Jump to content
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Our Content
    eNewsletter
    Donate

Should Enriched gluten-free Flour Be The Next Battle?


plumbago

Recommended Posts

plumbago Experienced

Please correct me if I am wrong, but our gluten-free flours are not fortified with riboflavin, thiamin, niacin like wheat flour is by law, the Enrichment Act of 1942. So this trickles down to our gluten-free breads and cereals and baked goods.

 

Should our flours be fortified? I know that many gluten-free baked goods, like bread, is fortified with iron, which is great. But what about B6, and folate (1996 law added folate/folic acid)?

 

Is this the next frontier? I know we are all protective of and grateful to the companies producing gluten-free products, but there are undoubtedly some Celiacs who either aren't aware of this and/or get many if not most of their sustenance from gluten-free baked goods without supplementing from the other food groups that are high in B vitamins.

Plumbago


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



Adalaide Mentor

It is our responsibility to know what we're eating and eat a balanced diet and if necessary, supplement with vitamins. After being diagnosed I had blood work done twice that year, and do it once a year now, to check for any deficiencies. While many of us enjoy packaged products, there are many of us who also prefer our food to be as unadulterated as possible. This could also create significant problems where there don't need to be any for people with additional intolerances due to the sourcing for additives. If you're deficient in something, take a vitamin. We don't need to create additional rules and laws for 1% of the population, create problems for people with more than enough already and do something unnecessary to raise the price of our foods.

plumbago Experienced

It is our responsibility to know what we're eating and eat a balanced diet and if necessary, supplement with vitamins. After being diagnosed I had blood work done twice that year, and do it once a year now, to check for any deficiencies. While many of us enjoy packaged products, there are many of us who also prefer our food to be as unadulterated as possible. This could also create significant problems where there don't need to be any for people with additional intolerances due to the sourcing for additives. If you're deficient in something, take a vitamin. We don't need to create additional rules and laws for 1% of the population, create problems for people with more than enough already and do something unnecessary to raise the price of our foods.

Thanks for your reply, but I note that the price of our foods is already twice that of wheat flour foods, usually.

 

Anyway, thanks.

Adalaide Mentor

Thanks for your reply, but I note that the price of our foods is already twice that of wheat flour foods, usually.

 

Anyway, thanks.

 

Which is kind of my point. I don't see the benefit in doing something unnecessary to raise those prices further.

LauraTX Rising Star

I agree with Adalaide here.  There actually are some companies who supplement gluten-free baked goods and flours already, so if you are concerned about that, you can buy from them.  Off the top of my head, you can buy fortified gluten-free bread that is amazingly good from Gluten Free Creations in Arizona.  Enriched baked goods are not a replacement for a proper balanced diet, and if someone is getting most of their sustenance from gluten-free baked goods, that is another problem in itself.

SMRI Collaborator

With the easy access to multi-vitamins these days-that were not around in the 1940's, there really is no need to enrich foods..but since that would mean "change" and no one likes change, it's not something that will be eliminated anytime soon.  If you are concerned about getting a balanced diet, maybe add in a good multi-vitamin to get what you think you might need or talk to a nutritionist or doctor about how to replace those vitamins.  

dilettantesteph Collaborator

I agree with most of the posters I see no reason to enact laws and regulations when vitamins are readily available.  What about the people who prefer their food without additives?  They would have fewer options with regulations.  What about the expense of creating and overseeing the regulations?  Don't we pay enough taxes already?


Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



mommida Enthusiast

If I were a gluten free flour company out there, I would try putting out an enriched flour blend.  I would see how it sells compared to the products on the market.  I feel strongly that there is a need for fortified food for gluten free people.  (especially kids!)

 

As much as I don't want any of the products I use changed, I am a parent.  Living in the mid-west, most people here are vitamin D deficient.  If you have seen vitamin D deficiency in your child, it is really bad.  The are so beyond tired all the time, you know they feel miserable.  Then when you look at the growth spurts of teenage boys!  My son is even waking up in the middle of the night to eat~ probably seeking extra vitamins and nutrients.

plumbago Experienced

From what I'm learning from classes and research, it seems that the preferred order to receive one's vitamins and minerals are:

1. whole grains and other natural foods
2. fortified food
3. supplements

Yes, we should know our strengths and deficiencies, but not all doctors will do blood tests to pick up deficiencies of thiamin, folate, or niacin, or B6. B12 - yes, they'll do that. And getting injections of B12 is a very effective way to supplement. (However B12 is not really part of this discussion.)

 

Yes, obviously, if you have Celiac, you will need to look beyond bread for your B vitamins. And I too am someone who generally likes my food as unadulterated as possible.

But I could not get away from the question:  what is the purpose of this bread we are eating?

It is good to know that that Arizona company exists. Bless them, you know? However, a quick check in the frozen bread section of my local stores, turns up breads that are, at best, enriched with iron. So again my question - what exactly is the purpose, nutritionally, beyond not receiving gluten, of our gluten-free breads? To my eyes, they look - often - like empty calories. Make no mistake, empty calories are often some of the best, esp when accompanied by butter and jelly. And - our breads are already expensive! Shouldn't we be getting a trifle more out of them nutritionally than we are?

But, to proceed - for reasons that are too boring and personal to get into, it's not always easy for me to order on the Internet. Additionally, as someone who tries to cut down on the old carbon footprint, I do my best not to fly my purchases in from somewhere else, when my two legs are perfectly fine. Nevertheless, I'm glad that company in Az exists.

 

And no - probably we do not want more regulation. (Although I should probably remain agnostic on that one for now.) I hear the fears and whatnot of a community that wants seemingly to be left alone. And as someone with Celiac, I too am hyperconscious about how my/our needs might impinge on the good functioning of various establishments. I GET IT.

 

The best suggestion I have seen so far is from the mom poster in the midwest. That is clearly the answer - more companies need to add these vitamins to their bread, but we also need someone to verify that they've been added.

 

Plumbago

 

I've also read from Harvard Medical blogs that if there is one enriched vitamin to maybe be careful of (receiving too much, I believe), it is folate.

plumbago Experienced

I agree with most of the posters I see no reason to enact laws and regulations when vitamins are readily available.  What about the people who prefer their food without additives?  They would have fewer options with regulations.  What about the expense of creating and overseeing the regulations?  Don't we pay enough taxes already?

From what I have learned, the vitamins and minerals added to foods are not considered additives. Please correct me if I am wrong. Thanks.

bartfull Rising Star

I bet they would sell more bread if they WERE vitamin fortified.

 

As it is now, I try to avoid gluten-free breads becasue they ARE empty calories. I save them for an occasional treat. If I knew I were at least getting some nutrition along with all of the calories and extra expense I would probably eat a lot more sandwiches.

Gemini Experienced

 

But I could not get away from the question:  what is the purpose of this bread we are eating?

That's easy....it serves to hold the peanut butter and banana I like to eat for brekkies.  :P

notme Experienced

mmmmmmmmmmmm.....  sammich..........   :)  

 

i eat alot of sammiches - i like to consider, nutritionally, what i'm putting *on* the bread rather than the bread itself.   the bread is simply a vehicle to deliver a plethora of vitamin rich goodness to my mouth hole :D :D :D

BlessedMommy Rising Star

Depending on the bread, some are pretty nutritious. My teff bread recipe that I use is very nutritious and I think that the nutritional profile of my homemade millet sandwich bread is probably decent as well.

dilettantesteph Collaborator

From what I'm learning from classes and research, it seems that the preferred order to receive one's vitamins and minerals are:

1. whole grains and other natural foods

2. fortified food

3. supplements

I'd like to see some evidence for that statement.  I think that taking a vitamin pill with a meal would be equivalent to eating a food fortified with those same vitamins.

dilettantesteph Collaborator

From what I have learned, the vitamins and minerals added to foods are not considered additives. Please correct me if I am wrong. Thanks.

Additive: Open Original Shared Link

"A substance added in small amounts to something else to improve, strengthen, or otherwise alter it."

Food additive: Open Original Shared Link

"Open Original Shared Link such as Open Original Shared Link "

Open Original Shared Link

"a food additive is any substance added to food."

plumbago Experienced

I'd like to see some evidence for that statement.  I think that taking a vitamin pill with a meal would be equivalent to eating a food fortified with those same vitamins.

As for "evidence," I'm not sure I can provide exactly what you are looking for. But based on what I have been reading I am gleaning that as a general rule, nutritionists, drs, nurses, and dieticians say that because of the other nutrients you are picking up in food it is better to get your vit and minerals first from food. A vitamin usually delivers just that vitamin or mineral (with a multi being the obvious exception). Perhaps you are wishing I had prefaced the comment with something like "though it is not a scientific fact," - and maybe I should have. In some obvious cases, taking a pill delivers more of a particular vitamin or mineral, yes, it's true. And a vitamin B12 injection can probably not be beat no matter how much liver you eat (if you are deficient). Nevertheless, as a rule, these medical people say that optimal nutrition is best obtained from a balanced diet. (Though that may or may not be a scientific fact.)

 

Please let me know if you'd like evidence for that statement.

SMRI Collaborator

As for "evidence," I'm not sure I can provide exactly what you are looking for. But based on what I have been reading I am gleaning that as a general rule, nutritionists, drs, nurses, and dieticians say that because of the other nutrients you are picking up in food it is better to get your vit and minerals first from food. A vitamin usually delivers just that vitamin or mineral (with a multi being the obvious exception). Perhaps you are wishing I had prefaced the comment with something like "though it is not a scientific fact," - and maybe I should have. In some obvious cases, taking a pill delivers more of a particular vitamin or mineral, yes, it's true. And a vitamin B12 injection can probably not be beat no matter how much liver you eat (if you are deficient). Nevertheless, as a rule, these medical people say that optimal nutrition is best obtained from a balanced diet. (Though that may or may not be a scientific fact.)

 

Please let me know if you'd like evidence for that statement.

 

I think you are misunderstanding what they are saying though--they are talking about naturally occurring vitamins and minerals in foods, not the additives.  Whole grain breads provide fiber and a few other naturally occurring vitamins and that is what is "good" about eating whole grain breads..not so much the added ones.  Dairy products with added D are good because the calcium is absorbed more readily with Vit D but the Vit D can come from a pill too and get the same effect.  What they are talking about is eating a well balanced diet, so you don't need the multi-vitamin, not so much that eating fortified foods are better for you.  Given that Celiacs interrupts absorption of many nutrients, taking in extra via a multi-vitamin is prudent.

dilettantesteph Collaborator

SMRI explained it well.  I was questioning fortification being better than taking a vitamin pill with a meal.  I was questioning numbers 2 and 3 on your list of bests ways to get your vitamins.  I agree that a well balanced diet is the best alternative.

notme Experienced

As for "evidence," I'm not sure I can provide exactly what you are looking for. But based on what I have been reading I am gleaning that as a general rule, nutritionists, drs, nurses, and dieticians say that because of the other nutrients you are picking up in food it is better to get your vit and minerals first from food. A vitamin usually delivers just that vitamin or mineral (with a multi being the obvious exception). Perhaps you are wishing I had prefaced the comment with something like "though it is not a scientific fact," - and maybe I should have. In some obvious cases, taking a pill delivers more of a particular vitamin or mineral, yes, it's true. And a vitamin B12 injection can probably not be beat no matter how much liver you eat (if you are deficient). Nevertheless, as a rule, these medical people say that optimal nutrition is best obtained from a balanced diet. (Though that may or may not be a scientific fact.)

 

Please let me know if you'd like evidence for that statement.

if you wish to present statements as fact, you need to provide scientific evidence of such.  gleaning doesn't count.  like it, don't like it.  people come here looking for credible information.  i am not 'perhaps wishing' - it is a board rule and you need to consider others.

mommida Enthusiast

When my daughter was diagnosed with the vitamin D deficiency, it was lectured by the pediatrician proper diet first ~and vitamin supplements as a last resort.  (this case includes including natural sunlight for vitamin D) 

 

An 11 year old child with Celiac and Eosinophilic Esophagitus has to learn proper nutrition even though they have to avoid "trigger" foods their auto-immune disorder.  (at one point in time(6 years old) she was on a gluten free diet, avoiding all top 8 allergens, and peas).  Every "safe" bite of food needed to be as healthy as possible.  Vitamin supplementation (with pills/ tablets/ chews was also a risk because of damage to the esophagus ~ and emergency dilation may have been necessary for any items stuck in the damaged esophagus)

 

I would opt for vitamin and nutrient  fortified gluten free, allergen safe food/flour.

plumbago Experienced

At the risk of wandering further afield from a main point that someone else pointed out ("I bet if they fortified gluten-free bread more people would buy it"), I will wade back in.

Pointing to amaranth was a good tip. Thanks, it's always good to be reminded.

I didn't misunderstand. I realize that the crux of the matter is whether or not fortified food is 'better' than taking vitamins.

However, this question, as far as I can tell, cannot be discussed on this board as there is no way I can scientifically prove that the preferred way most medical personnel say to get our vit and minerals is through whole foods and then fortified foods. All I can say is that they (most) do. I can quote extensively from nursing and medical textbooks that question even the benefit and safety of using supplemental vitamins. Should I? Is that what people are looking for? Very long quotations? I will provide them if so.

No, what I think some here are looking for is some kind of ironclad scientifically provable backward and forward guarantee that enriching is better than supplementing. And they want to see those words. As far as I can tell, those specific words in that order do not exist. For purposes of free speech and being able to have a debate, I am very sorry they don't. Are people hedging when they say that? Maybe. I do not know. I can speculate as to why it is that fortified foods are not looked on as questionably as supplements (it has to do with balance and knowledge) but my speculation is not scientific. I could speculate further that maybe drs and nurses don't think fortified products are the real way to go, either, but that they are less prone to be abused, and they are stop gaps. Again, the truth or falseness of what they say is not scientifically provable at the present time.

So in closing, given this directive,

"people come here looking for credible information.  i am not 'perhaps wishing' - it is a board rule and you need to consider others."

I look forward to some very scientific future comments!

Plumbago

Adalaide Mentor

I'm not sure if there are enriched flours, but I know there are enriched breads available. If that is what someone is after, they are certainly welcome to enjoy them. It is obvious that this isn't something that is easily agreed upon. Honestly, many of us have had very poor experiences with the medical community. Research I'm happy to look at, a pile of opinions of medical "professionals" not so much. Their opinion about my health is not more important than my own. For me getting as much as I can from my diet included from healthy foods like fruits, vegetables and meats is a matter of common sense and I don't need someone with a degree to explain it to me. It sounds like beyond that, the matter of fortified vs. supplements is merely opinion, no matter whether that opinion comes from the person who is eating or the person telling us how to eat. Making up new laws that will be expensive for our government, companies, and will only drive up the already high prices of our foods seems pointless when these foods are already available too those who want them. For those of us who don't, we can continue to enjoy our foods the way we like them.

bartfull Rising Star

Before I got sick and started eating better, I was living on junk food. I used to get funny looks from people when I would say I wished they would vitamin fortify potato chips the way they do cereal, because potato chips were what I ate for breakfast every day. :lol:  (Of course it wouldn't have mattered back then because I wasn't digesting anything and wouldn't have gotten the nutrients anyway.)

Adalaide Mentor

Before I got sick and started eating better, I was living on junk food. I used to get funny looks from people when I would say I wished they would vitamin fortify potato chips the way they do cereal, because potato chips were what I ate for breakfast every day. :lol:  (Of course it wouldn't have mattered back then because I wasn't digesting anything and wouldn't have gotten the nutrients anyway.)

 

I could probably make a similar joke about ice cream right now. I have 5 boxes of ice cream in my freezer. I regular, over my refrigerator freezer. It's taking up half the space. :ph34r:

Archived

This topic is now archived and is closed to further replies.

  • Celiac.com Sponsor (A19):
  • Member Statistics

    • Total Members
      132,918
    • Most Online (within 30 mins)
      7,748

    Dizzyma
    Newest Member
    Dizzyma
    Joined
  • Celiac.com Sponsor (A20):
  • Celiac.com Sponsor (A22):
  • Forum Statistics

    • Total Topics
      121.5k
    • Total Posts
      1m
  • Celiac.com Sponsor (A21):
  • Upcoming Events

  • Posts

    • trents
      Welcome to the celic.com community @Dizzyma! I'm assuming you are in the U.K. since you speak of your daughter's celiac disease blood tests as "her bloods".  Has her physician officially diagnosed her has having celiac disease on the results of her blood tests alone? Normally, if the ttg-iga blood test results are positive, a follow-up endoscopy with biopsy of the small bowel lining to check for damage would be ordered to confirm the results of "the bloods". However if the ttg-iga test score is 10x normal or greater, some physicians, particularly in the U.K., will dispense with the endoscopy/biopsy. If there is to be an endoscopy/biopsy, your daughter should not yet begin the gluten free diet as doing so would allow healing of the small bowel lining to commence which may result in a biopsy finding having results that conflict with the blood work. Do you know if an endoscopy/biopsy is planned? Celiac disease can have onset at any stage of life, from infancy to old age. It has a genetic base but the genes remain dormant until and unless triggered by some stress event. The stress event can be many things but it is often a viral infection. About 40% of the general population have the genetic potential to develop celiac disease but only about 1% actually develop celiac disease. So, for most, the genes remain dormant.  Celiac disease is by nature an autoimmune disorder. That is to say, gluten ingestion triggers an immune response that causes the body to attack its own tissues. In this case, the attack happens in he lining of the small bowel, at least classically, though we now know there are other body systems that can sometimes be affected. So, for a person with celiac disease, when they ingest gluten, the body sends attacking cells to battle the gluten which causes inflammation as the gluten is being absorbed into the cells that make up the lining of the small bowel. This causes damage to the cells and over time, wears them down. This lining is composed of billions of tiny finger-like projections and which creates a tremendous surface area for absorbing nutrients from the food we eat. This area of the intestinal track is where all of our nutrition is absorbed. As these finger-like projections get worn down by the constant inflammation from continued gluten consumption before diagnosis (or after diagnosis in the case of those who are noncompliant) the efficiency of nutrient absorption from what we eat can be drastically reduced. This is why iron deficiency anemia and other nutrient deficiency related medical problems are so common in the celiac population. So, to answer your question about the wisdom of allowing your daughter to consume gluten on a limited basis to retain some tolerance to it, that would not be a sound approach because it would prevent healing of the lining of her small bowel. It would keep the fires of inflammation smoldering. The only wise course is strict adherence to a gluten free diet, once all tests to confirm celiac disease are complete.
    • Dizzyma
      Hi all, I have so many questions and feel like google is giving me very different information. Hoping I may get some more definite answers here. ok, my daughter has been diagnosed as a coeliac as her bloods show anti TTG antibodies are over 128. We have started her  on a full gluten free diet. my concerns are that she wasn’t actually physically sick on her regular diet, she had tummy issues and skin sores. My fear is that she will build up a complete intolerance to gluten and become physically sick if she has gluten. Is there anything to be said for keeping a small bit of gluten in the diet to stop her from developing a total intolerance?  also, she would be an anxious type of person, is it possible that stress is the reason she has become coeliac? I read that diagnosis later in childhood could be following a sickness or stress. How can she have been fine for the first 10 years and then become coeliac? sorry, I’m just very confused and really want to do right by her. I know a coeliac and she has a terrible time after she gets gluttened so just want to make sure going down a total gluten free road is the right choice. thank you for any help or advise xx 
    • xxnonamexx
      very interesting thanks for the info  
    • Florence Lillian
      More cookie recipes ...thanks so much for the heads-up Scott.  One can never have too many.  Cheers, Florence.
    • Russ H
      Hi Charlie, You sound like you have been having a rough time of it. Coeliac disease can cause a multitude of skin, mouth and throat problems. Mouth ulcers and enamel defects are well known but other oral conditions are also more common in people with coeliac disease: burning tongue, inflamed and swollen tongue, difficulty swallowing, redness and crusting in the mouth corners, and dry mouth to name but some. The link below is for paediatric dentistry but it applies to adults too.  Have you had follow up for you coeliac disease to check that your anti-tTG2 antibodies levels have come down? Are you certain that you not being exposed to significant amounts of gluten? Are you taking a PPI for your Barrett's oesophagus? Signs of changes to the tongue can be caused by nutritional deficiencies, particularly iron, B12 and B9 (folate) deficiency. I would make sure to take a good quality multivitamin every day and make sure to take it with vitamin C containing food - orange juice, broccoli, cabbage etc.  Sebaceous hyperplasia is common in older men and I can't find a link to coeliac disease.   Russ.   Oral Manifestations in Pediatric Patients with Coeliac Disease – A Review Article
×
×
  • Create New...

Important Information

NOTICE: This site places This site places cookies on your device (Cookie settings). on your device. Continued use is acceptance of our Terms of Use, and Privacy Policy.