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Celiac.com 07/21/2023 - Embarking on a journey to explore the vibrant landscapes, rich culture, and tantalizing flavors of Mexico is an adventure that many dream of. However, for individuals with celiac disease, careful planning and preparation become paramount to ensure a safe and enjoyable trip. Fear not, fellow gluten-free travelers, for Mexico has much to offer, especially in the realm of gluten-free dining. From indulging in authentic Mexican cuisine to finding gluten-friendly accommodations, this guide will provide you with the confidence and knowledge to navigate the country with ease. Join us as we embark on a gluten-free adventure through Mexico, where we'll uncover the secrets of booking gluten-free flights, discovering gluten-friendly hotels and vacation rentals, savoring gluten-free Mexican dishes, navigating local grocery stores, and the importance of packing gluten-free snacks for your travels. With a little preparation and a sense of culinary exploration, you can savor the vibrant flavors of Mexico while keeping your dietary needs in check. Get ready to indulge in mouthwatering delights and immerse yourself in the rich cultural tapestry of Mexico, all while confidently navigating a gluten-free journey that's sure to leave you with unforgettable memories. Booking a Gluten-Free Meal on Your Flight When planning your trip to Mexico, it's crucial to consider your dietary needs, especially when flying. Many major airlines understand the importance of accommodating passengers with gluten intolerance. Many airlines such as American, Aero Mexico, United, Aeroméxico, Delta, Volaris, Interjet, Viva Aerobus and TAR Aerolíneas may offer gluten-free meal options. When booking your flight, be sure to request a gluten-free meal in advance to ensure a safe and enjoyable journey. Whether or not they offer a gluten-free meal, be sure to bring your own gluten-free food on the flight, just in case. The worst way to begin a vacation is to start out hungry, so be prepared with some safe food whenever you board a plane. Booking Gluten-Friendly Hotels and Vacation Rentals in Mexico Finding gluten-friendly accommodations is essential for a worry-free trip. Utilize popular apps like Booking.com, Expedia, and TripAdvisor to search for hotels or resorts that offer gluten-free options and are willing to accommodate your dietary needs. Additionally, consider vacation home/apartment rentals through platforms like Booking.com, Airbnb, Vrbo, and HomeToGo. Opting for vacation rentals in Mexico offers several advantages for gluten-free travelers. These accommodations usually provide more space, privacy, and access to a kitchen. Having a kitchen allows you to have full control over your meals and ensures that they remain gluten-free throughout your stay. The Benefits of Staying at a Mexican Resort Hotel When planning a trip to Mexico, staying in a resort hotel can offer a luxurious and stress-free experience. Not only do Mexican resort hotels provide world-class amenities and breathtaking views, but they also excel in catering to guests with dietary restrictions like a gluten-free diet. Here are some of the top Mexican resort hotel chains known for their dedication to guest satisfaction and accommodating dietary needs: The Royal Resorts: This renowned chain operates several luxury resorts in Cancun and the Riviera Maya. The Royal Resorts have a reputation for exceptional service and are known for their commitment to meeting specific dietary requirements. Grupo Vidanta: With stunning resorts in popular destinations like Nuevo Vallarta, Riviera Maya, and Los Cabos, Grupo Vidanta offers an array of dining options that include gluten-free choices. Their attentive staff can assist in arranging a gluten-free diet to ensure your culinary needs are met. Palace Resorts: Known for their all-inclusive luxury, Palace Resorts have properties in Cancun, Cozumel, and Riviera Maya. Their skilled culinary teams understand the importance of gluten-free options and are prepared to accommodate guests with special dietary requests. Dreams Resorts & Spas: With multiple locations in Mexico, including Puerto Vallarta, Cancun, and Tulum, Dreams Resorts & Spas pride themselves on providing a high level of service and personalized attention. Their restaurants offer gluten-free menus and are happy to cater to specific dietary needs. Karisma Hotels & Resorts: Karisma operates a collection of luxury resorts in Mexico, such as El Dorado Spa Resorts, Azul Beach Resorts, and Generations Resorts. They offer a gourmet inclusive experience with a focus on personalized service, including specialized menus for guests with dietary restrictions. When staying at these Mexican resort hotels, it is advisable to contact the hotel in advance and inform them of your gluten-free requirements. Most of these establishments have well-trained staff who can work with you to pre-arrange meals and ensure your dining experiences are safe and enjoyable throughout your stay. By communicating your needs ahead of time, you can have peace of mind knowing that your gluten-free diet will be well-catered for during your luxurious resort getaway in Mexico. Security is another factor to consider when staying in Mexico, and major resort hotels typically offer better security than smaller hotels, or staying in private vacation rentals. Catalonia Royal Tulum Resort. Image: CC BY 2.0--GOC53 How to Eat Gluten-Free in Mexican Restaurants Mexican cuisine offers a variety of gluten-free options, but it's crucial to understand how certain dishes are prepared and their potential for containing gluten. Apps and like Yelp and TripAdvisor can help you find restaurants that cater to the gluten-free crowd, and you can read reviews that are written by other gluten-free travelers. Here are some popular Mexican dishes that are typically gluten-free, but this may vary depending on their ingredients: Arroz (Rice) Birria Caldo de pollo (Chicken soup) Carne Asada (Grilled meat) Chorizo (Mexican sausage) Empanadas (if made from corn) Enchiladas (if made from corn) Guacamole Nachos Quesadillas (if made from corn) Salsa picante (Spicy sauce) Salsa rojo (Red salsa) Salsa verde (Green salsa) Sopes Tacos (if made from corn) Tostadas (if made from corn) It's important to be cautious of potential gluten-containing ingredients and preparations. Wheat flour, bread, and bouillon cubes can be used as thickeners in sauces, soups, mole sauces, and meats. Some dishes like taco meat are usually naturally gluten-free, but some variations may use wheat in ingredients like salsa Inglesa, Maggi sauce, or Knorr cubes. Communicate your gluten-free needs clearly to the restaurant staff, and they will guide you through safe options. Whenever you order be sure to ask if the tortillas are 100% masa / maiz, and below is a restaurant card you can present to the staff at hotels, restaurants, resorts, etc. Sope Ahogado. Image: CC BY 2.0-- eekim Gluten-Free Spanish Restaurant Card: English Translation: While traditional Mexican cuisine includes many naturally gluten-free dishes, there are some foods that may contain gluten due to specific ingredients or preparation methods. It's important to note that variations can exist, and it's always best to double-check with the specific restaurant or cook to ensure gluten-free options. Mexican Foods / Dishes That Might or Usually Do Contain Gluten Flour tortillas: Traditional flour tortillas are made with wheat flour, which contains gluten. However, corn tortillas are typically gluten-free. Tamales: The masa dough used to make tamales can sometimes contain wheat flour. It's advisable to inquire about the ingredients and preparation method. Churros: These delicious fried pastries are typically made with wheat flour and are not gluten-free. However, some establishments may offer gluten-free versions. Breaded dishes: Some Mexican dishes, such as milanesa (breaded meat cutlets) or empanadas (pastries with savory fillings), are coated in breadcrumbs or wheat flour. Mole sauce: Traditional mole sauces may contain gluten as they often use bread or wheat-based thickeners. Gluten-free variations or homemade versions can be found. Beer: Many traditional Mexican beers are made with barley, which contains gluten. However, gluten-free beer options are becoming more widely available. Some sauces and condiments: Certain sauces, such as adobo or enchilada sauce, can contain flour or gluten-based thickeners. It's important to check the ingredients or ask for gluten-free alternatives. Flan: While the base ingredients of flan (caramel custard) are generally gluten-free, it's essential to confirm that no wheat-based additives are used. Remember, these examples highlight potential sources of gluten in Mexican cuisine, but variations can exist. Always communicate your dietary needs to restaurant staff or cooks, and seek out establishments that offer gluten-free options or modifications. Super Chedraui Isla Mujeres. Image: CC BY-SA 4.0--Larry D. Moore Finding Gluten-Free Foods in Grocery Stores Major Mexican Supermarket Chains with Gluten-Free Food Options: Bodega Comercial Mexicana Casa Ley Chedraui City Market City Club Costco Fresko H-E-B Mexico MEGA Sam's Club Soriana Soriana Mercado Sumesa Superama Wal-Mart Popular Mexican Gluten-Free Food Brands: KuidaT Somos Nature's Heart Schar Herdez Doña Maria Old El Paso Don Poncho Goya Ortega Explore their gluten-free sections or inquire with store staff to find suitable options for your dietary needs. Museo Soumaya, Mexico City. Image: CC BY-SA 2.0--Rod Waddington The Importance of Packing Gluten-Free Snacks and Sandwiches While Traveling When traveling, especially during flights, train rides, bus trips, or car rentals, it's essential to have gluten-free snacks and sandwiches readily available. Pack your own snacks to ensure you have safe options during your journey. Portable gluten-free options include pre-packaged snacks, nuts, gluten-free bars, fresh fruits, and homemade sandwiches made with gluten-free bread. By planning ahead, utilizing travel apps, researching gluten-friendly options, and packing gluten-free snacks, you can confidently embark on your trip to Mexico while ensuring a gluten-free experience. Enjoy the rich flavors of Mexican cuisine and explore the vibrant culture without compromising your dietary needs. ¡Buen viaje!!

Celiac.com 07/20/2023 - We get a lot of questions from celiac community members wondering if certain products are gluten-free. We especially get a lot of questions about beverages, like soft drinks and other non-alcoholic drinks, and specifically, questions about soft drinks. We've done articles on whether soft drinks are gluten-free and safe for people with celiac disease. Nearly all commercially available soft drinks are gluten-free and safe for people with celiac disease. We've done articles on brands of gluten-free soft drinks, like Pepsi, Coke, Dr Pepper, etc., but still the questions come. Most recently, we've gotten a number of questions about root beer, specifically, A&W Root Beer. The answer is that most soft drinks are made with carbonated water, sugar, flavorings and preservatives. Very few soft drinks contain any gluten ingredients, and, if they contain wheat, those ingredients will be labeled as allergens, by law. Nearly all major soft drinks are made without gluten ingredients. That means that unless a soft drink lists gluten, or wheat as an allergen or ingredient on the label, it is likely gluten-free. Still, it's not all that common to see a gluten-free label on soft drinks that are, in fact, gluten-free. This includes root beers, like A&W. A&W Root Beer is considered naturally gluten-free and safe for people with celiac disease. Brands of Root Beer Considered Naturally Gluten-Free and Safe for People with Celiac Disease A&W Root Beer All A&W Root Beer flavors are considered naturally gluten-free, including: A&W Original Root Beer A&W Diet Root Beer A&W 10 A&W Cream Soda Diet Cream Soda Barq's Made by the Coca-Cola company, all Barq's products are considered gluten-free in both the U.S. and Canada. Barq's Root Beer Barq's Diet Root Beer Bundaberg Bundaberg Root Beer The alternative styling of the Bundaberg Root Beer is brewed with sarsaparilla root, ground ginger and molasses, among other ingredients, to deliver that uniquely raw flavor. Dad's Since 1937, Dad's Root Beer has been the go to brew for hardcore root beer fans. IBC IBC uses pure cane sugar for a lightly sweet brew that balances its rich down-to-earth sarsaparilla flavor. Mug Root Beer Mug Root Beer Made by Pepsi, both Mug and Mug Cream Root Beer are considered gluten-free. Sioux City Sioux City Sioux City will transport you right to the Old West. Sprecher Brewing Co. Sprecher Brewing Co. fire-brews their root beer with raw honey for an amazing flavor that has earned legions of fans. Stewart's Stewart's has been making delicious authentic root beer since 1924. Virgil's Virgil's all-natural root beer never contains artificial coloring, preservatives or GMOs. This list is of course incomplete. There are dozens of other root beer brands that are considered gluten-free and safe for people with celiac disease. Did we miss a favorite root beer? Share it in the comments below.

Celiac.com 07/19/2023 - The star of this recipe is the cool, humble cucumber, which becomes the perfect canvas for absorbing the vibrant marinade. Sliced into thin rounds, the cucumbers offer a satisfying crunch and a subtle, refreshing taste. The marinade brings a harmonious combination of flavors to the dish. The vinegar adds a pleasant tang, while the sugar balances it with a touch of sweetness. The olive oil lends a smooth richness, and the aromatic oregano and dried marjoram infuse the cucumbers with a subtle herbaceous note. A sprinkle of garlic powder adds a savory element, while the lemon-pepper seasoning adds a zingy citrus twist. Ingredients: 6 medium cucumbers, thinly sliced 1 medium onion, sliced 1 cup white vinegar ¼ to ⅓ cup sugar ¼ cup olive oil 1 teaspoon salt 1 teaspoon dried oregano ½ teaspoon garlic powder ½ teaspoon dried marjoram ½ teaspoon lemon-pepper seasoning ½ teaspoon ground mustard Directions In a large bowl, combine the cucumbers and onion. In a jar with a tight-fitting lid, combine the remaining ingredients; cover and shake well. Pour over cucumber mixture; toss to coat. Cover and refrigerate at least 4 hours. Serve with a slotted spoon.

Celiac.com 07/18/2023 - We get a lot of questions about dairy products. Specifically, we get a lot of questions about cottage cheese. More than a few people wonder if cottage cheese is gluten-free. Cottage cheese is made from curdled milk and typically only contains milk, salt, and an acidic component such as vinegar or lemon juice. These ingredients do not contain gluten. So, cottage cheese, in its pure form, is generally considered to be gluten-free. Unless they contain added gluten ingredients, most all major brands of cottage cheese can be regarded as naturally gluten-free and safe for people with celiac disease. However, it's important to note that some brands or varieties of cottage cheese may have added ingredients or flavorings that could potentially contain gluten. For example, certain flavored or processed cottage cheese products may include additives, thickeners, or seasonings that could contain gluten. To ensure that cottage cheese is gluten-free, it's always recommended to carefully read the product labels or check with the manufacturer if you're unsure about specific brands or varieties. Manufacturers are required to disclose the presence of common allergens, including wheat, on their product labels. Look for products that are labeled as "gluten-free" to minimize the risk of gluten contamination. If you have celiac disease or a gluten sensitivity, it's important to be diligent in reading labels and verifying the gluten-free status of cottage cheese and other food products to maintain a gluten-free diet and avoid any potential health issues. If you have any medical concerns or questions, it's advisable to consult with a healthcare professional or a registered dietitian for personalized guidance. Brands of Cottage Cheese that are Labeled Gluten-Free, or Naturally Gluten-Free and Safe for People with Celiac Disease Daisy Daisy has been putting the quality dairy products, including yogurt, on kitchen tables since 1917. Nancy’s Since the 1960s, Nancy’s has made delicious yogurt, cottage cheese and other foods. Organic Valley Organic Valley is one of the top brands in the world of organic dairy products. One of the things people love about Organic Valley is its cooperative farming. Trader Joe's Trader Joe’s brand of cottage cheese is made with only 3 ingredients, and offers great texture and flavor.

Celiac.com 07/17/2023 - Celiac disease has been associated with higher levels of anxiety, but study evidence is scant. A team of researchers recently set out to measure the frequency of anxiety and depressive symptoms in Jordanian patients with celiac disease. The Research Team The research team included Sara Haj Ali, Rahaf Alqurneh, Awni Abu Sneineh, Bandar Ghazal, Lana Agraib, Layali Abbasi, Sufian Rifaei, and Tarek Mazzawi. They are variously affiliated with the department of Medicine, Al-Balqa Applied University, Al-Salt, JOR; the department Gastroenterology and Hepatology, University of Jordan, Amman, JOR; and the department of Food Science and Nutrition, Jerash University, Jerash, JOR. Celiac disease is a condition where the immune system reacts to gluten, causing intestinal problems and other symptoms. Researchers conducted a study to understand the frequency of anxiety and depressive symptoms in Jordanian patients with celiac disease. Anxiety and Depressive Symptom Questionnaire The study involved sending a questionnaire electronically to celiac disease patients through WhatsApp. The questionnaire asked about demographics, disease-related information, and assessed anxiety and depressive symptoms using validated scales. A total of 133 patients participated in the study, mostly females with an average age of 33.9 years. About one-third of the patients were not following a gluten-free diet, and more than half were experiencing symptoms at the time of the study. 83% Report Depressive Symptoms The prevalence of anxiety and depressive symptoms among the participants was found to be high, with 85% reporting anxiety symptoms and nearly 83% reporting depressive symptoms. There were no significant correlations found between the variables and the presence of anxiety or depressive symptoms. These findings highlight the significant proportion of Jordanian celiac disease patients who experience anxiety and depressive symptoms. Considering the potential impact on their quality of life, it is important for healthcare providers to screen celiac disease patients for psychiatric comorbidities and refer them for further evaluation if needed. This can help improve their overall well-being and provide appropriate support. Read more at Cureus. 2023 Jun; 15(6): e39842

Celiac.com 07/15/2023 - Summary of the “Pathogenesis and Epidemiology of Celiac Disease” Clinical Symposium sponsored by the American Gastroenterological Association at the Digestive Disease Week international conference, San Francisco, May 22, 2002. Dr. Thomas T. MacDonald of the University of Southampton (UK) School of Medicine discussed new insights into the pathogenesis of celiac disease and the role that the DQ2 (gene) molecule plays in controlling the T-cells of the small intestinal mucosa to produce the lesion or flat mucosa. He explained that the lesion is created when the T-cell immune response in the gut wall results in changes in the gut shape on a microscopic level from tall villi and short crypts to a flat mucosa with an increase in mucosa thickness. Although it was once believed that the damaged gut would quickly return to its normal shape on a gluten-free diet, Dr. MacDonald stated that the flat mucosa appears to be a stable structure. It may therefore take a celiac patient a long time to get better due to the length of time it takes for the gut to revert back to its normal shape. Dr. MacDonald explained that gliadin peptides associate with DQ2 and DQ8 HLA molecules and put themselves into the grooves so that they are seen by the T-cells. Researchers now believe that Tissue Transglutaminase (tTg) alters the gliadin peptide so that it binds to DQ2. Once bound to the HLA, the altered gliadin peptide controls the T-cell response. Dr. MacDonald also described the case of a woman with cancer who was treated with interferon (IFN). The IFN-alpha used to treat her cancer may have triggered her case of clinical celiac disease. IFN-alpha can stimulate T-cells and a viral infection could activate IFN-alpha. Dr. Alessio Fasano, Co-Director of the University of Maryland Center for Celiac Research, discussed the prevalence of celiac disease on a local and worldwide scale. Dr. Fasano said that in the 1970’s, celiac disease was thought to be limited to the pediatric population, but since 1998 there has been a surge of adult cases. He believes that adult celiac disease in the U.S. has been overlooked due to the fact that adults tend to present more atypical symptoms. Also, pathologists need to be better trained to not overlook the majority of patients with only partial villous atrophy. He believes that in the vast majority of cases a person with celiac disease will not see a gastroenterologist, so other physicians and specialists need to have a heightened awareness of the disease. On a worldwide scale Dr. Fasano stated that the overall prevalence of celiac disease is about 1 in 266, on which he commented: "on a global scale, this is by far the most frequent genetic disease of human kind." Dr. Ciaran Kelly, of the Beth Israel Deaconess Medical Center (Boston), had interesting insights into both celiac disease and refractory sprue. Dr. Kelly explained that his responsibility when seeing a patient with possible refractory sprue is to first confirm that the patient really has celiac disease and that they are adhering to a gluten-free diet. Dr. Kelly explained that some patients would “prefer an iron shot” than have to adhere to the diet. Differences from patient to patient in their sensitivity to gluten can also affect their adherence to the diet. According to Dr. Kelly, in celiac disease the lamina propria lymphocytes are stimulated by gluten to mediate the disease, whereas in refractory sprue, intraepithelial lymphocytes no longer require gluten to cause damage. Essentially "they’re on auto-pilot," but he emphasizes that refractory sprue is a rare disease and doctors should refer patients to knowledgeable and competent dieticians for dietary management. Dr. Kelly said that patients who adhere to a gluten-free diet but do not respond to it should also be evaluated for other disorders that can masquerade as celiac disease, especially if the patient is IgA endomysial antibody (EmA) negative or HLA DQ2 or DQ8 negative. Not every flat mucosa is celiac disease, but could instead be a differential diagnosis such as cow’s milk protein intolerance. Other unusual immunological disorders could also be mistaken for celiac disease. Doctors should consider these if the patient’s IgA EmA or tTg antibody tests were negative at diagnosis. HLA typing should also be considered in this case, after other possibilities have been eliminated and the patient is not responding to a gluten-free diet. If a patient’s HLA DQ2/DQ8 test is negative the likelihood that they have celiac disease is much lower. He advised that antibody blood tests for follow-up were helpful but not to be relied upon. Dr. Kelly also emphasized that patients are being seen more frequently who have subtle manifestations of celiac disease and who were previously diagnosed or misdiagnosed with irritable bowel syndrome and other disorders. Some patients with celiac disease may show improvement in their biopsy and blood test results, but their symptoms may still persist. He emphasized that doctors need to be aware that just because a patient has celiac disease it does not mean that they do not also have another disorder.

Celiac.com 07/14/2023 - Grilling pineapple takes this tropical fruit to a whole new level. The heat of the grill caramelizes the sugars, intensifying its natural sweetness, and creating a slightly charred and smoky flavor. To elevate the flavor profile even further, we add a touch of spice with chili powder. This subtle heat enhances the sweetness of the pineapple, adding a delightful kick that lingers on your taste buds. Don't worry, it's not overwhelmingly spicy, but rather a gentle heat, that adds depth and complexity to each mouthwatering bite. Ingredients: 1 fresh pineapple 3 tablespoons brown sugar 1 tablespoon lime juice 1 tablespoon olive oil 1 tablespoon honey or agave nectar 1½ teaspoons chili powder Dash salt Directions Peel pineapple, removing any eyes from fruit. Cut lengthwise into 6 wedges; remove core. In a small bowl, mix remaining ingredients until blended. Brush pineapple with half of the glaze; reserve remaining mixture for basting. Grill pineapple, covered, over medium heat or broil 4 inches from heat 2-4 minutes on each side or until lightly browned, basting occasionally with reserved glaze.

Celiac.com 07/11/2023 - A team of scientists including those from the Walter and Eliza Hall Institute and the University of Melbourne Australia, led by Dr Jason Tye-Din, presented their recent research to assess the sensitivity of objective measures of determining gluten exposure, at this year’s Digestive Disease Week (DDW) meeting in Chicago. DDW is the largest international gathering of physicians, researchers and academics in the fields of gastroenterology, hepatology, endoscopy and gastrointestinal surgery. Overall, their data demonstrated that Gluten Detect’s GIP technology is the “most sensitive approach to detect accidental gluten exposure in celiac disease patients on a gluten free diet.” The first of the two studies presented was conducted over 12 months and involved 52 adult patients with celiac disease who, based on questioning, indicated they were on a strict gluten free diet. Testing done before the administration of a gluten challenge though, indicated that a surprising 87% (45 of the 52) of these patients tested positive using Gluten Detect’s GIP technology at least once. These 52 study participants were randomized into five groups, four of which received different doses of gluten with the other group receiving a placebo (no gluten). Subsequent GIP testing results correlated very well with gluten ingested as gluten peptides were detected in stool starting one day after the gluten exposure, however no gluten was detected in samples from subjects given the placebo. Additionally, the gluten dose that the participants received correlated with the gluten excretion duration, whereby the higher the dose of gluten ingested, the longer that gluten was detectable in stool. In the second part of the study, twelve of these study participants with a range of different GIP test results were followed-up for an additional 12 to 24 months with food diaries, questionnaires and GIP stool testing. The frequency of positive GIP test results stayed the same for individual participants during the study, possibly indicative of habitual dietary and lifestyle choices. Interestingly, the results of the questionnaire demonstrated a correlation between positive test results and frequency of dining out. Review of the corresponding food diaries did not indicate any obvious sources of gluten exposure activity, pointing out the limitations of this type of subjective data as a means to determine dietary compliance. This well designed and comprehensive study demonstrated the clinical value of testing using Gluten Detect’s GIP technology to monitor gluten free dietary compliance. Overall, the conclusions from the study are as follows: Stool testing using this technology is a highly sensitive way to determine accidental gluten exposure with the optimal detection time being 1-2 days after a gluten exposure. The larger the gluten exposure, the longer that GIPs are detectable in stool using this technology. More frequent sampling and testing improves detection. Positive GIP test results are more common than expected in a celiac population on a strict gluten free diet and future studies should correlate GIP test results with extent of intestinal damage. Neither food diaries nor questionnaires indicated any obvious sources of gluten exposure, demonstrating the limitations of these subjective approaches to monitoring dietary compliance. More data is needed, but this study indicates dining practices are an important consideration for avoidance of unintentional gluten exposure. The authors also noted that although positive test results have not yet been correlated with extent of intestinal damage, a negative test result is a very good indication of excellent compliance with the gluten free diet. STOOL GLUTEN IMMUNOGENIC PEPTIDE DETECTION IS HIGHLY SENSITIVE AFTER LOW-DOSE GLUTEN CHALLENGE AND REVEALS A HIGH BACKGROUND RATE OF UNINTENDED GLUTEN INTAKE IN TREATED CELIAC DISEASE Assoc. Prof. Jason Tye-Din DDW ePoster Library. Tye-Din J. 05/09/2023; 380762; Tu1902 Link to DDW poster: https://eposters.ddw.org/ddw/2023/ddw-2023/380762/jason.tye-din.stool.gluten.immunogenic.peptide.detection.is.highly.sensitive.html GlutenDetect for Home Use - Because We Live On A Planet With Gluten. Visit our site for more info.

Celiac.com 07/11/2023 - Seafood lovers will rejoice at the medley of flavors and textures in this refreshing salad. Tender shrimp, delicate crab meat, or any other seafood of your choice, are the stars of the show. Paired with zesty lemon and tangy lime, each bite is a harmonious balance of flavors. Lettuce adds a fresh, crisp element, while the sweet red pepper brings a touch of sweetness and vibrant color. The onion lends its mild sharpness, enhancing the overall flavor profile of the dish. Together, these ingredients create a symphony of tastes and textures that will leave you craving more. Ingredients: 1 medium orange 1 medium lemon 1 medium lime ½ pound peeled and deveined cooked shrimp, coarsely chopped ½ pound refrigerated fresh crabmeat, coarsely chopped (Beware of imitation crab, as it can contain gluten) 2 tablespoons finely chopped sweet onion 2 tablespoons finely chopped sweet red pepper Arugula or Shredded lettuce Assorted gluten-free crackers Directions: Finely grate zest from orange. Cut orange crosswise in half; squeeze juice from orange. Transfer zest and juice to a large bowl. Repeat with lemon and lime. Add shrimp, crab, onion and pepper; toss to coat. Serve on arugula or lettuce with gluten-free crackers.

Celiac.com 07/10/2023 - Previous observational studies have suggested links between migraine, inflammatory bowel disease (IBD), and celiac disease. However, it remained unclear whether these associations were due to shared genetic factors or if there was a causal relationship. Understanding these connections could have implications for treatment and symptom management. A research team recently aimed to investigate the possible genetic and causal connections between migraine, inflammatory bowel disease, and celiac disease. To do this, they conducted a Mendelian randomization study using data from various genome-wide association studies. The Research Team The research team included Nike Zoe Welander MSc, Gull Rukh PhD, Mathias Rask-Andersen PhD, Aster V. E. Harder MSc, MD, The International Headache Genetics Consortium, Arn M. J. M. van den Maagdenberg PhD, Helgi Birgir Schiöth PhD, and Jessica Mwinyi MD, PhD. They are variously affiliated with theDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden; the Department of Immunology, Genetics and Pathology, Science for Life Laboratory, Uppsala University, Uppsala, Sweden; the Department of Human Genetics, Leiden University Medical Center, Leiden, the Netherlands; and the Department of Neurology, Leiden University Medical Center, Leiden, the Netherlands. The Study - Statistical Analyses to Assess Genetic Correlation and Causality Their study analyzed data from over 60,000 migraine cases, 25,000 inflammatory bowel disease cases, and 12,000 celiac disease cases, along with their respective control groups. Different subtypes of migraine and inflammatory bowel disease were also considered separately. The researchers used specific statistical analyses to assess genetic correlation and causality. The Findings - No Genetic Correlation The findings showed no genetic correlation between migraine and inflammatory bowel disease or celiac disease when all participants with migraine were analyzed together. There was also no evidence of inflammatory bowel disease or celiac disease causing migraine, or migraine causing inflammatory bowel disease or celiac disease. Causal Associations Between Celiac Disease and Migraine However, the study did indicate some potential causal associations between celiac disease and migraine with or without aura, as well as between migraine without aura and ulcerative colitis. It is important to note that these associations did not reach statistical significance after adjusting for multiple testing. In conclusion, this study did not find evidence of a shared genetic basis or a causal relationship between migraine and either inflammatory bowel disease or celiac disease. Although there were indications of potential causal associations with specific subtypes of migraine, further research is needed to confirm these findings and explore the underlying mechanisms. Read more in headachejournal.onlinelibrary.wiley.com

Celiac.com 07/08/2023 - France is known for its delicious cuisine, from croissants to crème brûlée. However, for people with celiac disease or gluten intolerance, traveling to France may seem like a daunting task. But fear not, with proper planning and preparation, gluten-free travel in France can be an enjoyable and stress-free experience. Booking a Gluten-Free Meal on Your Flight Many major airlines, including Lufthansa, United, American, and Delta, offer gluten-free meal options on their flights. When booking your flight, be sure to request a gluten-free meal in advance. It is important to confirm this request with the airline a few days before the flight to avoid any last-minute surprises. I highly recommend packing gluten-free sandwiches and bars during your flight, and during your entire trip. It's always best to be safe instead of sorry, and in my experience the times I ended up sorry were when I got too hungry, usually while traveling. Booking Gluten-Friendly Hotels and Vacation Rentals in France When booking accommodations in France, it is important to do your research and find hotels or vacation rentals that cater to gluten-free travelers. Using travel apps like Booking.com, Expedia, and TripAdvisor, you can search for hotels and rentals that offer gluten-free options. Many hotels offer gluten-free breakfast options, and some may even provide gluten-free snacks or meals upon request. When booking a hotel in France, it's important to call ahead and ask about their gluten-free breakfast options. While many hotels offer gluten-free options, it's always best to confirm in advance to avoid any disappointment or inconvenience during your stay. Additionally, some hotels may be willing to cater to your dietary needs and provide gluten-free snacks or meals upon request. Taking the time to research and communicate your gluten-free needs can help ensure a comfortable and stress-free stay in France. Hotel Breakfast Buffet. Image: CC BY-SA 2.0--opera.cadet The Advantages of Staying in Vacation Rentals vs. Hotels Staying in a vacation rental can provide more flexibility and options for gluten-free travelers. Vacation rentals often come equipped with a kitchen, allowing you to prepare your own meals and ensure they are gluten-free. Popular vacation rental apps like Booking.com, Airbnb, Vrbo, and HomeToGo offer filters to help you find rentals with a kitchen and other amenities that cater to gluten-free travelers. How to Eat Gluten-Free in French Restaurants When dining out in France, it is important to communicate your gluten-free needs to the waiter or restaurant staff. Many restaurants in France offer gluten-free options, but it is important to ask about cross-contamination and ensure that your meal is prepared in a gluten-free environment. Apps and like Yelp and TripAdvisor can help you find restaurants that cater to the gluten-free crowd, and you can read reviews that are written by other gluten-free travelers. To help communicate your needs, consider carrying a basic gluten-free restaurant card written in French that explains your dietary restrictions (we recommend keeping it simple). Gluten-Free Restaurant Card in French: Gluten-Free Restaurant Card Translated into English: French Restaurants are not world famous for their ability to cater to those with gluten-free requirements, so a great fallback is to find a Vietnamese or Turkish kebab restaurant, as they offer many naturally gluten-free options, but be sure to use your restaurant card and speak to the staff about your needs. Both of these options can be found in most medium to large sized towns and cities throughout France. A French Bistro. Image: CC BY 2.0--awsheffield Finding Gluten-Free Foods in Grocery Stores French supermarkets like Leclerc, Carrefour, Les Mousquetaires, Système U, Auchan, Casino, Lidl, Cora, Metro, and Aldi offer a variety of gluten-free products, including popular French gluten-free food brands like: Valpiform Gerblé Céliane Schär Bjorg Jardin Bio La Vie Claire Gerblé Sans Gluten Le Pain des Fleurs Priméal. Use search engines like Google and Bing to find the nearest supermarket that offers gluten-free products. Each of these supermarkets, hypermarkets, or discount stores offer a wide range of food and grocery products and each of these companies has its own network of stores and may have different store formats and offerings based on their business models. Lidl Supermarket. Image: CC BY-SA 2.0--Billy McCrorie The Importance of Packing Gluten-Free Snacks and Sandwiches While Traveling As mentioned, it is very important to pack gluten-free snacks and sandwiches when traveling in case you cannot find gluten-free options on the go. This is especially important when traveling by train, bus, ferry/boat, plane or car. Popular gluten-free snacks and sandwich options include rice cakes, nuts, fruit, and gluten-free bread with fillings like cheese or meat. In conclusion, gluten-free travel in France requires proper planning and preparation, but it can be a fun and enjoyable experience. Use travel apps like Booking.com, Expedia, and Tripadvisor to find gluten-friendly hotels and rentals, communicate your dietary needs when dining out, and pack gluten-free snacks for your travels. Bon voyage!

Celiac.com 07/04/2023 - Dole Whip, for those who don't know, is pineapple flavored soft serve that is famously associated with Disney. This recipe for homemade Disney Dole Whip will transport you to the enchanting world of Disney with every delightful spoonful. Savor the creamy texture, the tangy-sweet pineapple flavor, and the cooling sensation as the frozen concoction melts in your mouth. With just a few simple ingredients and a blender, you'll be able to recreate this beloved gluten-free Disney classic in no time. Perfect for a summer afternoon, a family gathering, or even a Disney-themed party, the Disney Dole Whip is a crowd-pleaser that will transport you to sunny worlds of Adventureland and Fantasyland. Whether you're a long-time Disney fan, or simply a lover of tropical treats, this recipe is sure to bring a smile to your face and a touch of Disney magic to your day. Gluten-Free Disney Dole Whip Recipe Ingredients: 2 cups frozen pineapple chunks 1 cup vanilla ice cream 1/2 cup unsweetened pineapple juice Directions: Place all ingredients in a blender; cover and process until thick, stopping and scraping sides as needed. Pipe into 2 bowls or glasses, topping each with a swirl.

Celiac.com 07/03/2023 - Celiac disease is an autoimmune disorder caused by eating gluten, which damages the small intestine. We know that the immune system plays a crucial role in the development of the disease, which involves various types of immune cells. In a recent study, researchers Nader Atlasy, Anna Bujko of the Department of Molecular Biology, Faculty of Science, Radboud University, Nijmegen, The Netherlands, examined the immune cells in the small intestine of individuals with celiac disease to understand their role in the disease. Macrophages are Reduced in Celiac Disease Patients Increasing Inflammation Their study found that certain immune cells called macrophages were reduced in celiac disease. These cells showed changes in their gene activity in response to a signaling molecule called interferon-gamma (IFNg). This signaling pathway may contribute to the accumulation of pro-inflammatory macrophages in celiac disease. The study also observed differences in the gene activity of mast cells, which are involved in the immune response, between individuals with celiac disease and those following a gluten-free diet. New Genetic Markers Identified May Trigger Celiac Disease The number of CD3+ T cells, a type of immune cell, was increased in celiac disease. The gene activity of CD4+ and CD8+ T cells, subtypes of CD3+ T cells, was significantly different from healthy individuals and those on a gluten-free diet. These T cells expressed genes related to infections, suggesting a potential link between altered intestinal bacteria and celiac disease. The study identified a population of CD4+ T cells with regulatory properties, indicated by the expression of TIGIT and IKZF2 (Helios). CD4+ T cells in celiac disease displayed a mixed phenotype of activated cells and cells with regulatory properties. CD8+ T cells in the gut also showed an activated gene activity pattern, suggesting their involvement in celiac disease. Furthermore, the study identified a distinct population of intraepithelial lymphocytes (IELs) in the small intestine. This population was reduced in people with celiac disease, and only partially restored in individuals following a gluten-free diet. The decrease in this population may contribute to the development of celiac disease. The findings also suggested a potential role of viral or bacterial stimuli in celiac disease, as certain pathways associated with viral and bacterial responses were upregulated in immune cells of individuals with the disease. Read more in Nature Communications volume 13, Article number: 4920 (2022)

Celiac.com 07/01/2023 - Germany is a wonderful destination for travelers with celiac disease. With its rich cultural history, charming villages, bustling cities, and scenic landscapes, there is so much to see and do. However, traveling with celiac disease requires some planning and preparation to ensure a safe and enjoyable trip. In this article, we will provide tips and resources to help you plan your trip to Germany with confidence. Booking a Gluten-Free Meal on Your Flight Booking a gluten-free meal on your flight is essential to ensure that you have safe and delicious food to eat during your journey. Many airlines, including Lufthansa, United, American, and Delta, offer gluten-free meal options. When booking your flight, make sure to select the gluten-free meal option and notify the airline of your dietary needs. You can also check with the airline's customer service to confirm your meal request. Be careful if you book a flight using sky miles on one airline, but fly on a partner airline. For example I used United Sky Miles to buy my ticket on Lufthansa, and because of this the my gluten-free meal selection did not carry over to Lufthansa, but luckily I called ahead and discovered this, and they made the update (which must be done at least 24 hours before your flight leaves). Booking Gluten-Friendly Hotels in Germany When booking your hotel in Germany, make sure to choose a hotel that offers gluten-free options with their breakfast or is located near restaurants that cater to gluten-free diets. Many hotels in Germany, especially in larger cities, offer gluten-free breakfast options, such as gluten-free bread, cereal, and pastries, and including breakfast is often an option with an extra charge when booking the hotel. I highly recommend including breakfast because most hotels offer a buffet with minimal risk of cross-contamination, or, if you don't want to take any chances at all, they usually offer fruit like apples or bananas, hard or soft boiled eggs, and cereals and yogurt that are still in their package. One inexpensive and decent option is the German hotel chain "Motel One," which I stayed in with great success. When going down to the breakfast buffet I try to bring a couple of slices of gluten-free bread with me, just in case they don't offer it. It is also great to have this with you so you can "borrow" something from breakfast to make a sandwich for later, or hit a nearby market and buy some things to make sandwiches so you can be prepared for the day's adventure. Some things from the Motel One buffet. They also had fruit, yogurt and gluten-free cracker-bread. You can use travel websites like Booking.com, Expedia, and Tripadvisor to search for hotels that offer gluten-free options, and sometimes the very best way to get this crucial information is to send the hotel an email with specific questions, or to call them directly and ask to speak with the person who is in charge of the breakfasts (this is best done during the 11AM - 4PM German time period so you reach the right person, but they are not too busy to talk with you). The Advantages of Staying in Vacation Home/Apartment Rentals vs. Hotels Staying in a vacation home or apartment rental can offer many advantages for travelers with celiac disease. You can prepare your own gluten-free meals in a fully equipped kitchen and have more control over your food choices. Companies like Booking.com, AirBnB, Vrbo, and HomeToGo offer a wide range of vacation home and apartment rentals in Germany that cater to gluten-free travelers. Eating in German Restaurants Eating out in Germany can be a challenge for travelers with celiac disease, but it is possible to find gluten-free options. It is important to communicate your dietary needs to the restaurant staff and ask about gluten-free options. You can use a gluten-free restaurant card written in German to show to the waiter or restaurant staff. The card should state that you cannot eat gluten and ask for their assistance in selecting safe and delicious gluten-free options. Just like in the USA, many restaurants have gluten-free menus or mark gluten-free items on their menu with symbols like "GF." Although most German people you will encounter can speak English well enough to understand you, just in case here is a basic example of a German restaurant card with its English translation: Gluten-Free Restaurant Card in German: Gluten-Free Restaurant Card Translated into English: Gluten-Free Restaurant Fallback A great fallback is to find a Vietnamese restaurant, as most of their food is naturally gluten-free. Finding a Vietnamese restaurant in Germany is no problem in most medium to large sized towns and cities, and during my last trip to Germany I went to several and had no issues. Turkish kebab restaurants and kiosks are another great option, as they are also found throughout Germany, and most offer many naturally gluten-free options. I went to several of them and had zero issues. Gluten-Free Kebab in Frankfurt, Germany Finding Gluten-Free Foods in Grocery Stores Germany has a wide range of grocery stores that offer gluten-free options, including Aldi, Real, Rewe, Edeka, and Kaufland. You can look for gluten-free products from major brands like: Alnavit Bauckhof Drei Pauly Hammermühle Resch & Frisch Schär Schnitzer Seitz. Make sure to read the labels carefully and look for the gluten-free certification symbol and/or the word "glutenfrei." In general, the larger the physical size of the store, the more gluten-free brands and products they will carry, and the larger stores usually have their own gluten-free section, which makes gluten-free shopping a breeze. Below is an example of a huge gluten-free section in a large German supermarket. A gluten-free food section at a large German supermarket. The Importance of Packing Gluten-Free Snacks and Sandwiches While Traveling It is always a good idea to pack gluten-free snacks and sandwiches when traveling to ensure that you have safe and delicious options while on the go. This is especially important during long flights, train rides, ferry or boat rides, hikes or car trips. You can pack gluten-free snacks like nuts, fruit, gluten-free crackers, and granola bars. You can also make your own gluten-free sandwiches with gluten-free bread and fillings like cheese, ham, and vegetables. Schär gluten-free sandwich bread can be found at many German supermarkets. Conclusion Traveling to Germany with celiac disease requires some planning and preparation, but it is definitely doable. By using the resources and tips provided in this article, you can have a safe and enjoyable trip to Germany, where you can indulge in the rich cultural history and delicious cuisine without worrying about gluten. Gute Reise!

Celiac.com 06/30/2023 - We get a lot of questions from celiac community members wondering if certain brands and products are gluten-free. One question we see a lot is about food, especially cheese. We've done articles on gluten-free cheese, but the questions keep coming. Lately we've seen a lot of people asking about nacho cheese. Specifically, is nacho cheese gluten-free and safe for people with celiac disease? The short answer is that it depends. Nacho cheese is a processed product. It's a smooth and creamy sauce typically made from cheddar cheese, milk, and various seasonings such as chili powder and cumin - none of which contain gluten. Nacho cheese is often naturally gluten-free, but sometimes it can contain wheat flour or other added gluten fillers. Here's the rundown. So if you're looking for a delicious, gluten-free snack, nacho cheese can be a great option. There are many naturally gluten-free nacho cheese brands available, but only one from the list below is labelled as such. List Gluten-Free Brands of Nacho Cheese: Doritos Spicy Nacho Flavored Dip El Mexicano Fritos Good Foods Plant Based Queso Style Dip - Labelled Gluten-Free Mrs. Renfros Nacho Cheese Sauce On The Border Salsa Con Queso Ricos Tostitos Nacho Cheese Dip Wegmans Queso Dip Remember to always check the label to make sure the product is labeled gluten-free, or at least lists no gluten ingredients or wheat as an allergen.