• Join our community!

    Do you have questions about celiac disease or the gluten-free diet?

  • Ads by Google:
     




    Get email alerts Subscribe to Celiac.com's FREE weekly eNewsletter

    Ads by Google:



       Get email alertsSubscribe to Celiac.com's FREE weekly eNewsletter

  • Member Statistics

    71,987
    Total Members
    3,093
    Most Online
    cfrost7750
    Newest Member
    cfrost7750
    Joined
  • Announcements

    • admin

      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
  • 0

    SIBLING REVELRY SEEKS GLUTEN-FREE BEER HARMONY


    Jefferson Adams

    Celiac.com 04/14/2017 - Sibling Revelry Brewery (say that three times fast), is a tiny northeastern Ohio company dedicated to brewing quality brews in small batches.


    Ads by Google:




    ARTICLE CONTINUES BELOW ADS
    Ads by Google:



    The company's name may not roll off the tongue easily, but their gluten-free beer tastes good enough that brewmaster Pete Velez is planning a second batch.

    Called Em Sav Saison, the limited-release beer is the company's first gluten-free brew. Described as having "aromas of sweet spice and Chardonnay that leads to a bright fruity body with a dry, semi-tart finish," it comes in at 5.8 percent alcohol, with 35 International Bittering Units.

    To get a deep, rich, full-bodied flavor, the Mr. Velez uses millet, buckwheat and sorghum for grain, along with Magnum, Arianna and Calista hops, and tops it off with a Belgian Saison yeast.

    Velez was motivated partly by the fact that his wife is gluten-free, and partly by the drive to develop a distinct and original identity. "No one around here is really doing gluten-free beer," he says, "it's a niche market…something we can use to differentiate ourselves in the ever-crowding beer market."

    People with celiac disease can have diverse reactions to gluten consumption, with some experiencing mild discomfort that passes fairly quickly, while others experience debilitating effects that can last days.

    Em Sav Saison is brewed using "100 percent gluten-free ingredients," says Velez, who points out that the beer has tested below 10 parts per million total gluten, well below the 20ppm threshold set by the FDA for products labeled "gluten-free." However, the tests were not official and certified to meet federal standards. As such, he does note that the product could contain trace amounts of gluten.

    At the moment, Velez seems to be testing the water, with an eye toward expanding as his business grows. If he grows enough to begin distributing, he says he will have to engage an officially certified lab to test the product so it can be labeled and sold as gluten-free.

    Until then, if you find yourself in the Cleveland Ohio, look up Sibling Revelry Brewery and give gluten-free Em Sav Saison a try. If you do, please be sure to let us know how you like it.

    Visit the Sibling Revelry website.

    Source:


    Image Caption: Tiny Sibling Revelry Brewery looks to make a mark on gluten-free beer. Photo: CC--DCJohn
    0


    User Feedback

    Recommended Comments

    There are no comments to display.



    Your content will need to be approved by a moderator

    Guest
    You are commenting as a guest. If you have an account, please sign in.
    Add a comment...

    ×   Pasted as rich text.   Paste as plain text instead

      Only 75 emoticons maximum are allowed.

    ×   Your link has been automatically embedded.   Display as a link instead

    ×   Your previous content has been restored.   Clear editor

    ×   You cannot paste images directly. Upload or insert images from URL.


  • Popular Contributors

  • Ads by Google:

  • Who's Online   11 Members, 1 Anonymous, 1,060 Guests (See full list)

  • Related Articles

    Jefferson Adams
    Celiac.com 12/23/2016 - As gluten-free beers gain in popularity, it's not unusual that more beer schools are offering lessons in the art of gluten-free brewing.
    From just a few products ten or so years ago, there are now dozens and dozens of commercially available gluten-free beers. Taking note of the trend, more beer schools are beginning to tailor new classes on the art of crafting fine gluten-free beers.
    This summer, for example, students at a beer school run by Edmund's Oast pressed into three new classes, including one aimed at drinkers with celiac disease and gluten-intolerance. Taught in summer 2016, Oast's class, "Gluten-be-Gone!" covers gluten-free beers and other brewed options for celiac sufferers.
    In addition to making gluten-free beers from ingredients rice, sorghum, and honey, brewers have experimented with various enzyme treatments, and other processes, to remove gluten from beer.
    "It's cool to offer up a beer school class that appeals to folks that can't really attend any of the other ones," Charleston Beer Exchange manager Brandon Plyler says. The class costs $45.
    If you are interested in learning to brew gluten-free beer, keep your eyes open for local classes, and be sure to share your information in our comments section.
    Know about any gluten-free brewing classes near you? Let us know in the comments below.

    Jefferson Adams
    Celiac.com 12/02/2016 - Plenty of folks commenting on our story about Žatecky Pivovar, a storied Czech brewery that crafts gluten-free beers, thought the beer sounded like a good idea.
    The fans include the folks at beer giant Carlsberg, which has announced that Carlsberg UK is teaming up with premier Czech brewer Žatecky Pivovar to offer gluten-free Czech lager Celia in the UK.
    The Carlsberg UK is introducing Celia Organic, a 4.5% ABV beer made with 100% Saaz hops and Moravian malt, and Celia Dark, a 5.7% ABV dark lager made with 100% Saaz hops and Toffee Bavarian malt plus sand-filtered water from the Žatec foothills. The beers are produced at Žatecky Pivovar, which dates from 1801, and is housed walled town of Žatec in the north of the country. It is one of several microbreweries co-owned by the Carlsberg Group around the world.
    Both beers are brewed using a patented de-glutenisation process while a silicon filtration technique means the brews are also suitable for vegans. A natural carbonation process gives the beers a light mouth feel with a full, rich taste you’d expect from a premium Czech beer.
    Interestingly, for Carlsberg UK, the gluten-free aspect of Celia beers seems to be an added feature, rather than a primary one. Says Liam Newton, Carlsberg UK’s vice president for marketing, the fact that Celia beers "are brewed to be gluten-free gives the brand an added point of difference – particularly relevant given current consumer trends, which is why we are delighted that Celia will be joining our beer portfolio."
    Newton adds that "Celia Organic and Celia Dark are quality Czech beers, loved by beer drinkers for their exceptional flavor and ability to perfectly complement good food."
    Celia will join Carlsberg UK’s existing premium portfolio, which includes the Backyard Brewery range imported from Sweden, Carlsberg’s Herefordshire craft cider Bad Apple, Belgian Abbey beer Grimbergen and Spanish beer Mahou.
    Read more at: BarMagazine.co.uk.

    Jefferson Adams
    Celiac.com 02/28/2017 - A number of commercial brewers are opting to use enzymatic digestion, or hydrolysis, for treating gluten-containing foods and beverages to make them safe for people with gluten sensitivity, including those with celiac disease. However, some have questioned whether the process is safe for all people with celiac disease, as some celiacs complain that they experience gluten sensitivity when they drink these beers.
    Currently, there are no validated testing methods for quantifying levels of hydrolyzed or fermented gluten peptides in foods and beverages that might be harmful to celiac patients. This makes it difficult to determine the safety of hydrolyzed products for people with celiac disease.
    Some researchers finally tested the clinical response by celiac patients to gluten-free beer, gluten-removed beer, and conventional beer. They also tested a non-celiac control group. Their main goal was to determine if sera from active celiac patients can serve as an effective detection tool for residual celiac-reactive proteins in gluten-removed beer.
    The research team included Laura K Allred;  Katherine Lesko; Diane McKiernan; Cynthia Kupper; and Stefano Guandalini. Their study used an ELISA-based method to determine whether serum antibody binding of residual peptides in a fermented barley-based product is greater among active-celiac disease patients than a normal control group, using commercial beers as a test case.
    The team first gathered sera from 31 active-celiac disease patients and 29 non-celiac control subjects, then assessed the binding of proteins from barley, rice, traditional beer, gluten-free beer, and enzymatically treated (gluten-removed) traditional beer. None of the 29 non-celiac control subjects reacted to all three barley-based samples (barley extract, traditional beer, and gluten-removed beer), while 2 of 31 active-celiac disease patients (6.4%) responded to all three samples. In the ELISA, none of the subjects' sera bound to proteins in the naturally gluten-free beer.
    Eleven active celiac patients showed immunoglobulin A (IgA) or immunoglobulin G (IgG) binding to a barley extract, compared to only one non-celiac control subject. Of the seven active celiac patients who had an IgA binding response to barley, four also responded to traditional beer, while two of these also responded to the gluten-removed beer. None of the sera from non-celiac control subjects bound to all three beer samples.
    Breaking down the results, only 11 of the 31 active celiac disease patients even reacted to barley. Only 4 of those 11 reacted to traditional beer; a mere 12%. Of those, only two celiacs reacted to gluten-removed beer, or about 6% of the test group.
    So, interestingly, while this study indicates that the vast majority of people with celiac disease seem to tolerate both traditional and gluten-free beers, it also indicates that there are residual peptides in the gluten-removed beer that may trigger reactions in a minority of celiacs.
    This particular study was small and highly regional, so very little can be projected to the larger celiac population. Clearly more study is warranted to more accurately determine the exact nature of the risk for celiacs who drink gluten-removed beer.
    This isn't the last we'll hear about the safety of gluten-removed beer. Stay tuned for more on this and other gluten-free stories.
    Read more about gluten-free and gluten-removed beers.
    Source:
    Journal of AOAC International. DOI: https://doi.org/10.5740/jaoacint.16-0184

    Jefferson Adams
    Celiac.com 04/07/2017 - If watching all those pints of Guinness being downed on St. Patrick's Day left you wishing that someone, somewhere in Ireland, would brew a tasty gluten-free stout, your wish has come true.
    The people at the 9 White Deer brewery have heard your whispered wishes and responded with Stag Saor. Ireland's first gluten-free stout, a beer that puts a fresh twist on the Emerald Isle's long stout-brewing tradition.
    Now, a gluten-free stout was not always part of the plan. Less than a year after found the 9 White Deer microbrewery, co-founder, Don O'Leary was diagnosed with a gluten intolerance. Rather than view this development as a setback, however, O'Leary and his partners used it as fuel to drive their business.
    Working with his partner, the former marine engineer, Gordon Lucey , O'Leary set about creating the company's first gluten-free brew. O'Leary says that developing Stag Saor "changed everything for the business." Their market research taught them that, while Ireland has a fairly high percentage of people with celiac disease, it has a relatively paltry number of gluten-free beers.
    Saor launched in 2015 and received a bronze medal at the 2016 Blás na hEireann awards, winning against traditional beers in a blind taste test.
    Offered a preview sip of the new stout, writer Kevin Kennedy, calls the beer "top quality... as good as if not better, than any bottled stout I've had in the past."
    The 9 White Deer brewery draws its name from a 6th Century fable, in which angels told the famous Irish Saint, Gobnait, that she would establish an Abbey and a church on a site where she found 9 White Deer. The sight is just down the road from the brewery, which now employs eight people, in Ballyvourney, Co. Cork.
    Source: Newstalk.com

  • 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