This blog is structured to assist those who are looking for information about Celiac disease and the gluten-free lifestyle.
Wednesday, December 17, 2008
personal update
I hope everyone is doing well and that the holiday season finds you well and healthy.
Best regards,
Brandie
Nature's Path Organic Whole O's
Well, last week we received a package in the mail which contained a box of Whole O's cold cereal. We quickly opened the box and both grabbed a handfuls.
Response - well,...I liked it, but I kind of figured I would. Here's the thing though - I really liked it. There was this hint of sweetness at the end that really intrigued me. This wasn't your usual everyday 'over-processed-help me I need milk-sugary taste'. Nope - this was a lightly fruity sweetness. A hint of natural sugar if you will.
Then I heard Tommie - 'mmm, this is good'. What? Am I mistaken? Tommie actually likes a GF cereal. See, Tommie has tolerated GF cereals in the past. We'll buy a box and then I have to force him to eat the entire box before he can try something else. He gets tired of eating cereal very quickly - now in all fairness, he does work with limestone all day and does a lot of heaving lifting - sometimes cereal just doesn't cut it. However, he also gets tired of the tastes quickly. So we'll have to see if he can stand eating an entire box of GF cereal without my help.
I figured, ah, he just liked it initially - then I noticed he kept cramming mounds of cereal in his mouth. He mentioned to mumble an occasional word, but it was mostly chewing. I just smiled and realized that when a person with CD finds food that they like and actually want to eat - well the experience is like Christmas and Santa knew exactly what you wanted. In between chewing, Tommie did mention that it was sweetened with pomegranate! That was it, that was the sweet taste I was getting. You can't beat that, a light pomegranate after taste - sign me up.
So, my rating for this product - I'm going to have to give it a 5 out of 5 for taste. I also have to give a shout-out to the company in general - I am really impressed that you offered up a free taste of your product. You are a vital part of the GF community and we appreciate not only your products, but also your earth-friendly attitude and integrity.
Enjoy!
Monday, November 17, 2008
Whole Foods GF Calendar - November
Sunday, November 23rd
Gluten Free Thanksgiving
1-3pm FREE
Sandy Haney will be dishing up gluten free foods while you shop. This month enjoy a sampling from her Thanksgiving menu including Gluten Free Stuffing, Namaste Spice Cake and Pumpkin Pie!
*Note - this is at the Nora location (86th & Michigan)
Wednesday, November 19th
Value Tour
6-7:30pm FREE
Eating great food doesn't have to break your budget. Join Sarah Smith for some valuable tips on stretching your dollar and getting the most for your money at Whole Foods Market. Enjoy samples too! Meet at the front of the store. RSVP to reserve your space at Carmel: 569.1517. Leave a message for Sarah Smith.
*Note - this is not particularly a GF event, but can be very helpful. This is at the Carmel store.
Personal note - Sarah is awesome!!! For those of you who use to go to the GF classes at the Nora store, you understand how much Sarah helps the GF community with her positive attitude and vast amount of knowledge.
November 2008 Celiac Central Newsletter
A BIG THANK YOU to Georgetown Market...
Product Review: Pamela's Baking & Pancake Mix
1. add a little salt to the mix - the pancakes were a little bland and some salt would bring out the flavor of the flours more
2. the mix is pretty thick so don't just plop some batter on the griddle - you'll need to move it around; the mix will not thin out and the inside of your pancake will not be cooked while the outside is.
3. do not apply syrup and let the pancakes sit - I would wait to put syrup on them until you're ready to eat, especially if you add a bucket of syrup to your pancakes like Tommie does. The pancakes will start to dissolve and you're left more with a syrup-pancake puddle.
Monday, November 3, 2008
Georgetown Market GF day!!
Friday, November 7th Gluten-free Day
Gluten-free samples all day
Gluten-free hot bar
Your favorite gluten-free vendors
The Measuring Cup
The Measuring Cup is a fantastic place to buy quality GF goods in the Indianapolis (and greater Indianapolis area). Pam and Chris have been working so hard and it is definitely paying off. Their goods are top rate and they are definitely the place to go for GF baked goods. I can think of no other place that even comes close to what they can do with GF flours. Now you can access all of their weekly menus and information on their website:
http://gfmeasuringcup.com/index.html
Congratulations Pam & Chris and thank you so much for all of the hard work you do for the GF community.
Thursday, October 30, 2008
GF cough relief with Cold-EEZE
Monday, October 27, 2008
Product Review: Trader Joe's GF Pancake & Waffle Mix
Monday, October 20, 2008
GF Fiber
We've been told repeatedly that whole grains are good sources of fiber and that fiber has many health benefits: It keeps our bowels working regularly, prevents constipation, helps us feel full, reduces cholesterol levels, and helps control blood sugar levels.
But if you follow a gluten-free diet and cut wheat, rye, barley and even oats out of your diet, can you get enough of the fiber you need to keep yourself healthy? The answer is unequivocally yes - and you can do so in lots of tasty ways. Try these tips:
- Eat like a caveman. It may seem hard to believe, but you can get more than enough fiber eating vegetables, fruits, nuts and seeds. The problem is most Americans are not in the habit of eating many fruits and vegetables, so they don'[t get enough when they switch to a gluten-free diet. If you follow a gluten-free or grain-free diet the right way -by replacing grain products with plenty of fresh fruits and vegetables- it's easy to get sufficient fiber. A 2002 analysis found that a grain0free, meat-containing Stone Age or Paleolithic sample diet can provide 42.5g of dietary fiber per day, considerably higher than the 15g found in the standard U.S. diet and the recommended daily fiber amount of 25-30g. So, load up on salads, raw vegetables - and eat fresh fruit instead of drinking fruit juice. Strive for a total of five to nine servings of vegetables and fruits each day. Especially good vegetable and fruit fiver sources are artichokes and artichoke hearts, broccoli, carrots, raspberries, blackberries, and pears and apples with their skins on.
- Go nuts. Nuts are rich in both fiber and flavor, so use them in lots of different ways. Snack on various kinds, use them in baking, and add them to salads and cooked vegetables. Also try coconut, another high-fiber source: Sprinkle dried shredded coconut on fresh fruit or gluten-free cereal, and use coconut flour to make muffins and quick breads.
- Try dried fruit. If you have a tendency toward constipation, include more dried fruit in your diet. Dried figs, dried plums (prunes), dates, and date-based fruit bars, such as LaraBar, are all good choices, supplying 3-5g of fiber per serving.
- Slowly add other high-fiber foods. Experiment with legumes (e.g., split peas, chickpeas, lentils, pinto beans, black beans, and red kidney beans) and gluten-free whole grains (e.g., brown rice, wild rice, quiona, buckwheat groats, amaranth, and teff). Other fiber-rich foods include butternut or acorn squash, sweet potatoes and yams, flaxseed and flaxseed crackers, and easy-to-fix Perky's Nutty Flax or Ruth's Chia Goodness cereal. As health enhancing as fiber is, it's important to gradually add fiber to your diet and to drink a lot of water. A rapid increase in fiber can cause stomach and intestinal distress, including gas, bloating, and diarrhea - condition that mimic common reactions to gluten.
- Dig into avocado. An easy, fun way to get extra fiber is to add sliced avocado or a scoop of avocado-based guacamole to a salad or entree. It may surprise you, but avocados have the highest fiber content of any fruit.
Reprinted from The Going Against the Grain Group, 2008
Better Nutrition betternutrition.com
Wednesday, October 15, 2008
A Debilitating Disease that is Often Unknown...
Winsberg, a psychiatrist in San Francisco, said she and a string of physicians had attributed her slower times and overwhelming fatigue of aging, new motherhood and overwhelming fatigue to aging, new motherhood and chronic anemia. She began to follow an iron-rich diet, took iron supplements and received iron intravenously. Still, her health continued to deteriorate.
When a physician friend convinced Winsberg that her body was not absorbing the iron, she researched the problem online. She read about the symptoms of celiac disease, a genetic auto-immune disorder caused by eating the gluten protein in wheat and other grains like barley, rye and oats.
Winsberg said her first thought was, "This is what has been happening to me my whole life, and I just never put it all together before."
Ingesting even small quantities of gluten causes the immune system to attack the lining of the small intestine in celiacs, hampering the absorption of vital nutrients like iron, calcium and fat. Untreated, it can lead to a wide range of problems including anemia, infertility, osteoporosis and cancer.
"Celiac is grossly underdiagnosed in this country," said Dr. Peter H.R. Green, a professor at the College of Physicians and Surgeons at Columbia and director of the university's Celiac Disease Center. He said that at least 1 percent of the population had the disease but that only a fraction of the cases were diagnosed.
The only known treatment is a gluten-free diet. Winsberg began reading labels vigilantly and avoiding everything containing gluten, including cereal, bread and beer as well as many seasonings, food additives and nonfood items like some vitamins and toothpastes.
"You can't even take a sip from someone else's water bottle, because they might have been eating a Powerbar and left a trace of it on the spout," she said.
Within days, Winsberg's chronic gastrointestinal problems abated. Gradually her energy, weight, iron stores and oxygen-carrying hemoglobin levels rebounded.
"It was like doping," Winsberg, 42, said. "Suddenly I was running six-minute miles instead of nine-minute miles. Before I Had placed in the bottom third of triathlons. Four weeks gluten free, and I placed second in a triathlon. It was like reverse aging. I went from feeling 38 to 28 to 18."
Winsberg's transformation did not surprise Dr. John Reasoner, a medical director with the United States Olympic Committee.
"In six to eight weeks, if they've followed the diet, it's night and day," he said.
Reasoner said that symptoms of celiac disesase were often subtle but came at a high cost for athletes who expected maximum performance. Dave Hahn, who has reached the Mount Everest summit 10 times, said he found he had the disease after he became 'inexplicably weak' on his second trip to the peak in 1999.
Hahn was the climbing leader on a search expedition for the remains of the Everest pioneer George Mallory, who had disappeared on the mountain in 1924. The search was successful, but Hahn struggled. Then 37, he had become anemic. Perilously weak and short of breath on summit day, he had to depend on his climbing partner to make it off the summit alive.
"It was a huge source of shame which made me feel like I had to get to the bottom of the health problems that I'd been ignoring for so long," Hahn said.
He returned to the doctor he had seen eight years before for chronic gastrointestinal problems, common in celiacs, and this time she diagnosed the disease.
Hahn said he had difficulty adjusting to the gluten-free diet.
"I got stronger again without question, and you don't really expect that in your late 30s," he said. "I had gotten to the point up high an din the cold where I completely ran out of gas."
Hahn, now 46, continues to guide high-altitude expeditions all over the world.
"I could have lived out my life without knowing I have celiac," Hahn said. "But I wouldn't have lived the best party of my life."
Green said that most doctors had a limited understanding of celiac and often believed it was a childhood disease that people outgrew. "I get calls from gastrointerologist, specialist in the field, and they don't have know how to diagnose the disease," he said. Celiac disease is diagnosed through an inexpensive panel of blood tests. Green said the current "lack of pharmaceutical backing for the disease" - the fact that it is controlled by diet, not drugs - was behind the scan research, medical education and public awareness. Doctors frequently miss the pattern within telltale symptoms of celiac, as happened to Winsberg and Hahn, Green said.
Winsberg reached a peak in her athletic career this summer. She qualified for the Ironman World Championship Triathlon to be contested on Saturday in Hawaii. She will complete the 2.4-mile ocean swim, the 112-mile bike ride across volcanic dseert and the 26.2-mile coastal run - a prestigious event she could not have dreamed of racing before her self-diagnosis.
Printed in the New York Times by Anna Seaton Huntington on October 9, 2008.
Monday, October 13, 2008
The Measuring Cup Menu - Oct. 13th - 18th
Available after Thursday @ 6 p.m.
-CHEWY CHOCOLATE CHIP COOKIES-Toll House style, chewy cookies.
-CRANBERRY WHITE CHOCOLATE COOKIES- White chocolate and dried cranberries together in one exceptional, chewy cookie. Made with Cream Hill Estates certified Gluten Free Oats.
-MONSTER COOKIES-Peanut butter, M & M’s and Oats, this cookie is a cross between a chewey peanut butter cookie and a rainbow cookie. Made with Cream Hill Estates certified Gluten Free Oats.
-CHOCOLATE CHOCOLATE CHIP MINI MUFFINS- EGG FREE-So good you can’t tell they are they are low in fat, egg free, and gluten free. Made with Cream Hill Estates certified Gluten20Free Oats.
-ORANGE SCONES-EGG FREE-These scones taste like a regular gluten-filled scone. They have a nice tender interior with a crusty exterior. Topped with a slightly sweet orange glaze.
-HAMBURGER BUNS-These hold up to a burger without falling apart or crumbling in your hand.
-CHALLAH- A soft crust on the outside, fluffy, soft, sweet and chewy on the inside.
-BANANA CHOCOLATE CHIP CUPCAKES-Rich and flavorful banana cupcakes dotted with bits of chocolate.
Available Saturday before noon:
-PUMPKIN SPICE BISCOTTI-Not your average cookie, this treat is not soft or overly sweet. Biscotti are crisp, crunchy, and wonderfully dunkable. With fall just around the corner these rustic pumpkin biscotti with hints of warm fall spices just seem so appropriate.
-OATMEAL RAISIN COOKIES-DAIRY & EGG FREE-An allergy free version of an American classic. Made with Cream Hill Estates certified Gluten Free Oats.
-LEMON POPPY SEED MUFFINS-Lemo ny muffins accented with crunchy little poppy seeds topped with a light lemon glaze.
-PEACHES AND CREAM MUFFINS-Like a peach cobbler in a muffin.
-BUTTERMILK BISCUITS-REALLY! Fluffy and tender. You could have a sausage biscuit sandwich for breakfast, one with butter and jelly with lunch, and one dripping with apple butter with dinner.
-HEARTY WHOLE GRAIN BREAD-If your idea of a great slice of bread is one loaded with healthy whole grains like millet, oats, brown rice, and flax and is sweetened with molasses, this bread is for you.
-S’MORES BROWNIES-Rich fudgy brownie topped with marshmallow and graham cracker bits.
-CHOCOLATE DONUT HOLES-If you thought doughnuts were one of those things you would never be able to eat again, these little bits of heaven are for you.
AVAILABLE ANY PICK-UP DAY
-FROZEN PIE SHELL- Just because you have discovered you cannot eat gluten does not mean you have to give up everything you have enjoyed for your whole life up to now—and pie is no exception.
-GRAHAM CRACKERS-EGG FREE-With s’mores season right arou nd the corner you will want to stock up. Also great with a glass of milk for a not-too-sweet after school snack.
-EGG NOODLES- DAIRY FREE-Homemade noodles have a fresh taste not found in any store-bought varieties.
-BUCKWHEAT PANCAKE MIX-Just add eggs, milk (cow, rice, soy, almond, or coconut), and canola oil and you have a quick, healthy breakfast everyone will love. Add blueberries for a good-for-you special breakfast.
-CORN BREAD MIX- Just add eggs, milk (cow, rice, soy, almond, or coconut),=2 0and canola oil. Serve with a bowl of chili for the perfect game-day dinner!
*** We are in the process of developing a complete pricing list.
Bread: $8/2-pound loaf-10-12 huge slices per loaf
Brownies: $1.50 each
Muffins: $1.50 each
Hamburger Buns $1 each
Scones: $2 each
Noodles: $5/3 servings
Cookies: $10/dozen
Cupcakes: $10/ half dozen
Doughnut Holes: $5/dozen
Pancake Mix: $3.00
We are in Fishers near 126th Street and Allisonville Rd.
Wednesday, October 8, 2008
Barack Obama's Healthcare policy
The Obama-Biden plan provides affordable, accessible health care for all Americans, builds on the existing health care system, and uses existing providers, doctors and plans to implement the plan. Under the Obama-Biden plan, patients will be able to make health care decisions with their doctors, instead of being blocked by insurance company bureaucrats.
Under the plan, if you like your current health insurance, nothing changes, except your costs will go down by as much as $2,500 per year.
If you don’t have health insurance, you will have a choice of new, affordable health insurance options.
Make Health Insurance Work for People and Businesses - Not Just Insurance and Drug Companies.
-Require insurance companies to cover pre-existing conditions so all Americans regardless of their health status or history can get comprehensive benefits at fair and stable premiums.
-Create a new Small Business Health Tax Credit to help small businesses provide affordable health insurance to their employees.
-Lower costs for businesses by covering a portion of the catastrophic health costs they pay in return for lower premiums for employees.
-Prevent insurers from overcharging doctors for their malpractice insurance and invest in proven strategies to reduce preventable medical errors.
-Make employer contributions more fair by requiring large employers that do not offer coverage or make a meaningful contribution to the cost of quality health coverage for their employees to contribute a percentage of payroll toward the costs of their employees health care.
-Establish a National Health Insurance Exchange with a range of private insurance options as well as a new public plan based on benefits available to members of Congress that will allow individuals and small businesses to buy affordable health coverage.
-Ensure everyone who needs it will receive a tax credit for their premiums.
Reduce Costs and Save a Typical American Family up to $2,500 as reforms phase in:
-Lower drug costs by allowing the importation of safe medicines from other developed countries, increasing the use of generic drugs in public programs and taking on drug companies that block cheaper generic medicines from the market
-Require hospitals to collect and report health care cost and quality data
-Reduce the costs of catastrophic illnesses for employers and their employees.
-Reform the insurance market to increase competition by taking on anticompetitive activity that drives up prices without improving quality of care.
The Obama-Biden plan will promote public health. It will require coverage of preventive services, including cancer screenings, and increase state and local preparedness for terrorist attacks and natural disasters.
A Commitment to Fiscal Responsibility: Barack Obama will pay for his $50 - $65 billion health care reform effort by rolling back the Bush tax cuts for Americans earning more than $250,000 per year and retaining the estate tax at its 2009 level.
Barack also has a separate statement on the fight for HIV/AIDS and Cancer:
http://www.barackobama.com/issues/healthcare/#make_health_insurance_work
McCain's healthcare policy
Making Health Insurance Innovative, Portable and Affordable
-John McCain Will Reform Health Care Making It Easier For Individuals And Families To Obtain Insurance. An important part of his plan is to use competition to improve the quality of health insurance with greater variety to match people's needs, lower prices, and portability. Families should be able to purchase health insurance nationwide, across state lines.
-John McCain Will Reform The Tax Code To Offer More Choices Beyond Employer-Based Health Insurance Coverage. While still having the option of employer-based coverage, every family will receive a direct refundable tax credit - effectively cash - of $2,500 for individuals and $5,000 for families to offset the cost of insurance. Families will be able to choose the insurance provider that suits them best and the money would be sent directly to the insurance provider. *(This sentence was referred to in a recent untruthful attack ad by Barack Obama.) Those obtaining innovative insurance that costs less than the credit can deposit the remainder in expanded Health Savings Accounts.
-John McCain Proposes Making Insurance More Portable. Americans need insurance that follows them from job to job. They want insurance that is still there if they retire early and does not change if they take a few years off to raise the kids.
-John McCain Will Encourage And Expand The Benefits Of Health Savings Accounts (HSAs) For Families. When families are informed about medical choices, they are more capable of making their own decisions and often decide against unnecessary options. Health Savings Accounts take an important step in the direction of putting families in charge of what they pay for.
A Specific Plan of Action: Ensuring Care for Higher Risk Patients
-John McCain's Plan Cares For The Traditionally Uninsurable. John McCain understands that those without prior group coverage and those with pre-existing conditions have the most difficulty on the individual market, and we need to make sure they get the high-quality coverage they need.
-John McCain Will Work With States To Establish A Guaranteed Access Plan. As President, John McCain will work with governors to develop a best practice model that states can follow - a Guaranteed Access Plan or GAP - that would reflect the best experience of the states to ensure these patients have access to health coverage. One approach would establish a nonprofit corporation that would contract with insurers to cover patients who have been denied insurance and could join with other state plans to enlarge pools and lower overhead costs. There would be reasonable limits on premiums, and assistance would be available for Americans below a certain income level.
-John McCain Will Promote Proper Incentives. John McCain will work with Congress, the governors, and industry to make sure this approach is funded adequately and has the right incentives to reduce costs such as disease management, individual case management, and health and wellness programs.
A Specific Plan of Action: Lowering Health Care Costs
-John McCain Proposes A Number Of Initiatives That Can Lower Health Care Costs. If we act today, we can lower health care costs for families through common-sense initiatives. Within a decade, health spending will comprise twenty percent of our economy. This is taking an increasing toll on America's families and small businesses. Even Senators Clinton and Obama recognize the pressure skyrocketing health costs place on small business when they exempt small businesses from their employer mandate plans.
CHEAPER DRUGS: Lowering Drug Prices. John McCain will look to bring greater competition to our drug markets through safe re-importation of drugs and faster introduction of generic drugs.
CHRONIC DISEASE: Providing Quality, Cheaper Care For Chronic Disease. Chronic conditions account for three-quarters of the nation's annual health care bill. By emphasizing prevention, early intervention, healthy habits, new treatment models, new public health infrastructure and the use of information technology, we can reduce health care costs. We should dedicate more federal research to caring and curing chronic disease.
COORDINATED CARE: Promoting Coordinated Care. Coordinated care - with providers collaborating to produce the best health care - offers better outcomes at lower cost. We should pay a single bill for high-quality disease care which will make every single provider accountable and responsive to the patients' needs.
GREATER ACCESS AND CONVENIENCE: Expanding Access To Health Care. Families place a high value on quickly getting simple care. Government should promote greater access through walk-in clinics in retail outlets.
INFORMATION TECHNOLOGY: Greater Use Of Information Technology To Reduce Costs. We should promote the rapid deployment of 21st century information systems and technology that allows doctors to practice across state lines.
MEDICAID AND MEDICARE: Reforming The Payment System To Cut Costs. We must reform the payment systems in Medicaid and Medicare to compensate providers for diagnosis, prevention and care coordination. Medicaid and Medicare should not pay for preventable medical errors or mismanagement.
SMOKING: Promoting The Availability Of Smoking Cessation Programs. Most smokers would love to quit but find it hard to do so. Working with business and insurance companies to promote availability, we can improve lives and reduce chronic disease through smoking cessation programs.
STATE FLEXIBILITY: Encouraging States To Lower Costs. States should have the flexibility to experiment with alternative forms of access, coordinated payments per episode covered under Medicaid, use of private insurance in Medicaid, alternative insurance policies and different licensing schemes for providers.
TORT REFORM: Passing Medical Liability Reform. We must pass medical liability reform that eliminates lawsuits directed at doctors who follow clinical guidelines and adhere to safety protocols. Every patient should have access to legal remedies in cases of bad medical practice but that should not be an invitation to endless, frivolous lawsuits.
TRANSPARENCY: Bringing Transparency To Health Care Costs. We must make public more information on treatment options and doctor records, and require transparency regarding medical outcomes, quality of care, costs and prices. We must also facilitate the development of national standards for measuring and recording treatments and outcomes.
Confronting the Long-Term Challenge
-John McCain Will Develop A Strategy For Meeting The Challenge Of A Population Needing Greater Long-Term Care. There have been a variety of state-based experiments such as Cash and Counseling or The Program of All-Inclusive Care for the Elderly (PACE) that are pioneering approaches for delivering care to people in a home setting. Seniors are given a monthly stipend which they can use to hire workers and purchase care-related services and goods. They can get help managing their care by designating representatives, such as relatives or friends, to help make decisions. It also offers counseling and bookkeeping services to assist consumers in handling their programmatic responsibilities.
Setting the Record Straight: Covering Those With Pre-Existing Conditions
MYTH: Some Claim That Under John McCain's Plan, Those With Pre-Existing Conditions Would Be Denied Insurance.
FACT: John McCain Supported The Health Insurance Portability And Accountability Act In 1996 That Took The Important Step Of Providing Some Protection Against Exclusion Of Pre-Existing Conditions.
FACT: Nothing In John McCain's Plan Changes The Fact That If You Are Employed And Insured You Will Build Protection Against The Cost Of Any Pre-Existing Condition.
FACT: As President, John McCain Would Work With Governors To Find The Solutions Necessary To Ensure Those With Pre-Existing Conditions Are Able To Easily Access Care.
Combating Autism in America
-John McCain is very concerned about the rising incidence of autism among America's children and has continually supported research into its causes and treatment.
http://www.johnmccain.com/Informing/Issues/19ba2f1c-c03f-4ac2-8cd5-5cf2edb527cf.htm
Healthcare and the new presidency
A gluten sufferer rises to occasion with education
Best also teaches regular gluten-free cooking classes at Whole Foods in Palatine.
Gluten-Free Product Listing - 13th Edition
The link to the site is under the 'helpful links' list on the right side of the blog.
Gluten-free mentioned in October's Cooking Light Magazine
Gluten-free mentioned on CBS's hit show NCIS
Monday, October 6, 2008
Gluten-Free Cooking on Emeril Lagasse's Show Emeril Green
National Foundation for Celiac Awareness
4300 Montgomery Ave, Suite 102
Bethesda, Maryland 20814
How to eat in restaurants when you have food allergies
Cox Newspapers
With one in 25 Americans – or 12 million people – making special menu requests because of food allergies, there's an increased need for updated and practical guidelines for restaurants.
In response, the National Restaurant Association has revised its food-service training guide, "Welcoming Guests With Food Allergies."
Sheila Weiss, director of nutrition policy for the association, says restaurant employees aren't the only people who can use the revised guide. Customers coping with food allergies can learn a lot about restaurant operations.
"Often, looking at the menu descriptions is not enough," Ms. Weiss says. "We strongly encourage communicating a food allergy to the restaurant staff so it can be addressed right up front. All ingredients should be disclosed. There are no secret sauces or secret thickeners."
Take action and ask
While some food allergies are more serious than others, all food allergies and intolerances demand serious attention when dining out. For instance, if you're allergic to shrimp, don't order jambalaya. But eggs, milk and nuts can sneak into recipes without warning. So it's imperative to step up the detective work when navigating a restaurant menu.
Your first line of defense is the server, who should be able to describe menu items and their ingredients in detail. However, this is no time to guess what's in a dish. If the server doesn't know for sure, ask to talk to the manager or the chef. And if there's a question about a product, such as a sauce or stock or type of frying oil, ask to see the container's ingredient label.
Kitchen staff should be trained to avoid cross-contaminating foods with potential allergens. But ask about specifics. For example, are mixers thoroughly cleaned between preparation of recipes with and without nuts?
Chef responsibilities
•Chefs should be trained to prepare allergen-free versions of dishes upon request. But you should also know what's possible and what's not. If the gumbo is made with oysters, the chef can't just whip one up without oysters.
•Chefs should not add a mystery ingredient just to be creative without listing it on the menu or telling the wait staff. Clearly communicate a list of allergens to heighten concern in the kitchen.
•Chefs should avoid casual product substitutions such as using peanut oil one day and canola oil the next. Even if you've safely eaten a dish for years, check to make sure that ingredients haven't changed.
Restaurant staff should be aware that even a minuscule amount of food can set off a severe allergic reaction. For example, some people are allergic to mollusks but not to fin fish. So make sure to ask what kind of seafood is used to make the seafood sauce served with the fish.
The food allergy guide can be downloaded at no charge from www.foodallergy.org/welcomingguests.html.
Celiac Disease in Men Threatens Bone Health
Did John F. Kennedy, a man generally remembered as one of our more youthful and vigorous presidents, actually have celiac disease, an autoimmune disorder triggered by exposure to gluten proteins found in wheat, barely, and rye? Quite possibly, says Peter Green, the director of the Celiac Disease Center at Columbia University. Though Kennedy managed to hide his symptoms from public view, he suffered from a slew of ailments that hint at celiac disease, including abdominal pain, diarrhea, migraines, and osteoporosis. Throughout Kennedy's life, doctors diagnosed him with ulcers, colitis, irritable bowel syndrome, and food allergies, but their treatments never seemed to help much. He never received the blood testing and intestinal biopsy that might have revealed celiac disease.
While Green's theory about Kennedy remains speculative, the disease often does go undiagnosed, and it seems to hit men particularly hard—especially where bone health is concerned. One of Green's articles, published in the Scandinavian Journal of Gastroenterology, shows that celiac disease appears to progress faster in men, deprive men's bodies of more needed nutrients, and cause particularly acute damage to bones. In fact, says Alessio Fasano, the medical director at the University of Maryland's Center for Celiac Research, celiac disease is one of the leading causes of male osteoporosis, a condition that many men don't realize they can get. (History buffs may enjoy the History News Network's overview of Green's theory about JFK, and the Atlantic has a thorough description of that president's medical ordeals.)
Increasingly, American doctors have begun to recognize that celiac disease, which causes damage to the surface of the small intestine and hampers its ability to absorb needed nutrients, is a fairly common affliction. It's present in about 1 percent of the population, possibly more. Nevertheless, there's a long way to go in terms of improving awareness of the disease among the American public and physicians. According to Shelley Case, the author of Gluten - Free Diet: A Comprehensive Resource Guide, experts estimate that only about 5 percent of Americans with the condition ever receive a diagnosis, and it typically takes doctors about 11 years to correctly identify a person who has celiac disease, since the problem is often misdiagnosed as irritable bowel syndrome or anemia.
That's troubling because untreated celiac disease significantly increases the risk of severe medical problems, including gastrointestinal cancers and non-Hodgkin lymphoma, in addition to osteoporosis. And while osteoporosis is most common among postmenopausal women, the disease also poses a significant threat to more than 2 million men, according to the National Institutes of Health. More than 6 percent of men over the age of 50 will experience an osteoporosis-related hip fracture, NIH says.
The connection between the osteoporosis and celiac disease has important practical implications. Experts say that any man with osteoporosis should have himself screened for celiac disease—just as anyone, male or female, who has celiac disease should get screened for osteoporosis. For people who do have both diseases, research has shown that adopting a gluten-free diet halts the progression of osteoporosis and even improves bone density by 10 percent, Green says.
The Measuring Cup Menu - Oct. 6th - 11th
-FIG COOKIES-These cookies taste exotic and yet familiar. The thick fig filling, the molasses and nutmeg cookie will remind you of Fig Newton’s. They are kid friendly and sophisticated at the same time.
-CHOCOLATE PEANUT BUTTER NO-BAKE COOKIES-EGG FREE-Chocolate, peanut butter, and oats unite in this addictive, fudgy bar cookie.
AVAILABLE ANY PICK-UP DAY
-GRAHAM CRACKERS-EGG FREE-With s’mores season right around the corner you will want to stock up. Also great with a glass of milk for a not-too-sweet after school snack.
Wednesday, October 1, 2008
October Product of the Month
Product Review: Maggie's Oh So Chocolatey Brownie Mix
The taste and texture also left something to be desired. The brownies were dry and gritty and tasted more of bitter cocoa than anything else. When looking at the bag of dry mix, it appears that there is a lot of sugar, however the taste was anything but sweet.
I would not recommend this mix to anyone, especially for the price of $4.99 on their website. Pamela's or the Whole Foods 365 mix is a much better product and doesn't leave you saddened by idea of a gluten-free life.
These pictures were found on the Maggie's website: http://www.maggiesgfgoodies.com/ourproducts.php
Monday, September 29, 2008
The Measuring Cup Menu - Sept. 29th - October 4th
-GINGER SNAPS- A slightly spicy, not too sweet cookie with hints of molasses and brown sugar.
-SNICKERDOODLES-These popular cinnamon and sugar cookies are amazing! They melt in your mouth. The whole family will love them!
-GRAHAM CRACKERS-EGG FREE-With s’mores season right around the corner you will want to stock up. Also great with a glass of milk for a not-too-sweet after school snack.
Bread: $8/2-pound loaf-10-12 huge slices per loaf
Monday, September 22, 2008
Gluten Free Diet (handout from GF Indy event)
-Celiac disease:
- Inability to tolerate gluten
- Variety and intensity of symptoms
- It doesn't go away and no one outgrows it.
-Treatment:
- Even a small amount of gluten can cause symptoms
- Intestinal villi atrophy -> may result in nutrient malabsorption and long term effects (i.e. osteoporosis)
-Avoid gluten - a protein found in Wheat, Rye, and Barley:
- What free does NOT equal gluten free
- Oats may be tolerated by some *studies are still being done to prove whether all people should avoid oats*
- Avoid oats intiially after diagnosis to allow for intestinal healing
- May include up to 2 oz. of oats after intestinal healing (only oats from recognized GF source).
- Oats may be contamined with WRB (wheat, rye, barley) during processing
-Challenge of following a gluten free diet:
- Not as easy as simply eliminating grains from your diet
- grains and their derivatives can be found in many seemingly innocent foods
- conflicting info - due to how ingredient is processed, where it originates
-How to determine if product is gluten free:
- read labels (every time because ingredients change)
- labels have gotten better so there are fewer sources of 'hidden' gluten
- memorize safe vs. forbidden ingredients
- call manufacturers (begin by using toll free numbers on food packaging)
- check a GF shopping gtuide or the internet (CSA Gluten Free Product listing)
- many grocery stores (i.e. Whole Foods, Trader Joe's) have GF food lists on their websites. Make sure the soruces you use are updated at least every year!!!
- at restaurants, check menus, ask lots of questions - remember, you are the customer - do not feel discouraged or embarassed for asking
Nutritional Quality of the gluten free diet:
- Well planned diet will contain all the nutrients of a non-gluten free diet
- whole grains contain fiber, carbohydrates, Vitamin E, B vitamins (naicin, thiamine, riboflavin, B6), Iron, and potassium (can obtain these nutrients in other whole grains, fruit, veggies, nuts and other seed, dried beans, meat/fish/poultry, dairy
- cornerstone of any diet should be fruits and veggies; 5-9 1/2 c. servings a day
- dairy - 3 (1 cup) servings per day
- lean protein - amount will vary according to age, gender, height and weight
Sources of fiber in the gluten free diet:
- fruits, veggies, dried beans, whole grains, flax, nuts
- milled flaxseed can substitue for eggs or fats in recipes -> 3 tbs. ground flaxseed = 1 tbs. fat; 2 tbs. ground flaxseed with 3 tbs. water = 1 egg
- whole flaxseed carries no nutritional value because the body cannot break it down - flaxseed should be milled/ground
- 3 grams of fiber in 1 tbs. of ground flaxseed