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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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    GIRL SCOUTS DEBUT GLUTEN-FREE TOFFEE-TASTIC COOKIE!


    Jefferson Adams

    Celiac.com 04/05/2016 - Girl Scouts USA Recently debuted "Trios," a gluten-free cookie now available at select Girl Scout Cookie booth locations. Gluten-free Trios are made with real peanut butter, chocolate chips and whole grain oats, and are going for $5 a package.


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    Image: CC--Mike LichtThat's not bad for gluten-free cookie, as the other eight varieties are $4 a package and include: Thin Mint, Shortbread, Peanut Butter Patties, Caramel deLites, Lemonades, Peanut Butter Sandwich, Thanks-A-Lot, and Cranberry Citrus Crisps.

    All Girl Scout cookies are preservative-free, kosher, with zero trans fat per ser serving. The Girl Scouts have a mobile app to help supporters find their local Girl Scout Cookie Booth sales, by zip code or GPS.

    Download the official Cookie Finder app to your Android or iPhone, or visit girlscoutcookies.org to find booth sale locations.

    Not all booths will carry the Trios cookie, however, as it's available in limited quantities, so be sure to check with your local scouts to see if they are available near you.


    Image Caption: Get your gluten-free Girl Scout Cookies. Image: CC--Mike Licht
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    Guest Stephanie Riley

    Posted

    Hi there, I just want you to know that it's not a gluten-free version of the Toffee-tastic cookie as indicated in the headline. Trios are a completely new cookie, and they are just as you described in the article.

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    Guest Luann

    Posted

    The cookie was good. MUCH better than the Shortbread cookie last year! Nice to be able to support the Girl Scouts and always thankful for someone new to go gluten-free!!

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    Guest Cindy

    Posted

    Hi there, I just want you to know that it's not a gluten-free version of the Toffee-tastic cookie as indicated in the headline. Trios are a completely new cookie, and they are just as you described in the article.

    These Toffee Tastic cookies are inedible. I will never buy them again

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    Guest Tillie

    Posted

    Thanks to my west-coast granddaughter, I was able to try the ToffeeTastics. Thanks to my east-coast granddaughter I have tried the Trios. I find that the Trios are a bit dry. However the ToffeeTastics are the BEST gluten-free cookie around. Although they can be a little crumbly, they are rich, buttery shortbread cookies with a few toffee bits through out. I LOVE THE TOFFEETASTICS. I hope that both options will be available nationwide. The "regular" folks have several options and it's not fair to only provide ONE option to the gluten-free folks.

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    Guest Tillie

    Posted

    Hi there, I just want you to know that it's not a gluten-free version of the Toffee-tastic cookie as indicated in the headline. Trios are a completely new cookie, and they are just as you described in the article.

    Actually the Trios have been around for a couple of years. I know the Central Maryland Council has had them for 3 years now. Trust me, the ToffeeTastics are divine.

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    Thanks to my west-coast granddaughter, I was able to try the ToffeeTastics. Thanks to my east-coast granddaughter I have tried the Trios. I find that the Trios are a bit dry. However the ToffeeTastics are the BEST gluten-free cookie around. Although they can be a little crumbly, they are rich, buttery shortbread cookies with a few toffee bits through out. I LOVE THE TOFFEETASTICS. I hope that both options will be available nationwide. The "regular" folks have several options and it's not fair to only provide ONE option to the gluten-free folks.

    To me, what really isn't fair is that we are always charged more money than others.

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  • Related Articles

    Destiny Stone
    Celiac.com 04/15/2010 - Mother's day is right around the corner, and what better way to tell your mom you love her, than to make her  a lovely gluten-free brunch. Even if your mom is a gluten eater, it is still a  perfect opportunity to try out some new gluten-free recipes. Many people with gluten sensitivities are also sensitive to foods other than gluten. That is why for this special day, I am including some gluten-free recipes that are also free of most common allergens.
    Making brunch for your mom on Mother's Day doesn't have to be expensive, and a gluten-free brunch isn't hard at all. If you have a recipe that you love, but you don't know how to make it gluten-free, do an Internet search for your favorite dish and add "gluten-free” to the beginning of your search. You will be amazed at how many recipes have already been converted to gluten-free, and are on the Internet to be shared by all.
    The following recipes are gluten-free, dairy/casein-free, egg-free, nut-free, corn free, and shell-fish free-actually free of all animal products. Even if you don't need to avoid other allergens, you might find that you like  these gluten free recipes better than you expect.  Although, the following recipes can also be modified to fit your taste buds. So if a recipe calls for non-dairy margarine for example, use butter, or coconut oil if you prefer. Don't hesitate to dig in and get creative!
    The following link is for a recipe that I can't wait to try. This basic recipe can be elaborated on, and you can top with the fruit of your choice. This is an excellent idea for brunch, or wrap them up and present them as a gift.

    Vegan Gluten Free Lemon Coconut Cream Scones  The wonderful thing about the following Tofu Benedict  recipe,  is that it can be modified to suit your taste buds. If you eat meat, you can add gluten-free meat to your Benedict, or anything that you think your mom would enjoy on her special day. It's also a very easy recipe and doesn't take long to prepare.
    Gluten-Free Tofu Benedict Recipe
    Ingredients:
    1 lb. extra firm tofu 1/4 cup distilled apple cider vinegar 1/4 tsp. Himalyan salt (or table salt) 1/4 cup olive oil 4 Tbsp. gluten-free nondairy butter substitute 8 oz. nondairy gluten-free sour cream 1 tsp. gluten-free paprika 1/2 tsp. gluten-free nutmeg Pinch of gluten-free cayenne 1 Tbsp. fresh squeezed lemon juice 4 gluten-free  English muffins, toasted (or 8 slices of toast) Gluten-Free English Muffins   8 slices  tomato Preheat the oven to 450ºF. Drain the tofu, cut it into 8 slices, and arrange it in a single layer in an oiled 9”x13” baking dish.
    In a small bowl, whisk together the vinegar, salt, and olive oil and pour the mixture over the tofu. Bake the tofu for 20 minutes, basting it occasionally and turning it over after 10 minutes. Pour off any excess liquid and bake the tofu for a few more minutes—until it is brown and crispy.
    To make the hollandaise sauce, melt the butter substitute  in a small saucepan over medium heat. Stir in the nondairy sour cream, paprika, nutmeg, cayenne, and lemon juice. Make sure that the mixture is heated through but don’t allow it to boil.
    Top each English muffin half with a slice of tofu, tomato slice, and a generous spoonful of hollandaise sauce to taste.
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    Gluten-Free Gift Baskets
    Giving your mom a thoughtful Mother's Day gift doesn't have to be expensive. Gift baskets come in all shapes and sizes, so you don't have to spend a fortune to show your mom how much you love her.*Tip: To save money, make your own gluten-free gift basket. Purchase an inexpensive basket at your local craft store, fill it up with gluten-free goodies, wrap it with cellophane and a pretty bow and in no time, you have a customized gluten-free gift basket made especially for your mom.
    Fill your gluten-free gift basket up with gluten-free goodies; below are some ideas.

    Gluten-Free Desserts Gluten-Free Cookies Gluten-Free Crackers Gluten-Free Candy Gluten-Free Personal Care, Lotions etc. If your mom likes to cook, what better way to pamper her, than to give her the gift that keeps on giving. Below is a link of gluten-free cookbooks. Cookbooks also make a wonderful addition to your gift basket.
    Cookbooks Don't forget the chocolate! No gift basket is complete without chocolate and most moms enjoy a little chocolate on occasion. The following is a list of gluten-free chocolate treats. You will find everything from chocolate cakes and cookies, to chocolate mousse and chocolate chips. So even if you don't have time to bake her a cake, you can still give your mom some yummy gluten-free chocolate treats to enjoy on  Mother's Day.
    Gluten-Free Chocolate
    Keep your mom in style this Spring. Our celiac awareness shirts are a welcome addition to any gift basket or even by themselves.
    Celiac Awareness Shirts
    What do you get for the gluten-free mom that has everything? Try a giftvoucher for the Gluten Free Mall. Vouchers can accommodate any budgetand they also make an excellent last minute gift. So this year, thereis no excuse for not giving your mom something nice for  Mother's Day.
    Gluten-Free Gift Vouchers
    Mother's Day Ideas:
    Make gluten-free brunch Convert your favorite recipes to “gluten-free” Make your mom a gluten-free gift basket Happy Mother's Day!


    Jefferson Adams
    Celiac.com 01/07/2015 - Girl Scout Cookie season is around the corner, but this year, if you're hoping to get your hands on some of their delicious cookies, including their gluten-free cookie called Toffee-tastic, you might want to get your smartphone out. 
    That's because the Girl Scouts plans to debut a mobile app and a Web platform that offer scouts the ability to sell cookies online, and allows people who want to buy cookies to locate the cookie booth closest to them, without waiting for a knock on the door, or leaving the purchase to a chance encounter.
    In addition to allowing users to find the nearest Girl Scout cookie booth, including the time, date of cookie sales for each location, the app and web platform also allow users to contact their local Girl Scout council, and to view a complete listing of Girl Scout Cookies available in every Zip code across the U.S. and Puerto Rico.
    While most Girl Scout troops nationwide will be using the app and online platform to sell at least some of their cookies online, troops in Chicago are sticking to a traditional sales model, at least for now. So, will the familiar image of Girl Scouts selling cookies door-to-door, or from street corner tables become a thing of the past? Probably not.
    Traditional methods will likely continue, while the app and web platform will offer a “fun, safe, and interactive space for girls to sell cookies,” and learn “vital 21st-century lessons about online marketing, app usage, and ecommerce.”
    So remember, when you buy some cookies from your local Girl Scouts this year, you're also helping young entrepreneurs to master the latest technology to drive sales.
    Girl Scouts of the USA will debut these newest features of the Girl Scout Cookie Program at the January 2015 Consumer Electronics Show (CES) at the Sands Expo Center in Las Vegas.
    Download the app, and find Girl Scout Cookies, gluten-free and regular at girlscoutcookies.org.

    Jefferson Adams
    Celiac.com 02/03/2016 - Gluten-free foods are more popular than ever, higher in quality, and increasingly seen as worth premium prices paid by consumers, according to a new research report by Mintel.
    The report shows that, despite widespread skepticism of gluten-free diets, more people are consuming gluten-free foods than ever before; with an increasingly positive attitude toward such foods.
    Mintel's latest numbers show that 25 percent of consumers surveyed report that they consume gluten-free foods regularly, a whopping 67 percent increase from 2013.
    At the same time, the report also suggests that nearly 50 percent of consumers surveyed feel that the explosion of gluten-free foods is basically a fad, compared with just 31 percent in 2013.
    Mintel's report also shows that the vast majority of those who do consume gluten-free food are happy with existing gluten-free options, and that 35 percent feel that gluten-free foods quality are of higher than in the past.
    The greater availability and higher quality of gluten-free foods has resulted in a greater willingness on the part of consumers to pay premium prices for gluten-free products. The survey reflects this, with 26 percent of consumers who reporting that gluten-free foods are worth their higher prices. All of these figures are higher than those reported in a similar 2013 survey by Mintel.
    For those seeking to keep tabs on the gluten-free food industry, both in the US and beyond, Mintel compiles a wide variety of market reports.

    Jefferson Adams
    Celiac.com 03/31/2016 - Kellogg has announced that gluten-free versions of its Corn Flakes and Special K cereals will mark its gluten-free debut into the Australian cereal market.
    Kellogg calls the products a response to growing demand for gluten-free products from consumers with celiac disease and gluten intolerance. "We continue to see a growing number of consumers, including coeliac disease sufferers, requesting gluten free alternatives to our popular cereals."
    In formulating their new products, Kellogg set out to combat a perception in the Australian cereal market that gluten-free cereals routinely failed to "deliver a great taste experience that's consistent with products containing gluten," said Janine Brooker, portfolio marketing manager for Kellogg Australia.
    Kellogg "…wanted to make sure that our gluten-free Corn Flakes and Special K taste just as good as the original classics," Brooker added.
    Kellogg's Corn Flakes Gluten Free and Special K Gluten Free are available in 330g boxes at supermarkets across Australia.

  • 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:
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    Jefferson Adams
    Celiac.com 04/19/2018 - Previous genome and linkage studies indicate the existence of a new disease triggering mechanism that involves amino acid metabolism and nutrient sensing signaling pathways. In an effort to determine if amino acids might play a role in the development of celiac disease, a team of researchers recently set out to investigate if plasma amino acid levels differed among children with celiac disease compared with a control group.
     
    The research team included Åsa Torinsson Naluai, Ladan Saadat Vafa, Audur H. Gudjonsdottir, Henrik Arnell, Lars Browaldh, and Daniel Agardh. They are variously affiliated with the Institute of Biomedicine, Department of Microbiology & Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; the Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; the Department of Pediatric Gastroenterology, Hepatology and Nutrition, Karolinska University Hospital and Division of Pediatrics, CLINTEC, Karolinska Institute, Stockholm, Sweden; the Department of Clinical Science and Education, Karolinska Institute, Sodersjukhuset, Stockholm, Sweden; the Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden; the Diabetes & Celiac Disease Unit, Department of Clinical Sciences, Lund University, Malmö, Sweden; and with the Nathan S Kline Institute in the U.S.A.
    First, the team used liquid chromatography-tandem mass spectrometry (LC/MS) to analyze amino acid levels in fasting plasma samples from 141 children with celiac disease and 129 non-celiac disease controls. They then crafted a general linear model using age and experimental effects as covariates to compare amino acid levels between children with celiac disease and non-celiac control subjects.
    Compared with the control group, seven out of twenty-three children with celiac disease showed elevated levels of the the following amino acids: tryptophan; taurine; glutamic acid; proline; ornithine; alanine; and methionine.
    The significance of the individual amino acids do not survive multiple correction, however, multivariate analyses of the amino acid profile showed significantly altered amino acid levels in children with celiac disease overall and after correction for age, sex and experimental effects.
    This study shows that amino acids can influence inflammation and may play a role in the development of celiac disease.
    Source:
    PLoS One. 2018; 13(3): e0193764. doi: & 10.1371/journal.pone.0193764

    Jefferson Adams
    Celiac.com 04/18/2018 - To the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service animals.
    If you’ve flown anywhere lately, you may have seen them. People flying with their designated “emotional support” animals. We’re not talking genuine service animals, like seeing eye dogs, or hearing ear dogs, or even the Belgian Malinois that alerts its owner when there is gluten in food that may trigger her celiac disease.
    Now, to be honest, some of those animals in question do perform a genuine service for those who need emotional support dogs, like veterans with PTSD.
    However, many of these animals are not service animals at all. Many of these animals perform no actual service to their owners, and are nothing more than thinly disguised pets. Many lack proper training, and some have caused serious problems for the airlines and for other passengers.
    Now the major airlines are taking note and introducing stringent requirements for service animals.
    Delta was the first to strike. As reported by the New York Times on January 19: “Effective March 1, Delta, the second largest US airline by passenger traffic, said it will require passengers seeking to fly with pets to present additional documents outlining the passenger’s need for the animal and proof of its training and vaccinations, 48 hours prior to the flight.… This comes in response to what the carrier said was a 150 percent increase in service and support animals — pets, often dogs, that accompany people with disabilities — carried onboard since 2015.… Delta said that it flies some 700 service animals a day. Among them, customers have attempted to fly with comfort turkeys, gliding possums, snakes, spiders, and other unusual pets.”
    Fresh from an unsavory incident with an “emotional support” peacock incident, United Airlines has followed Delta’s lead and set stricter rules for emotional support animals. United’s rules also took effect March 1, 2018.
    So, to the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service and emotional support animals.
    Source:
    cnbc.com

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

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

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

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

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

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

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

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

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

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

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

    Jefferson Adams
    Celiac.com 04/17/2018 - Could the holy grail of gluten-free food lie in special strains of wheat that lack “bad glutens” that trigger the celiac disease, but include the “good glutens” that make bread and other products chewy, spongey and delicious? Such products would include all of the good things about wheat, but none of the bad things that might trigger celiac disease.
    A team of researchers in Spain is creating strains of wheat that lack the “bad glutens” that trigger the autoimmune disorder celiac disease. The team, based at the Institute for Sustainable Agriculture in Cordoba, Spain, is making use of the new and highly effective CRISPR gene editing to eliminate the majority of the gliadins in wheat.
    Gliadins are the gluten proteins that trigger the majority of symptoms for people with celiac disease.
    As part of their efforts, the team has conducted a small study on 20 people with “gluten sensitivity.” That study showed that test subjects can tolerate bread made with this special wheat, says team member Francisco Barro. However, the team has yet to publish the results.
    Clearly, more comprehensive testing would be needed to determine if such a product is safely tolerated by people with celiac disease. Still, with these efforts, along with efforts to develop vaccines, enzymes, and other treatments making steady progress, we are living in exciting times for people with celiac disease.
    It is entirely conceivable that in the not-so-distant future we will see safe, viable treatments for celiac disease that do not require a strict gluten-free diet.
    Read more at Digitaltrends.com , and at Newscientist.com