Gluten-Free News Roundup–April 2011

Usually I write on one topic in particular, but there has been so much buzzing about the gluten-free/Celiac world that I wanted to share the highlights!

  • 1 in 133 is a new project designed to highlight the lack of action on the part of the FDA in putting out a ruling on the definition of “gluten-free”, as promised by August 2008, and obviously long overdue.  If you’re local, consider coming out for the fun on May 4th (added incentive–world’s largest GF cake!).  Also, whether you’re near or far, sign the petition and/or consider donating to the cause.

To subscribe or unsubscribe, please see www.harriswholehealth.com

Decoding Labels

When we see the label “free-range” or “free-roaming” on poultry, we may picture an idyllic scene with chickens walking around on a grassy field, stretching their wings, getting sunshine and exercise, pecking on tasty “organic” feed, and in general living happier, healthier lives.  But did you know that in order to use the label “free-range” on poultry, chickens need to have access to the outside for only five minutes a day?  And when the “free-range” claim is applied to eggs, it means absolutely nothing.
In an effort to protect our health, many of us pay more for foods labeled “Organic,” “Cage-Free,” “Raised Without Antibiotics.” But some of the time these claims are misleading and do little to insure our good health.
  • “USDA Organic” label on fruits and vegetables:  Crops must meet the USDA standard, that is they must have been grown without most synthetic and petroleum-derived fertilizers or pesticides, antibiotics, irradiation, or genetic engineering.
  • “USDA Organic” label on meat: The animals must be fed only with organically grown feed without animal byproducts, and should not be given hormones and antibiotics. Animals must have access to the outdoors — although when the label is applied to poultry (chickens, turkeys, etc.) the animals don’t necessarily need to actually spend time outdoors.
  • “Organic” label on fish:  This means absolutely nothing.
  • “Cage-Free” label on eggs: Implies hens not kept in cages, but the claim doesn’t mean the hens had enough room to move around freely or that they had access to the outdoors.  This claim is not regulated.
  • “No Antibiotics Administered” or “Raised without Antibiotics” labels: These claims imply that the animals did not receive any antibiotics; however, this claim is NOT verified by any outside agency.
  • “No Hormones Administered” label: It is illegal to administer hormones to poultry or hogs, so this claim means only that the producer has followed the law.  When applied to meat, the label implies that no hormones are used, but the claim is NOT verified by any independent agency.

Two great resources on labeling:

http://www.earthwatch2.org/sustainability/decoding%20labels.htm

Consumer Reports

http://www.greenerchoices.org/pcategories.cfm?pcat=food

So, where does all of this leave us?  Some great options for you and your family include:

  • Purchase products with meaningful labels, such as USDA organic produce and grass-fed meats
  • Buy more of your food from fatmer’s markets, local farms, and Community Supported Agriculture (CSA) programs.

Thanks to Fran Callahan of the Kaplan Center for helping compile links.

Passover: A G-Free Delight March 2011 Newsletter

Passover: A Great Gluten-free Selection!

Passover isn’t here until April, but many of the products are already starting to appear in grocery stores.  Not all Passover foods are gluten-free, but many are, and there’s a much wider selection than usual at the grocery store.  This can be a good time to stock up on GF cakes and mixes, cookies, macaroons, “bread” crumbs and supplies like potato starch.  As an added bonus for people with multiple restrictions, most Kosher for Passover products contain no corn or soy products, either.

In a nutshell, the basic rule of foods for Passover is no leavened foods, which eliminates normal breads, cakes etc.  Matzo, (an unleavened bread usually made from wheat) is eaten, and some products contain products Matzo and matzo meal, (also potentially listed as cake meal or farfel).  However, many products don’t contain gluten.  Or, if you find products labeled “non-gebrok or gebroktz or grebrochts” (or another spelling variation) they’re non-grain containing and therefore have no gluten-containing ingredients. Often Kosher for Passover products and cakes are made of potato flour or nut meals rather than wheat or glutinous grains.

  • As always in the gluten-free world, read labels carefully.  Kosher and Kosher for Passover are two different things entirely.  Kosher for Passover foods will be labeled “May be used for Passover” or have a symbol that says OUP.  I have often seen “regular” Kosher foods in the Passover section at grocery stores, so please do check the labels for gluten containing ingredients.
  • Keep in mind that some of the foods are imported from other countries, and imports are often not labeled according to the 2004 FALCPA U.S. labeling laws.  So a label will still say matzo, but may not say wheat explicitly or have the disclaimer stating that it contains wheat.
  • Most Kosher for Passover products will have to adhere to strict standards for cross contamination from a religious perspective, but again, buyer beware and no guarantees.  “Made in a factory” claims are still not regulated.
  • From a gluten-free perspective, possibly the best part of Passover is AFTER Passover, when all of the great gluten-free goodies are on sale!  Passover ends April 26th, so mark your calendars, because the word has gotten out in gluten-free circles and the mad rush is on.

Here’s a link to the gluten-free products from Manishewitz:

http://www.manischewitz.com/health_corner/index.php

Back when you really couldn’t get gluten-free prepared foods in the regular grocery store, this was a much bigger deal.  But it’s still nicer to have an expanded selection, and nicest of all is AFTER Passover, when all of the products are on sale!

For people who DO celebrate the actual holiday of Passover, not just the gluten-free food, here are some great recipes and information:

http://www.elanaspantry.com/passover-round-up/

http://www.recipezaar.com/cookbook.php?bookid=112835

http://iamglutenfree.blogspot.com/

http://glutenfreebay.blogspot.com/2007/03/gluten-free-passover-recipe-roundup.html

http://glutenfreebay.blogspot.com/2010/03/gluten-free-products-for-passover-2010_26.html

http://kosherfood.about.com/od/glutenfreepassover/GlutenFree_Passover.htm

http://recipecircus.com/recipes/Writermom77/ and click on holidays.  There are quite a few Jewish holiday recipes, and they are all gluten and dairy free

You can make matza, but it’s not technically Kosher for Passover–unless, of course, you happen to have a Rabbi on hand to bless it and all that jazz.  You can also buy gluten-free oat matzoh made from certified gluten-free oats.  The only downside is that it is insanely expensive! (new note–Yehuda matza is now in the stores, and they do have a GF line–only $6 a box.  Wow!)  Shmura Oat Matzah is distributed by a mom in MD Lakewood Shmura Matzo http://glutenfreematzoh.com/

Shabtai Gourmet products are made in a dedicated gluten-free facility, they’re and Kosher for Passover AND often they have free shipping deals.  And, most importantly, they’re insanely tasty. http://www.shabtai-gourmet.com/

Kids with Food Allergies put out a booklet last year on Passover with food restrictions. http://tinyurl.com/3ser4k

Events:

DC Celiacs (free):

Next Meeting Date: Saturday, March 19, 2011, 2:00–4:00 pm 

Meeting Topic: “Healthy Gluten-Free Eating” (and tasting samples!)
Speaker: Cheryl Harris, MPH, RD

Once people settle into a gluten-free diet, there are four complaints I hear on a regular basis:
*I’m gaining weight
*I’m constipated
*I’m so bored of rice and baked potatoes!
*I don’t think my diet is healthy anymore.

So we’ll be talking about a wide variety of gluten-free sources of fiber, B vitamins and other nutrients, from teff and millet to quinoa, chia, flax and more and of course, how to use them.  You’ll even get a chance to taste some of them, thanks to a few wonderful volunteers. We’ll make a dish at the meeting so you can see how easy it is!

It should be a lot of fun, and I look forward to seeing you there.

Vendors: Bready Baking System ( www.mybready.com )
Cherry Blossom Cakes ( www.cherryblossomcakesdc.com/ )

Location: Bethesda Central Library (Maryland)
7400 Arlington Road, Bethesda, MD 20814
240-777-0970
http://www.montgomerycountymd.gov/apps/libraries/branchinfo/be.asp

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Chesapeake Bay Area Gluten-Free Vendor Fair–Annapolis, MD

CSG will host our 3rd and largest Gluten-Free Vendor Fair! The Entrance Fee is $5.00 for age 13 and up. Goodie bags will be provided! Vendors may still apply to come – contact patminn@verizon.net! Watch this website for a list of Vendors attending!

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Gluten Sensitivity–Feb 2011 G-Free Newsletter

Current Research on Gluten Sensitivity

Classes

Events

The Wild and Wacky World of Gluten Sensitivity

For a TV segment with me on Gluten Sensitivity on Let’s Talk Live DC, click here.

Unless you’re living in a bubble, you’ve heard about plenty people who do not have Celiac disease, and yet report all sorts of positive health improvements a gluten-free diet.  While for some it is obviously a just a fad, we’ll discuss what the research is on non-Celiac gluten sensitivity, and groups of people that seem to be most affected.  The main conditions linked to both Celiac disease and non-Celiac gluten sensitivity are IBS, neurological issues, autoimmune conditions, such as autoimmune thyroid disease or Type 1 diabetes, and schizophrenia.  I absolutely believe that all  people should get tested for Celiac disease before going gluten-free, simply because the diet is a lifelong commitment, and ideally, that’s a really long time.  And I’ve definitely found that people with a firm diagnosis are usually more compliant with the diet.

I can’t count the number of times people with gut issues report that a gluten-free diet helps their symptoms, despite testing negative for Celiac disease.  Research is starting to back them up.  It’s well-established that Celiac disease is 4-5 times more common in people with IBS than the general population.  And yet there are also a group of people without Celiac disease that respond favorably to a gluten-free diet.  It is most commonly seen in people with the HLA geneotype DQ2, which most people with CD have.   So is this a pre-Celiac condition? A similar condition? We’re really not sure. The American College of Gastroenterology published a 2009 article on the “No Man’s Land of Gluten Sensitivity”[i] and states that “even in the absence of fully developed celiac disease, gluten can induce symptoms similar to FBD (Functional Bowel Disorders).  Even more striking is the estimate that for every person with CD, there are at least six or seven people who are gluten sensitive.”[ii] Also, a study in Australia in January 2011 looked at people with IBS WITHOUT celiac disease and gave them either gluten or a placebo.  There were statistically significant changes in overall symptoms, abdominal pain, bloating, and fatigue in just 6 weeks[iii].  Although this is a small study, it was the first of its kind.

Neuropathy is a general term for conditions involving nerve cells.  It includes everything from ataxia, or lack of muscle coordination, peripheral neuropathy, or numbness and/or tingling in hands and feet, to headaches and more.  Neuropathy is very common in people with Celiac disease even when they are on a gluten-free diet, possibly as high as 22%[iv] .  However, compared to healthy people, a much higher percentage of people who have neuropathies WITHOUT Celiac test positive for AGA antibodies (an old screening test used for Celiac).  Our typical celiac tests look at tissue transglutaminase 2, while it seems like people with neuropathies most often have tissue transglutaminase 6. Almost all of these people have one of the HLA typings linked to Celiac (DQ2 or DQ8).  When gluten is removed, these markers disappear.  Only a few research studies have been done on removing gluten in the diet, but there are indications of improvements. And yet this is certainly an interesting area of research which we will hopefully learn much more about in future years!  Although this study is very dense, it gives a nice overview of the connection between gluten and neuropathy[v]

There has been an established link between schizophrenia and Celiac since the ‘60s, and it’s profound.  As one study puts it, “a drastic reduction, if not full remission, of schizophrenic symptoms after initiation of gluten withdrawal has been noted in a variety of studies. However, this occurs only in a subset of schizophrenic patients.”[vi] Although there is still debate, non-celiacs with schizophrenia have higher rates of AGA antibodies, and the rate of response to a gluten free diet seems higher than the rate of people with CD.  Considering how debilitating the disease is, that’s astounding!

Type 1 diabetes and autoimmune thyroid disease[vii]are both linked to Celiac disease, and yet animal models show a more generalized sensitivity to gluten.  Though the word gluten was not used, a study of Type 1 diabetics without CD showed less immune dysfunction on a wheat-free diet[viii].  While this is less concrete, it will be fascinating to see what research has to show over the next few years.

At this point, there are no widely accepted, definitive, research-based tests for gluten sensitivity, although I mentioned several suggestive tests.  This is why “diagnosis” for many people it is simply a matter of trial and error. I would not recommend Enterolab testing because they have published no research in the decade or more they have been in practice.  There is a new lab out called Cyrex (beginning in January 2011 which is promoted by Dr. Tom O’Brien, who has been a leading celiac researcher for years).[ix] As of yet, their test are not validated in scientific research, but this is a very promising test to watch.

As a final note, the strength of the link between gluten and these conditions is variable, and yet, so many people stand to potentially benefit.  This is also does not mean that everyone should go gluten-free.  And this is no longer a “fringe” view. Links to all of the referenced studies are below, and all are from peer reviewed major journals from the last few years (and these are just some of the studies out there).  It is quite a controversial topic, and we all have a lot to learn.  Personally, I am delighted that the medical community is now recognizing that gluten intolerance is true a medical condition, and look forward to seeing our knowledge continue to evolve.


[i] Verdu EF, Armstrong D, Murray JA. Between celiac disease and irritable bowel syndrome: the “no man’s land” of gluten sensitivity. Am J Gastroenterol. 2009 Jun ;104(6):1587-94. http://www.ncbi.nlm.nih.gov/pubmed/19455131

[ii] Bizzaro N, Tozzoli R, Villalta D, Fabris M, Tonutti E. Cutting-Edge Issues in Celiac Disease and in Gluten Intolerance. Clin Rev Allergy Immunol. 2010 Dec 23;1559-0267(1559-0267) http://www.ncbi.nlm.nih.gov/sites/entrez?term=21181303&db=pubmed

[iii] Biesiekierski JR, Newnham ED, Irving PM, Barrett JS, Haines M, Doecke JD, Shepherd SJ, Muir JG, Gibson PR. Gluten Causes Gastrointestinal Symptoms in Subjects Without Celiac Disease: A Double-Blind Randomized Placebo-Controlled Trial. Am J Gastroenterol. 2011 Jan 11;1572-0241(1572-0241)

[iv] Briani C, Zara G, Alaedini A, Grassivaro F, Ruggero S, Toffanin E, Albergoni MP, Luca M, Giometto B, Ermani M, De F, Lazzari A, D’Odorico L, Battistin . Neurological complications of celiac disease and autoimmune mechanisms: a prospective study. J Neuroimmunol. 2008 Mar ;195(1-2):171-5.

[v] Hadjivassiliou M, Sanders DS, Grünewald RA, Woodroofe N, Boscolo S, Aeschlimann D. Gluten sensitivity: from gut to brain. Lancet Neurol. 2010 Mar ;9(3):318-30.

[vi] Kalaydjian AE, Eaton W, Cascella N, Fasano A. The gluten connection: the association between schizophrenia and celiac disease. Acta Psychiatr Scand. 2006 Feb ;113(2):82-90.

[viii] Mojibian M, Chakir H, Lefebvre DE, Crookshank JA, Sonier B, Keely E, Scott FW. Diabetes-specific HLA-DR-restricted proinflammatory T-cell response to wheat polypeptides in tissue transglutaminase antibody-negative patients with type 1 diabetes. Diabetes. 2009 Aug ;58(8):1789-96.

Links are at the bottom of the newsletter

Events:

DC Celiacs:

Next Meeting Date: Saturday, March 19, 2011, 2:00–4:00 pm 

Meeting Topic: “Healthy Gluten-Free Eating” (and tasting samples!)
Speaker: Cheryl Harris, MPH, RD

Vendors: Bready Baking System ( www.mybready.com )
Cherry Blossom Cakes ( www.cherryblossomcakesdc.com/ )

Location: Bethesda Central Library (Maryland)
7400 Arlington Road, Bethesda, MD 20814
240-777-0970
http://www.montgomerycountymd.gov/apps/libraries/branchinfo/be.asp

Also, there are now monthly gluten-free potluck and events.

Harris Whole Health offers individual sessions, family sessions and group classes to help people eat healthier and feel better!  Cheryl works with people to feel and look their best with a range of specialties, including Celiac Disease, food allergies, pregnancy, breastfeeding, vegetarian and vegan diets, preventing diseases and “whole foods” eating.  Let’s get you on your way to achieving your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, please click here, email or call 571-271-8742.

G-free Holidays, December 2010

Holiday Tips

Recipes

Resources

Book review

Holiday Tips:

Let’s face it. We’re smack in the middle of eating (and shopping) season. Here are some of my favorite ways to enjoy the spirit of the season and favorite holiday foods, while staying reasonably healthy, too.

Get Prepared: It’s not fun to sit in a room full of people eating delicious (off-limits) foods while you sit quietly drinking your water and nibbling a carrot stick.  It’s also a recipe for a rebound binge at home. Have a 2 pack of gluten-free cookies, Clementines, or your favorite chocolate stashed away work, or bring an apple crisp, chocolate covered strawberries, meringues or “secret chocolate cake” along with you to a party.  Check out this list of naturally gluten-free and seriously delicious options.  Make sure your children have treats at school so they don’t feel left out, either.

Savor: Bottom line, you’re going to eat some treats this holiday season, so you might as well truly enjoy them.   Be choice-ful and target things you enjoy most (i.e. no filling up on chips or every day foods unless those are the only options) When you eat, really eat!  Take time to fill your senses and really enjoy.  When we are really tasting our food (rather than inhaling something while talking and multitasking) food tastes much better, we’re more satisfied and full quicker.

Balance: if you are going to a holiday party in the evening, make an extra effort to eat well on other days. Add in more vegetables, fruits, beans, gluten-free whole grains, etc. and move more, too! A piece of chocolate cake one day won’t make or break a diet, but treats every day will add up.

Move the goodies out of sight: One of the biggest challenges of the season is a see-food diet, otherwise known as “if I see it, I eat it”. Studies show that when people keep food out of sight, they eat less.  Avoid the constant temptation. Instead, put fruits on the counter or in your refrigerator where they are easy to grab. Seasonal fruits in the winter months include Clementines, oranges, pineapples, grapefruits, grapes, pomegranates, persimmons, mangos, and more.

Fill your table with fruit and veggie dishes: Have your holiday meals feature seasonal vegetables, such as sweet potatoes, collards or other greens. Make roasted chestnuts as a snack. Have a fruit inspired dessert, like baked apples, poached pears, sautéed bananas, etc.

Soups: as long as they’re not cream based, most soups are a healthy snack or part of a filling meal. Chicken and turkey soup with brown or wild rice, butternut squash soup, lentil soups and other beans soups are a great way to stay warm and enjoy seasonal flavors.

Get moving! Exercise is a great way to improve mood, reduce stress levels, and burn calories, too. Head out at lunchtime for a short walk, start a new family tradition and do something active at family events, dance at party functions, or make a habit of hitting the gym. You don’t have to wait until January for healthy resolutions.

More recipes from around the web:

Gluten Free Girl and the Chef is doing a daily cookie posting

Simply Sugar and Gluten Free

25 days of Christmas from Gluten Free Easily

Gluten Free Merry Christmas from the Whole Gang

Gluten and Dairy free Holiday tips from Gluten Free Goddess

Christmas Cookie Roundup (from my cookie exchange)

Christmas cookie roundup from Ginger Lemon Girl

Resources:

  • Celiac and Thyroid Disease: Two of a Kind Please see a recent article I co-wrote with Dr. Gary Kaplan. It was published in Today’s Dietitian in November 2010 and was featured as the American College of Gasteroenterology’s Top Story.
  • Celiac Disease, gluten intolerance, child feeding and more: listen to me on Celiac Radio!  This August 2010 interview covers a wide range of topics for people on a gluten-free diet.

Book Review: Real Life with Celiac Disease, by Melinda Dennis, MS, RD, LDN and Daniel A Leffler, MD, MS

Looking for a great holiday stocking stuffer?  This is an absolutely fantastic book.  Each chapter is written by a Celiac/gluten free expert, ranging from the authors to Dr. Fasano to Dr. Green and many more.  The topics are ones that I hear so frequently from my clients, like the impact of cheating, gluten challenges, a gluten-free and vegetarian diet, Celiac and anxiety, gluten intolerance, and much, much more.   I’m an avid reader on Celiac both for my clients and for myself, and yet I was surprised to find some statistics in the book I haven’t seen before.

I’ve asked for a second copy for the holidays.  And, let me say I’ve never reviewed a non-cookbook on my website before, because I can’t remember being as enthusiastic about any other book on Celiac Disease.

Harris Whole Health offers individual sessions, family sessions and group classes to help people eat healthier and feel better!  Cheryl works with people to feel and look their best with a range of specialties, including Celiac Disease, food allergies, pregnancy, breastfeeding, vegetarian and vegan diets, preventing diseases and “whole foods” eating.  Let’s get you on your way to achieving your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, please click here, email or call 571-271-8742.

Gluten-free Turkeys 2010

Here’s a list of information from many major brands of turkey. This list was last updated on NOV 17th 2010. Please let me know if there are any broken links!

General turkey tips:

  • Fresh, plain turkeys that are not stuffed are naturally gluten free
  • All regular stuffed turkeys contain gluten, even if you don’t eat the stuffing.
  • Avoid the gravy packets, or check the packets very carefully.

* Disclaimer: This information is based on websites, email and telephone correspondence and is intended for informational purposes only and not as medical advice. Harris Whole Health is not responsible for any changes in ingredient lists, and always recommends double checking all labels.*

Harris Whole Health offers individual sessions, family sessions and classes in Alexandria, VA to help people eat healthier and feel better! Whether you are dealing with Celiac Disease, food allergies, picky eaters, chronic illness, or if you just want to improve your diet, Cheryl can help you achieve your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, click here or call 571-271-8742.

Thanksgiving 2010

Recipes

Happy almost Thanksgiving! I’m sure this is already on your radar if you’re gluten-free.

Thanksgiving tips:

It takes a little planning ahead to guarantee a great Thanksgiving. In many ways, it’s easier if you’re hosting, because you’ve already got the most familiarity with the diet. Most people hate to impose on their hosts, but it’s easier on you AND your host to ask beforehand than sit through a four-hour meal and watch others eat. Remember, nothing is more important that staying safe!clip-art-thanksgiving-turkey-free1 I love these tips from Shirley of GFE and from GF Jules.

Turkey:
Though it’s always good to check, the good news is that all plain, fresh turkey is naturally gluten-free. Again, that’s ALL plain, fresh or frozen turkeys. I know there are emails that go out every year about warnings of “hidden gluten” in the turkeys, but ironically, the turkey usually the easiest and safest part of the meal. For the past 5 years I’ve been looking, calling and asking around if any of the brands of un-stuffed turkeys have gluten, and I haven’t found a single one in all that time. If you’ve seen one, email me or leave me a comment below. So you do have to look out for stuffed turkeys, and you do want to look out for gravy packets and of course, the preparation of the turkey.

The only exception Tofurky, which has gluten, and some glazed hams DO contain gluten. As always, read carefully! I have a gluten-free turkey list, with has manufacturer contact info.

As always, there can still be risks in the ingredients used on or in the turkey, and cross-contamination always needs to be on your radar. You’ll need to talk to your host about:
* Preparation method: Broth used for basting, or even the butter used for basting. This also includes the kind of flour used if a turkey is cooked in a bag.
* Seasonings
* Stuffing in the turkey
* Cross contamination

Gravy

Many regular canned gravy and gravy packets are not gluten-free. Gluten-free gravy is available online, and Whole Foods, Trader Joe’s, Wegmans, etc. sell  some now. Even Mc Cormick’s has a gluten-free gravy packet that’s certified GF! Also, it’s pretty easy to make a simple gravy with gluten-free broth and cornstarch instead of wheat (and if corn is a problem for you, arrowroot can be substituted 1:1 instead).

Herb Gravy From Elana’s Pantry

My favorite gravy (paleo/starch free)

Gravy using Cornstarch from Simply Recipes or see this link for recipes.OLYMPUS DIGITAL CAMERA

Side dishes

There are lots of good options here. Green bean casserole (sub the french onions–Aldi’s and a GF version last year, or use almonds) or get creative–we do roasted green beans, baked yams, cranberry relish, gelatin salads, butternut squash soup, mashed potatoes, roasted veggies, applesauce…all of these things are easy to adapt to food restrictions, and they’re healthy and delicious to boot.

Here are some ideas to get you going:

Sides:OLYMPUS DIGITAL CAMERA

My Cranberry Fresh Fruit Relish

Crockpot Applesauce by Simply Sugar and Gluten-Free

Green Bean Casserole from Ginger Lemon Girl

Simply Tasty Asparagus from Celiac Family

Stuffing:

This is obviously more of a challenge. You can go the nontraditional route and do a wild rice, buckwheat or quinoa stuffing. You could use a gluten-free cornbread or pre-made bread crumbs.

Cornbread stuffing with roasted acorn squash from the Gluten-Free Goddess

The NY Times Blog had a G-Free Stuffing section with a few recipes

Dessert!

For many people (myself included!) dessert is the highlight of the Thanksgiving route. If you’d like to use your standard old-school recipes, you can easily make a crustless pumpkin or sweet potato pie or check out Whole Foods’ GF crusts. Even Pillsbury has a GF pie crust! Or, you can easily make a crust from crushed up gluten-free cookies, shredded coconut or almond meal. Apple crisps are also simple, too. And, of course, now with the GF Wegman’s or Betty Crocker mixes, a cake or brownies are pretty simple, even if they’re not traditional.OLYMPUS DIGITAL CAMERA

The Best Pecan Pie (one of my very favorites)

Sweet Potato Pie (vegan), pictured right here—>

Easy, Crustless Apple Pie from Gluten Free Easily

Super-cute baked apples from GF Jules

Ginger Lemon Girl’s Pecan Pumpkin Pie bars

Apple Crisp: simple, delish!

T Day Recipes:
It’s dangerous when someone asks about food while I’m hungry. Hlow-fodmap-bars

For those of you who are low FODMAP, I just put together a list of new low FODMAP bars, some research and tips.

As always, wishing you and yours a joyful, peaceful and yummy holiday season.

Cheryl Harris, MPH, RD is a Registered Dietitian Nutritionist and Certified Wellcoach in Fairfax & Alexandria, VA.  She helps people with a range of dietary issues, including Celiac Disease, digestive issues, food allergies, pregnancy, breastfeeding, vegetarian and vegan diets, preventing diseases and “whole foods” eating. Let’s get you on your way to achieving your goals and feeling great!  Email or call 571-271-8742.  

Autumn/Halloween GF Newsletter 2010

Think outside the candy dish….

When I first told my husband we weren’t giving out candy for Halloween, he looked at me like I had lost my mind. I certainly didn’t want our house to be one of those places that kids complain about, but I figured a few yo-yos or rubber duckies  might be a nice change from 101 Tootsie rolls. I was a little nervous about my decision, until my first trick-or-treater ran back to his dad and said, “Cool! A slinky!” Last year, a group of girls even told my husband that she looked forward to the “rubber duckie house” every year.  Somehow, I resisted the opportunity to say I told you so.

Oriental Trading Company www.orientaltrading.com sells inexpensive toys, stickers, and even temporary tattoos (for children you know well). Another option is mini cans of Play-Doh (though remember, Play Doh has gluten, so if you play, wash your hands thoroughly!) Some are more expensive than candy, but it depends on how you look at it. When you average in the bag of candy you bought on sale in September (and ate), the one in mid-October (which vanished as well) and the one you had to run out at the last minute and buy, it evens out in the end.

Of course I have great memories eating excessive quantities of candy on Halloween, but there are many ways to have non-food treats in addition.  And there are also healthier gluten-free treats, like the  mini Larabars, all fruit leathers and a variety of allergen friendly treats including ones from Enjoy LifeYummy Earth gummy bears, Envirokidz mini-bars etc., too.

Tips for Enjoying Halloween with Food Restrictions

  • Talk to teachers and friends about focusing parties around activities (like pumpkin carving, apple bobbing, costume contest) rather than just trick or treating.
  • Get prepared! Figure out what candies are safe for your child (a list comes out each year through the R.O.C.K. group for gluten-free foods.  The 2009 list is here,I will post this year’s when it is available.). There are also many products through the Allergy Grocer www.allergygrocer.com and Enjoy Life Foods www.enjoylifenb.com that cater to a variety of allergies and intolerances.
  • Pre-stock your Halloween bag with foods that are ‘legal’ for your child (and/or you) so that you can safely snack along the way.
  • Stash safe bags of candy at friend’s houses for your child.
  • Have a trade in. Your child can trade the “problem” candies and treats for “safe” treats, or games, prizes, special outings, etc. You can either stash the “problem” candy somewhere out of reach, or donate it to the foodbank.
  • Plan ahead!  When possible, look online for favorite candies and snacks and see if they are gluten-free.  Some treats that are normally gluten-free or allergen free have different ingredients in the special holiday versions, so always double check.
  • Celiac Family has a 2010 candy list.
  • Kids with Food Allergies has a great resource for safe Halloween activities, games, tips, etc.  Although it’s not directed at people avoiding gluten, a lot of the strategies are the same.
  • Here’s another list from Sure foods Living

Start planning ahead for the holidays:

I know it’s only October, but it’s a good time to start thinking about the holidays.  You can make life easier by just making sure you/your hostess gets a gluten-free brand of turkey or etc.

Celiac Disease Video Project:

Finding out you have Celiac Disease is a big transition. Often it’s a good one that leads to feeling great.  And yet initially it’s a lot of information to take in at once to understand what’s happening in your body and what you need to do for your health.   Much of it is because we’re been eating one way for 15, 30, 50 or more years and it can be overwhelming to to instantly unlearn everything we’ve done and change overnight. As I saw so many people struggle with the transition, I thought, wouldn’t life be easier if you could take a doctor or dietitian home as a portable reminder of the basics? And so the concept for the Celiac Disease Video Project was born.

The video will be of a Gastroenterologist (Dr. John Snyder), Registered Dietitian (me, Cheryl Harris, MPH, RD), and chronic pain specialist (Dr. Gary Kaplan) discussing testing, diagnosis and follow-up, eating a gluten-free diet and a short segment on when it’s not Celiac. We will be filming with a small live audience. The video will be for YouTube and support groups for people with Celiac disease, so people can have an accurate, visual at-home tool to share with family on the medical side of Celiac disease and eating a gluten-free diet.  The Celiac Sprue Association has been kind enough to support the project.

Who: people who are newly diagnosed (in the last 6 mo-year) with Celiac disease and their families

What: shooting a 30 minute video (which will take approximately 3 hours with re-takes) on the basics of Celiac disease, including diagnosis, understanding the physical process of CD and an intro to label reading and a gluten-free diet

When: Friday, November 12th , 1:30-4:30

Where: Kaplan Center in Mc Lean, VA (there is free parking, and directions will be sent)

Cost: Free, and there will be gluten-free munchies

If you are interested in attending the taping, please contact Cheryl Harris or call 571-271-8742.  We have a limited number of spots.

This is a wonderful experience to get great information, get your questions answered and be a part of a project that will help many other people with Celiac Disease, too!

Recipes around the web:

Hot Mulled Cider:

This is a family tradition and one of my favorites!
Serves: 8-10 people. Recipe may be halved or quartered.

It’s perfect for a crisp, cool day. We make this for a party every year and the kitchen fills when the autumn smell fills the house…

1-64 oz bottle apple juice
3 cinnamon sticks
6 whole cloves

Heat apple juice in a large pot over medium heat until barely simmering. Turn off the heat and let stand for 5 minutes. Serve and enjoy. If there are leftovers, remove whole spices or it will become VERY spicy!

Cheryl Harris, MPH, RD offers individual sessions, family sessions and classes in Alexandria, VA to help people eat healthier and feel better! Whether you are focusing on eating gluten-free, food allergies, pregnancy, breastfeeding, vegetarian and vegan diets, preventing diseases and “whole foods” eating, I’d be happy to help.  Let’s get you on your way to achieving your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, click here or call 571-271-8742.

Gluten in Medications & More

Gluten in Medications:

I was delighted to represent the Celiac Sprue Association at the June 29th Food and Drug Administration’s public hearing to discuss the impact that gluten in medication has on the health of people with Celiac Disease.  This remains a pressing health concern and there currently isn’t a solution in sight.

We know that most packaged foods on the grocery shelf in the U.S. will have straight-forward labeling, at least for ingredients containing wheat.  However, this is not the case for medications, and finding accurate and timely information is much more challenging.

Standard prescription labels include only the active ingredients.  So if your doctor writes you a prescription for penicillin, the bottle would say x mg of penicillin.  It won’t say what anything about any fillers, binders, coatings,  excipients, etc. although these substances are a part of most medications.  These can, of course, include wheat and barley.

The PDR (Physician’s Desk Reference) often has a list of ingredients but these are tremendously hard to decipher, and most don’t give a source for ingredients.  This information requires calling the manufacturer, and waiting an answer from companies.  Ideally, get support from a doctor’s office or pharmacist.  Many drug companies will not answer consumer inquiries directly.  Generally name-brand drugs do have a consistent list of ingredients, but with generics, different fillers are used at different times, depending on cost at a particular moment in time.  So one batch may have cornstarch, the next may have wheat starch, and so on. And, of course, a the name-brand may be gluten-free, but that does not necessarily mean anything about the generic drug.

As a dietitian and someone who has had to make those calls for myself and others, I feel like this is a potentially dangerous and unfair system.  People who need medications immediately often do not have the time, energy or mental clarity to make a variety of phone calls and wait for answers.  It’s important that steps be taken for longer term changes in policy to ensure the safety of people who need to strictly avoid gluten.

For the meanwhile,

  • Check into all of the medications and supplements you take.
  • When possible have a knowledgeable doctor or pharmacist call and make inquiries, as this may be a faster route to get information.
  • As with any inquiries, do probe further because even health professionals vary in their knowledge and understanding of Celiac Disease  and gluten. (I have had pharmacists say to me that they don’t see “gluten” listed as an ingredient, so it must be safe).
  • It may also be necessary for your doctor to specifically order name-brand drugs in certain cases to ensure they are safe for people with Celiac Disease.
  • If you have other food sensitivities/allergies and cannot get answers or safe medications, a compounding pharmacy may be a great option, as they make medications from scratch.  In the DC metro area, that includes the Alexandria Medical Arts Pharmacy in VA and  Village Green in DC.

Harris Whole Health offers individual sessions, family sessions and group classes to help people eat healthier and feel better!  Cheryl works with people to feel and look their best with a range of specialties, including Celiac Disease, food allergies, pregnancy, breastfeeding, vegetarian and vegan diets, preventing diseases and “whole foods” eating.  Let’s get you on your way to achieving your goals. For an appointment with Cheryl Harris, Registered Dietitian and Nutritionist, please click here or call 571-271-8742.

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