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      Frequently Asked Questions About Celiac Disease   04/07/2018

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


    Jefferson Adams

    Celiac.com 07/03/2015 - For people with celiac disease or gluten intolerance, accidentally eating gluten can have numerous undesirable consequences.


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    Image: CC--Stephan HarlanSymptoms of gluten-exposure among people with celiac disease can vary, but main problems and complaints include: upset stomach, stomach pain, inflammation, diarrhea, gas, bloating, indigestion, heart burn, skin rash or breakouts, and nerve and arthritis pain, among others.

    If you're one of these people, then you likely work pretty hard to make sure everything you eat is gluten-free. But what can you do if you accidentally eat gluten?

    Officially, beyond simply waiting it out, there is no clinically accepted treatment for people with celiac disease or gluten sensitivity who accidentally eat gluten. However, there are things that many people claim will reduce the suffering and promote healing when this happens. Here are the best home remedies for accidental gluten ingestion, as submitted by readers to our gluten-free forum.

    The main goal is to reduce or eliminate the worst immediate symptoms, including pain, inflammation, diarrhea, gas and or bloating, etc. The secondary goal is to rebuild gut health.

    So what works? Or, what do people say works for them? The remedies listed below are not ranked in any particular order of importance or efficacy.

    1. Fasting—Recent studies indicate that fasting for a couple of days can help to reset the immune system, which might be beneficial for those suffering from an adverse gluten reaction. Be sure to check with a doctor before fasting, just to be safe.
    2. Digestive Enzymes-- For many people, digestive enzymes seem to help the bloating. Many people claim that such enzymes help provide relief, especially against small amounts of gluten. Two such products are Eater's Digest by Traditional Medicinals, and Gluten Defense digestive enzymes.
    3. Green tea or peppermint tea. Many people have reported that green tea is also helpful. Peppermint tea is said to promote muscle relaxation, and can help for gassy stomach issues. Strong gluten-free peppermints will work in a pinch.
    4. Imodium seems to help some people control associated diarrhea. If you have diarrhea, be sure to drink water with electrolytes to help replace lost fluids.
    5. Pepto-Bismol—Some people take Pepto-Bismol to help relieve stomach upset.
    6. Marshmallow root can help to sooth stomach and gas pain.
    7. Antihistamines—Some people claim to find relief with antihistamines, such as Benedryl, Clatratin, or Zyrtec. Often these are used in combination with other remedies
    8. Probiotics—Many people find probiotics to be helpful, especially as part of a general gut maintenance program. Probiotics are generally more helpful in advance of accidental gluten exposure, but many people take them after exposure. Either way, it certainly can't hurt.
    9. Broth—Many people with celiac disease, gut and/or nutritional issues turn to broth for help in building gut health and proper nutrition. Good old fashioned beef, chicken or fish broth can be a beneficial part of a healthy gut regimen. Broth also has many health properties beyond gut healing.
    10. Tummy Rescue Smoothie: This recipe was developed by a celiac.com reader in response to his own "gluten emergency.” The healing properties of each ingredient are also listed. Puree in blender until smooth, and slightly thickened. It is most soothing when consumed while still warm from the hot tea.

    Tummy Rescue Smoothie:

    • 1 cup hot freshly brewed nettle leaf tea (anti-histamine, anti-spasmodic)
    • ¼ cup Santa-Cruz pear juice (flavoring/sweetener - pears are the least allergenic of fruits)
    • ¼-½ teaspoon whole fennel seed (reduces gas & bloating)
    • 2 Tablespoons slippery elm powder (healing & soothing to mucous membranes and the gut)
    • 1 Tablespoon flax seed oil (soothing, anti-inflammatory)
    • ¼ - ½ cup rice milk (hypoallergenic, use to thin to desired consistency)

    This smoothie is best consumed in small sips over an hour or so. Magnesium also helps with pain and relaxes muscle spasms, so taking a little extra magnesium may be of benefit. For severe symptoms, drink the smoothie while reclining in bed, with a warm castor oil pack over the abdomen, covered by a heating pad set on low. Do not leave the pack in place for more than an hour.

    Longer-term strategies include rebuilding intestinal health with an anti-inflammatory diet, taking supplements like L-Glutamine, coconut oil, fat-soluble vitamins A, E, D, and K, Calcium, Magnesium, B-Vitamins, Essential Fatty Acids (EFA's), and probiotics, including acidophilus for about a week to get intestinal flora back in order.

    This list is not intended to be authoritative or comprehensive. Nor is it intended as medical advice, or as a substitute for medical advice. As with any health remedy, do your research and make the choices that are right for you.

    If you have any thoughts or insights on how best to treat accidental gluten ingestion for people with celiac disease or gluten intolerance, please share them in our comments section below.


    Image Caption: Image: CC--Stephan Harlan
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    Guest Carolyn Pandol

    Posted

    I also find the supplement "Gluten Cutter" to be very helpful if I accidentally ingest gluten. It is basically dried mint. Thanks for a very informational article.

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    Guest anna

    Posted

    You have to eat things to move that gluten OUT of your system. Depending on the amount you accidentally ingested. Antihistamines do help a little. Medical Marijuana does help if you have ingested a lot of gluten. If you are flat out on your back from vomiting, flu-like symptoms, brain fog, etc., it will help you function.

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    Guest avwalters

    Posted

    A few cautionary remarks--both "sports drinks" and probiotics may contain gluten. Watch the labels carefully (especially for "natural flavorings." If you need to re-hydrate, you don't want to make the problem worse!

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    Guest Clair C

    Posted

    For me when I was accidentally glutened one time, I drank a huge amount of ginger ale. It did work in a way. I am usually afflicted with diarrhea, but that time, I was constipated for a couple of days and dizzy the day before. I have also heard that ginger beer would help a little.

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    For me when I was accidentally glutened one time, I drank a huge amount of ginger ale. It did work in a way. I am usually afflicted with diarrhea, but that time, I was constipated for a couple of days and dizzy the day before. I have also heard that ginger beer would help a little.

    Ginger Ale - the strong "stuff" like Reeds Ginger Beer or Trader Joe's is my "go to" when I accidentally get gluten - but, also, I up my Curcumin/Tumeric intake for a couple days. Seems to calm my system down. Then, of course, the old standby of lomotil/immodium for the other unpleasantness of gluten ingestion! Yikes!!

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    Guest Jonathan Stinson MD

    Posted

    "Officially, beyond simply waiting it out, there is no clinically accepted treatment for people with celiac disease or gluten sensitivity who accidentally eat gluten. "

     

    I think the article should have ended there. There is too much folklore and "anecdotal medicine" out there already. We need to stick to medically proven facts.

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    Guest Char T

    Posted

    I'm glad to have an article start a forum like this. I find that taking Metamucil helps to clear things out faster so the symptoms last for a shorter period.

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    Guest Jeanette

    Posted

    Surprised to see activated charcoal not on your list, that should be #1

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    When I get gluten bombed I go straight to tea. Shave a ginger root, shake some organic cinnamon on pour in hot water and steep into a tea. If you like sweet drop of honey. You can re fill the water a few times before the taste wears out. Very soothing.

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    Guest Nicole

    Posted

    I also find the supplement "Gluten Cutter" to be very helpful if I accidentally ingest gluten. It is basically dried mint. Thanks for a very informational article.

    Gluten Cutters do help me a lot.

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    Guest Rickahyatt

    Posted

    All should consider taking a tablespoon of turmeric a day, at least, with a dash of pepper to enhance its effects, not only for arthritis not also the sinuses and gut. Tasteless, cheap, natural and alleviates all of the aforementioned.

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    Guest Anonymouse

    Posted

    Alka Seltzer actually helped me when I got glutened. I was in extreme amounts of pain, and as soon as I drank it, just felt this warmth taking the pain away. It caused extreme gas, bu at least I wasn't in so much abdominal pain that I couldn't move anymore.

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    Guest London

    Posted

    If you live somewhere where it is legally available...I would add marijuana to this list. It definitely helps. If you don't want the associated high, inquire about CBD (does not contain the active ingredient THC).

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    Guest Maddieaddie

    Posted

    If I get exposed to gluten, I have horrible gastrointestinal cramps and bloating. In fact, I usually know within 4 hours of getting "dosed." But because the end result is crippling cramping and constipation, I am unlucky. At least diarrhea would give me more warning other than "bloating." My advice to anyone who is IBS-C (intestinal bowel syndrome with constipation), go ahead and do the senna as soon as you notice symptoms. It will make things easier in a few days, even if the next 24-48 hours are painful. Plus, it might save you from other symptoms like skin or joint problems, or more autoimmune problems down the road. But, it is not a "rescue." Gluten in = inflammation. Even a tiny amount, as in spices, will set off the reaction. Trying to eliminate by any other means (e.g., vomiting, laxatives, ) will not remove the offending agent. Only time will eliminate the reaction. For me it is 5 days. Good luck to you all!

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    Guest Kate

    Posted

    I appreciate this post, but I feel you need to note that many probiotics that profess to be gluten free were actually found to contain it.

    I used to be a huge fan of probiotic supplements but will now just do my best to get them through fermented food.

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    Guest Gillian

    Posted

    I have found a glass of home cultured Kefir to be calming and I also take a diarrhea remedy pill if necessary, though so far I've not ingested large amounts by accident.

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    Guest Jean

    Posted

    Excellent article, and helpful posts. I have extreme pain within minutes of being glutened. No time to mix elixirs. I thought the "medical marijuana" was interesting since it relaxes the muscles. I have a prescription for Flexeral (Cyclobenzaprine) which is for muscle spasms. It has helped me more than anything else. It is easy for some Doctors to say "just wait it out". The pain is excruciating, not to mention the diarrhea and vomiting. One pill, and by the next day, I am weak but functional.

    Thanks, Jefferson, for sharing the subject.

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    Guest Maria

    Posted

    Instead of looking for remedies, if I have any kind of symptoms I go to see the doctor. The doctor would test to determine if I ingested gluten or if there is something else going on( like reactions to other foods or any other complication); some people have posted they get better with Pepto Bismol, i.e.;they should see a celiac disease specialist.The best bet would be avoiding any risky behavior that could expose you to gluten; studies have shown if you keep ingesting gluten after being on a gluten-free diet your small intestine could come to a point of no return. One time incidentally I ingested gluten in a restaurant and I developed vasculitis, which is serious. You cannot be playing with your health; as I said, this is a serious matter.

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    Guest coloradosue

    Posted

    Within 20 minutes of ingesting gluten, I start violently vomiting, violent diarrhea, become extremely weak to the point of near paralyses and near unconsciousness. I have been taken by ambulance to the ER where the only thing the doctors can do is provide fluids with medications i.e. phenergren, calm the symptoms down within 2 to 4 hours. The following week I am so terrified about eating anything but bouillon, Sprite, and rice crackers is the anything I will eat. Pain medication and anti-spasmodics for the gut pain/spasms which, lasts usually two week to four weeks - helps. I become house bound as well. This happened while my daughter and her family were here in late June. When we went out to dinner and everyone had ordered their food, I looked at my plate of "gluten-free" free food and started crying. How awful is that?!!!! They all understood. Especially since my daughter and her two sons have Celiac Disease. What a legacy to give to them! My strength is returning and I am eating more but the fear remains. I have tried homeopathic products that sometime work but in general just eating lightly and carefully. BTW, this is the first time this year I had an attack. Last year I had 3. Each one worse than the other. It doesn't matter how careful you are, eventually you will have an attack. Good Luck!!!

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    Taking colostrum is also an excellent option. It rebuilds gut health and reduces the impact of accidental gluten ingestion.

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    Guest Patricia Thomas

    Posted

    I also find the supplement "Gluten Cutter" to be very helpful if I accidentally ingest gluten. It is basically dried mint. Thanks for a very informational article.

    I find Gluten Cutters to work wonderfully for some forms of gluten. Except for biscuits or gravies take 2 tables just before eating and so far works great.

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    Guest sharon

    Posted

    An organic banana slightly under ripe contains lectins to speed recovery from accidental gluten exposure if you do not eat banana except as medicine for this problem.

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    Guest Catherine Rose

    Posted

    "Officially, beyond simply waiting it out, there is no clinically accepted treatment for people with celiac disease or gluten sensitivity who accidentally eat gluten. "

     

    I think the article should have ended there. There is too much folklore and "anecdotal medicine" out there already. We need to stick to medically proven facts.

    If I left it to the medical community and their facts, I would be dead. If it were not for medical folklore, I would not heal.

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    Guest Kendra

    Posted

    Eater's Digest by Traditional Medicinals does not have any enzymes in it. The sentence above says, "For many people, digestive enzymes seem to help the bloating. Many people claim that such enzymes help provide relief, especially against small amounts of gluten. Two such products are Eater's Digest by Traditional Medicinals, and Gluten Defense digestive enzymes." This is misleading, as Eater' Digest is an herbal tea made of peppermint, fennel, and ginger. It's very nice, but it's not an enzyme product.

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    Guest Melanie

    Posted

    Ginger, ginger, ginger Mint, Tumeric, Ash waganda Activated Charcoal, Food Grade Bentonite Clay, Psyllium Husk, Apple Cider Vinegar, Lemon Water, Nettle Leaf, Fasting the next day helps 10 fold!!

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    Dr. Fuchs emphasizes that Gluten Sensitivity Formula isn't intended to replace a gluten-free diet; it is, however, designed to reduce or get rid of a reaction to "small amounts" of what would presumably be unintentionally ingested gluten, such as one may encounter at a restaurant or a dinner party due to cross-contamination. She also recommends taking one or two capsules of the formula "as insurance" before eating meals that might possibly be contaminated with gluten.
    Dr. Fuchs also clears up a myth regarding hydrocholoric acid (HCl), which has been believed to counteract digestive enzymes; this misconception has led to the incorrect advice that one shouldn't take hydrochloric acid and enzymes together. Hydrochloric acid is taken, according to Dr. Fuchs, in order to help with digesting proteins and minerals, for example calcium and iron. She says the supplement is more common among people over the age of 50. In fact, enzymes can only cancel out the benefits of hydrochloric if they alter the pH of the stomach by neutralizing its acids. Dr. Fuchs says that while animal-based enzymes can accomplish this, they are usually formulated with a protective coating or in a form that will prevent this from occurring. What's more, many enzymes, especially gluten-digesting ones, are made from plants. "So you can take them with HCl," Dr. Fuchs says.
    According to Dr. Fuchs, taking gluten-digesting enzymes "can make the difference between being successful on a gluten-free diet and failing." When used correctly, it can help alleviate the symptoms of a reaction caused by accidental gluten ingestion or prevent the reaction from occurring. As a celiac myself, I can say that inadvertent gluten ingestion is still a challenge I face on the gluten-free diet, even though I've been on the diet for years. Dr. Fuch's Gluten Sensitivity Formula is thus a welcome product that will make the lives of the gluten-free community a lot easier.
    Resources:
    Fuchs, Nan Kathryn, PhD. "How to Tell If You're Gluten Sensitive.And What to Do About It If You Are." Advanced Bionutritionals, 2010. "Digest This: Enzymes Can Help Your Food Intolerance." Living Without: August/September 2010. Food Reactions: Food Intolerance http://www.foodreactions.org/intolerance/index.html

    Nicole Vela
    Celiac.com 06/17/2014 - Ever notice how much our social lives are based around food? Or how much food is all around us? I took my son to a local children’s exhibit today with shops and about twenty different restaurants, cafes and bakeries we had to walk by. Do I feel bad always having to say no? Of course I do. What mom wouldn’t? There may have been some safe choices but I try to do my research ahead of time when I can call the places to see what their cross contamination procedures are.
    We don’t ever get a day off from food allergies. It is constant. I think one of the best things you can do on a gluten free diet is to inform others,actively campaign for yourself and share information. Not only does this help out the gluten-free community but it also can make your life easier.
    Here are a few ways you can do this.
    If you go to restaurants where you have a chatty server or have the opportunity to speak with the manager or owner talk to them about cross contamination and what you expect when dining out. Inform them about kitchen and staff training for their establishments, the National Foundation for Celiac Awareness GREAT Kitchens and The Gluten-Free Food Service Training and Management Accreditation Program by the Gluten Intolerance Group are both excellent programs. I think a lot of restaurant owners aren’t aware of how serious the risks are and how the tiniest crumb can make us sick.
    I am not a big fan of grocery shopping in general and really don’t want to have to go to several stores a week to get what I need. I am pretty picky on my gluten-free bread and pizzas, I hate to spend money on a product I am not going to like. I frequently put in request at my supermarket customer service counter for them to carry certain brands. Guess what it works and the stores want you to do it. The gluten-free market exploded over the past few years, most big grocery stores don’t already know the favorites of the consumers.
    Educate your friends and family. Thanks to social media we have the opportunity to spread information like never before. There are a ton of great infographics on symptoms and gluten-free foods and safety. For me one of the hardest things is how social eating is.Getting invited over for dinner is tough. My friends have good intentions but just aren’t aware of all the foods that may contain gluten and how to properly handle food prep. I know I can be somewhat shy when it comes to this. It is hard to explain to people why spices may contain gluten or that barbecue sauce. It can make you seem overly picky and I don’t like to be a burden. If that is the way you feel hey I get it. But don’t be nice and just eat food without questioning. It’s not worth it. If you don’t feel comfortable enough to explain everything to someone, I normally bring my own food or eat beforehand. A lot of times I try to just keep things simple and suggest we meet for coffee or for a walk.
    Unfortunately there are going to be people that don’t food sensitivities seriously. Food allergies are being made fun of in the media too often. Always remember to put your health first.
    I hope that you find what I have shared helpful. Please feel free to share some of the ways you inform others and help the gluten-free community.

    Jefferson Adams
    Celiac.com 04/21/2016 - Spanish fashion brand Zara has been forced to pull a T-shirt from its stores after a petition argued that the slogan was offensive to people with celiac disease.
    The shirt in question is a simple white T-shirt that sports the slogan "Are you gluten free?" in bold black letters. Zara pulled the shirt after a petition urging the removal appeared on the website change.org, and collected over 50,000 signatures in just under a week.
    In a statement released on March 14th, Inditex, the biggest fashion company in the world, which owns Zara, announced it was pulling the T-shirt from its stores. "The T-shirt mentioned in this petition was pulled from our online store a few weeks ago now and we are currently confirming that it is not for sale in our stores either," said the statement.
    Zara's quick response came as a pleasant surprise to the petition's author. Marta Casadesús, who started the petition. Casadesús told reporters that she really "just wanted Zara to reflect on the message, I was trying to explain that perhaps it wasn't the best way to make people aware of the illness." She said she was "really happy" with Zara's decision to remove the shirt.
    This is not the first T-shirt controversy to befall the fashion giant. In 2014 Zara stirred up controversy by selling a striped children's T-shirt that many people said resembled the uniforms worn by prisoners in Nazi concentration camps.
    The navy-and-white striped "sheriff shirt" featured horizontal stripes and a six-pointed gold star. Zara also removed that shirt from its stores after numerous complaints.
    So, what do you think? Is it offensive to wear a T-shirt that asks "Are You Gluten Free?"
    Source:
    TheLocal.es

  • Recent Articles

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

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

    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