fifty adults with symptoms and indications of celiac disease in a prospective cohort without regard to the final diagnosis.  At baseline, all individuals underwent cognitive functional and psychological evaluation. The team then compared celiac disease patients with subjects without celiac disease, and with healthy controls matched by sex, age, and education.
    Celiac disease patients had similar cognitive performance and anxiety, but no significant differences in depression scores compared with disease controls.
    A total of thirty-three subjects were diagnosed with celiac disease. Compared with the 26 healthy control subjects, the 17 celiac disease subjects, and the 17 disease control subjects, who mostly had irritable bowel syndrome, showed impaired cognitive performance (P=0.02 and P=0.04, respectively), functional impairment (P<0.01), and higher depression (P<0.01). 
    From their data, the team noted that any abnormal cognitive functions they saw in adults with newly diagnosed celiac disease did not seem not to be a result of the disease itself. 
    Their results indicate that cognitive dysfunction in celiac patients could be related to long-term symptoms from chronic disease, in general.
    Source:
    J Clin Gastroenterol. 2018 Mar 1. doi: 10.1097/MCG.0000000000001018.

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