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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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    WHO MAKES AMERICA'S BEST GLUTEN-FREE PIZZA?


    Jefferson Adams


    • We've tried to spread the love here, geographically speaking


    Celiac.com 01/09/2018 - The quest for delicious gluten-free pizza never ends, and great discoveries can be found in some unlikely places. That's why we're making a list and adding to it as we get new information on the best gluten-free pizza money can buy. We're not talking frozen gluten-free pizzas here, we're talking proper gluten-free pizzeria pizza.


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    Numerous pizzerias prepare their gluten-free options in a common kitchen, so the concern about gluten contamination can be real.

    Many offer a boilerplate statement that indicates that they take steps to minimize the likelihood of exposure to flour, but that they cannot recommend gluten-free items for guests with Celiac or any other gluten sensitive disorder.

    Of course, you should always trust your gut, and adjust accordingly. If you aren't sure, then be careful. The risk of gluten-contamination is higher in places that make traditional pizza, but the potential payoff is also bigger.

    A pizzeria you can trust to make great gluten-free pizza is a real delight. So, if you're up for tasty gluten-free pizza pies baked at genuine pizzerias, then come along with us. We've tried to spread the love here, geographically speaking, but if you know about a great gluten-free pizza joint that we've missed, please let us know in the comments section.

    Here is our list of America's Top Gluten-Free Pizzeria Pizzas:

    Base Pizzeria – Phoenix, AZ
    Base Pizzeria's offerings range from the traditional Margherita to more far-flung inspirations like white truffle oil, prosciutto and artichokes. All pizzas are available with a no-joke gluten-free crust. 

    Blue Pan Pizza – Denver, CO
    Detroit-style pizza in Colorado? Denver's Blue Pan brings the taste of the Motor City to the heart of the Rockies. Blue Pan offers both square Detroit style or traditional round pizza, with all the awesome toppings you want. And you can get either of them made gluten-free. 

    Buddy's — Detroit, MI
    Detroit is famous for Sicilian-style square pizza, and Buddy's, has been a city favorite since 1946. Buddy's bakes their airy, focaccia-like dough in the blue steel pans traditionally used in the auto industry, and tops their pizzas with tangy, buttery Wisconsin brick cheese.

    Most of Buddy's numerous specialty pizzas can be made gluten-free. Make it easy on yourself and start with the Detroiter, a strata of brick cheese, pepperoni, parmesan, tomato-basil sauce, and the restaurant's proprietary Sicilian spice blend.

    The Couch Tomato Bistro – Philadelphia, PA
    The Couch Tomato not only offers a tasty gluten-free crust, they offer a range of gluten-free sauces, as well. 

    Forno Rosso Pizzeria Napoletana — Chicago, IL
    Chicago knows a thing or two about pizza, and Forno Rosso is one of its cognoscenti. I'm not talking Deep Dish, though they do know a thing or two about that, too. I'm talking traditional thin crust pizza. This popular Chicago pizzeria Forno Rosso Pizzeria Napolitana serves a fantastic Neapolitan-style gluten-free pizza. 

    La Famiglia Giorgio's – Boston, MA
    La Famiglia Giorgio's looks to bring the tastes of Rome to Boston's North End. La Famiglia Giorgio's will make any of their top-notch pizzas gluten-free, that includes the Buffalo Chicken, Old World Sicilian, and of course, the traditional pizza Margherita.

    Pinky's Pizzeria – Portland, OR
    Portland staple Pinky's serves delicious one-of-a-kind specialty pizzas, such as “The Super Mario,” “The White Eagle,” and “The Buscemi.” And they will make any of them gluten-free. 

    Mary's Pizza Shack — Northern California
    Mary's is a family-owned Northern California institution, with more than a dozen locations throughout Marin, Sonoma, Napa and neighboring counties.

    Mary's prepares its Italian comfort food from scratch every day. No heat lamps. No frozen dough. No canned sauces. Their soups, salad dressings, sauces, pizza dough and focaccia are all made fresh daily, using Mary's original recipes. Their pizza is delicious, and that includes their gluten-free pizzas.

    Rocco's – Seattle, WA
    Rocco's is where Seattleites for delicious pizza made with ingredients from a dizzying list of toppings, all available on their yummy gluten-free crust.

    Rubirosa – New York City
    Consistently ranked among the top gluten-free pizzas in New York, Rubirosa doesn't just offer regular pizza toppings on a gluten-free crust, they offer a complete menu of gluten-free pizzas! 

    Tony's Pizza Napoletana – San Francisco, CA
    Twelve-time World Pizza Champion Tony Gemignani is the proprietor of Tony's Pizza Napoletana, a classic Neapolitan-style pizzeria, located in the heart of San Francisco's Little Italy.

    Tony's uses authentic ingredients imported from Naples, so whether you choose a gluten-free version of the famous Pizza Margherita or the savory Cal Italia, Tony's has you covered. What's more, Tony's Pizza Napoletana recently earned a recommendation in the MICHELIN Guide San Francisco 2016.

    Via 313 – Austin, TX
    If you're looking for the best pizza in Austin, head to Via 313 for their traditional Sicilian-style square pizza. They do both traditional and gluten-free pizzas that live up to their motto: Built right. To the last bite.

    Woodstock's Pizza — Santa Cruz, CA, with locations in Northern California and Oregon
    Originating in Oregon before spreading into California, Woodstock's Pizza was named #3 Independent Pizzeria in the Nation by Pizza Today. Woodstock's offers tasty gluten-free versions of their popular pizzas.


    Image Caption: What gluten-free pizza is the best? Photo: CC--Simon Law
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    Guest Lisa Boyd

    Posted

    Sinfully gluten free in Centerville, Ohio won a contest for best gluten free pizza. They use millet flour. It is really amazing. They also have great sandwiches.

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    Guest Mae

    Posted

    I was so excited to see the title of the article about Best Pizza....especially when I saw that the results were spread out over the country. Alas...Not ONE single entry was from the south...I'm talking NC/FL! Those with Celiac diagnosis live in these areas too! Disappointing!

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    Guest Scott Adams

    Posted

    I was so excited to see the title of the article about Best Pizza....especially when I saw that the results were spread out over the country. Alas...Not ONE single entry was from the south...I'm talking NC/FL! Those with Celiac diagnosis live in these areas too! Disappointing!

    ...and which did we fail to mention that should have been in this article?

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    Guest Rosalyn

    Posted

    I highly recommend Da Luciano in River Grove, IL, a suburb of Chicago. Family-owned they specialize in gluten free Italian cooking, including pizza. There is no cross-contamination. No extra charge. Da Luciano children have celiac disease. In St. Louis, Pi, also makes gluten-free pizza but they charge extra; however Pi makes a serious effort to avoid cross contamination. Pi also has a restaurant in Washington, D.C.

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    Guest JaredM

    Posted

    I'm not in Tulsa very often, but when I am, I try to drop into Joe Mamma's for their gluten-free pizza. I have never been disappointed. If making your own pizza, the Sabatasso's 3-pack of pizza crusts (w/ sauce and cheese) from Costco is the way to go! Even my gluten-eating wife enjoys them.

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    Guest Bob

    Posted

    Probably should discuss which FROZEN pizza is the best, and some of those will be manufactured in a gluten-free factory....

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    Guest Tania Malven

    Posted

    The best gluten-free pizza is Picazzos in Arizona! Excellent crust, quality local ingredients, and they also make gluten-free pastas !! !!!,

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    Guest outback

    Posted

    Add to the top gluten-free Pizza restaurants "The Wild Tomato" Route 22 Colonial Park, Harrisburg, Pennsylvania. Made from scratch and 95% of food made is gluten free. Fantastic place and very gluten free safe.

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    Guest Pete C

    Posted

    Marco´s in Englewood Colorado (10111 Inverness Main Street (303-790-9000) makes an incredible gluten-free pizza; I only had a better one in Italy. They have 2 wood fired ovens and one of them is dedicated gluten-free. They have a second location in Denver.

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    Guest Michelle

    Posted

    Piazza Sorrento in Hershey PA - amazing gluten-free pizza and extensive gluten-free menu.

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    Guest Patty

    Posted

    Uno's has good gluten-free pizza. They are a chain in many cities. Sophie T's on Nantucket Island is excellent.

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    Guest Jefferson

    Posted

    You left out L.A., the largest city in the country!

    Please enlighten us with some good LA-based gluten-free pizza joints. We'll be happy to add them to our list.

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    Guest Jefferson

    Posted

    Marco´s in Englewood Colorado (10111 Inverness Main Street (303-790-9000) makes an incredible gluten-free pizza; I only had a better one in Italy. They have 2 wood fired ovens and one of them is dedicated gluten-free. They have a second location in Denver.

    Thanks for the tip, Pete!

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    Guest Maggie

    Posted

     

    On ‎1‎/‎15‎/‎2018 at 6:15 AM, Guest Mae said:

    I was so excited to see the title of the article about Best Pizza....especially when I saw that the results were spread out over the country. Alas...Not ONE single entry was from the south...I'm talking NC/FL! Those with Celiac diagnosis live in these areas too! Disappointing!

    I've eaten Uncle Maddio's gluten free pizza in Arkansas for a while now and I love it! When you order, they will ask if it is an allergy or a preference. If you say allergy, they change their gloves, and prepare your pizza in a different area. They have separate ingredients specifically for people with gluten intolerance. Everyone I've dealt with has been awesome at keeping my food safe! And their pizza is delicious! It's a thin crust, as most are, but it doesn't taste like the typical gluten free crust. My husband, the biggest pizza lover there is, even loves it and will share one with me. I can attest that there are Uncle Maddios' in North Carolina as well, as I've seen them around when I've gone home. I'm not sure where all the locations are, but it's worth a look!

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    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