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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 Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  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
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catsmeow

Wheat Allergy

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Catsmeow, this is amazing news. I am so happy for you! I am wondering if this works with seasonal allergies as well given that many of them would be considered 'airborne'? Also, my husband is going through an episode of IBS...can't stay out of the potty. I don't think he has Celiac but I do wonder if he is reacting to some type of food intolerance. I am wondering if taking an antihistamine and the zantac together might give him some relief???? Thanks to everyone for the great information.

I was just wondering this myself, for my son.

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I was just wondering this myself, for my son.

I plan to have him try it. At this point, I believe he's willing to try anything :blink:

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I've found this discussion very interesting!

I recently went to my allergist and requested food allergy testing because I got a shortness of breath when walking through the bakery section of the grocery store.

He did the testing, and I didn't react to any foods.

He explained that there are allergies to foods that they just don't have good tests for. It turns out I don't need an epipen, but I still get that reaction in the grocery store.

I get allergy shots for a lot of airborn allergies. He never mentioned taking Zantac..or that there were different types of histamine blockers.

I'm taking an acid blocking RX, but have seen that a lot of Celiacs actually have low acid..not high. I'm considering an experiment where I stop the RX and replace it with Zantac to see if I see any benefits.

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Since writing this post, I have some more results to share. I've learned they do help with my fragrance allergies, and also help with gluten CC.

I accidently ingested wheat for around 10 days recently when I bought my usual shampoo and found that the formula was changed and wheat was added to the ingredients list. I was feeling crummy the whole time and had formed itchy sores on my head, but since I didn't go into anaphylactic shock, and I didn't react to it airborne, I did not realize it was present until my daughter pointed it out. I know for sure that it was getting in my mouth when I shampood, because I have a problem with not closing my mouth, and I can always taste the shampoo when I am washing my hair. If it were not for the zantac, I am sure I would have been using my epi-pen the very first time using the wheaty shampoo.

I've also noticed that if I forget to take a Zantac, my airborne fragrance allergy is worse. So, I've concluded that it is helping with all my allergies and taking the severity of them way down in scale. I highly recommend giving this wonder drug a try. I am very happy with the results.

The only thing I don't like about the zantac, is that I can no longer smell a food or product to see if it has wheat in it...LOL. I use to read ingredients AND do the sniff test. Now all I have is the ingredients list to rely on. However, I prefer life as I know it today...it's wonderful not to react all day everyday from every molecule of wheat in the air, to include someones breath when they speak to me after eating wheat....ugh!!! How weird is that?????

Life is good.

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I've found this discussion very interesting!

I recently went to my allergist and requested food allergy testing because I got a shortness of breath when walking through the bakery section of the grocery store.

He did the testing, and I didn't react to any foods.

He explained that there are allergies to foods that they just don't have good tests for. It turns out I don't need an epipen, but I still get that reaction in the grocery store.

I get allergy shots for a lot of airborn allergies. He never mentioned taking Zantac..or that there were different types of histamine blockers.

I'm taking an acid blocking RX, but have seen that a lot of Celiacs actually have low acid..not high. I'm considering an experiment where I stop the RX and replace it with Zantac to see if I see any benefits.

I had never heard of different types of histamines either. It was a real eye opener. It sure sounds like you would benefit from a little Zantac. Wouldn't hurt to give it a try. The dose my doc prescribed was 150 mg, twice daily. It lasts 12 hours, that's why the dose is twice daily.

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Thanks for the dosage info!

I'm going to a new PCP on Monday. I'm going to ask what he thinks about a trial of stopping the Protonix and starting Zantac.

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Since writing this post, I have some more results to share. I've learned they do help with my fragrance allergies, and also help with gluten CC.

I accidently ingested wheat for around 10 days recently when I bought my usual shampoo and found that the formula was changed and wheat was added to the ingredients list. I was feeling crummy the whole time and had formed itchy sores on my head, but since I didn't go into anaphylactic shock, and I didn't react to it airborne, I did not realize it was present until my daughter pointed it out. I know for sure that it was getting in my mouth when I shampood, because I have a problem with not closing my mouth, and I can always taste the shampoo when I am washing my hair. If it were not for the zantac, I am sure I would have been using my epi-pen the very first time using the wheaty shampoo.

I've also noticed that if I forget to take a Zantac, my airborne fragrance allergy is worse. So, I've concluded that it is helping with all my allergies and taking the severity of them way down in scale. I highly recommend giving this wonder drug a try. I am very happy with the results.

The only thing I don't like about the zantac, is that I can no longer smell a food or product to see if it has wheat in it...LOL. I use to read ingredients AND do the sniff test. Now all I have is the ingredients list to rely on. However, I prefer life as I know it today...it's wonderful not to react all day everyday from every molecule of wheat in the air, to include someones breath when they speak to me after eating wheat....ugh!!! How weird is that?????

Life is good.

Again this is great news. I really got hit with perfume on the bus News Years Eve.

And since Christmas have been hit with CC so much that I thought about Zantac a lot. Can't wait for the doc appt.

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catsmeow, I noticed the change in pic but didn't realize until you mentioned it.

I love cats too. Just lost my CH baby about 3 weeks ago. :( His name was Sora.

I still have one but I am thinking she may have a wheat/gluten intolerance. I need to change the food anyway but I am very poor right now.

[/quot

So sorry to hear that you lost your kitty.

As for your other one, It would be nice fo him and you to feed him gluten-free. I just wish there were a cheap one out there. I am poor right now too, and I am paying way to much for the fance gluten-free catfood. It's $38 for a 20 lb bag!!!!!!!!! It's called "Indigo Moon"

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Again this is great news. I really got hit with perfume on the bus News Years Eve.

And since Christmas have been hit with CC so much that I thought about Zantac a lot. Can't wait for the doc appt.

UGH..perfume..it should be outlawed!!! Let me know how your appt. goes.

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Thanks for the dosage info!

I'm going to a new PCP on Monday. I'm going to ask what he thinks about a trial of stopping the Protonix and starting Zantac.

Let me know how your appt goes. I hope well!

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I've been on a PPI for acid reflux for years. I wondered, now that I'm not ingesting wheat or soy, which may have been the cause of my GERD, if I could safely go off it and try Zantac instead?

I have a reduced gallbladder function and need digestive enzymes when I eat. I asked the Dr. what he thought about me stopping the PPI and maybe trying an H2 blocker like Zantac? He thought it was a very good idea! He said PPIs can prevent people from absorbing some nutrients, and reduced acid also makes it harder to digest some foods. He said there's even some controversy as to PPIs being the cause of some gallbladder dyskinesia. He says they also cause bone loss..and nobody should stay on them longterm.

He suggested I not get my gallbladder out..unless I have a terrible flare, and see if it gains function on the gluten-free diet along with stopping the PPI.

Thanks SO much for posting this thread about the H2 blockers. It may save my gallbladder?

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I've been on a PPI for acid reflux for years. I wondered, now that I'm not ingesting wheat or soy, which may have been the cause of my GERD, if I could safely go off it and try Zantac instead?

I have a reduced gallbladder function and need digestive enzymes when I eat. I asked the Dr. what he thought about me stopping the PPI and maybe trying an H2 blocker like Zantac? He thought it was a very good idea! He said PPIs can prevent people from absorbing some nutrients, and reduced acid also makes it harder to digest some foods. He said there's even some controversy as to PPIs being the cause of some gallbladder dyskinesia. He says they also cause bone loss..and nobody should stay on them longterm.

He suggested I not get my gallbladder out..unless I have a terrible flare, and see if it gains function on the gluten-free diet along with stopping the PPI.

Thanks SO much for posting this thread about the H2 blockers. It may save my gallbladder?

How interesting......I did not know there was a correlation between gallbladder dysfunction and PPI's. 6 months into Nexium and I had to have my gallbladder out, that was in April of last year. The worse thing about it is it never helped my acidy tummy much, now that I am on Zantac as an H2 blocker, I've noticed that my stomach acid is much better, despite not taking nexium at all! So Zantac is doing 2 things for me, the H2 part is a miracle, the calmer tummy was a bonus. Please let me know how the Zantac works out for you. I'm so happy for you!!!!!

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This is fascinating to me. I am recently gluten free but my 6 year old son has life threatening allergies to dairy and peanuts - we carry an EpiPen as well. In addition to the food allergies he also has Eosinophilic Esophagitis (EoE.....eosinophilic enteropathy) so he takes a few meds including omeprazole (Prilosec).

In all my reading about food allergies and EoE I have never heard of Zantac for the use of allergies. I am quite familiar with acid blockers etc. for my own symptoms but I never knew Zantac (ranitidine) was a histamine blocker. I am just shocked right now. I may have to do some serious digging because anaphylaxis scares me to no end, especially as a mom. If Zantac even lessened the likelihood of a serious reaction I would be all over it.

Thanks for sharing your story!

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This is fascinating to me. I am recently gluten free but my 6 year old son has life threatening allergies to dairy and peanuts - we carry an EpiPen as well. In addition to the food allergies he also has Eosinophilic Esophagitis (EoE.....eosinophilic enteropathy) so he takes a few meds including omeprazole (Prilosec).

In all my reading about food allergies and EoE I have never heard of Zantac for the use of allergies. I am quite familiar with acid blockers etc. for my own symptoms but I never knew Zantac (ranitidine) was a histamine blocker. I am just shocked right now. I may have to do some serious digging because anaphylaxis scares me to no end, especially as a mom. If Zantac even lessened the likelihood of a serious reaction I would be all over it.

Thanks for sharing your story!

OMGosh!!!!!!!!!! I actually found a huge report about eosinophilic enteropathy and the use of Zantac for the condition. This was after Zantac was prescribed for me and I started researching it. Google "eosinophilic enteropathy zantac" You will find that it is used for your sons condition all over the internet!

I hear ya on the fear of anaphylaxic reactions. They scare the weebie jeebies out of me. Wouldn't it be cool if Zantac helped your son as well? I would have to give my smart doctor an extra hug for you if it did! :)

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OMGosh!!!!!!!!!! I actually found a huge report about eosinophilic enteropathy and the use of Zantac for the condition. This was after Zantac was prescribed for me and I started researching it. Google "eosinophilic enteropathy zantac" You will find that it is used for your sons condition all over the internet!

I hear ya on the fear of anaphylaxic reactions. They scare the weebie jeebies out of me. Wouldn't it be cool if Zantac helped your son as well? I would have to give my smart doctor an extra hug for you if it did! :)

It would be wonderful if it would help her son!

So far so good..for me. Give your Dr. a hug for me too...and what the heck..squeeze his butt a little too?! ;):D

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It would be wonderful if it would help her son!

So far so good..for me. Give your Dr. a hug for me too...and what the heck..squeeze his butt a little too?! ;):D

Hee Hee Hee...."her" name is Dr. Salinas, so I just simply can't squeeze her butt! :P:D;):lol:

But, she's getting a hug for sure!!!

Have you tested Zantac in the grocery store yet?

Today, I drove home with a 50 pound bag of bunny chow in my vehicle, made with wheat meddlings. I kept the windows up and did not get sick,not even a hint of a stuffy nose! Whooooo Hooooooo. Usually, my husband has to buy the bunny feed.

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Err..um..just a hug then? :unsure:

I went to the grocery store today and didn't have any problems. I dunno if they weren't mixing any baking ingredients up, or if I just didn't react?

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Err..um..just a hug then? :unsure:

I went to the grocery store today and didn't have any problems. I dunno if they weren't mixing any baking ingredients up, or if I just didn't react?

How's it going? Is is working for you? It's still working for me! I saw my doc the other day and gave her several hugs! She was so excited about the Zantac working. I think I made her day when I told her "thank you for giving me my life back" :)

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I haven't been to the grocery store where I was getting reactions, for a while, so I don't know?

I know I feel better OFF the PPI med. I have less URQ pain and it seems like I digest my food a bit better.

I'm sure my bone density is happy I'm off that med too? ;)

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Finally saw the doctor today.

We are going to try the Zantac for a month to see how it works for me. She explained how it works and said that it would also help my ingested wheat reactions. She told me that they use it in the emergency room here when someone comes in with a reaction along with the epinephrine.

And hopefully it will help with the chemical reactions too.

Thank you Catsmeow and another hug for your doc. ;)

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I hope it works well for you Sora. It seems like when the PPIs came out the Pharmacy reps courted all the Dr.s and they switched people to those? It sounds like the Zantac is more in line with what you need?

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I hope it works well for you Sora. It seems like when the PPIs came out the Pharmacy reps courted all the Dr.s and they switched people to those? It sounds like the Zantac is more in line with what you need?

Thank you, I am hopeful.

Maybe I can finally get back to work and I won't be so poor all the time. :)

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Off topic a little~ One of my manly man cousins coined a new phrase for perfume. He calls it "stink pretty" LMAO!!!! I love it!!!!!!!

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    • I am sorry that I was not clear.    I only mentioned  your diagnostic background, not to discredit you, but because without any lab results (other than a positive gene test), how can you be sure that gluten (shampoo containing wheat protein) was the actual culprit (not a guess) of your symptoms?  It is common for celiacs to receive follow-up antibodies to monitor their dietary compliance.  This is not perfect, but it is the only tool in the toolbox for now.   My husband has been gluten free 12 years prior to my diagnosis.  He went gluten free per the poor advice of his GP and my allergist.  So, I am not trying to discount your diagnosis at all.  I am just trying to see if other lab tests (e.g. liver tests that were elevated previously for you when you were still consuming gluten) were measured after your shampoo exposure.   I am curious because I have had issues over the last year.  I was glutened last January, had the flu, a tooth infection, a cold and a tooth extraction, three rounds of antibiotics (verified to be gluten free) within a month or so.  Like, you, I am very careful.  I have no idea as to how I was exposed.   The last time I ate out was a year ago and even then it was at at 100% gluten free restaurant.   My hubby did not have any symptoms at this time.  He is like my canary.    I went to my GI and my DGP IgA was off the charts even some three months later.   My celiac-related symptoms diminished in three months, but I struggled with autoimmune hives for six.  My GI offered to do an endoscopy in the summer.  Instead I chose to follow the Fasano diet.  I still was not feeling well.  In December, my antibodies were 80.  They were either on a decline or they were increasing again.  I opted for the endoscopy.  My biopsies revealed a healed small intestine (you could see the villi on the scope too).  But I was diagnosed with chronic gastritis and had a polyp removed.   So, all this time I thought my celiac disease was active, but it was NOT the source of my current gut issues.   Again, my apologies.  I just wanted to know how you know for SURE that hydrologized wheat protein from someone else’s shampoo and conditioner could reach your small intestine to trigger an autoimmune reaction.  Maybe, like me, Gluten was not the actual culprit.    
    • The reason I think it was the shampoo? Process of elimination. Our house is almost entirely gluten free (except for this shampoo which slipped through the cracks until I read the ingredient label). My husband has bread that he eats at lunch, but he practices something that resembles aseptic technique from the lab when he's making his sandwiches. He's been doing this for years now and I've never been glutened from within my home. The previous week I hadn't eaten out, I cooked all my food, I don't eat processed food and I never eat something from a shared facility.  Usually if I get glutened it's a single dose sort of thing and it follows a very predictable course, to the point where I can estimate when I got glutened within 24 hours of when it happened. However, this time, I was feeling achy and arthritic and moody for about a week before it got bad enough for me to recognize it as the result of gluten exposure, at which point we went searching and found the shampoo (and conditioner, which does leave more of a residue than shampoo), which he immediately stopped using. Within three days I was feeling back to normal (which is the usual course for me).  Sure, it could have been something else, but I know how sensitive I am, and, as silly as it sounds, it was the only thing that made sense. The other thing you said: You're correct, mine was not a rock solid celiac diagnosis, but I have no doubt that gluten is the problem. I was SICK. I went through two different gluten challenges in an effort to get a more straightforward diagnosis during which I was a barely functioning human being. Consuming gluten may not have given me blunted villi or elevated antibodies, but it did inflame my gut, and actually started to damage my liver. If you look at my diagnosis thread, I had elevated liver enzymes, which have been correlated with celiac disease in the past. There was no alternative explanation for the liver enzymes, he checked EVERYTHING.  I too am a scientist and I have spent a lot of time with the literature trying to make sense of my condition.  https://www.ncbi.nlm.nih.gov/pubmed/26150087 I also have no doubt that gluten was damaging my intestines in some way, as any prolonged gluten exposure in the past has inevitably been followed by a severe FODMAP intolerance that goes away once I've eliminated the gluten and given myself a month or so to heal.  I also had a very fast diagnosis following the onset of symptoms (~1 year) so it's possible that the disease never had a chance to manifest as full celiac. I wasn't willing to eat gluten long enough to find out. As a result of my diagnosis, hazy as it was, I am *meticulously* gluten free. It is not a fad for me. I don't occasionally cheat. It is my life, for better or worse. All of that being said, I'm not sure what my diagnosis has to do with your question. You say you're not trying to be rude, but when you bring up my diagnosis in a thread that has nothing to do with diagnostics, it seems like you're trying to undermine the validity of my disease or the validity of my input in this forum. If I'm being hypersensitive, I apologize, but that's how you came across on my end. I'll admit that the fact that my diagnosis wasn't more straight forward does make me a bit defensive, but I promise that even if I didn't have a solid diagnosis, I interact with the world as though I did, and I'm not out there giving people the wrong idea about celiac disease by not taking it seriously. If there was a connection between your question and my diagnostics that I missed I would appreciate you giving me the chance to better understand what you were asking. 
    • I am just curious.  As a scientist (and I am not trying to be rude), how can you determine if hydrologized wheat protein from your husband’s shampoo was actually the culprit?  If I recall at your diagnosis, you were seronegative, Marsh Stage I, gene positive,  but your doctor still  suspected celiac disease.  You improved on a gluten diet.  Other than observation, how do you really know?  Could it not be something else that triggered your symptoms?   I firmly believe that even trace amounts of gluten (under 20 ppm), can impact sensitive celiacs.  But traces of a protein within a shampoo from someone else’s hair that was rinsed?    
    • I also can't have dairy but through a series of experiments and a lot of research I think I've pinpointed my problem. It may or may not be the same for you, but I thought I'd share.  There are two kinds of beta-casein protein A1 and A2. We'll call A1 "bad casein" and A2 "good casein". The two proteins differ only in a single amino acid, but this is enough to make it so that they are processed differently in your guy. Bad casein is actually broken down into a casomorphin, which is an opioid peptide. That does not mean that milk gets you high, or is as addictive as heroin, or anything like that, it just means that it can interact with opioid receptors (which the gut has a bunch of). It's worth noting that opioids cause constipation due to their interaction with the opioid receptors in the gut, and that a lot of people feel like cheese and dairy slow things down, but any connection between the two is pure speculation on my part at this point.  Now here's where things get weird. The vast majority of milk cows in the western world are derived from Holstein-like breeds, meaning black and white cows. In a few select places, you'll see farms that use Jersey-type cows, or brown cows (Jersey cows produce less milk than Holsteins, but many connoisseurs feel it's a higher quality milk, particularly for cheese).  Holstein-like cows have A1 and A2 casein (bad and good), however, Jersey-type cows only have A2 (good casein), unless their genetic line involved a Holstein somewhere in the past, which does happen.  A company in New Zealand figured out how to test their cows for these two genes, and selected their herd down to cows that specifically produce ONLY A2 (good) casein. You might have seen it in the store, it's called A2 milk. Some people have had a lot of luck with this milk, though it still doesn't solve the problem of cheese.  I have suspected, due to trial and error and a few accidental exposures, that I have a problem with A1 casein, but not A2. In line with this: I am able to eat sheep and goat dairy without any difficulty, so at least I can still enjoy those cheeses! I am also fortunate because I'm apparently not too sensitive, as I can still eat cow-milk butter. The process of making butter removes *most* (read: enough for me) of the casein.  However, if I eat cow cheese or a baked good with milk, I get really sick. It's a much faster reaction than if I get glutened. Within minutes I'm dizzy and tired and my limbs are heavy. I have to sleep for a couple of hours, and then, over the next couple of days, I'm vulnerable to moodiness and muscles spasms and stomach upset just as though I'd been glutened (though the brain fog isn't as bad). I actually haven't tried A2 milk yet, mostly due to lack of availability (and motivation, I don't miss milk, I miss CHEESE). However, last year, when I was getting ready to go on a trip to Italy, I had a thought. Once, in the recent past, when I'd been testing dairy, I'd had a slice of parmesan cheese. Miracle of miracles, I was fine. I didn't feel a thing! I was so excited that I ran out and got some brie to eat as a snack. That did not go so well... Turns out parmigiano reggiano is made from the milk of the Reggiana variety of cow which is, you guessed it, a brown cow (they say red). I did a little more research and found that dairies in Italy predominantly use brown cows. So I decided to try something. As some of you may know, Italy is something of a haven for celiacs. It's one of the most gluten-free friendly places I've ever been. You can say "senza glutine" in the smallest little town and they don't even bat their eyelashes. You can buy gluten free foods in the pharmacy because they're considered a MEDICAL NECESSITY. If travelling-while-celiac freaks you out, go to Italy. Check out the website for the AIC (Italy's Celiac society), find some accredited restaurants, and GO NUTS. While I was there, I decided to see if I could eat the dairy. I could.  Friends, I ate gelato Every. Single. Night. after that. It was amazing. Between the dairy being safe for me and the preponderance of gluten free options, it was almost like I didn't have dietary restrictions. It was heaven. I want to go back and never leave.  So that's my story. Almost too crazy to believe.  TL;DR: Black and white cows make me sick, brown cows are my friends.
    • I'm a scientist, and I did a little research into the study. Looks valid and it was published in a respected journal.  http://www.gastrojournal.org/article/S0016-5085(17)36352-7/pdf The science looks solid. As someone who didn't have a super clean cut diagnosis before going gluten free, I'd love to see something like this become available. Then again, there's no doubt in my mind that I can't have gluten, so any additional testing would be purely academic. But like I said, I'm a scientist. I can't help myself. 
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