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

UCLA Celiac Center


TexasJen

Recommended Posts

TexasJen Collaborator

Hi all- just an update - I went to the UCLA Celiac center last week to see their dietitian, Nancee Jaffe. 

Some background - I live in Texas and was diagnosed in 2016. I have seen 2 dietitians here who really didn't know that much about celiac. They have not been particularly helpful in providing evidenced based recommendations for the practicalities of a gluten free diet. 

Since I was going to be in the area, I decided to make the appointment.

(I find this sight helpful but in general, I am frustrated by conflicting advice, information that I find on the internet)

I have to say, IT WAS GREAT!  She has celiac herself for 10 years. She is down to earth, practical, and talks to the specialists at UCLA regularly to come up with a treatment plan for their patients. The advice she gave was solid advice. She provided evidence for a lot of her advice and she had reasonable well-thought out answers to some of the tough questions (how to eat out safely, how to travel, what to do about oats in food, etc)

I would definitely recommend her to anyone who has ongoing questions about a gluten free life-style, refractory celiac, new diagnosis.

 

 

 


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



Celiac.com Sponsor (A8-M):



Victoria1234 Experienced
26 minutes ago, TexasJen said:

Hi all- just an update - I went to the UCLA Celiac center last week to see their dietitian, Nancee Jaffe. 

Some background - I live in Texas and was diagnosed in 2016. I have seen 2 dietitians here who really didn't know that much about celiac. They have not been particularly helpful in providing evidenced based recommendations for the practicalities of a gluten free diet. 

Since I was going to be in the area, I decided to make the appointment.

(I find this sight helpful but in general, I am frustrated by conflicting advice, information that I find on the internet)

I have to say, IT WAS GREAT!  She has celiac herself for 10 years. She is down to earth, practical, and talks to the specialists at UCLA regularly to come up with a treatment plan for their patients. The advice she gave was solid advice. She provided evidence for a lot of her advice and she had reasonable well-thought out answers to some of the tough questions (how to eat out safely, how to travel, what to do about oats in food, etc)

I would definitely recommend her to anyone who has ongoing questions about a gluten free life-style, refractory celiac, new diagnosis.

 

 

 

That's great! Feel free to add some pearls of wisdom!

  • 2 weeks later...
TexasJen Collaborator

I think the most important thing I took away was to check the source of all oats that you eat. Many people label oats as gluten free even if they are CC'ed. I do like cereal occasionally in the morning. Often times I have bought gluten free cereal but not really scrutinized all of the ingredients. I will start doing that now. 

In fact, I just contacted Barbara's Bakery and got a very vague answer about their oats. I sent a followup question and am still waiting to hear back from them. I may not be eating those anymore depending on their answer.

Jmg Mentor
7 hours ago, TexasJen said:

I think the most important thing I took away was to check the source of all oats that you eat. Many people label oats as gluten free even if they are CC'ed. I do like cereal occasionally in the morning. Often times I have bought gluten free cereal but not really scrutinized all of the ingredients. I will start doing that now. 

In fact, I just contacted Barbara's Bakery and got a very vague answer about their oats. I sent a followup question and am still waiting to hear back from them. I may not be eating those anymore depending on their answer.

I've had some ill effects this week which I'm 90% certain link to a bag of 'gluten-free' muesli which I recently bought from a UK supermarket. The oats within it are labelled gluten-free, but I'm either getting cross contamination or reacting to these oats in themselves. Just wish I knew which! 

cyclinglady Grand Master

Gluten free oats are safe for the vast majority of celiacs.  The issue now seems to be the purity of the oats.  Are they grown in dedicated fields or grown in or near wheat fields and then mechanically sorted?   Are they tested?  This is discussed on the Gluten Free Watchdog site which anyone can access.  

You know, some big companies have invested a lot of money into developing and marketing a mechanical sorting machine for oats.  They are probably not just putting those sorted oats into their little round cereal.  Bet they are selling it to others who manufacture gluten free products.  Just speculation on my part.  

@TexasJen, thanks for the dietician referral!  So many of us were just diagnosed and then shown the door.  "Um...do not eat gluten.  Here is a list of restaurants who have some gluten free stuff.  Good luck! ".  In defense of my GI, I declined the offer of a dietician since my hubby had been gluten free for 12 years.  I knew the drill, but so many newbies are left to fend for themselves.  I can imagine that dietitians are trained to council celiac patients, but it is wonderful to work with one who actually has celiac disease.  

For those who can not access a dietician, celiac.com is an excellent resource.  Lots of published articles and a community of people dedicated to helping each other!  

Archived

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

  • Get Celiac.com Updates:
    Support Celiac.com:
    Join eNewsletter
    Donate

  • Celiac.com Sponsor (A17):
    Celiac.com Sponsor (A17):





    Celiac.com Sponsors (A17-M):




  • Recent Activity

    1. - knitty kitty replied to pothosqueen's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      16

      Positive biopsy

    2. - knitty kitty replied to Jordan Carlson's topic in Post Diagnosis, Recovery & Treatment of Celiac Disease
      1

      Fruits & Veggies

    3. - knitty kitty replied to pothosqueen's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      16

      Positive biopsy

    4. - trents replied to pothosqueen's topic in Celiac Disease Pre-Diagnosis, Testing & Symptoms
      16

      Positive biopsy

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

    • Total Members
      133,015
    • Most Online (within 30 mins)
      7,748

    CravingADonut
    Newest Member
    CravingADonut
    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

    • knitty kitty
      In the study linked above, the little girl switched to a gluten free diet and gained enough weight that that fat pad was replenished and surgery was not needed.   Here's the full article link... Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease https://pmc.ncbi.nlm.nih.gov/articles/PMC6476019/
    • knitty kitty
      Hello, @Jordan Carlson, So glad you're feeling better.   Tecta is a proton pump inhibitor.  PPI's also interfere with the production of the intrinsic factor needed to absorb Vitamin B12.  Increasing the amount of B12 you supplement has helped overcome the lack of intrinsic factor needed to absorb B12. Proton pump inhibitors also reduce the production of digestive juices (stomach acids).  This results in foods not being digested thoroughly.  If foods are not digested sufficiently, the vitamins and other nutrients aren't released from the food, and the body cannot absorb them.  This sets up a vicious cycle. Acid reflux and Gerd are actually symptoms of producing too little stomach acid.  Insufficient stomach acid production is seen with Thiamine and Niacin deficiencies.  PPI's like Tecta also block the transporters that pull Thiamine into cells, preventing absorption of thiamine.  Other symptoms of Thiamine deficiency are difficulty swallowing, gagging, problems with food texture, dysphagia. Other symptoms of Thiamine deficiency are symptoms of ADHD and anxiety.  Vyvanse also blocks thiamine transporters contributing further to Thiamine deficiency.  Pristiq has been shown to work better if thiamine is supplemented at the same time because thiamine is needed to make serotonin.  Doctors don't recognize anxiety and depression and adult onset ADHD as early symptoms of Thiamine deficiency. Stomach acid is needed to digest Vitamin C (ascorbic acid) in fruits and vegetables.  Ascorbic acid left undigested can cause intestinal upsets, anxiety, and heart palpitations.   Yes, a child can be born with nutritional deficiencies if the parents were deficient.  Parents who are thiamine deficient have offspring with fewer thiamine transporters on cell surfaces, making thiamine deficiency easier to develop in the children.  A person can struggle along for years with subclinical vitamin deficiencies.  Been here, done this.  Please consider supplementing with Thiamine in the form TTFD (tetrahydrofurfuryl disulfide) which helps immensely with dysphagia and neurological symptoms like anxiety, depression, and ADHD symptoms.  Benfotiamine helps with improving intestinal health.  A B Complex and NeuroMag (a magnesium supplement), and Vitamin D are needed also.
    • knitty kitty
      @pothosqueen, Welcome to the tribe! You'll want to get checked for nutritional deficiencies and start on supplementation of B vitamins, especially Thiamine Vitamin B 1.   There's some scientific evidence that the fat pad that buffers the aorta which disappears in SMA is caused by deficiency in Thiamine.   In Thiamine deficiency, the body burns its stored fat as a source of fuel.  That fat pad between the aorta and digestive system gets used as fuel, too. Ask for an Erythrocyte Transketolace Activity test to look for thiamine deficiency.  Correction of thiamine deficiency can help restore that fat pad.   Best wishes for your recovery!   Interesting Reading: Superior Mesenteric Artery Syndrome in a 6-Year-Old Girl with Final Diagnosis of Celiac Disease https://pubmed.ncbi.nlm.nih.gov/31089433/#:~:text=Affiliations,tissue and results in SMAS.  
    • trents
      Wow! You're pretty young to have a diagnosis of SMA syndrome. But youth also has its advantages when it comes to healing, without a doubt. You might be surprised to find out how your health improves and how much better you feel once you eliminate gluten from your diet. Celiac disease is an autoimmune disorder that, when gluten is consumed, triggers an attack on the villous lining of the small bowel. This is the section of the intestines where all our nutrition is absorbed. It is made up of billions of tiny finger-like projections that create a tremendous surface area for absorbing nutrients. For the person with celiac disease, unchecked gluten consumption generates inflammation that wears down these fingers and, over time, greatly reduces the nutrient absorbing efficiency of the small bowel lining. This can generate a whole host of other nutrient deficiency related medical problems. We also now know that the autoimmune reaction to gluten is not necessarily limited to the lining of the small bowel such that celiac disease can damage other body systems and organs such as the liver and the joints and cause neurological problems.  It can take around two years for the villous lining to completely heal but most people start feeling better well before then. It's also important to realize that celiac disease can cause intolerance to some other foods whose protein structures are similar to gluten. Chief among them are dairy and oats but also eggs, corn and soy. Just keep that in mind.
    • pothosqueen
×
×
  • 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.