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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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    LOW-CARB CLOUD BREAD ROCKS THE GLUTEN-FREE WORLD!


    Jefferson Adams

    Celiac.com 03/11/2016 - If you are gluten-free and aren't familiar with the latest viral food sensation to hit the internet, you should be. That food trend would be what's called Cloud Bread.


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    Image: evermine.comFor those who don't know, cloud bread is a new, fluffy, "bread" made from eggs, cream cheese, baking powder, and a dash of honey.

    It is practically carb-free but makes a wonderful bread substitute when you're looking to make a sandwich or a personal pizza.

    For anyone curious to try it, the folks over at Purewow.com have posted a great cloud bread recipe on their site.


    Image Caption: Image: evermine.com
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    I made some last week and it's not bad. Kind of a pancake look with a cream puff taste. I worked great for a sandwich.

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    Guest Gillian

    Posted

    This bread has been around a while called Oopsie bread, I made some once found it eatable but not very nice, not at all like bread. I make my own bread and it is like the real thing, doesn't take much longer to make than this fake stuff either.

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    Guest jennifer

    Posted

    I have been trying breads over the last 12 years and THE VERY BEST to purchase is PUREKNEAD.com, made in Dacaur, Ga. It is soft, tasty, and holds up extremely well without toasting and when traveling and for making sandwiches. Their buns are better than gluten buns. I buy it at Kroger's and Public, but the company will not ship it to me in Florida. Go on their website for more info. I hoard it in my freezer, and do not have to fool w/ baking my own anymore.

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    admin
    By Janet Y. Rinehart, Houston, TX
    Houston Celiac-Sprue Support Group
    Celiacs Helping Celiacs
    Which one? Even the cheapest bread machine can make great gluten-free bread. The main factor is to choose a model that can be programmed for one rising cycle. Regal, Toastmaster (both of which have gluten-free recipes) and Zojirushi (Model V-20)are some brands that bake good gluten-free loaves. Call the Red Star Yeasts free line to ask which model numbers are currently in the marketplace: 1-800-4-CELIAC (1-800-423-5422), and ask for their free gluten-free recipe booklet.
    Paddle sizes: Because gluten-free bread is heavier and harder to mix, most members seem to prefer a bread machine with a large paddle rather than a small one. Also, two paddles work fine. (With a smaller paddle, just mix all ingredients in a bowl before adding to the bread machine). Be sure to use your spatula around the edges to make sure all the ingredients mix up well.
    Bucket: This determines the size of the loaf and is really a matter of personal preference. With a smaller size loaf (1 lb. or 1-½ lb.) you bake more often. Some people prefer not to freeze the bread, so this is perfect for them. Others might like a larger size. Gluten-free bread doesnt dome up in the pan like the ones made with wheat flour. Some machines make a "bread shape" loaf now.
    Cycles: Gluten-free bread is usually made on the short or rapid cycle. Some machines mix only once, others twice on this setting. To get the most out of your machine, though, you should be able to stop it at the dough stage and take the dough out to use for other things.
    Timer: You dont need one. Because our recipes include eggs and milk, they cant be left sitting in the machine to be made later.
    From material printed in the Vancouver Chapter Celiac News, June 1999, and Calgary Celiac News, 4th Edition 2000, and from Janet Rinehart:
    MORE SPECIFICALLY -- from Red Star Yeast 12/19/00 per Glenna Vance (800) 423-5422.
    Bread makers Red Star has tested as creating satisfactory gluten-free bread are as follows:
    THE BREAD MAN
    Model # TR3000 "Dreamachine"
    Model #TR2200, "Ultimate
    Call toll free (800) 233- 9054 for more information as to where to acquire this in your area.
    TOASTMASTER
    Model # 1142, 1145, 1172X, 1183N.
    Their toll-free number is (800) 947-3744.
    ZOJIRUSHI, Model #V20
    Call (800) 733-6270 directly.
    This listing is not all-inclusive. Other brands may make satisfactory gluten-free loaves. Follow the guidelines, consult other people in your support group who bake bread, make your choice, and enjoy freshly baked bread.
    I asked her about rapid rise yeast because CSA does not recommend using rapid rise yeast. Glenna, who has presented at previous CSA conferences, said that their "Quick Rise Yeast" contains only ascorbic acid (vitamin C) and sorbitan monostearate. This latter ingredient acts as an emulsifier, not glutamate. It coats the yeast cells and protects them from damage from oxygen. It also assists in re-hydration of the yeast. It contains no gluten. Sorbitan monostearate is on the GRAS (generally recognized as safe) list of the FDA, and is not considered an allergen.
    NOTE: One uses less Quick Rise Yeast in breads; i.e., use ½ tsp. per cup of flour. With Dry Active Yeast (regular) use ¾ tsp. per cup of any flour.

    Jefferson Adams
    Celiac.com 12/01/2010 - Coeliac UK has named the winners for their 2010 Gluten-free Chef of the Year Competition.
    Two-star Michelin chef Raymond Blanc OBE FIH announced the winners for each category during a special presentation at his award winning restaurant, Le Manoir aux Quat’ Saisons in Oxfordshire.
    The competition had two categories; Gluten-free Chef of the Year, open to professional chefs and Up and Coming Gluten-free Chef of the Year, open to catering students.
    This year's Gluten-free Chef of the Year is Peter McKenzie, of South Lanarkshire Council. Runner Up was Candice Webber, of The Restaurant at St.Paul's Catherdral.
    Up and Coming Gluten-free Chef of the Year is Shanice Parris of Westminster Kingsway College. Runner Up is Daniel Beech, who works at the restaurant 'Simon Radley at the Chester Grosvenor'.
    See Gluten-free Chef of the Year Peter McKenzie's winning menu, Candice Webber's Runner-up menu, along with the menu for Up and Coming Gluten-free Chef of the Year, Shanice Parris
    The Gluten-free Chef of the Year competition is part of the Eating Out campaign through which looks to increase awareness of celiac disease and the gluten-free diet among chefs and catering students. 
    By asking chefs and catering students to create gluten-free menus for the competition, sponsors hope to spread awareness and interest in gluten-free cooking within the industry.
    One thing is certainly true, all entrants and winners deserve a hand from those with celiac disease and gluten intolerance.
    Source:

    Eatout Magazine

    Jefferson Adams
    Celiac.com 08/17/2011 - Gluten-free eating is playing a key role in the diets of major A-list celebrities. Among them, Lady Gaga, Russell Crowe, and Jennifer Esposito all have made gluten-free eating a major part of their health and diet routines.
    Russell Crowe has reportedly dropped more than 16 pounds by following a strict exercise regime and eating a diet that is largely gluten-free.
    In mid-June, Crowe, 47, launched a 105 day plan to tone up and shed weight. He has made gluten-free food a major part of that effort and seems well on his way to dropping the 41-pounds he hopes to lose.
    Crowe's Twitter page contains this update on his success:
    '220lbs this morning, started at 236.4 lbs. 45 min walk, 12 mins eliptical, weighted objects 40 mins, walk 25 mins. 2400 cal a day maximum, all meals & all beverages. Where possible gluten free.'
    Catch up on the latest gluten-free news for Russell Crowe.
    Meanwhile, speaking of the usual food spread for Lady Gaga and her dancers, Lady Gaga’s choreographer and creative director, Laurieann Gibson says “It’s like gluten free, tuna, protein. There’s no M&M’s, there’s no gummy bears. There’s cheese, there’s water, there’s fruit, there’s vegetables – the only indulgence might be the cheese and grape platter. But other than that, it’s like wheat crisps.” Let's hope she means gluten-free 'wheat' crisps.
    Gibson goes on to say that Lady Gaga doesn’t just focus on her own diet, but that she expects her dancers to follow her regimen as well. Lady Gaga, Gibson adds, is a workaholic, and "doesn’t want gluten and bread bloating or weighing down her dancers."
    “All the dancers are now gluten free,” Gibson tells OK! - including gluten free desserts.
    In case you're wondering if the gluten-free diet alone is enough to keep Lady Gaga's body in peak form, it is not. In addition to eating a healthy, gluten-free diet, the singing star works out for hours, including dancing or doing yoga to keep her body toned.
    So maybe all of us who are already proudly gluten-free just need our own personal trainer to turn that last corner to stardom. Read more about Lady Gaga's gluten-free diet.
    Also, actress Jennifer Esposito recently detailed the story of her own battles with gluten-intolerance and her ultimate victory by adopting a gluten-free diet. Read the whole story of Jennifer Esposito's gluten-free story.
    These are just a few of the Hollywood celebrities who have found benefit in going gluten-free. One thing these stories help to reinforce is that many people, famous and not-famous alike, are sensitive to gluten, and those who are sensitive benefit tremendously adopting a gluten-free diet.


    Jefferson Adams
    Celiac.com 10/28/2011 - The world's largest gluten-free cake, weighing nearly a ton, debuted in Washington, DC. Gluten-free labeling advocate John Forberger presented the 9-layer gluten-free behemoth as part of his efforts to push the FDA to deliver long-promised gluten-free labeling standards.
    The cake debuted as part of an effort to promote the Gluten Free Food Labeling Summit in Washington DC. The event included a representative of the FDA and Congresswoman Nita Lowey, who sponsored the original Food Allergen Labeling and Consumer Protection Act, as well as the world’s largest gluten-free cake, all nine layers of it.
    In addition to raising general awareness of gluten-free issues, the giant cake was a reaction to failure on the part of the FDA to issue labeling standard for gluten-free foods and products.
    Under the Food Allergen Labeling and Consumer Protection Act the FDA was charged with creating standards for gluten-free labeling. FDA officials were ordered to make their recommendations to Congress in 2008. As of 2011, the FDA had made no recommendations on gluten-free labeling standards.
    Labeling is important, Forberger says, because buying gluten-free food is, for many people "a medical necessity, and until there’s a cure for celiac disease, eating foods free of gluten is the only treatment."
    Forberger has what is diagnosed as “an extreme gluten intolerance,” where ingesting gluten, a protein found in wheat, barley, and rye, triggers chronic pancreatitis so severe that gluten reactions have hospitalized Forberger more than a dozen times.
    Even though there are many good, reliable manufacturers, "providing delicious gluten-free options, the industry is a self-regulating one . . . anyone can slap the words ‘gluten-free’ on a product and charge a premium, " he says.
    Prompted in part by this perceived failure by the FDA, Forberger teamed with author and celiac expert Jules Shepard to form 1in133, a nonprofit that aims to push the FDA to comply with the Food Allergen Labeling and Consumer Protection Act. The group’s name comes from the statistic from the Celiac Disease Foundation that 1 in every 133 people has the disease. Together, they crafted the idea that became the world's largest gluten-free cake.
    To promote their effort, Forberger and Shepard teamed with the American Celiac Disease Alliance to send 5,000 letters to the FDA calling for prompt establishment of standardized gluten-free labeling. They also initiated an online petition with the same message that has gathered more than 10,000 supporters.
    Gluten Free Food Labeling Summitt in Washington DC. The event included a representative of the FDA and Congresswoman Nita Lowey, who sponsored the original Food Allergen Labeling and Consumer Protection Act, as well as the world’s largest gluten-free cake, all nine layers of it.
    The summit and petition campaign appear to have worked. In August, the FDA announced that it would again invite public comments on gluten-free labeling with the goal of creating a uniform and enforceable definition by summer or fall of 2012.


    Source:

    http://news.rutgers.edu/focus/issue.2011-09-01.8807267282/article.2011-09-22.8756737280



  • Recent Articles

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

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

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

    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