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Cross Contamination


ashlees-mom

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ashlees-mom Rookie

Well, this seemed like the best place to post this question. My daughter was recently diagnosed, and I am doing my best to ensure that everything that passes her lips is safe! I don't understand why I have read that you need seperate pans, kitchen-maid, utensils etc. Doesn't washing them out make them clean? If not, don't I need special forks, plates etc too? I thought running through the dishwasher was enough, but I think I am missing something! Someone please explain!

Michelle


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GFdoc Apprentice

Hi Michelle, and welcome to our world of the "gray zone" - nothing is black and white and easily answered because the truth is no one is absolutely sure how exact we need to be to avoid gluten. Most people will tell you what works well for them... some people are incredibly sensitive to minute amounts of gluten, others aren't.

I keep a kosher kitchen (separate utensils for meat and for dairy) so I already have duplicate everything!

Certain cooking and preparation surfaces are either impossible to clean perfectly (like wood cutting boards or collanders) or they retain bits of food/ absorb food into their surfaces (some frying pan surfaces). Other utensils by their nature lead to contamination (toasters). I think that things that can be cleaned well by dishwasher and have smooth metal or glass surfaces (silverware, mixing bowls, etc.) are fine to share with gluten-containing foods.

Susan123 Rookie

I guess it depends upon how sensitive she is to gluten. I am not that sensitive and get by with using the same utensils (washed of course). I do have a separate toaster/toaster oven.

gf4life Enthusiast

As I understand it, anything teflon, cast iron, wood or plastic has the possiblity of absorbing some of the gluten into the surface and impossible to get 100% clean, so those are the things I have duplicates of and keep strictly gluten-free and non-gluten-free. They are different colored, and washed and stored separately.

Sara, I agree with you that anything non-porous, like glass or stainless steel should be fine to share, as long as it is cleaned very well. I feel a rinse in the sink and then being washed in the dishwasher are fine for these things.

I tend to use either a cheap paper plate or my own cutting board instead of the counter for making gluten-free foods, since I don't feel the counter is getting cleaned good enough, or often enough. I don't worry about the plastic cups, since they are never used for gluten foods, and the risk of gluten being transfered into the plastic while someone is eating a gluten food and then drinking from the cup is so minimal, especially after the dishwasher. But you can tell that I have thought about it! :rolleyes:

The toaster is one place that I don't share with gluten foods. I have a new 4 slot toaster for me and the kids. My husband uses our old toaster oven. The trick is getting him to remember that he cannot use the toaster oven for the kids foods anymore!

God bless,

Mariann

ashlees-mom Rookie

Thank you, this is starting to make more sense! Since she has only been gluten-free for 2 weeks, I really don't know how sensitive she is, I am trying to make sure we are being ULTRA safe at this point. I didn't think about the teflon coating on the pans, or the plastic utinsils. I did get new rubber spatulas since thoses seemed more porous. We also got a new toaster, but since she won't eat any of the bread so far, I can't say we have used it much! If I still want something in the toaster oven but I use a pan so it doesn't touch would it be safe, or am I still missing something? I think I need a much bigger kitchen!! :D

GFdoc Apprentice

I bought a toaster at Target made by Oster that has 2 sliding "shelves" - I use the lower shelf for gluten containing foods, and the upper one is for gluten-free only (I take out the gluten-free shelf when not being used). For now, with what you have, try lining the existing shelf with foil, or use a pan.

Try my Challah egg bread in the Kosher and gluten-free recipe section - it's alot like regular sandwich bread - soft. I hate the store bought gluten-free breads!

Good luck

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    • trents
      @BlessedinBoston, it is possible that in Canada the product in question is formulated differently than in the USA or at least processed in in a facility that precludes cross contamination. I assume from your user name that you are in the USA. And it is also possible that the product meets the FDA requirement of not more than 20ppm of gluten but you are a super sensitive celiac for whom that standard is insufficient. 
    • BlessedinBoston
      No,Lindt is not gluten free no matter what they say on their website. I found out the hard way when I was newly diagnosed in 2000. At that time the Lindt truffles were just becoming popular and were only sold in small specialty shops at the mall. You couldn't buy them in any stores like today and I was obsessed with them 😁. Took me a while to get around to checking them and was heartbroken when I saw they were absolutely not gluten free 😔. Felt the same when I realized Twizzlers weren't either. Took me a while to get my diet on order after being diagnosed. I was diagnosed with small bowel non Hodgkins lymphoma at the same time. So it was a very stressful time to say the least. Hope this helps 😁.
    • knitty kitty
      @Jmartes71, I understand your frustration and anger.  I've been in a similar situation where no doctor took me seriously, accused me of making things up, and eventually sent me home to suffer alone.   My doctors did not recognize nutritional deficiencies.  Doctors are trained in medical learning institutions that are funded by pharmaceutical companies.  They are taught which medications cover up which symptoms.  Doctors are required to take twenty  hours of nutritional education in seven years of medical training.  (They can earn nine hours in Nutrition by taking a three day weekend seminar.)  They are taught nutritional deficiencies are passe' and don't happen in our well fed Western society any more.  In Celiac Disease, the autoimmune response and inflammation affects the absorption of ALL the essential vitamins and minerals.  Correcting nutritional deficiencies caused by malabsorption is essential!  I begged my doctor to check my Vitamin D level, which he did only after making sure my insurance would cover it.  When my Vitamin D came back extremely low, my doctor was very surprised, but refused to test for further nutritional deficiencies because he "couldn't make money prescribing vitamins.". I believe it was beyond his knowledge, so he blamed me for making stuff up, and stormed out of the exam room.  I had studied Nutrition before earning a degree in Microbiology.  I switched because I was curious what vitamins from our food were doing in our bodies.  Vitamins are substances that our bodies cannot manufacture, so we must ingest them every day.  Without them, our bodies cannot manufacture life sustaining enzymes and we sicken and die.   At home alone, I could feel myself dying.  It's an unnerving feeling, to say the least, and, so, with nothing left to lose, I relied in my education in nutrition.  My symptoms of Thiamine deficiency were the worst, so I began taking high dose Thiamine.  I had health improvement within an hour.  It was magical.  I continued taking high dose thiamine with a B Complex, magnesium. and other essential nutrients.  The health improvements continued for months.  High doses of thiamine are required to correct a thiamine deficiency because thiamine affects every cell and mitochondria in our bodies.    A twenty percent increase in dietary thiamine causes an eighty percent increase in brain function.  The cerebellum of the brain is most affected.  The cerebellum controls things we don't have to consciously have to think about, like digestion, balance, breathing, blood pressure, heart rate, hormone regulation, and many more.  Thiamine is absorbed from the digestive tract and sent to the most important organs like the brain and the heart.  This leaves the digestive tract depleted of Thiamine and symptoms of Gastrointestinal Beriberi, a thiamine deficiency localized in the digestive system, begin to appear.  Symptoms of Gastrointestinal Beriberi include anxiety, depression, chronic fatigue, headaches, Gerd, acid reflux, gas, slow stomach emptying, gastroparesis, bloating, diarrhea and/or constipation, incontinence, abdominal pain, IBS,  SIBO, POTS, high blood pressure, heart rate changes like tachycardia, difficulty swallowing, Barrett's Esophagus, peripheral neuropathy, and more. Doctors are only taught about thiamine deficiency in alcoholism and look for the classic triad of symptoms (changes in gait, mental function, and nystagmus) but fail to realize that gastrointestinal symptoms can precede these symptoms by months.  All three classic triad of symptoms only appear in fifteen percent of patients, with most patients being diagnosed with thiamine deficiency post mortem.  I had all three but swore I didn't drink, so I was dismissed as "crazy" and sent home to die basically.   Yes, I understand how frustrating no answers from doctors can be.  I took OTC Thiamine Hydrochloride, and later thiamine in the forms TTFD (tetrahydrofurfuryl disulfide) and Benfotiamine to correct my thiamine deficiency.  I also took magnesium, needed by thiamine to make those life sustaining enzymes.  Thiamine interacts with each of the other B vitamins, so the other B vitamins must be supplemented as well.  Thiamine is safe and nontoxic even in high doses.   A doctor can administer high dose thiamine by IV along with the other B vitamins.  Again, Thiamine is safe and nontoxic even in high doses.  Thiamine should be given if only to rule Gastrointestinal Beriberi out as a cause of your symptoms.  If no improvement, no harm is done. Share the following link with your doctors.  Section Three is especially informative.  They need to be expand their knowledge about Thiamine and nutrition in Celiac Disease.  Ask for an Erythrocyte Transketolace Activity test for thiamine deficiency.  This test is more reliable than a blood test. Thiamine, gastrointestinal beriberi and acetylcholine signaling.  https://pmc.ncbi.nlm.nih.gov/articles/PMC12014454/ Best wishes!
    • Jmartes71
      I have been diagnosed with celiac in 1994, in remission not eating wheat and other foods not to consume  my household eats wheat.I have diagnosed sibo, hernia ibs, high blood pressure, menopause, chronic fatigue just to name a few oh yes and Barrett's esophagus which i forgot, I currently have bumps in back of my throat, one Dr stated we all have bumps in the back of our throat.Im in pain.Standford specialist really dismissed me and now im really in limbo and trying to get properly cared for.I found a new gi and new pcp but its still a mess and medical is making it look like im a disability chaser when Im actively not well I look and feel horrible and its adding anxiety and depression more so.Im angery my condition is affecting me and its being down played 
    • marion wheaton
      Wondering if anyone knows whether Lindt chocolate balls are gluten free. The Lindt Canadian website says yes but the Lindt USA website says no. The information is a bit confusing.
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