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      Frequently Asked Questions About Celiac Disease   09/30/2015

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to FREE Celiac.com email alerts   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease? - list blood tests, endo with biopsy, genetic test and enterolab (not diagnostic) Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes Where can I buy gluten-free stuff? Support this site by shopping at The Celiac.com Store.

Enfamil Poly-Vi-Sol With Iron/ D-Vi-Sol Contain Caramel Color-- Ok?
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Hello-

Here's a paranoid question for you fellow parents. Our son was diagnosed with Celiac disease in late June. He's been responding amazingly well to his new gluten-free diet and has gained over 4lbs in 4 weeks. Our GI doc told us to give him a multivitamin with iron and a Vitamin D supplement to help him "catch up" with these nutrients. We've been giving him Enfamil's Poly-Vi-Sol with Iron and D-Vi-Sol with since his diagnosis with NO negative reaction. When I first bought the vitamins, I called Enfamil to check that the products were gluten-free. They claimed that they were. Now, here's my dilemma... at the same time, I've been reading Danna Korn's "Kids with Celiac Disease" and at one point she lists a series of additives that are "forbidden" within the gluten-free diet. One of the ingredients is "caramel color" with the caveat that "caramel color may or may not contain gluten, depending on how it is manufactured. In the USA caramel color must conform with the FDA standard of identity from 21CFR CH.1. This statue says: 'the color additive caramel is the dark-brown liquid or solid material resulting from the carefully controlled heat treatment of the following food-grade carbohydrates; Dextrose (corn sugar), Invert sugar; Lactose (milk sugar), Malt syrup (usually from barley malt), Molasses (from cane), Starch Hydrolysates and fractions thereof (can include wheat), Sucrose (cane or beet).'" The Enfamil Poly-Vi-Sol with Iron contains caramel color and the Enfamil D-Vi-Sol contains artificial caramel color.

Obviously, I want him to get his vitamins, but I also don't want to cause even the slightest bit of damage to his intestine. Have any of you given these vitamins to your kids? Any gluten reactions? Would you trust what the company says about their product being gluten-free? Is there a way to find out EXACTLY what ingredients go into Enfamil's caramel color? Or, is there an alternative liquid vitamin that I could give our son?

Thanks!

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psawyer    687

Caramel color is one of those celiac urban myths that just won't go away.

Here is Shelley Case's take on it, from Gluten-Free Diet A Comprehensive Resource Guide:

Although gluten-containing ingredients (barley malt syrup and starch hydrolysates) can be used in the production of caramel color, North American companies use corn as it has a longer shelf life and makes a superior product. European companies use glucose derived from wheat starch, however caramel color is highly processed and contains no gluten.
[Emphasis in original]
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