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Ataxia from Gluten ?


DJFL77I

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trents Grand Master

Have any studies been done on the actual effect on Celiacs of exposure to gluten transdermally? I could be very wrong but it strikes me that this might be an unfounded fear as long as hands are washed after application and it is kept away from the lips and the mouth.


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trents Grand Master

Kate333, I'm not so sure about that. If consumers would start asking, "Where is this made" and refuse to purchase meds and personal health products not made in the USA I think over time it would happen. But of course, this presupposes there are options available. I seem to remember early in his tenure, President Trump leaned on some automakers to keep their plants in the USA and was successful. But at the same time, Americans would need to become willing to spend a little extra money to buy USA made products.

trents Grand Master
Kate333 Rising Star

@trents....Doubtful.  BOTH parties are so corrupted by corp. $$ and MOST products here are STILL made and imported from cheap foreign factories (as they have been for the last 40 years), including cars, drugs, and even American flags, "Made in America" labels, and "MAGA" T-shirts and baseball caps.  ROFL.  IMO, that press conference was just empty political theater to fool people because MOST of those workers, including those in the auto plants mentioned in that press conference, were all laid off after that "big announcement" and had to watch their jobs shipped to cheap factories in Mexico.....NOT exactly what I would call "success". 

Success would be US policies REQUIRING that ALL drugs (and most every thing else) be made in the US and VIGOROUS safety regulations exist and be enforced--hardly a priority in either party, both of which are funded by--drum roll--MILLIONS in corp $$$.  Also, IMO, the issue isn't "extra $$ or higher prices" or lack of consumer savvy/interest, because Americans have been fuming about this issue for HOW MANY YEARS/DECADES? to no avail.  The REAL issue is "normalized" corp. greed and "legalized" corp. bribery of politicians.  That "status quo" will ensure that NOTHING changes, no matter how loudly we citizens scream or how much more we are willing to pay for US-made products.  And if we had REAL "free markets" in the US, higher prices wouldn't be an issue because these companies would be forced to actually compete for customers instead of relying on the safety of their political bribe system to maintain artificially-inflated, monopoly-fueled profit margins and prices. 

That's too bad for us (consumers), because many of these shoddy factories abroad--esp. drug makers--have been accused of unconscionable safety violations:  eg., watered down/tainted chemo or heart medications.  Critically ill patients have enough to worry about in life.  They shouldn't be needlessly subjected to the additional stress of wondering/worrying whether their Tamoxifen or Digitalis are "real and pure" or just compressed, dried horsesh$t pills made in some sweatshop abroad by exhausted, overworked grade school dropouts who earn a few paid a Renminbi or Rupees an hour.  I honestly don't know how some of these big pharma CEOs sleep at night, knowing they are intentionally playing Russian-Roulette with OUR safety and lives...  

Speaking of sleep, signing off the chatroom for now and signing off future political comments here (as this chatroom is not designed for that purpose)...😁.  Have a great evening/weekend!

1 minute ago, trents said:

Thanks...much appreciated....!!

cyclinglady Grand Master
49 minutes ago, trents said:

Have any studies been done on the actual effect on Celiacs of exposure to gluten transdermally? I could be very wrong but it strikes me that this might be an unfounded fear as long as hands are washed after application and it is kept away from the lips and the mouth.

This was from Trisha Thompson, registered  Dietitian, who has celiac disease and works with the FDA to help keep us Safe.  She tested a few products:

https://www.glutenfreedietitian.com/gluten-in-cosmetics-results-of-testing-on-lipsticks-and-lotions/


 And this from Melinda Dennis.  I met her once at a celiac disease conference:
 

https://nationalceliac.org/celiac-disease-questions/using-gluten-free-skin-body-products-someone-celiac-disease/

 

 

56 minutes ago, trents said:
knitty kitty Grand Master

Can't resist...must poke the bear....forgive me....

Allergenicity of Deamidated and/or Peptide-Bond-Hydrolyzed Wheat Gliadin by Transdermal Administration

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278741/

 

Who wants a wheat allergy on top of Celiac Disease?

2 hours ago, trents said:

 

Kate333 Rising Star

Thanks everyone who posted links above to articles about gluten in personal care products. 

These articles, while interesting, are not very reassuring because none cite valid medical studies or study data/results showing the safety of personal care products to people with celiac disease or gluten intolerance...i.e., double-blind, large, comprehensive medical studies of the effects of G-containing personal care products on study subjects with celiac disease or gluten intolerance. 

Dr. Alessio Fasano's statement is revealing: “There is currently no scientific evidence that gluten used in cosmetics that are not ingested is harmful to individuals with celiac disease....If you have celiac disease, then the application of gluten-containing products to the skin should not be a problem, unless you have skin lesions that allow gluten to be absorbed systemically in great quantities. The reason why this should not be a problem is that, based on what we know right now, it is the oral ingestion of gluten that activates the immunological cascades leading to the autoimmune process typical of celiac disease.” 

This kind of hedging language tells me that no reliable valid studies/data to date have been done on the safety of personal care products to people with celiac disease or gluten intolerance. 

And the statement  "The Food and Drug Administration (FDA) does not issue rules addressing the use of the term ‘gluten-free’ in labeling..... Therefore, gluten does not have to be definitively declared on [cosmetic] labels. The FDA, however, does not prohibit cosmetic companies from labeling products gluten-free" tells me that the FDA doesn't even regulate any products to ensure they are safe or gluten-free.

So, until real studies are done, we can't assume these products are really safe.

 


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Scott Adams Grand Master
1 hour ago, Kate333 said:

This kind of hedging language tells me that no reliable valid studies/data to date have been done on the safety of personal care products to people with celiac disease or gluten intolerance. 

You are right! In fact, I've never seen any studies done on this, so I don't know how he can even made such a statement at all. What he should say directly is that we just don't know because there haven't been any studies on this. 

I've heard too many anecdotal stories of people with dermatitis herpetiformis or severe gluten sensitivity over the years, stories of symptoms like itchy rashes that some get when using gluten-containing cosmetics, shampoos, lotions, lipstick, etc., to discount them and say that it must really be something you're eating. If there are gluten-free versions of these products then why not just play it safe and go with that?

I have high respect for Dr. Fasano and all he's done, however, such statements could be harmful to some people and I think what he should say is that there are so many gluten-free options available now, why pick the one that contains gluten? 

cyclinglady Grand Master
(edited)

While I agree that there have been no studies and there probably never will be (it is all about the money to fund it), I still think that personal care products that are not labeled gluten free, but contain no gluten ingredients are safe.  After years of learning to read labels, I still can not purchase a product that contains gluten even if I am not going to ingest it.  As far as those that do contain gluten ingredients, I not buy them.  I show my displeasure by not supporting those corporations financially.  

Kate333 asked about Vaseline Intestine Care Lotion and Suave products.  These are manufactured by Unilever who does a good job listing all ingredients.  They are not labeled gluten free because they are not tested and do not meet the FDA gluten-free recommendations.    But just recently, the Gluten Free Watchdog, tested the aloe Vera version on the Vaseline lotion.  It tested below 5 ppm which is as low as it gets per the equipment.  It can be considered safe.  I use the Intensive care lotion as does @squirmingitchwho has DH.  If it is safe for someone with DH, it is safe, in my opinion.  Besides, I use these products and I have healed — biopsy confirmed on a repeat endoscopy.  

Most celiacs tend to get hidden gluten exposures from cross contamination in their homes or at restaurant.  The risk from processed foods or personal care products  is a lot less than you think.   Certified gluten-free products are expensive.  Something to consider in a pandemic/recession.  But may be worth it if you have a IgE wheat allergy (or just make your own homemade versions like you did 100 years ago).  


 

Edited by cyclinglady
trents Grand Master

I also think it is true that transdermal delivery of any substance is less, much less efficient than ingestion or inhalation. 

cyclinglady Grand Master
(edited)
1 hour ago, Scott Adams said:

You are right! In fact, I've never seen any studies done on this, so I don't know how he can even made such a statement at all. What he should say directly is that we just don't know because there haven't been any studies on this. 

I've heard too many anecdotal stories of people with dermatitis herpetiformis or severe gluten sensitivity over the years, stories of symptoms like itchy rashes that some get when using gluten-containing cosmetics, shampoos, lotions, lipstick, etc., to discount them and say that it must really be something you're eating. If there are gluten-free versions of these products then why not just play it safe and go with that?

I have high respect for Dr. Fasano and all he's done, however, such statements could be harmful to some people and I think what he should say is that there are so many gluten-free options available now, why pick the one that contains gluten? 

2 hours ago, Kate333 said:

Thanks everyone who posted links above to articles about gluten in personal care products. 

These articles, while interesting, are not very reassuring because none cite valid medical studies or study data/results showing the safety of personal care products to people with celiac disease or gluten intolerance...i.e., double-blind, large, comprehensive medical studies of the effects of G-containing personal care products on study subjects with celiac disease or gluten intolerance. 

Dr. Alessio Fasano's statement is revealing: “There is currently no scientific evidence that gluten used in cosmetics that are not ingested is harmful to individuals with celiac disease....If you have celiac disease, then the application of gluten-containing products to the skin should not be a problem, unless you have skin lesions that allow gluten to be absorbed systemically in great quantities. The reason why this should not be a problem is that, based on what we know right now, it is the oral ingestion of gluten that activates the immunological cascades leading to the autoimmune process typical of celiac disease.” 

This kind of hedging language tells me that no reliable valid studies/data to date have been done on the safety of personal care products to people with celiac disease or gluten intolerance. 

And the statement  "The Food and Drug Administration (FDA) does not issue rules addressing the use of the term ‘gluten-free’ in labeling..... Therefore, gluten does not have to be definitively declared on [cosmetic] labels. The FDA, however, does not prohibit cosmetic companies from labeling products gluten-free" tells me that the FDA doesn't even regulate any products to ensure they are safe or gluten-free.

So, until real studies are done, we can't assume these products are really safe.

 

I worry more about most all generic drugs coming from both India (very little FDA oversight) to no oversight in China (where they are not letting the FDA in for inspections).  Pretty sad when all antibiotics raw materials come from China and most raw materials too for supplements. That is scary.  Not some lotion you do not ingest.  
 

 

Edited by cyclinglady
Scott Adams Grand Master

I agree @cyclinglady that with cosmetics having "gluten-free" on the label probably isn't required, and going by ingredients is likely safe, but given the choice between buying one with it on the label vs. not I generally go with GF because they likely are more careful when sourcing ingredients than a company who may not be focused on the celiac crowd.

trents Grand Master

Scott, are there cosmetics that have gluten-free on the label? I have not seen that but I don't look for it either in those kinds of goods so maybe I just missed it.

Kate333 Rising Star

I get the point of those who say these products are all safe "because I use/have no issues with them."  Also, there are likely individual variances in response to even minute G exposure in topical products (like any other product).  Some folks have a bad side-effect/reaction, others don't.

But as a newly-diagnosed gluten sensitive/IBS person who still struggles with daily indigestion, I want to be super-cautious and avoid risking ANY exposure, esp. since my latest tTG blood test this month showed G level is still high (81) compared to the earlier test in Feb. (73)--despite my having done everything "right" (no restaurants or even carryout/fast food; no shared food/drinks/plates/utensils; only eating/cooking "fresh" meat, chicken, fish, fruit and veggies).  That tells me that if the G source is NOT from the food I eat, then it must be coming from somewhere else, something unrelated to food?   I am just trying to pinpoint and avoid it and get those dang #s back to the "normal" range to facilitate healing.  

Perhaps tTG tests are affected by other, non-G allergies (dairy, for example)??  Since my diagnosis, I have also noticed sudden bad indigestion after eating dairy items--even those labeled "gluten-free" and/or Lactose-Free!  Or perhaps G just remains in the body long-term (and shows up on blood tests even MONTHS after it was consumed) and it just takes a long time to reach "normal" range on gluten-free diet??   I don't know the answers to those Qs.  Perhaps others can answer them....

Scott Adams Grand Master
15 minutes ago, trents said:

Scott, are there cosmetics that have gluten-free on the label? I have not seen that but I don't look for it either in those kinds of goods so maybe I just missed it.

One of our sponsors here is EpiLynx, and they make a big line of GF cosmetics, lotions, etc. There are others...

Kate333 Rising Star

Can anyone pls. share the names/website links of companies that produce products with gluten-free labels?

Esp. interested in hand/body lotion, shampoo, conditioner, toothpaste. 

It would be so nice if there was a one-stop shopping website for ALL of these.  It's so time-consuming to do separate internet searches for each kind of item.  Not to mention all the time involved in trying to read and translate all the arcane-named chemicals and ingredients listed in ant-sized fonts on all the containers.😖

 

9 minutes ago, Scott Adams said:

One of our sponsors here is EpiLynx, and they make a big line of gluten-free cosmetics, lotions, etc. There are others...

Thanks Scott!

Beverage Rising Star

I understand you cannot get gluten through your skin, but I buy only hair body and face products that are labeled gluten free...ever wash your hair and not get any of that soap water in your ears (drains to the same place), or on your face and over the lips?  Scratch your arm that you covered in body lotion and then eat that almond?  Touch your hair that you shampooed and conditioned and no, it doesn't all wash out, and then pick that almond piece out of your teeth?  And then freak out for days after you get glutened and can't figure out where the heck it came from.  Well, if your body is gluten free, then you can eliminate all that as a likely source. 

And to add to it...pets...mine eat grain free cat food, are extremely healthy, and I don't have to worry about petting them after they've licked themselves all over, or if they lick me, or I touch something they have rubbed up against or a toy they played with.

Yea, probably all minimal amounts of gluten, but it adds up in a day, and it's hard enough.  For me, that's my choice, to keep my world in my own home gluten free and safe from worry and hyper vigilance to not touch my mouth.  If I get glutened I can pretty much figure it out pretty easily.

 

Kate333 Rising Star
1 hour ago, Beverage said:

I understand you cannot get gluten through your skin, but I buy only hair body and face products that are labeled gluten free...ever wash your hair and not get any of that soap water in your ears (drains to the same place), or on your face and over the lips?  Scratch your arm that you covered in body lotion and then eat that almond?  Touch your hair that you shampooed and conditioned and no, it doesn't all wash out, and then pick that almond piece out of your teeth?  And then freak out for days after you get glutened and can't figure out where the heck it came from.  Well, if your body is gluten free, then you can eliminate all that as a likely source. 

And to add to it...pets...mine eat grain free cat food, are extremely healthy, and I don't have to worry about petting them after they've licked themselves all over, or if they lick me, or I touch something they have rubbed up against or a toy they played with.

Yea, probably all minimal amounts of gluten, but it adds up in a day, and it's hard enough.  For me, that's my choice, to keep my world in my own home gluten free and safe from worry and hyper vigilance to not touch my mouth.  If I get glutened I can pretty much figure it out pretty easily.

 

Thanks Bev.  I get so many different, even conflicting advice/opinions on this blog, from docs, product manufacturers, and in life that it's sometimes very confusing, difficult to know what to think....I am newly diagnosed and just learning...my blood tests are reduced from dx date but STILL too high after 6 mo. on gluten-free diet, so am trying to "sniff out" and avoid ANY potential sources--even "non-obvious" ones!  I also have bad seborrheic dermatitis (pink) scalp for a year.  Doesn't itch, just pink, obviously inflamed.  Tried various prescribed shampoos/oils with zero improvement.  So I am thinking perhaps it's also a reaction to elev. G levels in my body...   

But I 100% agree with you that caution--even extreme to some--about G exposure is the best course/protection.  If nothing else, at least it eliminates anxiety about "rolling the dice"...I would appreciate if you share some "brand names" that you use (esp. shampoo, soaps, body creams) and where purchased (store name or website).  

Since you are a fellow pet-lover, I pass along an interesting article about a veterinarian who lives with a G-sniffing "service dog" to protect herself from G sources, large and small:

https://www.willowceliacallergenservicedogs.com/news.   I wish these wonderful dogs were widely available to most of us!

Cheers,

Kate  

 

Beverage Rising Star
1 hour ago, Kate333 said:

Thanks Bev.  I get so many different, even conflicting advice/opinions on this blog, from docs, product manufacturers, and in life that it's sometimes very confusing, difficult to know what to think....I am newly diagnosed and just learning...my blood tests are reduced from dx date but STILL too high after 6 mo. on gluten-free diet, so am trying to "sniff out" and avoid ANY potential sources--even "non-obvious" ones!  I also have bad seborrheic dermatitis (pink) scalp for a year.  Doesn't itch, just pink, obviously inflamed.  Tried various prescribed shampoos/oils with zero improvement.  So I am thinking perhaps it's also a reaction to elev. G levels in my body...   

But I 100% agree with you that caution--even extreme to some--about G exposure is the best course/protection.  If nothing else, at least it eliminates anxiety about "rolling the dice"...I would appreciate if you share some "brand names" that you use (esp. shampoo, soaps, body creams) and where purchased (store name or website).  

Since you are a fellow pet-lover, I pass along an interesting article about a veterinarian who lives with a G-sniffing "service dog" to protect herself from G sources, large and small:

https://www.willowceliacallergenservicedogs.com/news.   I wish these wonderful dogs were widely available to most of us!

Cheers,

Kate  

 

I use Andalou shampoo, face cleanser, shower gel, serums, and lotions, they are what they call "verified gluten free."  https://andalou.com/ 

Sign up for their newsletter and they often have coupons and sales.  The shampoo doesn't lather a whole lot though, but I love their face serums and lotions/creams.  They are very high quality and you don't use a lot, so it lasts longer than you think.  

Another gluten-free shampoo that costs a lot less, lathers a lot, but not as moistourising, but I can get at my grocery store is Renpure. 

Another brand I have tried only a little, and I like it, but you have to buy a lot to get free shipping, is Savonnerie (https://gfsoap.com/).  

Lip balm...EOS from Costco.  To me, a big essential for an older lady like me.  I'm 63 and with constant protection from lip balm, my lips and pink and natural plump, not a single wrinkle.

Lipstick and Mascara - https://www.redapplelipstick.com/  Sign up for newsletter, get a monthly discount code and sometimes big sales. I absolutely love the mascara.  My eyes are real sensitive, and this one does not bother me, high quality brush, not gloppy, which I hate.

Make Up - I was switching from Bare Essentials, aka Bare Minerals to another powder one (can't remember the name), but it went out of business recently, so I'm using up my Bare Essentials. They don't label it gluten free, at least my older stuff is not, but I haven't had any problems with it.

Oh God, I had a really bad scalp dermatitis (not sure if it is the same, but this might work)...it works better than the anti fungal stuff from the dermatologist and that Nizarol that makes your hair drop out...APPLE CIDER VINEGAR.  Get yourself a squeeze bottle (NOT GLASS) with a little tip (like they use for drizzling sauces on food) so you can put it onto your scalp.  Mix half and half of ACV and water.  Keep the bottle in your shower.  After shampooing and conditioning and rinsing out REALLY WELL (your skin is naturally acidic as a protection, my theory is that residual conditioner feeds whatever makes the dermatitis and changes the PH away from being acidic), squeeze a little of the ACV mixture onto your scalp, be careful NOT to tip your head forward or it will end up in your eyes and you will not be happy.  You don't have to leave it on very long, just smush it around with your fingertips and then rinse it out really well.  I did this and got my scalp issue to completely go away, and I continue to do this about every time or every other time I shampoo, it's never come back.

Thanks for the good article!  I hope all this helps.

 

 

 

Kate333 Rising Star

Thanks for all that info, Bev!

I wish you/family a safe Happy 4th!  I am staying indoors as our gov her in Calif. just issued another order today, shutting everything down again....:(.  Can't say I was surprised...crazy people here have been acting like bats out of hell, flocking to beaches, restaurants, bars and streets in droves since Memorial Day...sigh...

 

Beverage Rising Star
13 minutes ago, Kate333 said:

Thanks for all that info, Bev!

I wish you/family a safe Happy 4th!  I am staying indoors as our gov her in Calif. just issued another order today, shutting everything down again....:(.  Can't say I was surprised...crazy people here have been acting like bats out of hell, flocking to beaches, restaurants, bars and streets in droves since Memorial Day...sigh...

 

Yea, crazy people up here in Seattle too, and all the protesting that turned into rioting.  Not much social distancing there.  I'm previously from Calif. and my sister is there still.  Happy 4th to you!  I will be staying home as well, missing the family picnic that is not allowed up here also (phase 2, no gatherings over 5 people), but they're doing it anyway.  I'm high risk because of asthma, so protecting myself.

Kate333 Rising Star

I hear you... The looting and rioting and crowds here were also just AWFUL.  The glass doors a local pharmacy were shattered and its shelves looted.  The stupid gov/mayor here said NOTHING to condemn, question it.  They are too afraid of "offending" certain people (most of whom don't even bother voting)....  I got a jury summons the other day!! Can you believe it?  CA officials think it's perfectly fine to cram a crowds of people into a small room to conduct trials for petty misdemeanors during the CV crisis...yet they have zero concern about felons who burn, loot, riot, and expose people to CV with impunity.   Votes...everything is about winning VOTES--not common sense, sanity😵..

My doc said people with G/IBS issues are not on the "high risk" list posted by CDC...but I am taking NO CHANCES and still really scared every time I have to go out to buy food, get meds or visit a doctor.  This whole mess has really made my IBS symptoms/anxiety go through the roof....😢

Beverage Rising Star
21 hours ago, Kate333 said:

I hear you... The looting and rioting and crowds here were also just AWFUL.  The glass doors a local pharmacy were shattered and its shelves looted.  The stupid gov/mayor here said NOTHING to condemn, question it.  They are too afraid of "offending" certain people (most of whom don't even bother voting)....  I got a jury summons the other day!! Can you believe it?  CA officials think it's perfectly fine to cram a crowds of people into a small room to conduct trials for petty misdemeanors during the CV crisis...yet they have zero concern about felons who burn, loot, riot, and expose people to CV with impunity.   Votes...everything is about winning VOTES--not common sense, sanity😵..

My doc said people with G/IBS issues are not on the "high risk" list posted by CDC...but I am taking NO CHANCES and still really scared every time I have to go out to buy food, get meds or visit a doctor.  This whole mess has really made my IBS symptoms/anxiety go through the roof....😢

The one thing that the current state of the world has shown, is how we are not in control, but we can control what we expose ourselves to, and that's where we have to feel ok with doing what is right for ourselves.  I know the anxiety is tough, but learn some deep breathing or meditation or just walk in the garden or something that takes your mind off it.  I imagine our brains are like our muscles, they can only take so much at once, and they have to be given a break to rest, just like muscles. 

My mom (who was raped when she was a teenager in Hawaii and forced to marry the a$#@$%$$ because she got pregnant, her and the baby beaten and abused by him until she literally almost lost her mind), always was the most sunny smiling laughing person you could ever meet, always glass half full, making lemonade out of everything....she would say "Life isn't about what happens to you, it's about what you do with what happens to you."  

Take care of yourself and keep yourself safe, take strength that you are doing the best you can for yourself.  Let the burden be lifted.

trents Grand Master
1 hour ago, Beverage said:

The one thing that the current state of the world has shown, is how we are not in control, but we can control what we expose ourselves to, and that's where we have to feel ok with doing what is right for ourselves.  I know the anxiety is tough, but learn some deep breathing or meditation or just walk in the garden or something that takes your mind off it.  I imagine our brains are like our muscles, they can only take so much at once, and they have to be given a break to rest, just like muscles. 

My mom (who was raped when she was a teenager in Hawaii and forced to marry the a$#@$%$$ because she got pregnant, her and the baby beaten and abused by him until she literally almost lost her mind), always was the most sunny smiling laughing person you could ever meet, always glass half full, making lemonade out of everything....she would say "Life isn't about what happens to you, it's about what you do with what happens to you."  

Take care of yourself and keep yourself safe, take strength that you are doing the best you can for yourself.  Let the burden be lifted.

Amen! Your mom refused to play the victim card.

Kate333 Rising Star

💔for your dear mom, Beverly.   

"Life isn't about what happens to you, it's about what you do with what happens to you." What a wise, heroic woman!!  So few of us get through this life without any trauma or pain.  As Hemingway famously said:  "The world breaks everyone and afterward many are strong at the broken places."

Thanks for the kind, encouraging words.  Have a happy, safe 4th of July!!😍

 

 

 

   

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      I feel your pain. Grain and gluten intolerant. Hang in there. This forum is very helpful
    • ElisaL
      IDK how common it is but it does happen. I'm celiac, allergic, and intolerant to the fiber in grains. (Fodmaps) So not only do I get sick from cross contamination, also gluten free wheat statch/fiber, and beauty products with wheat will get me. While I don't stop breathing the full body hives and short breath are not fun. Then once I make through that me and the bathroom become reacquaint. Sigh if I didn't feel so much better with the restrictions on my diet I'd feel sorry for myself. Least it makes for some good jokes about how the gremlin that lives in my gut really hates wheat. 
    • Wends
      Hi Dora77. “Questions I Need Help With” “1. Is it realistically safe to eat food my mom cooks…” YES - you wouldn’t be here if it wasn’t for your mother. Trust she still knows how to take the best care of you in her own way. Mishaps and cross contamination may happen - will happen on occasion, in fact - that’s life. But for the bulk of it as long as you’re aware of cc and try to avoid it for the most part, don’t sweat the small stuff! See the gluten free diet as a process. Own the process, Do Not let the process own you! “2. Do I need to worry about touching doorknobs, fridge handles, light switches, etc. that family members touched after eating gluten? What about public places like bus handles or school desks? Or like if i went to the gym, I would be touching stuff all the time, so there will be small amounts of gluten and those would get transferred on my phone if I touch my phone while in the gym. But I want to knos if it would be enough to do damage.” NO - this is OCD brain at its best! Hijacking your thoughts and justifying it because of the very real fear of gluten contamination. That’s OCD all over. Like a devil in the driving seat. Fears that are based on some kind of reality are hard to argue with. Boss it back! Recognise this for what it is. OCD using fear of gluten as its excuse to keep you entrapped. Own the OCD in this scenario, don’t let it own you. Normal cleanliness rules apply. Washing your hands before you handle food you’re putting in your mouth is fine. Washing after the gym is normal. Once daily cleansing wipe of your phone etc. Even if you did go rubbing your hands all over surfaces and licking them there might be a trace exposure to gluten possible. But I’m guessing you don’t usually do that sort of thing. Even if you inadvertently were to ingest trace gluten - it won’t be enough to do damage, no. It takes weeks to months of at least a few hundred milligrams of gliadin daily for the innate immune system followed by the adaptive immune system in coeliac disease to kick in and start producing antibodies and cause villous atrophy. “3. Is an endoscopy (without biopsy) enough to tell if my intestines are healed? I’d pay privately if it could help and if i dont get a refferal. Or do i need a biopsy?” Only biopsy, as the gold standard of diagnosis, can tell for certain if villi have recovered. Having said that video capsule etc. can give an indication of any inflammation. “4. Could my job (powder coating, sandblasting, etc.) expose me to gluten or damage my intestines through air/dust?” Assuming your employer provides all necessary PPE - appropriate mask and overalls etc. All you can do is take the precautions that are advised according to risk assessments and regulations of the relevant industry governing bodies? (I don’t know what this would be in the USA. Sorry. But there’s safety and governing regs in the UK for this sort of thing. Assuming it would be very similar over the pond in fairness). “5. Do I need certified gluten-free toothpaste, hand soap, shampoo, or moisturizer? (For example: Vaseline and Colgate don’t contain gluten ingredients but say they can’t guarantee it’s gluten-free.)” This comes down to personal threshold of gluten tolerance. People that are highly sensitive may need certified products. Especially those with dermatitis herpetiformis - the skin manifestation of gluten sensitivity. Listen to your body on this one. “6. Is spices like pepper with “may contain traces of gluten” safe if no gluten ingredients are listed? Or does everything need to be labeled gluten-free?” This one is easy - when following a strict gluten free diet, avoid products that say May contain traces of gluten. But it does not have to be labelled gluten free. There are many foods naturally gluten free. Having said that, there is nuance and personal tolerance threshold. If you’re super sensitive “may contain gluten” labelling is a godsend. But this kind of labelling is more aimed at informing customers with type 1 food hypersensitivity/ allergy reactions. The company is basically legally covering themselves, because there may be a risk of cross contamination. Not to be confused that it means there is cross contamination. In addition to products being labelled gluten free. Many products that are labelled can still contain gluten by the way - in fact any processed products labelled gluten free can still contain the allowable level of gluten (up to 20 parts per million according to Codex). A study was done not too long ago that showed gluten free processed products such as cereals, breads, flours etc. can and some are in fact contaminated and have above the legal allowable amount of gluten in them. While most gluten free products are fine for most celiac patients and tolerated, highly sensitive patients fail to heal fully if relying on processed gluten free products. The trace gluten exposure adds up for someone eating a typical western diet of gluten free cereal for breakfast, gluten free sandwich for lunch, gluten free pasta or pizza for dinner for example day after day, week after week. This is why, at least in the beginning after diagnosis, the gluten free diet should be one of whole real food - food that does not require a label. Meats, oily fish, eggs, beans, natural gluten free complex carbohydrates and vegetables according to custom and taste. Limit fruit as fructose worsens leaky gut and has been hypothetically linked to increased OCD and ADHD - Professor Richard Johnson published study on this recently. “7. Is continuing to only eat my own food the better choice, or could I eventually go back to eating what my mom cooks if she’s careful?” NO and YES. What you listed as your current, limited diet is nutrient poor. Correct it as soon as possible for your own sake and future health! Ditto what others have replied regarding vitamin and minerals that are lacking in malabsorption syndromes like celiacs and need replenishing. Gluten free products are not fortified. You were likely healthier, dare I say it, on a gluten containing diet for this reason. Your brain , and gut for healing and maintenance, needs lots of nourishment from omega 3s, B complex vitamins, folate, B12, iron, selenium etc. Meats, fish, natural fats that come with, do not fear - the brain is made of fat. Limit sugar, seed oils, and high glycemic cereals and fruit like bananas unfortunately as they can cause blood sugar highs and lows that can worsen anxiety in some people. Refined carbohydrates should be limited for the same reason. Fructose and simple sugars in excess feed the unhealthy gut bugs that wreak havoc with anxiety disorders like OCD. White potatoes can be problematic for some, also. It can take six weeks of elimination to see improvements. Note, consult your physician regards insulin adjustment if you reduce carbohydrates in the diet. Dr Bernstein diabetes protocol has worked for thousands. Ketogenic and low carbohydrate diets for mental and neurological conditions have shown improvements. Limited studies have and are being conducted under metabolic psychology and nutritional psychology. In a good proportion of anxiety disorders, mental, and neurological conditions including dementias, the brain is lacking nutrition and usable energy, not a drug. Similar in many autoimmune conditions, including celiacs, the prevailing hypothesis is that gut inflammation and resultant permeability allowing exposure to antigens begets triggering the genetically susceptible immune system response. Modern lifestyle exposure, one of the biggest being the food we choose to eat plays a huge role. Avoid ultra processed products, high in seed oils, refined grains, and sugar. Not just gluten can cause a leaky gut. Fructose, alcohol, egg white lysozyme, emulsifiers, added gums, the list goes on. “8. is cutlery from dishwasher safe if there are stains? Stuff like knives is used for cutting gluten bread or fork for noodles etc. I often see stains which i dont know if it’s gluten or something else but our dish washer doesnt seem to make it completely clean.” If in doubt have your own cutlery set, plate and dishes etc. for your sole use that you handwash yourself. Carry a camping fork/spoon set when out and about if needed. “9. I wash my hands multiple times while preparing food. Do i need to do the same when touching my phone. Like if i touch the fridge handle, I wash my hands then touch the phone. I dont eat while using my phone but i leave it on my bed and pillow and my face could come in contact with where it was.” That’s a classic OCD fear. Nothing to do with gluten as such. OCD brain is using gluten as the excuse here. I personally have the habit of using a cleansing wipe or dust cloth on my phone, nightly, that eases this sort of worry. For example a micro fibre dust cloth will do the trick, keep one on your nightstand? They are antibacterial as particles cling to the cloth. “10. Do i need to clean my phone or laptop if theyve been used by people who eat gluten? Even if no crumbs fall onto my keybaord, i mean because of invisible gluten on their fingers.”  NO. But again these OCD thoughts are hard to argue with. If in doubt, just a quick wipe with a cloth daily should suffice. Normal cleanliness practice. But if you don’t, or forget, don’t sweat the small stuff. “11. Does medication/supplements have to be strictly glutenfree? One company said they couldn‘t guarantee if their probiotics don’t contain traces of gluten.” Better if it is gluten free, yes. “12. I had bought supplements in the past, some of them say glutenfree and some of them dont(like the brand „NOW“ from iherb). I bought them and used them when i wasnt washing my hands so often, are they still safe? As I touched and opened them after touching door knobs, water taps etc. It was like a year ago when i bought those and even though i was eating gluten-free, I never worried about what i touch etc.” Still safe if do not explicitly contain gluten grains / derivatives AND if within the use by and use within dates. “I know this post is long. I’m just extremely overwhelmed. I’m trying to protect myself from long-term health damage, but the OCD is destroying my quality of life, and I honestly don’t know what’s a reasonable level of caution anymore.” Really hope these replies to your questions help. Just remember, in the midst of overwhelming thoughts and darkness under OCD clouded vision, the light and sunshine is always shining above. Take a moment or two when you are able in each day - even if it’s last thing at night - to meditate. Focus on something that you enjoy and appreciate. Or sit in a quiet space and try to relax and tune in to your higher self. Ask for guidance and soothing from your guardian angel. Over time it works but don’t worry if your brain is anxious. Eventually it will quieten down some. Try to focus on a real food, nutrient dense and naturally gluten free diet, this will help your anxiety and future health in the long run. Please eat real food - not cornflakes and sandwiches. Eat a steak, eggs or fish for example. Gluten exposures may happen, but don’t sweat it, dust yourself off so to speak, and carry on with a natural gluten free diet as best you can. Own your OCD don’t let it own you! Similarly, when it comes to a gluten free diet for celiac disease, own the process, don’t let it own you! You’re 18. That’s great. I’ve been managing OCD since childhood (in my 40s now. Many years of research, trial and error so to speak. Diet makes a difference. To quote Doc Brown to teenagers Marty and Jennifer, ‘ …your future hasn’t been written yet. No one’s has. It’s whatever you make it. So make it a good one.’
    • maryannlove
      Unfortunately not going to be able to let you know how Amneal is working because I still have almost 3 month supply of Mylan.  Had annual appointment with endocrinologist last week (though get scripts for blood work more often) and since was on my last refill, she sent new script to pharmacist.  Staying on my Mylan until it's gone.  (I tend to build up a supply because after trying a couple of endocrinologists for my Hashimotos, one finally got my thyroid regulated by my taking only six days a week instead of adjusting the strength which had me constantly up and down.  Will be forever grateful to her.  Apparently high percentage of folks with Celiac also have Hashimotos so all this relevant/helpful on Celiac.com.    
    • KimMS
      Thanks for sharing this! Have you started taking the Amneal? I'm curious how it's going for you. My pharmacy gave me the option of Accord, Macleod or Amneal. I didn't realize that Amneal was formerly Lannett, or I might have chosen that one. However, I did read some anecdotal reports that some people had side effects with Amneal, so I chose Accord. I have been taking it for 3-4 weeks and the past 10 days I have developed extreme fatigue/sluggishness, joint pain and some brain fog. I don't know if it is the new levo med, but nothing else has changed. Has anyone else taken Accord levo? Any issues? It seems to fall into the "no gluten ingredients, but we can't guarantee 100%, but it's likely safe category." I'm wondering if it is worth switching to Amneal or at least getting my thyroid levels checked. If the med is causing my symptoms, I'm guessing it's not because of gluten but maybe the potency is different from Mylan and I need different dosing. Accord was recalled for lower potency, but my pharmacist said the pills I have were not part of that lot.  
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