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Upstream Brewery - Omaha, Ne


Shess0816

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Shess0816 Apprentice

I posted this under a different section pertaining to another topic, but it was suggested I post this review here as well in case anyone is traveling to Omaha:

I recently had an AMAZING experience eating at a local upscale brewery (of all places!) in my city. I explained to the waiter that I had celiac, which was essentially an allergy to wheat, rye, oats, and barley and anything made from those. He said he completely understood what that was, had experience serving other customers with that issue. He brought the manager over and explained my situation. They were both VERY VERY nice and respectful and understanding. I felt like they were there to make sure I was happy instead of in some restaurants where I have felt like a burden. They brough their head chef out then and he personally went over the menu with me, explained which dishes I could eat and how they would change them to make them gluten free. The chef then walked me back to the entryway of the kitchen. He showed me where they would be cooking my food, which pans they would be using (newly cleaned ones), and how they would ensure my food would not be cross contaminated. Then he and the manager asked if there was anything additional they could do to make me feel more comfortable prior to cooking my food. I said no, thank you so much for the help, and I went back to my table with my friends and family. I am the only celiac sufferer in the group, and they were all jealous of the personal attention I received! When our meals were ready, the waiter brought over the rest of the table's food, and the head chef brought my meal out personally. He explained again the changes they made to the meal and he left it with me. I started eating it (it was absolutely INCREDIBLE, by the way!!) and the manager came right over to make sure everything was just perfect! I completely enjoyed my meal and time with my family and friends and it was one of the least stressful times I've ever had ordering since going gluten free! Needless to say, I will be going back there quite often! Also, just to make the point that Celiac individuals GREATLY appreciate the extra effort and attention given to our meals, our ENTIRE party tipped 40% on the bill.


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    • trents
      You might consider asking for a referral to a RD (Registered Dietician) to help with food choices and planning a diet. Even apart from any gluten issues, you will likely find there are some foods you need to avoid because of the shorter bowel but you may also find that your system may make adjustments over time and that symptoms may improve.
    • Ello
      I wish Dr’s would have these discussions with their patients. So frustrating but will continue to do research. Absolutely love this website. I will post any updates on my testing and results.  Thank you
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    • Ello
      Yes this information helps. I will continue to be pro active with this issues I am having. More testing to be done. Thank you so much for your response. 
    • trents
      There are two gluten-related disorders that share many of the same symptoms but differ in nature from each other. One is known as celiac disease or "gluten intolerance". By nature, it is an autoimmune disorder, meaning the ingestion of gluten triggers the body to attack it's own tissues, specifically the lining of the small bowel. This attack causes inflammation and produces antibodies that can be detected in the blood by specific tests like the TTG-IGA test you had. Over time, if gluten is not withheld, this inflammation can cause severe damage to the lining of the small bowel and even result in nutrient deficiency related health issues since the small bowel lining is organ where all the nutrition found in our food is absorbed.  The other is NCGS (Non Celiac Gluten Sensitivity or just "gluten sensitivity") which we know less about and are unsure of the exact mechanism of action. It is not an autoimmune disorder and unlike celiac disease it does not damage the lining of the small bowel, though, like celiac disease, it can cause GI distress and it can also do other kinds of damage to the body. It is thought to be more common than celiac disease. Currently, we cannot test for NCGS. Celiac disease must first be ruled out to arrive at a diagnosis of NCGS. Both disorders require elimination of gluten from the diet.  Either of these disorders can find their onset at any stage of life. We know that celiac disease has a genetic component but the genes are inactive until awakened by some stress event. About 40% of the general population has the genetic potential to develop celiac disease but only about 1% develop active celiac disease. The incidence of NCGS is thought to be considerably higher. I hope this helps.
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