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Durum Wheat Products- No celiac reaction??!


jaccah

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jaccah Newbie

I was diagnosed with Celiac 10 years ago, as well as DH so a gluten-free diet was and is a must for me. In fact it is the DH that tells me first I have been glutened- with 45 minutes the itching and burning starts and I need to immediately take an antihistamine to get it to calm down to the bearable level and help stop the rash from spreading so much.  Then usually within 8-12 hours all the digestive upset starts up.  And it all goes on for days.  BUT that is not the main issue/ question. I have discovered in the past few years ( by accident at first) that I can eat rice pilaf ( supposedly NOT gluten free- usually made with orzo) tabbouleh ( made from bulgar, which in turn is made from durum wheat) and orzo pasta- ( is made from durum wheat) never give me a reaction- not from the DH or the regular Celiac.  No itch, rash, stomach upset.  Has anyone else experienced this?


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Scott Adams Grand Master

We've definitely had people report that certain types of wheat seem to cause less issues, or sometimes no issues, for example einkorn, semolina, etc., but celiac experts do agree that those types of wheat will still cause harm to those with celiac disease. Gut reactions in most people are not a good indicator of what damage may be caused, or what autoimmune and inflammatory processes may be triggered when you eat these types of wheat, even though you might not experience any obvious symptoms.

I would only ask you whether or not it's necessary to eat them, given that you've been diagnosed with celiac disease? For example, would you use substitutes like quinoa or millet instead? 

After celiacs heal, we've seen many people go back to eating gluten without symptoms, as the disease can go into remission, but only to have it come back with a vengeance after a few months or years. 

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    • Scott Adams
      This is a very common question, and the most important thing to know is that no, Guinness is not considered safe for individuals with coeliac disease. While it's fascinating to hear anecdotes from other coeliacs who can drink it without immediate issues, this is a risky exception rather than the rule. The core issue is that Guinness is brewed from barley, which contains gluten, and the standard brewing process does not remove the gluten protein to a level safe for coeliacs (below 20ppm). For someone like you who experiences dermatitis herpetiformis, the reaction is particularly significant. DH is triggered by gluten ingestion, even without immediate gastrointestinal symptoms. So, while you may not feel an instant stomach upset, drinking a gluten-containing beer like Guinness could very well provoke a flare-up of your skin condition days later. It would be a gamble with a potentially uncomfortable and long-lasting consequence. Fortunately, there are excellent, certified gluten-free stouts available now that can provide a safe and satisfying alternative without the risk.
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      Interestingly, this thought occurred to me last night. I did find that there are studies investigating whether vitamin D deficiency can actually trigger celiac disease.  Source: National Institutes of Health https://pmc.ncbi.nlm.nih.gov/articles/PMC7231074/ 
    • Butch68
      Before being diagnosed coeliac I used to love Guinness. Being made from barley it should be something a coeliac shouldn’t drink. But taking to another coeliac and they can drink it with no ill effects and have heard of others who can drink it too.  is this everyone’s experience?  Can I drink it?  I get dermatitis herpetiformis and don’t get instant reactions to gluten so can’t try it to see for myself. 
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      NCGS does not cause damage to the small bowel villi so, if indeed you were not skimping on gluten when you had the antibody blood testing done, it is likely you have celiac disease.
    • Scott Adams
      I will assume you did the gluten challenge properly and were eating a lot of gluten daily for 6-8 weeks before your test, but if not, that could be the issue. You can still have celiac disease with negative blood test results, although it's not as common:  Clinical and genetic profile of patients with seronegative coeliac disease: the natural history and response to gluten-free diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606118/  Seronegative Celiac Disease - A Challenging Case: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441776/  Enteropathies with villous atrophy but negative coeliac serology in adults: current issues: https://pubmed.ncbi.nlm.nih.gov/34764141/  Approximately 10x more people have non-celiac gluten sensitivity than have celiac disease, but there isn’t yet a test for NCGS. If your symptoms go away on a gluten-free diet it would likely signal NCGS.
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