Sunday, August 31, 2008
Studies regarding people with celiac and their ability to tolerate oats are mixed. Some studies show celiac sufferers can tolerate oats which are free from contamination, but a possible reason for this conclusion is that those who can’t tolerate oats end up dropping out (biasing the sample) midway through the study.
There is also new research indicating a molecular basis for oat intolerance in patients with celiac disease. People with celiac who have the DQ8 gene seem to tolerate oats better than those with the DQ2 gene. I have the DQ2 gene so I don't include any oats in my gluten free diet. The Celiac Sprue Association tends to have zero tolerance risk profile and "recommends that excluding oats is the only risk free choice for those on a gluten-free diet."
It is recommended that EVERYONE exclude oats from a gluten free diet for the first six months so that they can completely heal before trying to incorporate oats. If you do want to try to include oats, use a certified gluten free oats and monitor your symptoms closely. Remember, double blind studies are one thing but reality is another. If you react to oats, they should not be part of your diet.
WHAT TO DO: I like to use Gluten Free Mighty Tasty Hot Cereal Mix by Bob's Red Mill with Coconut Milk, Peanuts and Raisins and Maple Syrup. Ancient Harvest Quinoa is a nutritios grain that can be used as a hot cereal. This recipe is from quinoa.net. I only use Ancient Harvest Brand Quinoa because it is washed and dried already which gets rid of the bitter taste.
Quinoa Hot Breakfast Cereal Bring 2 cups water to a boil, add 1 cup quinoa, reduce heat, simmer 5 minutes. Add 1/2 cup thinly sliced apples, 1/3 cup raisins, 1/2 tsp cinnamon and simmer until water is absorbed. Serve with milk or cream or coconut milk and sweeten to taste with honey or brown sugar or maple syrup.
Sunday, August 24, 2008
While it sounds like a relatively minor condition, it can actually interfere with development of the brain for infants and little children. Researchers have found that severe, chronic iron-deficiency in infancy can lead to motor delays, cognitive delays and behavioral problems later. Sometimes supplementing with iron will work, to bring iron levels back to normal. In addition, eating foods rich in iron such as red meat, liver, raisins, spinach, brocoli and egg yolks could also help increase iron levels in the blood, paving the way for normal development. Other times, supplementation doesn't raise blood levels of iron, When this happens, it becomes necessary to address why the body isn’t absorbing the iron supplements, on top of the essentially symptomatic deficiency.
One possibility is that the damaged gut is unable to absorb nutrients due to gluten intolerance. If you have celiac or gluten intolerance, then only removing gluten will allow the gut to heal so that vitamins can be absorbed.
Another possibility is that bad bacteria has overtaken the gut and the bad bacteria is using the iron as a food source.
In the past we had a lot of beneficial bacteria in our food to keep the bad bacteria in check, but antibiotics as well as food processing has killed the good bacteria as well as the bad bacteria, leaving many people vulnerable to an overgrowth of bad bacteria in their gut.
Getting to the bottom of unexplained anemia should be a priority since it will probably determine your best cause of action to alleviate it and put development back on track (as well as make yourself feel better).
WHAT TO DO: Try to get to the bottom of malabsorption syndromes instead of just treating the symptom. Ask your doctor for an explanation of why you aren't absorbing the iron. If supplementation by itself isn't effective consider eliminating gluten or introducing probiotics, which could help you create more good bacteria to help you get rid of the bad bacteria which is stealing your iron.
Friday, August 22, 2008
Celiac disease is an autoimmune disease (like lupus, arthritis and diabetes) triggered by gluten which interferes with the absorption of nutrients. The National Foundation for Celiac Awareness says "Failure to thrive during childhood development is a common indicator of celiac." A gluten free diet is the treatment for celiac disease. But there are many reports of people who don't test positive for celiac recovering from chronic conditions such as autism, psoriasis, schizophrenia, Crohn's disease, sensory integration disorder, iron deficient anemia, depression and arthritis. And there are also reports of people who don't test positive for celiac, who later turn out to have celiac. So, many people with chronic conditions can benefit from a gluten free diet.
Thursday, August 21, 2008
1 lb. ground organic turkey
1/2 cup gluten free breadcrumbs
1 large egg lightly beaten
1 medium onion
1-2 cloves garlic
1/4 cup gluten free barbeque sauce
2 tablespoons mustard
2 Tbl. herbs like basil, parsley or cilantro
Combine all ingredients well, form into patties, cook until well done on grill or saute in olive oil over medium heat.
Serve with avocado slices, tomato slices, and mayonnaise!
Saturday, August 16, 2008
from all sorts of processed food that is unhealthy.
Thursday, August 14, 2008
Pasta: Tinkyada Organic Brown Rice Pasta
Ancient Harvest Quinoa
Bread: Food for Life Raisin Pecan Bread (toasted)
Donuts: Kinnikinnick Gluten Free Dairy Free Soy Free Cinnamon Sugar Donuts(hard to find--I found them in Burlington, Vermont at Healthy Living, but I am going to ask
my local health food store to order these.)
Licorice: Organic Strawberry Vines
Oreo Cookies: Kinnikkinnick K-Toos
Chocolate Chip Cookies: Everybody Eats or homemade
Enjoy Life Chocolate Chips
Dr. Schar Italian Bread sticks
Cereal: Bakery on Main Granola
Nature's Path Organic Crispy Rice Cereal
Enjoy Life Cookies (allergy free brand): Snickerdoodles are healthy tasting cookies--not too sweet good for little kids who have never had cookies.
Animal Crackers by Orgran
Bagels-Enjoy Life (allergy free heavy not like regular bagels, but my son likes them!)
Foods by George-Pound Cake, Blueberry Muffins, Brownies
Kinnickkinnick Pizza Crust, Amy's Pizza (has dairy)
Tuesday, August 12, 2008
A: When your intestines are so damaged you can't digest any grains. The specific carbohydrate diet (SCD) is a grain free, lactose free, sucrose free diet that is used to treat Celiac Disease, Crohn's Disease, IBS, Chronic Diarrhea, candidiasis, and autism. I also stumbled upon it being helpful for some kids with Down Syndrome. It is a paleo diet which consists of food which early man ate before the introduction of agriculture: meat, eggs, fish, vegetables and low sugar fruits. The idea is to starve the bad bacteria of their source of energy: grains, sugar and preservatives. But like the GF diet, you need to be 100% on the SCD to benefit from this healing regimen. The Specific Carboydrate Diet was created by Elaine Gottshall to cure her daughter's Ulcerative Colitis. According to Elaine Gottschall's book Breaking the Vicious Cycle: "Many cases of celiac disease, spastic colon and diverticulitis appear to be cured by the end of the year." For other conditions it can take longer. The SCD diet starves the intestines of sugars allowing only sugars that are easily digestible allowing the gut to heal. Perhaps you are a person who who would benefit from an SCD diet. Or perhaps you have already stumbled upon it.
Monday, August 11, 2008
The answer is a little complicated. You won't be able to tell if gluten is a problem for you unless you give up gluten 100% for 3 months. This is because it takes a while for gluten to get out of your system. By incorporating some gluten free food into your diet-- cereals, pasta, breads, snacks--you might realize being gluten free is not only do-able it is is fun. Being partially gluten free would allow you to change your eating habits gradually and to learn about living gluten free. But you wouldn't get the huge benefit of feeling better and having chronic problems potentially disappear.
Dr. Nancy O'Hara, who is an integrated doctor says if you can't be 100% off gluten (or dairy) then she would rather see you on a different type of healing diet (The Body Ecology Diet, Gut and Psychology Syndrome Diet, Specific Carbohydrate Diet or a low oxalate diet.) People often go on a 85% gluten free diet and don't get better and so they decide the GF diet doesn't work for them, when they might get completely better by removing gluten completely. A gluten free diet is tricky because so much food contains hidden gluten. Oats, for instant, are not gluten free unless specially labelled because they rotate crops and often grow oats in the old wheat fields. And soy sauce, rice crispies and Twizzlers all contain gluten. So unless you are reading every label and researching how to do a gluten free diet, you might think you are doing a gluten free diet but you really aren't.
I would caution anyone to not judge the effectiveness of being GF until they are 100% on it for a few months. Also, typical celiac tests, which aren't terribly reliable anyway, don't work on a gluten free or gluten restricted diet, so it is a good idea to get testing done before you decrease the amount of gluten in your diet if the information is important for you to have.
Sunday, August 10, 2008
I went to Haverhill, Massachusetts as part of our two month road trip. Of course, we brought some Bubbies Pickles--we don't travel without them. I realize that is a little quirky, but my daughter loves pickles and Bubbies are naturally fermented and cured and made without vinegar, which I like because vinegar can feed yeast overgrowth. But, Bubbies pickles aren't cheap and hard to find when you are on the road in the middle of nowhere. My Uncle John, who we were visiting, peeled a fresh cucumber leaving a little dark green rind and cut the cucumber into wedges and put them in the leftover pickle juice. Everyone loved the "fresh" pickles. I loved having one more vegetable to feed everyone. Also, it is important to spear the pickle with a clean fork so you don't contaminate the pickle juice. Here is a picture of everyone enjoying our fresh pickles in Vermont, our next stop.
Fresh, Raw Food--An Important Source of Glutathione
Food Rotating for Picky Eaters
Thursday, August 7, 2008
1 tsp cumin
1 tsp chili powder
2-3 cloves garlic
1 large onion, diced small
1 yellow or red pepper, diced small
3 cups brown rice
7 cups chicken stock
1can diced tomatoes with green chilies
1 can black beans (optional)
1 tsp salt
1/2 tsp pepper
Other spicy recipes:
Another GFCF Taco Recipe
Summertime Chicken Tacos
Wednesday, August 6, 2008
1/4 c. gluten free flour mix (see post Gluten Free Flour Mix)
1/4 tsp baking soda
1 tsp. sugar/maple syrup or agave
1 T. rice milk or seltzer
This is an individual recipe. Multiply it by the number of people you are serving. Just mix all the ingredients together in a bowl. Heat oil in a pan. Drop spoonfuls of batter into pan. Cook until a few holes appear in batter. Flip to brown other sides. Enjoy with your favorite pancake toppings--Vermont maple syrup, powdered sugar or raspberry jam.
ANOTHER EASY PANCAKE RECIPE
1/4 c. gluten free flour mix (see post Gluten Free Flour Mix)
1/4 tsp baking soda
1 tsp. sugar/maple syrup or agave
1 T. rice milk or seltzer
1 teaspoon apple cider vinegar
2 pinches baking powder
1 pinch cream of tartar
Tuesday, August 5, 2008
"Toddler Diarrhoea: more a nutritional disorder than a disease," an article in the journal Archives of Disease in Childhood, has some very good information for parents about how fruit juice and low fat diets sometimes play a part in diarrhea. Very low fat diets and clear apple juice can contribute to diarrhea. Here are excerpts from the article:
"In retrospective studies, toddler diarrhoea has been found in children consuming very low fat diets to prevent coronary artery disease, on very high fluid intake, and with high fluid osmolality.
In a randomised trial of children with a recent diagnosis of toddler diarrhoea who were free from symptoms after dietary advice, only reintroduction of normal clear apple juice resulted in the recurrence of diarrhoea; these children could tolerate cloudy apple juice. Cloudy juice is bottled immediately after pressing, whereas clear apple juice is industrially prepared by means of enzymatic treatment of the apple pulp to obtain a higher yield and an attractive clear product. The products therefore differ in the amount of dietary fibre and the amounts of indigestible monosaccharides and oligosaccharides.In developed countries, the diet of children, especially of infants and toddlers, has changed dramatically over the past years. Paediatricians and other physicians are increasingly consulted not only for toddler diarrhoea but also for other health problems related to these changes. Ready-made products increasingly replace food prepared fully by parents. Here, new nutritional habits originate that go together with an increase in affluence. Drinking plain water is out of vogue. It has largely been replaced by fruit juice and squash. Drinks are consumed on a more or less constant basis, often by a drinking bottle. They provide a high number of calories and may diminish the appetite. Reports from the United States indicate that these mainly carbohydrate containing fluids contribute to unbalanced nutrition. In clinical practice we encounter young children having excess juice consumption as a contributing factor in non-organic failure to thrive. In a cross sectional sample of healthy young children, excess fruit juice consumption was associated with short stature and obesity.Frequently, drinking fruit juice results in a high fluid intake with displacement of fat and fibre from the diet. More parents seem to be concerned with obesity and intend to offer low calorie drinks, not being aware of the fact that, because of its high carbohydrate content, fruit juice equals the caloric content of many popular dairy products.Fat intake should be increased to at least 35%, even 40%, of total energy intake. Restoration of a pattern with well defined meals and snacks provides the opportunity for significant increases of fibre intake. Fruit juices, in particular clear apple juice, and other squashes should be limited to restore appetite at meal times. Drinks between meals are acceptable, but overconsumption should be discouraged. In almost all patients the efficacy of these dietary measures is such that it may even serve as a confirmation of the diagnosis.It is evident that toddler diarrhoea is worrisome for many parents. It is a condition related to modern affluent societies where new nutritional practices have emerged. Related to these changes clinicians see children with toddler diarrhoea, nutritional deficiencies, and even manifest failure to thrive with stunting. The long term health effects remain uncertain."
Monday, August 4, 2008
WHAT TO DO: For mild diarrhea: Limit fruit juice--try to have kids learn to drink water. If you do buy apple juice buy the cloudy apple juice not the clear apple juice. For more chronic diarrhea: take probiotics like GI flora from Allergy Research Group which have bifidus strain of good bacteria to repopulate the gut with beneficial bacteria and think about allergies and intolerances playing a part. Remember a daily multivitamin with minerals (a gummy: Hero Yummi Bears Multi Vitamin & Mineral, Trace Minerals Complete chewable or powdered Rainbow Light) in case your children aren't absorbing enough nutrients. For any child with severe digestive issues who also has developmental problems: Find an integrated doctor, like Nancy O'Hara or Dr. Fred Pescatore, who understands the importance of nutrition and gut function for development.