Nourishing Your Body for Better Health

Archive: May, 2012

Safely Dining Out G-Free

Safe Dining, G-Free Style

Especially given all of the recent fuss over the Domino’s not-truly-gluten-free pizza, one of the most common question I hear from clients is about dining out.  Is it safe?  Where can you go?  How do you KNOW they’re taking our health concerns seriously?

A good place to start is with restaurants with a gluten-free menu, or one recommended by others on a gluten-free diet.  My favorite local resource is Gluten Free Travel Site, which has a free mobile version as well. Allergy Eats also has website resources.  There are a variety of apps including Gluten-Free Registry , “Is that gluten-free” and “Find me Gluten-Free”.

For the DC Metro Area, I have to say that I personally adore the Great American Restaurants (Mike’s, Sweetwater, Silverado, etc.)  They were gluten-free friendly  long before it was trendy, and have always done a good job.  Lilit Cafe in Bethesda also has one of the most extensive gluten-free menus aroundChoices by Shawn and the new Happy Tart are also g-free gems.

DC Metro Area Celiac Support group has a great guide through the yahoo group. Richard Paul of the DC Celiacs group was kind enough to compile a list of places to eat in DC, and even what Metro stop they are near.  Thanks, Richard!  Triumph Dining has a nice paperback national guide, Gluten Intolerance Group (GIG) has a national listing.  A local or national list serv is a good place to get great ideas, like the Silly Yak’s Yahoo site, the St John’s Celiac listserv, or the Delphi group.  Or, if you’re gluten and dairy free, GFCF Recipes is a great place to get thoughts.  When you’re traveling some place unfamiliar, you can do a google search for GF blogs, CSA chapters, or ROCK groups.   Choose restaurants more likely to have gluten-free options, like grills, sushi, East Indian and Thai.  If you can, look for a menu online or call ahead.

It’s a good idea to dine early and avoid the dinner rush so restaurants can take the time to understand and meet your needs.  When you arrive, explain your diet simply.  Explaining Celiac as an allergy is sometimes easier than a medical discussion, and it’s often better understood.  If you have a dining card, such as the ones from Triumph Dining, bring that along, too!  Once you’ve figured out a safe entree, make sure you discuss cross contamination, including:

  • Requesting that staff change their gloves before handling gluten-free food.
  • Insuring that staff use a separate cutting board, pans, utensils, etc.
  • Only eating fried foods from a dedicated fryer
  • Discussing non-obvious sources of gluten: soy sauce, cream sauces or roux, broth, marinades, etc.
  • No glutenous garnishes or rolls!

Make sure that the server understands your needs.  If not, it may be necessary to speak to a manager or chef, or if your needs can’t be met, leaving is the healthiest choice.  Also, when your meal arrives, always double check with your server before you begin to eat.

Definitely discuss the diet, even if it’s a place you’ve gone before, and even at a place with a gluten-free menu.  New staff may not be well trained, and menus are ALWAYS changing!  Just because those fries were safe last time doesn’t mean they are safe today.

If you have a good experience, be sure to thank staff and leave a nice tip!  Whether your experience is good or bad, you may consider writing a letter or emailing management.  Feedback is important, and you’re helping yourself and others have a good experience in the future.

Another resource that gives much more detail on dining out safely is this article from Living Without.

Have I left out your favorite resource?  Let me know in the comments!

Stay cool and have a great summer!

Harris Whole Health offers individual sessions, family sessions and group classes to help people eat healthier and feel better! Whether you are dealing with a specific health concern, or if you just want to feel and look better, Cheryl can help you achieve your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, please click here or call 571-271-8742.

A Wrinkle in the “Gluten-Free” Domino’s Debate

The internet has been a-twitter (literally and figuratively!) with news of the new Domino’s Gluten-free pizza.  In a nutshell, the pizza itself is made with gluten-free ingredients, however, it is made in the same ovens and cut with the same equipment on the same counters…and obviously there’s a huge potential for cross contamination, because crumbs are enough to cause damage for anyone with Celiac or gluten sensitivity.

Obviously Domino’s isn’t the first company to sell gluten-free products with significant cross-contamination issues.  The unusual part here is that the National Foundation of Celiac Awareness has given Domino’s an “Amber seal”.  As per Domino’s website:

The NFCA supports Domino’s efforts to provide a Gluten Free Crust to a national audience and has given Domino’s a “Gluten Free Ingredients” rating. The NFCA granted Domino’s this rating because of our verified ingredients, consumer education approach and customer service training. This means the NFCA and Domino’s do not recommend this pizza for people with celiac disease. However, because the risk for gluten exposure is low, this product may be an option for those with mild gluten sensitivities. While the Gluten Free Crust contains no gluten ingredients, a risk of gluten exposure can occur due to the handcrafted nature of the pizza and the variety of procedures in the kitchen.

University of Maryland’s Center for Celiac Research and the Gluten Intolerance Group have spoken out loud and clear, expressing that this pizza isn’t appropriate for people with Celiac NOR people with gluten-sensitivity, and as Dr. Alessio Fasano put it in an interview yesterday on Gluten-Free Voice Blog Radio, “I’m really am distressed about Domino’s.  It’s pretty obvious that they see the opportunity and they could care less about the needs of the Celiac community, the gluten-free community.  They just want to make money…They could have done a good job, and decided not to.” GIG, a celiac disease support group that also certifies restaurants, went further and called for complete discontinuation of the Amber, and 1in133 is now circulating a petition to make this Amber designation go away.

Obviously there are many articles on the web, but the one area I haven’t is possibly the most vital. Won’t this be illegal really soon? The FDA has a gluten-free rulemaking underway, and a final rule is expected to be issued in late 2012. Rhonda Kane, a Registered Dietitian at the FDA, has been hard at work on this project. According to Ms. Kane, “Restaurants would be expected to adhere to the same gluten-free standard established by FDA as packaged foods.” As of now, one of the criteria for FDA’s proposed gluten-free standard is that a food, whose labeling is regulated by FDA, cannot contain 20 parts per million or more gluten, regardless of its source, which includes the presence of gluten due to cross-contact situations.

So where does that exactly leave Domino’s and their “gluten-free” crust?

I asked Jules Shepard, gluten-free baker extraordinaire and one of the movers behind 1in133.  “Based upon my radio interview with Alice Bast, founder and president of the National Foundation of Celiac Awareness (NFCA), and upon others of her statements regarding the testing of these Domino’s “gluten-free” pizzas, the initial tests of these pizzas showed that some of the pizzas tested above 20 ppm and some tested to below 20 ppm.”  Somehow I’m doubting that some under 20ppm is good enough to be legit when the new rules are in place.

The biggest problem is the failure of communication. Yes, Domino’s includes a disclaimer on the gluten-free claim online and in stores, but not over the phone.  And, per reports from our local celiac chapter, people are assuming that the pizza is safe because Domino’s is big chain and NFCA is very literally backing it, and people are missing the fine print.  I’m not the only one hearing it.

Says Jules: “People are eating the pizzas and suffering ill effects, and people are giving the pizza to their celiac children because they saw an NFCA seal associated with the pizza and assumed that it must be safe. I am at a loss as to why a foundation which exists to protect celiacs (the National Foundation for Celiac Awareness) would put their name anywhere near this contaminated product. It will only serve to confuse the consumers they purport to protect, and will cause people to be sickened.”

IMHO, once the FDA rules are in place, this pizza is history anyhow.  I’m hoping there’s enough support to make it vanish early–or to convince Domino’s to do the right thing and gift the gluten-free community with a  TRULY gluten-free pizza.

Many thanks to Ms. Rhonda Kane and Ms. Jules Shepard for allowing me to quote them.  If it’s not in quotes, the views reflected in this article are mine alone and do not reflect the views of the FDA, Ms. Kane, Ms. Shepard, organizational boards I serve on or any other entities.

Happy Celiac Awareness Month–May 2012

News:

  • PLEASE support legislation to support labeling of gluten in medications.  Write to your local Congress person here!  http://www.capwiz.com/celiac/issues/alert/?alertid=61277271&type=CO
  • I was honored to receive the “Emerging Dietetic Leader of the Year” award from the Virginia Dietetics Association for 2012.  I’ve been tremendously fortunate to have such a wonderful job that I love so much.

As I’m sure you know, May is Celiac Awareness Month.  To celebrate, here are some great resources!

Celiac Disease and a Gluten-free Diet Videos: a collection of 10 videos on Youtube with

Dr. John Snyder, Chief of the Department of Gastroenterology at CNMC in DC

  • What is Celiac & who has it?
  • Signs, symptoms
  • Testing, diagnosis and follow up

Dr. Gary Kaplan, Medical Director of Kaplan Center for Integrative Medicine

  • Gluten sensitivity

Cheryl Harris, MPH, RD (me!) Registered Dietitian and Nutritionist

  • What is gluten and where is it found?
  • Label reading, with examples
  • Oats, cross contamination
  • FAQs

For more fun, here are my top 25 people to follow on Twitter for great gluten-free information, recipes and more!  And I’m CherylHarrisRD

Stellar information:

@CeliacAlliance

@CeliacResearch

@CeliacCentral

@CureCeliac

@GFMelissa

@Shelleycase

@triciathompson

@RachelBegunRD

Amazing recipes

@GingerLemonGirl

@elanaspantry

@KarinaAllrich

@Glutenfreegirl

@RickiHeller

Out and about tips (& some local ones!)

@MarylandCeliac

@DCCeliacs

@Celiacprincess

@gfreeislife

@gftravelsite

A mix ‘o wonderful & lifestyle tips:

@Delightgfmag

@JulesGlutenFree

@Shirleygfe

@midlife_celiac

@gfliving

@TheSpicyRD

@Triumphdining

Did I leave out one of your favorites?  Let me know in the comments!

Events

Come join me for a class at Vienna Whole Foods on May 30th!

Wednesday, May 30th

Becoming A Gluten Free Detective

6:00 PM – 7:30 PM | Free
Whole Foods Market Vienna Cafe

Join registered dietitian and wellness coach Cheryl Harris RD from Harris Whole Health as she shows how to find   gluten free products.  While our in store nutritionist, Barclay Todd will cook up a tasty gluten free dish. May is Celiac Awareness month, and many people are affected by gluten, even if they don’t have Celiac disease. Learn the health behind the diet at this sample filled class. RSVP to  viennaclasses (at) wholefoods.com.

Walk to support the Center for Celiac Research! Making Tracks for Celiacs is on May 6th, 2012.

5K Fun Run/Walk
Bluemont Park
329 N. Manchester Street
Arlington, VA 22203

DC Area Metro Celiac Organization
Next Meeting Date: Saturday, May 12, 2012, 2:00-4:00pm
Location: Rockville Public Library

Meeting Topic: “Gluten-Free Vacations”

Speaker: Diane Eblin is a Certified Health Coach www.thewholegang.org

Vendor: Happy Tart Bakery – A Gluten-Free Patisserie ( www.happytartbakery.com )

Location: Rockville Public Library

www.montgomerycountymd.gov/apps/libraries/branchinfo/be.asp

Harris Whole Health offers individual sessions, family sessions and group classes to help people eat healthier and feel better! Whether you are dealing with a specific health concern, or if you just want to feel and look better, Cheryl can help you achieve your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, please click here or call 571-271-8742.