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IN THIS ISSUE:
  • Know About Celiac Disease

    Celiac disease is a hereditary autoimmune disease triggered by eating gluten-containing foods such as wheat, rye, and barley.

  • Headache Prevention Tips

    What you eat, how you sit, fragrances, sex, and hydration can all have an impact on headaches.

  • Replace Refined Grains with Whole Grains

    Whole grains contain the entire kernel and provide more fiber and nutrients. Brown rice, whole wheat, whole grain corn, quinoa, and barley are just a few to choose from.

  • Gluten Can Hide

    Think your eating 100 percent gluten free? You might accidentally be consuming it from sources you think are safe.

  • Amaranth-A Great Gluten Free Grain

    Bored with rice? Give amaranth a try. This ancient grain is actually a seed and is packed with minerals, fiber, and protein.

  • Avoiding Food Sensitivities Boosts Player’s Game

    This professional baseball player is feeling better than ever after figuring out what foods he is sensitive to and strictly avoiding them.

  • Quinoa: A Great Gluten Free ‘Super Grain’

    Quinoa is an ancient grain that is gluten free, packed with protein, and is also full of fiber, vitamins, and minerals.

  • It’s OK, Play with Your Food

    Touch is as important to food prep as seeing and smelling. This author talks about connecting with food by using her hands in the kitchen.

  • Functional Medicine Debate

    In functional medicine, health professionals try to treat the root cause of illness through diet modification and lifestyle changes.

  • Individualized Nutrition for Active People

    Every athlete and active person has different needs, and a personalized diet based on the individual is key for optimal performance.

  • Living Successfully with Celiac Disease

    Celiac disease is an autoimmune disease that causes the body to attack the small intestine in response to consuming gluten. By avoiding this protein found mainly in wheat, rye, and barley, they can live healthy full lives.

  • Dr Says Gluten Cause of Many Ills

    In this doctor’s recent book, he warns of the potential health implications of consuming gluten-containing grains for much of the population.

  • Celiac Questions Answered

    A Registered Dietitian answers questions about celiac disease, an autoimmune disease affecting at least 1 in 133 people.

  • More Gluten Free Menu Options

    Restaurants are offering many more gluten free menu items for those who live with celiac disease.

  • Restore Balance with Food

    A diet full of processed fake foods can lead to variety of ills, so restore balance by choosing the right foods.

  • Many Restaurants Provide Gluten Free Options

    For those who must avoid gluten due to celiac disease, digestive problems, or for weight management, there are more restaurants than ever with gluten-free options.

  • Celiac and Sensitivities Lead to Surge in Gluten Free Lifestyles

    More people are discovering that they suffer from celiac disease or sensitivities requiring a gluten free diet.

  • Going Gluten Free

    Going gluten free for those who have celiac disease or a food sensitivity can be life changing in the way they feel and how they prepare meals.

  • Creative Cooking For Those With Food Allergies

    If you are allergic, sensitive, or have celiac you can have your cake and eat it too. You just have to do a little research and seek out alternatives.

  • Meat Alternatives

    Tofu and seitan are just a few plant-based foods that can be used as alternatives to meat.

  • Gluten Free Options Galore

    Today’s gluten free followers have many tasty options to choose from and many more places to dine out at as well.

  • Clean Eating Recipes

    The author of the cookbook “Clean Start” learned to make healthy food taste really delicious in an effort to improve her own health.

  • More Restaurants Offer Gluten Free Options

    An increasing number of restaurant chefs are learning how to prepare gluten free meals to offer their celiac patrons.

  • Gluten Free Cookies

    Celiac or allergy sufferers need not go without cookies. Here’s a gluten free recipe for Honey Cake and Carob Drop Cookies.

  • Gluten Free Living

    Learning to live gluten free because of celiac disease or gluten intolerance takes a little more effort, but the health improvements are worth it.

Know About Celiac Disease

Posted May 17, 2013

The Academy of Nutrition and Dietetics (formerly the American Diatetic Association) issued the following news release:

Celiac disease is estimated to affect one out of 141 of Americans, or just under 1 percent of the population. The Academy of Nutrition and Dietetics encourages Americans to learn about celiac disease – it can affect your health or someone you love.

What is celiac disease? It is a hereditary, autoimmune disease caused by intolerance to the food protein, gluten – which is found in wheat, barley and rye. When people with celiac disease eat gluten-containing foods, the lining of the small intestine is damaged and eventually destroyed, preventing nutrients from being absorbed adequately. Untreated, celiac disease can lead to nutritional deficiencies, including anemia and osteoporosis, as well as other conditions, including other autoimmune diseases, intestinal cancers, infertility, delayed growth in children and failure to thrive in infants.

“While the only treatment for celiac disease is a gluten-free diet, the good news is, once the diet is started, the road to recover begins, and people with celiac disease can lead long, healthy lives,” says registered dietitian nutritionist and Academy spokesperson Rachel Begun. “Managing celiac disease is not just about eliminating gluten from your diet. It also entails ensuring you get all the vitamins and nutrients your body needs, such as iron, calcium, fiber and B-vitamins like thiamin, riboflavin, niacin and folate.”

An accurate diagnosis for celiac disease is a vital part of restoring health. Symptoms of celiac disease include bloating, gas or abdominal pain, chronic diarrhea or constipation, fatigue, itchy skin rash, tingling in hands and feet, delayed growth or fractured or thin bones. Some people are asymptomatic, meaning they do not experience any of these symptoms. If you or a loved one experience any of these conditions, it may be an indication of celiac disease.

“Do not diagnose yourself. If you have any symptoms, talk with your health care provider and get tested,” Begun says. “It’s important to keep eating a normal gluten-containing diet while being tested to ensure an accurate diagnosis. If you are diagnosed with celiac disease, a registered dietitian nutritionist will help you understand which foods are safe to eat and ensure you are getting the important nutrients your body needs.”

Many healthy foods are naturally gluten-free, such as fruits, vegetables, lean meats, poultry, fish, eggs, beans, legumes, soy, nuts, as well as the grains amaranth, buckwheat, corn, rice, teff and quinoa. Plus, there are a number of gluten-free flours made from almond meal, chickpeas and garbanzo beans, brown rice, coconut, potato, sorghum, tapioca and white rice.

For more information on celiac disease take a look at the Academy’s Celiac Disease resources, as well as the up-to-date, handy Gluten Detective App (https://www.eatright.org/shop/product.aspx?id=6442470637), which can simplify gluten-free grocery shopping, as well tips and tools to access on your smartphone.

Visit the Academy of Nutrition and Dietetics at www.eatright.org to locate a registered dietitian in your area.

TNS mv45 130511-4341443 61MarlynVitin

© 2013 Targeted News Service

The Academy of Nutrition and Dietetics (formerly the American Diatetic Association) issued the following news release:

Celiac disease is estimated to affect one out of 141 of Americans, or just under 1 percent of the population. The Academy of Nutrition and Dietetics encourages Americans to learn about celiac disease - it can affect your health or someone you love.

What is celiac disease? It is a hereditary, autoimmune disease caused by intolerance to the food protein, gluten - which is found in wheat, barley and rye. When people with celiac disease eat gluten-containing foods, the lining of the small intestine is damaged and eventually destroyed, preventing nutrients from being absorbed adequately. Untreated, celiac disease can lead to nutritional deficiencies, including anemia and osteoporosis, as well as other conditions, including other autoimmune diseases, intestinal cancers, infertility, delayed growth in children and failure to thrive in infants.

"While the only treatment for celiac disease is a gluten-free diet, the good news is, once the diet is started, the road to recover begins, and people with celiac disease can lead long, healthy lives," says registered dietitian nutritionist and Academy spokesperson Rachel Begun. "Managing celiac disease is not just about eliminating gluten from your diet. It also entails ensuring you get all the vitamins and nutrients your body needs, such as iron, calcium, fiber and B-vitamins like thiamin, riboflavin, niacin and folate."

An accurate diagnosis for celiac disease is a vital part of restoring health. Symptoms of celiac disease include bloating, gas or abdominal pain, chronic diarrhea or constipation, fatigue, itchy skin rash, tingling in hands and feet, delayed growth or fractured or thin bones. Some people are asymptomatic, meaning they do not experience any of these symptoms. If you or a loved one experience any of these conditions, it may be an indication of celiac disease.

"Do not diagnose yourself. If you have any symptoms, talk with your health care provider and get tested," Begun says. "It's important to keep eating a normal gluten-containing diet while being tested to ensure an accurate diagnosis. If you are diagnosed with celiac disease, a registered dietitian nutritionist will help you understand which foods are safe to eat and ensure you are getting the important nutrients your body needs."

Many healthy foods are naturally gluten-free, such as fruits, vegetables, lean meats, poultry, fish, eggs, beans, legumes, soy, nuts, as well as the grains amaranth, buckwheat, corn, rice, teff and quinoa. Plus, there are a number of gluten-free flours made from almond meal, chickpeas and garbanzo beans, brown rice, coconut, potato, sorghum, tapioca and white rice.

For more information on celiac disease take a look at the Academy's Celiac Disease resources, as well as the up-to-date, handy Gluten Detective App (https://www.eatright.org/shop/product.aspx?id=6442470637), which can simplify gluten-free grocery shopping, as well tips and tools to access on your smartphone.

Visit the Academy of Nutrition and Dietetics at www.eatright.org to locate a registered dietitian in your area.

TNS mv45 130511-4341443 61MarlynVitin

© 2013 Targeted News Service

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Headache Prevention Tips

Posted May 4, 2013

Regularly popping pills for a headache can make it worse, says a new study. What else can you do?

Have sex

Sex can lead to partial or complete relief from head pain in some migraines, say neurologists. The study found that more than half of sufferers who had intercourse during a migraine episode experienced an improvement in symptoms. It is thought sex triggers the release of endorphins, the body’s natural painkillers, which can reduce or even eliminate a headache.

Don’t buy expensive painkillers

Avoid painkillers that say ‘plus’ and ‘extra’. People choose them because they assume they will work faster, but they simply contain added ingredients like caffeine or codeine that might not be suitable for you. See your GP if you’re taking paracetamol, aspirin and non-steroidal anti-inflammatory drugs for 15 days or more a month.

Sit up straight

Slumping in your chair is the worst thing you can do if your head is pounding. When we slump forward in a C-shape, we kink the head upwards, which can stretch the neck and pinch nerves, causing headaches. So, sit with your feet flat on the floor and keep hips and knees straight, looking ahead.

Avoid ham sandwiches

Ham contains tyramine (a natural substance in preserved foods) and nitrates, which both increase blood flow to the brain, triggering pain. Tyramine is also found in foods that have been preserved, pickled, smoked, marinated or fermented. Cheese and chocolate; and certain fruits like pineapple and bananas, are also high in tyramine or food additives.

Snack on nuts and seeds

These are a great source of the mineral magnesium, which is thought to act as a muscle relaxant. Depleted levels are linked with reduced blood flow to the brain and low blood sugar, which can trigger headaches. Researchers found that up to 50% of migraine sufferers have low levels of magnesium. Other good sources of magnesium include fresh green leafy vegetables, tomato puree, wholegrains, beans, peas, potatoes, oats and yeast extract.

Forget air freshners

Perfumes, aftershaves, strong-smelling soaps, air fresheners and household cleaners contain chemicals that activate nerve cells in our noses, which send signals to the brain. In some people, these nerve signals are strong enough to cause headaches. Open windows and use chemical-free fresheners instead. Use a plant spray half-filled with water and two drops of essential oil and spritz around instead.

Follow the 20/20 rule

Staring at a computer screen for too long can leave you suffering with headaches, sore or tired eyes and even blurred vision. So, look up from your screen every 20 minutes and focus on something 20ft away for 20 seconds.

Be choosy about your takeout

MSG is a commonly used flavour enhancer extracted from an amino acid that occurs naturally in wheat gluten, seaweed and other produce. It’s used in many foods, from flavoured crisps to sausages and sauces — but it’s particularly associated with Chinese and other Asian dishes. For people who have sensitivity to MSG, it can also trigger headaches by dilating blood vessels in the brain. If you think you’re sensitive to MSG, ask whether dishes contain MSG before ordering a meal.

Wear your hair down

Fifty out of 93 women experienced a headache from wearing a ponytail. Plaits, chignons, tight-fitting hats and Alice bands can all cause headaches if the hair is pulled back tight, straining the connective tissue in the scalp. If you have to tie your hair up for work or exercise, try to avoid the socalled Croydon face-lift effect.

Glug plenty of water

Simply drinking a big glass of water and waiting 10 minutes or rubbing the temples and neck for five minutes to relieve any tension is often sufficient to banish a headache.

Don’t have a lie-in

Sleeping in for just half an hour can trigger a headache, particularly in coffee addicts. Because caffeine directly affects the blood vessels in the brain, withdrawal or reduction during weekends — exacerbated by low blood sugar due to a later breakfast — can cause pain. If you’re a regular coffee drinker, try to ensure you have your caffeine fix at the same time eve r y day.

Times of India

© 2013 Bennett, Coleman & Company Limited

Regularly popping pills for a headache can make it worse, says a new study. What else can you do?

Have sex

Sex can lead to partial or complete relief from head pain in some migraines, say neurologists. The study found that more than half of sufferers who had intercourse during a migraine episode experienced an improvement in symptoms. It is thought sex triggers the release of endorphins, the body's natural painkillers, which can reduce or even eliminate a headache.

Don't buy expensive painkillers

Avoid painkillers that say 'plus' and 'extra'. People choose them because they assume they will work faster, but they simply contain added ingredients like caffeine or codeine that might not be suitable for you. See your GP if you're taking paracetamol, aspirin and non-steroidal anti-inflammatory drugs for 15 days or more a month.

Sit up straight

Slumping in your chair is the worst thing you can do if your head is pounding. When we slump forward in a C-shape, we kink the head upwards, which can stretch the neck and pinch nerves, causing headaches. So, sit with your feet flat on the floor and keep hips and knees straight, looking ahead.

Avoid ham sandwiches

Ham contains tyramine (a natural substance in preserved foods) and nitrates, which both increase blood flow to the brain, triggering pain. Tyramine is also found in foods that have been preserved, pickled, smoked, marinated or fermented. Cheese and chocolate; and certain fruits like pineapple and bananas, are also high in tyramine or food additives.

Snack on nuts and seeds

These are a great source of the mineral magnesium, which is thought to act as a muscle relaxant. Depleted levels are linked with reduced blood flow to the brain and low blood sugar, which can trigger headaches. Researchers found that up to 50% of migraine sufferers have low levels of magnesium. Other good sources of magnesium include fresh green leafy vegetables, tomato puree, wholegrains, beans, peas, potatoes, oats and yeast extract.

Forget air freshners

Perfumes, aftershaves, strong-smelling soaps, air fresheners and household cleaners contain chemicals that activate nerve cells in our noses, which send signals to the brain. In some people, these nerve signals are strong enough to cause headaches. Open windows and use chemical-free fresheners instead. Use a plant spray half-filled with water and two drops of essential oil and spritz around instead.

Follow the 20/20 rule

Staring at a computer screen for too long can leave you suffering with headaches, sore or tired eyes and even blurred vision. So, look up from your screen every 20 minutes and focus on something 20ft away for 20 seconds.

Be choosy about your takeout

MSG is a commonly used flavour enhancer extracted from an amino acid that occurs naturally in wheat gluten, seaweed and other produce. It's used in many foods, from flavoured crisps to sausages and sauces -- but it's particularly associated with Chinese and other Asian dishes. For people who have sensitivity to MSG, it can also trigger headaches by dilating blood vessels in the brain. If you think you're sensitive to MSG, ask whether dishes contain MSG before ordering a meal.

Wear your hair down

Fifty out of 93 women experienced a headache from wearing a ponytail. Plaits, chignons, tight-fitting hats and Alice bands can all cause headaches if the hair is pulled back tight, straining the connective tissue in the scalp. If you have to tie your hair up for work or exercise, try to avoid the socalled Croydon face-lift effect.

Glug plenty of water

Simply drinking a big glass of water and waiting 10 minutes or rubbing the temples and neck for five minutes to relieve any tension is often sufficient to banish a headache.

Don't have a lie-in

Sleeping in for just half an hour can trigger a headache, particularly in coffee addicts. Because caffeine directly affects the blood vessels in the brain, withdrawal or reduction during weekends -- exacerbated by low blood sugar due to a later breakfast -- can cause pain. If you're a regular coffee drinker, try to ensure you have your caffeine fix at the same time eve r y day.

Times of India

© 2013 Bennett, Coleman & Company Limited

Tags: , , , , , , , , , , , , , , , , ,



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Replace Refined Grains with Whole Grains

Posted Jan 21, 2013

Eating more whole grains, the USDA says, can help reduce the risk of certain diseases. Folks at the Harvard School of Public Health take it a step further, saying that whole grains should fill up the entire quarter of our plates.

Whole grains include barley, corn, oats, rice, rye and wheat (bulgur, farro and spelt are wheat grains). They contain the entire kernel with its nutritional parts: the bran (outer layer), endosperm (inner) and germ.

Fortunately, finding whole grains is easier than ever as more and more products contain 100% whole grains. And some very old grains are being reintroduced to new generations.

Grains such as amaranth, farro and quinoa are called ancient grains because the strains have been around for thousands of years.

Not only are they showing up in more recipes, they’re becoming more widely available on grocery store shelves.

“The focus on eating more whole grains has meant that there are even more options to the consumer,” said Bethany Thayer, wellness director at Henry Ford Health System in Detroit and spokeswoman for the Academy of Nutrition and Dietetics. “We are not limited to whole wheat. You have whole-grain options like farro and spelt.”

It takes a conscious effort to make sure half of the grains you consume are whole.

Don’t be swayed by what’s on the front of the package. “You need to look at the ingredients list,” Thayer said. The first ingredient should be a whole grain, such as whole wheat, whole rye or quinoa.

“Increasing whole grains can be as easy as swapping out enriched flour with whole-wheat flour in your recipes,” Thayer said. “Depending on the recipe, you may want to mix half enriched flour with half whole-wheat flour.

When you have a choice, opt for whole grains.

“For breakfast, choose whole-grain cereals such as Wheaties, oatmeal or whole-grain toast. For lunch, make your sandwich with whole-grain bread, and at dinner choose a brown rice pilaf or whole-grain pasta,” said Kathleen Poore, registered dietitian and a program specialist with the Ann Arbor VA Health System. “And choose popcorn for a tasty whole-grain snack.”

More Details: Ancient grains

These three so-called ancient grains are gaining new lives.

AMARANTH

What it is: These tiny yellowish seeds were a staple of the Aztecs. Not a true grain, it has the nutritional profile of a cereal grain.

Best nutritional aspect: Gluten-free, rich in vitamin B and a source of vitamin E, high in protein and a source of good fat.

To cook: For 1 cup amaranth use 2 1/2 cups water. Bring to a boil, reduce heat, cover and simmer for 20 minutes until fluffy.

Best uses: Pilafs, hot cereals, cold salads. Use amaranth flour in breads, cookies and pancakes.

FARRO

What it is: A whole-wheat grain originally cultivated in the Middle East, it is known as the grain consumed by the Roman Empire. It has a nutty flavor and chewy texture.

Best nutritional aspect: High in protein, vitamins and antioxidants. Twice the fiber of wheat.

To cook: Farro is generally sold pearled, meaning some of the hull is removed so it cooks quicker. Soak unpearled farro overnight to soften the hull. For 1 cup farro, use 3 cups water. Bring to boil, cover and simmer for 30-40 minutes.

Best uses: In cold salads or in side dishes mixed with roasted vegetables. Use like Arborio rice to make risotto or soups.

QUINOA

What it is: A South America native, quinoa (KEEN-wah) consists of tiny, disc-shaped grains. It has the highest protein of any grain and a nutty flavor. Not a true grain, it has the nutritional profile of a cereal grain. You can buy quinoa in regular, red, black or mixed styles.

Best nutrition aspect: Known as a complete grain because of its high protein, high calcium and high amino acids. A 1/2 cup serving has 5 grams of fiber.

To cook: Rinse quinoa well in a fine strainer with cold water. Bring 1 cup quinoa to a boil in 2 cups of water. Reduce heat to low, cover and simmer until tender and liquid is absorbed, 15 to 20 minutes. A half-cup serving has 5 grams of fiber and 4 grams of protein.

Best uses: Cold vegetable salads, including potato salads, and soups. In side dishes, add other vegetables, including roasted asparagus and squash.

Sources: www.wholegrainscouncil.org; “The New Whole Grains Cookbook” by Robin Asbell (Chronicle Books, $19.95).

More Details: Read the label

The Whole Grains Council introduced a 100% Whole Grain stamp years ago that’s on thousands of products. But it’s still important to read the ingredient list.

Products that have the 100% stamp offer 47 grams or more of whole grains per serving.

The organization’s stamp without the 100% signals a product with 8 grams or more of whole grains per serving.

The recommendation is to eat 48 grams or more of whole grains.

A product may not have a stamp but might carry other phrases about the amount of whole grains, such as:

— Good source: At least 8 grams of whole grains per serving.

— Excellent source: at least 16 grams per serving.

Whole grains include wheat, corn, rice, oats, farro, barley, quinoa, spelt and rye.

Source: www.wholegrains council.org and Free Press research.

©2012 the Detroit Free Press

Visit the Detroit Free Press at www.freep.com

Distributed by MCT Information Services

Eating more whole grains, the USDA says, can help reduce the risk of certain diseases. Folks at the Harvard School of Public Health take it a step further, saying that whole grains should fill up the entire quarter of our plates.

Whole grains include barley, corn, oats, rice, rye and wheat (bulgur, farro and spelt are wheat grains). They contain the entire kernel with its nutritional parts: the bran (outer layer), endosperm (inner) and germ.

Fortunately, finding whole grains is easier than ever as more and more products contain 100% whole grains. And some very old grains are being reintroduced to new generations.

Grains such as amaranth, farro and quinoa are called ancient grains because the strains have been around for thousands of years.

Not only are they showing up in more recipes, they're becoming more widely available on grocery store shelves.

"The focus on eating more whole grains has meant that there are even more options to the consumer," said Bethany Thayer, wellness director at Henry Ford Health System in Detroit and spokeswoman for the Academy of Nutrition and Dietetics. "We are not limited to whole wheat. You have whole-grain options like farro and spelt."

It takes a conscious effort to make sure half of the grains you consume are whole.

Don't be swayed by what's on the front of the package. "You need to look at the ingredients list," Thayer said. The first ingredient should be a whole grain, such as whole wheat, whole rye or quinoa.

"Increasing whole grains can be as easy as swapping out enriched flour with whole-wheat flour in your recipes," Thayer said. "Depending on the recipe, you may want to mix half enriched flour with half whole-wheat flour.

When you have a choice, opt for whole grains.

"For breakfast, choose whole-grain cereals such as Wheaties, oatmeal or whole-grain toast. For lunch, make your sandwich with whole-grain bread, and at dinner choose a brown rice pilaf or whole-grain pasta," said Kathleen Poore, registered dietitian and a program specialist with the Ann Arbor VA Health System. "And choose popcorn for a tasty whole-grain snack."

More Details: Ancient grains

These three so-called ancient grains are gaining new lives.

AMARANTH

What it is: These tiny yellowish seeds were a staple of the Aztecs. Not a true grain, it has the nutritional profile of a cereal grain.

Best nutritional aspect: Gluten-free, rich in vitamin B and a source of vitamin E, high in protein and a source of good fat.

To cook: For 1 cup amaranth use 2 1/2 cups water. Bring to a boil, reduce heat, cover and simmer for 20 minutes until fluffy.

Best uses: Pilafs, hot cereals, cold salads. Use amaranth flour in breads, cookies and pancakes.

FARRO

What it is: A whole-wheat grain originally cultivated in the Middle East, it is known as the grain consumed by the Roman Empire. It has a nutty flavor and chewy texture.

Best nutritional aspect: High in protein, vitamins and antioxidants. Twice the fiber of wheat.

To cook: Farro is generally sold pearled, meaning some of the hull is removed so it cooks quicker. Soak unpearled farro overnight to soften the hull. For 1 cup farro, use 3 cups water. Bring to boil, cover and simmer for 30-40 minutes.

Best uses: In cold salads or in side dishes mixed with roasted vegetables. Use like Arborio rice to make risotto or soups.

QUINOA

What it is: A South America native, quinoa (KEEN-wah) consists of tiny, disc-shaped grains. It has the highest protein of any grain and a nutty flavor. Not a true grain, it has the nutritional profile of a cereal grain. You can buy quinoa in regular, red, black or mixed styles.

Best nutrition aspect: Known as a complete grain because of its high protein, high calcium and high amino acids. A 1/2 cup serving has 5 grams of fiber.

To cook: Rinse quinoa well in a fine strainer with cold water. Bring 1 cup quinoa to a boil in 2 cups of water. Reduce heat to low, cover and simmer until tender and liquid is absorbed, 15 to 20 minutes. A half-cup serving has 5 grams of fiber and 4 grams of protein.

Best uses: Cold vegetable salads, including potato salads, and soups. In side dishes, add other vegetables, including roasted asparagus and squash.

Sources: www.wholegrainscouncil.org; "The New Whole Grains Cookbook" by Robin Asbell (Chronicle Books, $19.95).

More Details: Read the label

The Whole Grains Council introduced a 100% Whole Grain stamp years ago that's on thousands of products. But it's still important to read the ingredient list.

Products that have the 100% stamp offer 47 grams or more of whole grains per serving.

The organization's stamp without the 100% signals a product with 8 grams or more of whole grains per serving.

The recommendation is to eat 48 grams or more of whole grains.

A product may not have a stamp but might carry other phrases about the amount of whole grains, such as:

-- Good source: At least 8 grams of whole grains per serving.

-- Excellent source: at least 16 grams per serving.

Whole grains include wheat, corn, rice, oats, farro, barley, quinoa, spelt and rye.

Source: www.wholegrains council.org and Free Press research.

©2012 the Detroit Free Press

Visit the Detroit Free Press at www.freep.com

Distributed by MCT Information Services

Tags: , , , , , , , , ,



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Gluten Can Hide

Posted October 21, 2012

ST. LOUIS – Rabia Rahman is as much a detective as a dietitian when she works with her patients to help them avoid gluten.

“I had one patient who got really sick from licking an envelope,” says Rahman, who’s both a nutritional counselor and an instructor in the department of nutrition and dietetics at St. Louis University.

Ironically, gluten is used in the binders or coatings of some medications that patients may be taking to feel better. And many of Rahman’s female patients are surprised to find out that gluten is sometimes an ingredient in makeup and lipstick.

Helping patients eliminate gluten from their diets is easier than ferreting out some of these more obscure uses, but it still poses significant challenges.

“We’ll always go over food habits and cover the broad items like wheat, barley and rye, which means they shouldn’t eat regular cakes, breads and pastas,” Rahman says. “But then I work with them to go over ingredient lists on labels closely and avoid specific items – hydrolized wheat starch, or anything that says malt, graham or spelt.

“There’s often gluten where you really don’t expect it. Soy sauce is a big one; broth soups, potato chips and even French fries, which are sometimes dipped in a starch to preserve them.”

The medical reasons for going gluten-free, says Rahman, range from mild gluten intolerance to wheat allergies and celiac disease, an autoimmune disease in which consumption of gluten damages the small intestine. Blood tests can diagnose allergies and celiac disease, and Rahman calls a small-intestine biopsy the “gold standard” for diagnosis of celiac.

But there aren’t any specific tests for gluten sensitivity.

“That diagnosis often comes after a patient has gone from doctor to doctor to find out why they just don’t feel well,” Rahman says. “Sometimes it’s (gastrointestinal) symptoms, but many times the symptoms are less obvious – tiredness, headache, or even sometimes depression.”

Rahman has her patients keep a log of both their food consumption and their symptoms and eventually may recommend that they eliminate gluten from their diets. Or, in some cases, she may work the other way by having the patients go gluten free to see if it makes their symptoms go away.

In either case, she says, adopting a gluten-free diet gets easier every year.

“Even in the past five years, there’s been a huge increase in cookbooks, in what’s available in stores and restaurants and in online support,” Rahman says.

However, she adds, part of the demand has been generated by a certain trendiness in gluten-free lifestyles that’s been aided by their adoption by various celebrities.

“They’re using it as a fashion statement, or in some cases they’re saying it might help with weight loss,” Rahman says. “But there’s no medical reason to follow it unless you have to.”

But that said, she advises her patients and anyone else who’s been diagnosed as gluten-sensitive not to be shy about it.

“Eating out or at someone’s house are things that many patients find very, very difficult,” Rahman says. It’s not just the food itself – there are issues of cross-contamination, as simple as crumbs left when regular bread is made in the same toaster.”

“But you have to be willing to advocate for yourself,” she adds. “It’s also really important to involve family members and friends. You’ll often get a lot of support that really helps you stay on top of it.”

— Joe Bonwich

GLUTEN FREE SUPPORT ON THE WEB

National Foundation for Celiac Awareness

www.celiaccentral.org

A nonprofit organization dedicated to finding a cure for celiac disease.

Celiac Disease Foundation

celiac.org

A nonprofit, public-benefit corporation providing services and support through awareness, education, advocacy and research.

Celiac Sprue Association

csaceliacs.org

Another nonprofit organization with extensive online resources.

Gluten Intolerance Group

www.gluten.net

Tips for diet and finding medical professionals, as well as geographic lists of restaurants that offer gluten-free alternatives. (The restaurants listed in the St. Louis area are primarily nationwide chains.)

ARTISAN GLUTEN-FREE FLOUR BLEND

Yield: About 12 cups

5 cups (625 grams) brown rice flour

3 cups (350 grams) sorghum flour

2 2/3 cups (360 grams) cornstarch

1 cup (148 grams) potato starch

1/3 cup (57 grams) potato flour

4 teaspoons xanthan gum

Combine all ingredients and store in an airtight container in the fridge. The authors recommend measuring by weight rather than by volume for a more accurate and consistent result.

Notes: If you have a sensitivity to a specific ingredient, use the following substitutions. For corn, replace the cornstarch with 1 3/4 cups arrowroot flour. For potatoes, omit the potato starch and potato flour and replace with 1 1/3 cups tapioca starch. For sorghum, omit the sorghum flour and replace with an additional 3 cups of brown rice flour for a total of 8 cups of brown rice flour.

The ingredients can frequently be found in the specialty-flour or health-foods aisle of the supermarket or in health food stores.

Per cup: 468 calories; 2g fat; 0.5g saturated fat; no cholesterol; 6g protein; 105g carbohydrate; 1g sugar; 5g fiber; 11mg sodium; 11mg calcium.

Adapted from “Artisanal Gluten-Free Cooking,” by Kelli and Peter Bronski (second edition, The Experiment, 2012)

QUINOA SALAD WITH VINAIGRETTE

Yield: 4 servings

1 cup quinoa, rinsed if necessary

1/4 cup red wine vinegar

1/4 cup olive oil

Salt

Freshly ground black pepper

1/2 red bell pepper, stemmed, cored, seeded and diced small

3 green onions, thinly sliced

1. Prepare the quinoa according to package directions. Refrigerate until cooled.

2. Combine the vinegar and olive oil in a small bowl and season to taste with salt and pepper. Mix together the quinoa, bell pepper, green onions and olive oil and toss with the vinaigrette. Serve chilled.

Per serving: 290 calories; 17g fat; 2g saturated fat; no cholesterol; 6g protein; 29g carbohydrate; 1g sugar; 4g fiber; 5mg sodium; 29mg calcium.

Adapted from “Artisanal Gluten-Free Cooking,” by Kelli and Peter Bronski (second edition, The Experiment, 2012)

SZECHUAN NOODLES

Yield: 6 servings

1 (12-ounce) package brown rice spaghetti or other gluten-free thin noodle

2/3 cup pineapple juice

1/3 cup gluten-free tamari or Bragg Liquid Aminos

1/3 cup brown rice vinegar

2 tablespoons toasted sesame oil

2 tablespoons gluten-free brown rice syrup

2 tablespoons minced garlic

2 tablespoons minced fresh ginger

1/2 teaspoon crushed red pepper flakes

1/2 teaspoon freshly ground black pepper

1 cup shredded carrots

1/2 cup thinly sliced green onions

1/2 cup chopped fresh cilantro

1/4 cup chopped fresh parsley

2 tablespoons sesame seeds (regular or black)

1. Cook noodles according to package directions. Drain, but do not rinse. Transfer to a large bowl.

2. Meanwhile, in a medium glass bowl, whisk together pineapple juice, tamari, brown rice vinegar, sesame oil, brown rice syrup, garlic, ginger and peppers.

3. Pour pineapple-juice mixture over noodles and, using a pair of tongs, toss well to coat noodles evenly. Set aside for 5 to 10 minutes.

4. Add carrots, green onions, cilantro, parsley and sesame seeds and toss well to combine.

Per serving: 290 calories; 17g fat; 2g saturated fat; no cholesterol; 6g protein; 29g carbohydrate; 1g sugar; 4g fiber; 5mg sodium; 29mg calcium.

Adapted from “The Complete Idiot’s Guide to Gluten-Free Vegan Cooking,” by Julieanna Hever and Beverly Lynn Bennett (Alpha Books, 2011)

©2012 St. Louis Post-Dispatch Distributed by Mclatchy-Tribune News Service.

ST. LOUIS - Rabia Rahman is as much a detective as a dietitian when she works with her patients to help them avoid gluten.

"I had one patient who got really sick from licking an envelope," says Rahman, who's both a nutritional counselor and an instructor in the department of nutrition and dietetics at St. Louis University.

Ironically, gluten is used in the binders or coatings of some medications that patients may be taking to feel better. And many of Rahman's female patients are surprised to find out that gluten is sometimes an ingredient in makeup and lipstick.

Helping patients eliminate gluten from their diets is easier than ferreting out some of these more obscure uses, but it still poses significant challenges.

"We'll always go over food habits and cover the broad items like wheat, barley and rye, which means they shouldn't eat regular cakes, breads and pastas," Rahman says. "But then I work with them to go over ingredient lists on labels closely and avoid specific items - hydrolized wheat starch, or anything that says malt, graham or spelt.

"There's often gluten where you really don't expect it. Soy sauce is a big one; broth soups, potato chips and even French fries, which are sometimes dipped in a starch to preserve them."

The medical reasons for going gluten-free, says Rahman, range from mild gluten intolerance to wheat allergies and celiac disease, an autoimmune disease in which consumption of gluten damages the small intestine. Blood tests can diagnose allergies and celiac disease, and Rahman calls a small-intestine biopsy the "gold standard" for diagnosis of celiac.

But there aren't any specific tests for gluten sensitivity.

"That diagnosis often comes after a patient has gone from doctor to doctor to find out why they just don't feel well," Rahman says. "Sometimes it's (gastrointestinal) symptoms, but many times the symptoms are less obvious - tiredness, headache, or even sometimes depression."

Rahman has her patients keep a log of both their food consumption and their symptoms and eventually may recommend that they eliminate gluten from their diets. Or, in some cases, she may work the other way by having the patients go gluten free to see if it makes their symptoms go away.

In either case, she says, adopting a gluten-free diet gets easier every year.

"Even in the past five years, there's been a huge increase in cookbooks, in what's available in stores and restaurants and in online support," Rahman says.

However, she adds, part of the demand has been generated by a certain trendiness in gluten-free lifestyles that's been aided by their adoption by various celebrities.

"They're using it as a fashion statement, or in some cases they're saying it might help with weight loss," Rahman says. "But there's no medical reason to follow it unless you have to."

But that said, she advises her patients and anyone else who's been diagnosed as gluten-sensitive not to be shy about it.

"Eating out or at someone's house are things that many patients find very, very difficult," Rahman says. It's not just the food itself - there are issues of cross-contamination, as simple as crumbs left when regular bread is made in the same toaster."

"But you have to be willing to advocate for yourself," she adds. "It's also really important to involve family members and friends. You'll often get a lot of support that really helps you stay on top of it."

--- Joe Bonwich

GLUTEN FREE SUPPORT ON THE WEB

National Foundation for Celiac Awareness

www.celiaccentral.org

A nonprofit organization dedicated to finding a cure for celiac disease.

Celiac Disease Foundation

celiac.org

A nonprofit, public-benefit corporation providing services and support through awareness, education, advocacy and research.

Celiac Sprue Association

csaceliacs.org

Another nonprofit organization with extensive online resources.

Gluten Intolerance Group

www.gluten.net

Tips for diet and finding medical professionals, as well as geographic lists of restaurants that offer gluten-free alternatives. (The restaurants listed in the St. Louis area are primarily nationwide chains.)

---

ARTISAN GLUTEN-FREE FLOUR BLEND

Yield: About 12 cups

5 cups (625 grams) brown rice flour

3 cups (350 grams) sorghum flour

2 2/3 cups (360 grams) cornstarch

1 cup (148 grams) potato starch

1/3 cup (57 grams) potato flour

4 teaspoons xanthan gum

Combine all ingredients and store in an airtight container in the fridge. The authors recommend measuring by weight rather than by volume for a more accurate and consistent result.

Notes: If you have a sensitivity to a specific ingredient, use the following substitutions. For corn, replace the cornstarch with 1 3/4 cups arrowroot flour. For potatoes, omit the potato starch and potato flour and replace with 1 1/3 cups tapioca starch. For sorghum, omit the sorghum flour and replace with an additional 3 cups of brown rice flour for a total of 8 cups of brown rice flour.

The ingredients can frequently be found in the specialty-flour or health-foods aisle of the supermarket or in health food stores.

Per cup: 468 calories; 2g fat; 0.5g saturated fat; no cholesterol; 6g protein; 105g carbohydrate; 1g sugar; 5g fiber; 11mg sodium; 11mg calcium.

Adapted from "Artisanal Gluten-Free Cooking," by Kelli and Peter Bronski (second edition, The Experiment, 2012)

---

QUINOA SALAD WITH VINAIGRETTE

Yield: 4 servings

1 cup quinoa, rinsed if necessary

1/4 cup red wine vinegar

1/4 cup olive oil

Salt

Freshly ground black pepper

1/2 red bell pepper, stemmed, cored, seeded and diced small

3 green onions, thinly sliced

1. Prepare the quinoa according to package directions. Refrigerate until cooled.

2. Combine the vinegar and olive oil in a small bowl and season to taste with salt and pepper. Mix together the quinoa, bell pepper, green onions and olive oil and toss with the vinaigrette. Serve chilled.

Per serving: 290 calories; 17g fat; 2g saturated fat; no cholesterol; 6g protein; 29g carbohydrate; 1g sugar; 4g fiber; 5mg sodium; 29mg calcium.

Adapted from "Artisanal Gluten-Free Cooking," by Kelli and Peter Bronski (second edition, The Experiment, 2012)

---

SZECHUAN NOODLES

Yield: 6 servings

1 (12-ounce) package brown rice spaghetti or other gluten-free thin noodle

2/3 cup pineapple juice

1/3 cup gluten-free tamari or Bragg Liquid Aminos

1/3 cup brown rice vinegar

2 tablespoons toasted sesame oil

2 tablespoons gluten-free brown rice syrup

2 tablespoons minced garlic

2 tablespoons minced fresh ginger

1/2 teaspoon crushed red pepper flakes

1/2 teaspoon freshly ground black pepper

1 cup shredded carrots

1/2 cup thinly sliced green onions

1/2 cup chopped fresh cilantro

1/4 cup chopped fresh parsley

2 tablespoons sesame seeds (regular or black)

1. Cook noodles according to package directions. Drain, but do not rinse. Transfer to a large bowl.

2. Meanwhile, in a medium glass bowl, whisk together pineapple juice, tamari, brown rice vinegar, sesame oil, brown rice syrup, garlic, ginger and peppers.

3. Pour pineapple-juice mixture over noodles and, using a pair of tongs, toss well to coat noodles evenly. Set aside for 5 to 10 minutes.

4. Add carrots, green onions, cilantro, parsley and sesame seeds and toss well to combine.

Per serving: 290 calories; 17g fat; 2g saturated fat; no cholesterol; 6g protein; 29g carbohydrate; 1g sugar; 4g fiber; 5mg sodium; 29mg calcium.

Adapted from "The Complete Idiot's Guide to Gluten-Free Vegan Cooking," by Julieanna Hever and Beverly Lynn Bennett (Alpha Books, 2011)

©2012 St. Louis Post-Dispatch Distributed by Mclatchy-Tribune News Service.

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Amaranth-A Great Gluten Free Grain

Posted Aug 13, 2012

One of the tricks I use to make sure I get enough grains in my diet is to make a big batch of something on a Sunday, then build dinners around it throughout the week. Lately, I’ve been in a rut with brown basmati rice. The long, nutty grains are the perfect foundation for everything from simple steamed vegetables and cooked beans to elaborately spiced curries and Mexican sautes.

Recipe included with this story: Amaranth Risotto With Portobello and Peas.

But there are all sorts of other grains out there, and this summer I’m determined to make quinoa, wheat berries, bulgur and couscous more often, pushing brown rice to the sidelines. And I want to experiment with grains I’ve never tried cooking with at all, such as amaranth.

Amaranth is one of the tiniest grains (actually, it’s a seed), and looks like a cream-colored version of poppy seed. But don’t let the small size fool you: It’s one of the most nutritionally dense grains, loaded with minerals such as calcium and iron. Like quinoa, it contains all of the essential amino acids, so it’s a complete source of protein. And it’s gluten-free, too.

Amaranth also has a rich history. Its cultivation in Central and South America dates back 8,000 years, and it was a dietary staple of the ancient Incan, Mayan and Aztec civilizations. Like many foods, its use spread in the post-Colombian era, and now it can be found around the world.

I once thought amaranth was for the birds — literally. It’s sometimes used in birdseed blends, and when I’d had it in baked goods, it retained such a seedy texture that it seemed more appropriate for backyard finches than humans.

But amaranth can also be prepared like rice for both sweet and savory dishes. In the morning, add a tablespoon of brown sugar and a few dashes of cinnamon as it cooks, and you’ve got a creamy, porridgelike breakfast cereal that can be enjoyed with a splash of rice or almond milk.

For an earthy grain that goes well with lentils or curried garbanzo beans, prepare it like rice, using 1 1/2 cups water for each cup of amaranth. But it really shines when it’s cooked with rich vegetable broth and other vegetables, with the grains absorbing their flavors as well as the liquid.

Roland Foods, one of the leading manufacturers of amaranth, has a basic mushroom risotto recipe on the side of the package. The recipe looks solid, but it calls for dried wild mushrooms, which seems criminal when you consider that at this time of year there are wonderful wild mushrooms at the farmers markets. And there are always fresh portobellos at the grocery store. Whenever possible, I’ll take fresh over dried.

To add some visual appeal and a touch of natural sweetness in each bite, I added a cup of peas. This improved the dish’s vitamin C profile, and stretched the number of servings from four to six.

Italians might not recognize this atypical risotto, nor would long-ago residents of Machu Picchu probably recognize it as one of their amaranth dishes. But it’s a modern twist on an ancient grain that will keep me out of my basmati rut.

— Grant Butler Follow @grantbutler

©2012 The Oregonian (Portland, Ore.)

Visit The Oregonian (Portland, Ore.) at www.oregonian.com

One of the tricks I use to make sure I get enough grains in my diet is to make a big batch of something on a Sunday, then build dinners around it throughout the week. Lately, I've been in a rut with brown basmati rice. The long, nutty grains are the perfect foundation for everything from simple steamed vegetables and cooked beans to elaborately spiced curries and Mexican sautes.

Recipe included with this story: Amaranth Risotto With Portobello and Peas.

But there are all sorts of other grains out there, and this summer I'm determined to make quinoa, wheat berries, bulgur and couscous more often, pushing brown rice to the sidelines. And I want to experiment with grains I've never tried cooking with at all, such as amaranth.

Amaranth is one of the tiniest grains (actually, it's a seed), and looks like a cream-colored version of poppy seed. But don't let the small size fool you: It's one of the most nutritionally dense grains, loaded with minerals such as calcium and iron. Like quinoa, it contains all of the essential amino acids, so it's a complete source of protein. And it's gluten-free, too.

Amaranth also has a rich history. Its cultivation in Central and South America dates back 8,000 years, and it was a dietary staple of the ancient Incan, Mayan and Aztec civilizations. Like many foods, its use spread in the post-Colombian era, and now it can be found around the world.

I once thought amaranth was for the birds -- literally. It's sometimes used in birdseed blends, and when I'd had it in baked goods, it retained such a seedy texture that it seemed more appropriate for backyard finches than humans.

But amaranth can also be prepared like rice for both sweet and savory dishes. In the morning, add a tablespoon of brown sugar and a few dashes of cinnamon as it cooks, and you've got a creamy, porridgelike breakfast cereal that can be enjoyed with a splash of rice or almond milk.

For an earthy grain that goes well with lentils or curried garbanzo beans, prepare it like rice, using 1 1/2 cups water for each cup of amaranth. But it really shines when it's cooked with rich vegetable broth and other vegetables, with the grains absorbing their flavors as well as the liquid.

Roland Foods, one of the leading manufacturers of amaranth, has a basic mushroom risotto recipe on the side of the package. The recipe looks solid, but it calls for dried wild mushrooms, which seems criminal when you consider that at this time of year there are wonderful wild mushrooms at the farmers markets. And there are always fresh portobellos at the grocery store. Whenever possible, I'll take fresh over dried.

To add some visual appeal and a touch of natural sweetness in each bite, I added a cup of peas. This improved the dish's vitamin C profile, and stretched the number of servings from four to six.

Italians might not recognize this atypical risotto, nor would long-ago residents of Machu Picchu probably recognize it as one of their amaranth dishes. But it's a modern twist on an ancient grain that will keep me out of my basmati rut.

-- Grant Butler Follow @grantbutler

©2012 The Oregonian (Portland, Ore.)

Visit The Oregonian (Portland, Ore.) at www.oregonian.com

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Avoiding Food Sensitivities Boosts Player’s Game

Posted June 22, 2012

The visiting clubhouse at Tropicana Field in St. Petersburg, Fla., is a sugar lover’s paradise, with big glass jars filled with every type of candy imaginable, from Twizzlers to Twix to M&M’s.

Justin Morneau – who cut gluten, dairy and sugar from his diet last winter after going through food allergy testing – had no problem avoiding Candy Row, when the Twins visited the Rays two months ago. But after the series finale, the real temptation came as workers dished out a catered spread of ribs and macaroni and cheese.

That used to be one of Morneau’s favorite meals.

“It was difficult,” he said. “But I knew I’d feel like absolute garbage after eating it. I knew my body wouldn’t be recovering because it’s trying to break down food I shouldn’t be eating, so I was better off avoiding it.”

Morneau, 31, isn’t allergic to gluten, dairy and sugar, but he learned his body is sensitive to those foods. He began avoiding them, hoping to stay healthier after going through four surgeries last year and suffering another season-ending concussion.

After losing 20 pounds before spring training, Morneau knew it would be tougher during the season – finding ways to eat healthy on the road and facing skeptics who wondered if this skinny guy could still hit for power.

Morneau hasn’t returned to All-Star form, but he has been healthier, save for a 15-day stretch on the disabled list because of a sore left wrist. He’s batting .238 but has 10 home runs, one triple and 11 doubles, giving him a .470 slugging percentage, not far below his .497 career mark.

“It’s not like I’m down 20 pounds of muscle,” he said. “I think it’s mostly the extra fat that puts pressure on your knees and back. I’m lifting the same weights. I feel strong, and I actually feel lighter on my feet.”

When Morneau arrives at PNC Park in Pittsburgh on Tuesday, he’ll find a cardboard box waiting at his locker. Inside, packed in dry ice, he’ll see his day’s meals made by a chef from Target Field and shipped overnight.

“It’s pretty much just lean proteins, rice, almost any vegetable or fruit,” Morneau said. “It’s pretty much the way everyone should eat. No greasy foods, no fatty foods, or all the rest of that stuff.”

While slowly recovering from his latest concussion last fall, Morneau went through a series of medical tests, looking for answers. He wondered how his diet might be affecting his recoveries, so he took the ALCAT (antigen leukocyte cellular antibody test) to see if he had food allergies.

He stopped eating gluten – a protein found in foods processed from wheat – and cut dairy and sugar with a plan to gradually re-phase them into his diet. In December, he weighed 242 pounds, and by spring training, he was about 10 pounds under his usual 233-pound playing weight.

Carrie Peterson, a University of Minnesota sports nutritionist, said it was important for Morneau to find healthy substitutes to fill the void in his diet. Now, he’s getting a double benefit of cutting foods that are bad for him and adding foods such as fruits and vegetables that do him good.

“Most of those foods are pretty high in phytochemicals and antioxidants, so that also helps reduce any form of inflammation,” Peterson said.

Peterson has done consulting work for the Timberwolves, Wild, Vikings and Lynx. Told about Morneau’s case, she said this doesn’t mean every athlete should eat the way he does, fearing parents might get the wrong idea.

“First and foremost, Justin has a diagnosed intolerance, so he has to work around some things,” she said. “But you can’t make blanket statements that if I cut all these things out, then I can be a better athlete. I’m a firm believer that all food fits into a healthy diet, even Doritos and cookies, periodically. That’s part of being human.”

Morneau showed up at spring training notably thinner and didn’t hit a home run in his first 37 exhibition at-bats. Some wondered if his power-hitting days were over.

“Your swing has nothing to do with strength,” Morneau said. “You can take a body builder, and they’re not going to be able to hit a ball out of the infield. It’s mechanics, it’s technique, and then it’s actually how hard you hit the ball, and where you hit the ball on the bat.

“Not that I would ever compare myself to Ted Williams, but you look at the (red) seat at Fenway Park where he hit that ball (502) feet, and they didn’t have weightlifting or anything like that when he played.”

Morneau quieted the doubters during the season’s second week, when he smashed three homers in a three-game span at Yankee Stadium.

“Those home runs in New York will stay in people’s minds,” Twins hitting coach Joe Vavra said. “And more importantly, his mind, so he knows he can do that. It’s all confidence and trust.”

Morneau ranks third on the team in home runs behind Trevor Plouffe (14) and Josh Willingham (13). But according to ESPN Home Run Tracker, Morneau has the Twins’ two longest homers of the season – a 439-foot shot at Yankee Stadium on April 16, and a 451-foot blast at Chicago’s U.S. Cellular Field on May 24.

Morneau was primarily the designated hitter early in the season, but he has started 23 of the Twins’ past 27 games at first base. He credits the diet for helping him become a full-time first baseman again.

“I’ve done a ton of reading on it, so I could talk for hours about it,” he said. “Half the people look at you like you’re crazy, and half the people are interested and wonder how they would do if they tried it.”

Editor’s note: Mediator Release Testing (MRT) can also be used to identify food sensitivities.

The visiting clubhouse at Tropicana Field in St. Petersburg, Fla., is a sugar lover's paradise, with big glass jars filled with every type of candy imaginable, from Twizzlers to Twix to M&M's.

Justin Morneau - who cut gluten, dairy and sugar from his diet last winter after going through food allergy testing - had no problem avoiding Candy Row, when the Twins visited the Rays two months ago. But after the series finale, the real temptation came as workers dished out a catered spread of ribs and macaroni and cheese.

That used to be one of Morneau's favorite meals.

"It was difficult," he said. "But I knew I'd feel like absolute garbage after eating it. I knew my body wouldn't be recovering because it's trying to break down food I shouldn't be eating, so I was better off avoiding it."

Morneau, 31, isn't allergic to gluten, dairy and sugar, but he learned his body is sensitive to those foods. He began avoiding them, hoping to stay healthier after going through four surgeries last year and suffering another season-ending concussion.

After losing 20 pounds before spring training, Morneau knew it would be tougher during the season - finding ways to eat healthy on the road and facing skeptics who wondered if this skinny guy could still hit for power.

Morneau hasn't returned to All-Star form, but he has been healthier, save for a 15-day stretch on the disabled list because of a sore left wrist. He's batting .238 but has 10 home runs, one triple and 11 doubles, giving him a .470 slugging percentage, not far below his .497 career mark.

"It's not like I'm down 20 pounds of muscle," he said. "I think it's mostly the extra fat that puts pressure on your knees and back. I'm lifting the same weights. I feel strong, and I actually feel lighter on my feet."

When Morneau arrives at PNC Park in Pittsburgh on Tuesday, he'll find a cardboard box waiting at his locker. Inside, packed in dry ice, he'll see his day's meals made by a chef from Target Field and shipped overnight.

"It's pretty much just lean proteins, rice, almost any vegetable or fruit," Morneau said. "It's pretty much the way everyone should eat. No greasy foods, no fatty foods, or all the rest of that stuff."

While slowly recovering from his latest concussion last fall, Morneau went through a series of medical tests, looking for answers. He wondered how his diet might be affecting his recoveries, so he took the ALCAT (antigen leukocyte cellular antibody test) to see if he had food allergies.

He stopped eating gluten - a protein found in foods processed from wheat - and cut dairy and sugar with a plan to gradually re-phase them into his diet. In December, he weighed 242 pounds, and by spring training, he was about 10 pounds under his usual 233-pound playing weight.

Carrie Peterson, a University of Minnesota sports nutritionist, said it was important for Morneau to find healthy substitutes to fill the void in his diet. Now, he's getting a double benefit of cutting foods that are bad for him and adding foods such as fruits and vegetables that do him good.

"Most of those foods are pretty high in phytochemicals and antioxidants, so that also helps reduce any form of inflammation," Peterson said.

Peterson has done consulting work for the Timberwolves, Wild, Vikings and Lynx. Told about Morneau's case, she said this doesn't mean every athlete should eat the way he does, fearing parents might get the wrong idea.

"First and foremost, Justin has a diagnosed intolerance, so he has to work around some things," she said. "But you can't make blanket statements that if I cut all these things out, then I can be a better athlete. I'm a firm believer that all food fits into a healthy diet, even Doritos and cookies, periodically. That's part of being human."

Morneau showed up at spring training notably thinner and didn't hit a home run in his first 37 exhibition at-bats. Some wondered if his power-hitting days were over.

"Your swing has nothing to do with strength," Morneau said. "You can take a body builder, and they're not going to be able to hit a ball out of the infield. It's mechanics, it's technique, and then it's actually how hard you hit the ball, and where you hit the ball on the bat.

"Not that I would ever compare myself to Ted Williams, but you look at the (red) seat at Fenway Park where he hit that ball (502) feet, and they didn't have weightlifting or anything like that when he played."

Morneau quieted the doubters during the season's second week, when he smashed three homers in a three-game span at Yankee Stadium.

"Those home runs in New York will stay in people's minds," Twins hitting coach Joe Vavra said. "And more importantly, his mind, so he knows he can do that. It's all confidence and trust."

Morneau ranks third on the team in home runs behind Trevor Plouffe (14) and Josh Willingham (13). But according to ESPN Home Run Tracker, Morneau has the Twins' two longest homers of the season - a 439-foot shot at Yankee Stadium on April 16, and a 451-foot blast at Chicago's U.S. Cellular Field on May 24.

Morneau was primarily the designated hitter early in the season, but he has started 23 of the Twins' past 27 games at first base. He credits the diet for helping him become a full-time first baseman again.

"I've done a ton of reading on it, so I could talk for hours about it," he said. "Half the people look at you like you're crazy, and half the people are interested and wonder how they would do if they tried it."

Editor's note: Mediator Release Testing (MRT) can also be used to identify food sensitivities.

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Quinoa: A Great Gluten Free ‘Super Grain’

Posted April 21, 2012

Quinoa has been called the “mother grain of the Incas,” who began cultivating it at least 3,000 years ago. While technically a seed, it takes on a grain-like consistency when cooked.

Today, nutritionists recommend this ancient “super grain” for its nutritional value. Quinoa (pronounced KEEN-wah) is a good source of dietary fiber and phosphorus, and is high in magnesium, iron, Vitamin B6, Vitamin E, copper and zinc. It is gluten-free and considered easy to digest. Quinoa is a complete protein because it contains eight essential amino acids.

To some people, quinoa looks more like birdseed than something they’d want to serve for dinner. But once cooked, quinoa has a delicate, couscous-like texture and a nutty flavor that’s a perfect background for both sweet and savory additions.

Start the day with a bowl of quinoa mixed with dried fruit, milk and a bit of cinnamon, or stir a cup of it into a pot of your favorite soup. An easy lunch can be had by tossing a cup of cooked quinoa with a mixture of vegetables and a tasty vinaigrette. Or try a similar mixture as a filling for a hearty wrap.

There are a few tricks to turning that bag of tiny seeds into a delicious dish. First, quinoa needs to be rinsed before use to eliminate the bitter coating that surrounds each seed. And be sure not to overcook or use too much water, or quinoa will lose its fluffy texture.

Prepare quinoa as you would rice. Unlike whole-grain rice, however, it will be ready to serve in less than 20 minutes.

ONE-POT KALE AND QUINOA PILAF

A fresh-tasting sauvignon blanc complements the flavors of tangy goat cheese and kale in this meatless main dish. The acidity of the wine can easily handle the acids of the lemony vinaigrette.

1 cup quinoa, rinsed under running water

1 bunch kale, washed and chopped into 1-inch lengths

1 lemon, zested and juiced

2 scallions, minced

1 tablespoon toasted walnut oil (or olive oil)

3 tablespoons toasted pine nuts

1/4 cup crumbled soft goat cheese

Salt and freshly ground pepper

Bring 2 cups salted water to a boil over high heat in a large pot with a cover. Add the quinoa, cover and lower the heat to just maintain a simmer. Cook 10 minutes. Top the quinoa with the kale and re-cover. Simmer another 5 minutes. Turn off the heat and allow the quinoa and kale to steam 5 minutes.

While the quinoa is cooking, combine the lemon zest, half the lemon juice, the scallions, oil, pine nuts and goat cheese in a large serving bowl.

Check the quinoa and kale – the water should be absorbed, the quinoa tender but firm and the kale tender and bright green. If the quinoa still has a hard white center, you can steam it a bit longer, adding more water if needed.

When quinoa and kale are done, fluff the pilaf transfer it to the serving bowl. As the hot quinoa hits the scallions and lemon, it should smell lovely. Toss to combine, seasoning with salt and pepper and the remaining lemon juice if needed. Makes 4 servings.

Source: Adapted from “The Food 52 Cookbook: 140 Winning Recipes from Exceptional Home Cooks” by Amanda Hesser and Merrill Stubbs (Morrow, $35).

Per serving: 300 calories (39 percent from fat), 13.7 g fat (3 g saturated, 3.4 g monounsaturated), 6.5 mg cholesterol, 11.6 g protein, 36.7 g carbohydrates, 5.6 g fiber, 78 mg sodium.

(Contact Carole Kotkin: ckotkin@gmail.com. She is manager of the Ocean Reef Club cooking school and co-author of “Mmmmiami: Tempting Tropical Tastes for Home Cooks Everywhere.”)

Quinoa has been called the "mother grain of the Incas," who began cultivating it at least 3,000 years ago. While technically a seed, it takes on a grain-like consistency when cooked.

Today, nutritionists recommend this ancient "super grain" for its nutritional value. Quinoa (pronounced KEEN-wah) is a good source of dietary fiber and phosphorus, and is high in magnesium, iron, Vitamin B6, Vitamin E, copper and zinc. It is gluten-free and considered easy to digest. Quinoa is a complete protein because it contains eight essential amino acids.

To some people, quinoa looks more like birdseed than something they'd want to serve for dinner. But once cooked, quinoa has a delicate, couscous-like texture and a nutty flavor that's a perfect background for both sweet and savory additions.

Start the day with a bowl of quinoa mixed with dried fruit, milk and a bit of cinnamon, or stir a cup of it into a pot of your favorite soup. An easy lunch can be had by tossing a cup of cooked quinoa with a mixture of vegetables and a tasty vinaigrette. Or try a similar mixture as a filling for a hearty wrap.

There are a few tricks to turning that bag of tiny seeds into a delicious dish. First, quinoa needs to be rinsed before use to eliminate the bitter coating that surrounds each seed. And be sure not to overcook or use too much water, or quinoa will lose its fluffy texture.

Prepare quinoa as you would rice. Unlike whole-grain rice, however, it will be ready to serve in less than 20 minutes.

ONE-POT KALE AND QUINOA PILAF

A fresh-tasting sauvignon blanc complements the flavors of tangy goat cheese and kale in this meatless main dish. The acidity of the wine can easily handle the acids of the lemony vinaigrette.

1 cup quinoa, rinsed under running water

1 bunch kale, washed and chopped into 1-inch lengths

1 lemon, zested and juiced

2 scallions, minced

1 tablespoon toasted walnut oil (or olive oil)

3 tablespoons toasted pine nuts

1/4 cup crumbled soft goat cheese

Salt and freshly ground pepper

Bring 2 cups salted water to a boil over high heat in a large pot with a cover. Add the quinoa, cover and lower the heat to just maintain a simmer. Cook 10 minutes. Top the quinoa with the kale and re-cover. Simmer another 5 minutes. Turn off the heat and allow the quinoa and kale to steam 5 minutes.

While the quinoa is cooking, combine the lemon zest, half the lemon juice, the scallions, oil, pine nuts and goat cheese in a large serving bowl.

Check the quinoa and kale - the water should be absorbed, the quinoa tender but firm and the kale tender and bright green. If the quinoa still has a hard white center, you can steam it a bit longer, adding more water if needed.

When quinoa and kale are done, fluff the pilaf transfer it to the serving bowl. As the hot quinoa hits the scallions and lemon, it should smell lovely. Toss to combine, seasoning with salt and pepper and the remaining lemon juice if needed. Makes 4 servings.

Source: Adapted from "The Food 52 Cookbook: 140 Winning Recipes from Exceptional Home Cooks" by Amanda Hesser and Merrill Stubbs (Morrow, $35).

Per serving: 300 calories (39 percent from fat), 13.7 g fat (3 g saturated, 3.4 g monounsaturated), 6.5 mg cholesterol, 11.6 g protein, 36.7 g carbohydrates, 5.6 g fiber, 78 mg sodium.

(Contact Carole Kotkin: ckotkin@gmail.com. She is manager of the Ocean Reef Club cooking school and co-author of "Mmmmiami: Tempting Tropical Tastes for Home Cooks Everywhere.")

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It’s OK, Play with Your Food

Posted April 11, 2012

OK, admit it: The only carrots you eat are pre-peeled and bagged. You’ve been buying chicken tenders so long you’ve forgotten that the bird comes with bones and skin. And the only dough you ever touch these days has George Washington’s face on it.

Maybe it’s time to get back in touch with food and let your fingers do the learning.

“Your hands are your most important tools,” says chef Daniel Patterson of San Francisco’s Michelin-starred COI. “You don’t understand ingredients unless you touch them.

“Technology is very good,” adds Patterson, who lets machines aerate, puree and vacuum-seal foods at his restaurant. “But technology is not as good as the human body. The information that you get from your hands, from all your senses, really, is vastly more complex and textured than from a machine.”

Cookbook author Pam Anderson heartily endorses the use of one’s hands in the kitchen.

“Often in interviews, one of the questions people ask me is, ‘What’s your favorite kitchen tool?’ and I say, ‘My favorite kitchen tool is my hands.’ Any tool beyond that is simply an extension of my hands,” she says. “People are always amazed.”

In Anderson’s latest book, “Cook Without a Book: Meatless Meals” (Rodale, $32.50), her hands show up in many photos, from mixing scones to pressing liquid in chopped cucumbers through a sieve.

“When you go in the kitchen, wash your hands and touch, smell, taste, look, freely,” the Connecticut mom says. “That’s definitely my philosophy and my approach. My kids will vouch for that.”

Along with your sense of taste, says Patterson, touch is one of the most important ways you can understand food if you pay attention and develop a “sensory memory.”

“When you touch a vegetable and it’s limp – a carrot or beet – you know what that’s going to do to the final product because you’ve cooked those kind of carrots and you have this memory that connects something that’s too soft with an end product that’s diminished in its spirit,” he says. “The sensory experience of touch becomes linked to taste. It’s one of the first ways you learn what things taste like without even tasting them.

“There’s an intimacy with touch,” adds Patterson. “There’s an engagement on a very close level. And if you don’t have that connection or you’re not willing to make that connection, what you’ve lost – it’s like having a relationship with somebody you never touch.”

Using your hands to mix a biscuit or cookie dough, or using a knife and your hands to cut a hunk of beef into stew cubes or whole chicken into quarters, elevates cooking beyond following a recipe.

Yet learning that can be a challenge. At The Culinary Institute of America, or CIA, in Hyde Park, N.Y., students work on learning the degree of doneness of different foods, from fish to vegetables, and the correct feel of a variety of doughs.

Occasionally, chef Howard “Corky” Clark, a CIA culinary arts professor, undercooks, overcooks and correctly cooks pieces of fish so students can feel each. “It’s not easy to get people to not look, but to feel,” he says.

And when students knead doughs, “chefs will walk by and say it needs more flour, then come back in a minute and say, ‘I could tell it needed more flour by the way it looked and the way it handled. Now do you feel the difference between what you were kneading and what it is now?’ so they can actually feel the difference,” Clark adds. “With vegetables, we teach them to stick a knife in it. Then I say, check one. Feel it. With a broccoli stem, you have to know that it’s going to break apart but not be mushy.”

“Don’t look, learn to feel,” says Clark. “How do I know that there’s not enough flour or too much flour? How do I know that? How do I know that I’ve developed enough gluten? It’s in the way it feels.”

TV’s renowned kitchen geek-cookbook author Alton Brown understands the importance of touch in the kitchen. In “I’m Just Here for More Food” (Stewart, Tabori & Chang, $35), he writes about trying to replicate his grandmother’s biscuits.

“For years I tried to clone the tender little jewels of goodness that came out of her oven.” He tinkered with everything – ingredients, oven temps, etc. – without success. One day, he watched her make them: Her arthritic fingers, unable to knead the dough, simply patted it. “It’s the detail that made all the difference in the world.”

REACH OUT AND …

Cookbook author Pam Anderson suggests:

Toss a salad: It’s a good way “to evenly coat and spread oil and salt and pepper over all my salad greens and get them well coated. Then add your vinegar and get that evenly coated. You can feel it. With tongs, you’re about 8 inches away from the source.”

Knead it: Use a food processor to make yeast doughs, “but there’s nothing like pulling pizza dough or bread dough out of the food processor, pouring it onto the countertop and giving it that final 30 seconds to a minute kneading to pull it into that baby’s-butt smooth texture.”

Brush vs. hands: “I use a brush for egg washes on bread and pastries, (but) if I’m coating meat with oil and salt and pepper before searing it, that’s generally a hand process for me. You’re more efficient with your hands usually than a tool.”

OK, admit it: The only carrots you eat are pre-peeled and bagged. You've been buying chicken tenders so long you've forgotten that the bird comes with bones and skin. And the only dough you ever touch these days has George Washington's face on it.

Maybe it's time to get back in touch with food and let your fingers do the learning.

"Your hands are your most important tools," says chef Daniel Patterson of San Francisco's Michelin-starred COI. "You don't understand ingredients unless you touch them.

"Technology is very good," adds Patterson, who lets machines aerate, puree and vacuum-seal foods at his restaurant. "But technology is not as good as the human body. The information that you get from your hands, from all your senses, really, is vastly more complex and textured than from a machine."

Cookbook author Pam Anderson heartily endorses the use of one's hands in the kitchen.

"Often in interviews, one of the questions people ask me is, 'What's your favorite kitchen tool?' and I say, 'My favorite kitchen tool is my hands.' Any tool beyond that is simply an extension of my hands," she says. "People are always amazed."

In Anderson's latest book, "Cook Without a Book: Meatless Meals" (Rodale, $32.50), her hands show up in many photos, from mixing scones to pressing liquid in chopped cucumbers through a sieve.

"When you go in the kitchen, wash your hands and touch, smell, taste, look, freely," the Connecticut mom says. "That's definitely my philosophy and my approach. My kids will vouch for that."

Along with your sense of taste, says Patterson, touch is one of the most important ways you can understand food if you pay attention and develop a "sensory memory."

"When you touch a vegetable and it's limp - a carrot or beet - you know what that's going to do to the final product because you've cooked those kind of carrots and you have this memory that connects something that's too soft with an end product that's diminished in its spirit," he says. "The sensory experience of touch becomes linked to taste. It's one of the first ways you learn what things taste like without even tasting them.

"There's an intimacy with touch," adds Patterson. "There's an engagement on a very close level. And if you don't have that connection or you're not willing to make that connection, what you've lost - it's like having a relationship with somebody you never touch."

Using your hands to mix a biscuit or cookie dough, or using a knife and your hands to cut a hunk of beef into stew cubes or whole chicken into quarters, elevates cooking beyond following a recipe.

Yet learning that can be a challenge. At The Culinary Institute of America, or CIA, in Hyde Park, N.Y., students work on learning the degree of doneness of different foods, from fish to vegetables, and the correct feel of a variety of doughs.

Occasionally, chef Howard "Corky" Clark, a CIA culinary arts professor, undercooks, overcooks and correctly cooks pieces of fish so students can feel each. "It's not easy to get people to not look, but to feel," he says.

And when students knead doughs, "chefs will walk by and say it needs more flour, then come back in a minute and say, 'I could tell it needed more flour by the way it looked and the way it handled. Now do you feel the difference between what you were kneading and what it is now?' so they can actually feel the difference," Clark adds. "With vegetables, we teach them to stick a knife in it. Then I say, check one. Feel it. With a broccoli stem, you have to know that it's going to break apart but not be mushy."

"Don't look, learn to feel," says Clark. "How do I know that there's not enough flour or too much flour? How do I know that? How do I know that I've developed enough gluten? It's in the way it feels."

TV's renowned kitchen geek-cookbook author Alton Brown understands the importance of touch in the kitchen. In "I'm Just Here for More Food" (Stewart, Tabori & Chang, $35), he writes about trying to replicate his grandmother's biscuits.

"For years I tried to clone the tender little jewels of goodness that came out of her oven." He tinkered with everything - ingredients, oven temps, etc. - without success. One day, he watched her make them: Her arthritic fingers, unable to knead the dough, simply patted it. "It's the detail that made all the difference in the world."

REACH OUT AND ...

Cookbook author Pam Anderson suggests:

Toss a salad: It's a good way "to evenly coat and spread oil and salt and pepper over all my salad greens and get them well coated. Then add your vinegar and get that evenly coated. You can feel it. With tongs, you're about 8 inches away from the source."

Knead it: Use a food processor to make yeast doughs, "but there's nothing like pulling pizza dough or bread dough out of the food processor, pouring it onto the countertop and giving it that final 30 seconds to a minute kneading to pull it into that baby's-butt smooth texture."

Brush vs. hands: "I use a brush for egg washes on bread and pastries, (but) if I'm coating meat with oil and salt and pepper before searing it, that's generally a hand process for me. You're more efficient with your hands usually than a tool."

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Functional Medicine Debate

Posted Feb 22, 2012

Whether science bears out Catherine Ruehle’s assertion that she is staying well through nutrition and lifestyle changes alone — without the use of prescription drugs — depends on which medical and nutrition experts are asked.

Those who adhere to the emerging philosophy of healthcare called “functional medicine” believe that chronic illnesses and autoimmune disorders such as rheumatoid arthritis are highly attributable to genetic makeup and environmental and lifestyle factors, and that those things should be taken into account by physicians. Too often, they say, doctors use an acute-care model (say, that of a broken bone or appendicitis) to treat chronic disease; they treat the symptoms rather than the causes. The Institute for Functional Medicine (www.functionalmedicine.org) states, “Most physicians are not adequately trained to assess the underlying causes of complex, chronic disease and to apply strategies such as nutrition, diet and exercise to both treat and prevent these illnesses in their patients.”

Fort Worth registered dietitian Kim Hogue, a member of the IMF, has not consulted with Ruehle but says she thinks her approach makes perfect sense.

“Food is medicine,” Hogue says, adding that gluten, in particular, is a substance that many people don’t know they’re sensitive to. One of the first courses of action she as a dietician would advise RA patients to take is to eliminate potential food triggers from their diet and slowly try to add them back in, as Ruehle did.

In fact, one study cited by WebMD in its Rheumatoid Arthritis Health Center indicates that 30 to 40 percent of RA patients may benefit by eliminating “suspect” foods from their diet, and that an elimination diet is a good way to identify them.

Dr. Virginia Reddy, clinical assistant professor of internal medicine in the division of rheumatology at UT Southwestern Medical Center, also has neither consulted with Ruehle nor seen her medical records. She says that, although some studies show that some foods can have an anti-inflammatory effect and that lifestyle factors such as stress and cigarette smoking can contribute to RA flare-ups, a lifestyle-only approach to managing the disease is risky.

“I think the vast majority of people would not have their disease controlled with such an approach,” she says. “There’s a spectrum of the disease from very mild to very severe, so potentially people with mild disease where there’s not any joint damage … could manage it well with lifestyle modifications, but for the vast majority it would be a risky approach because when left untreated, in [most patients], RA is going to be disabling.”

Although a diagnosis of RA used to be a “very scary sentence,” Reddy said, now there are very effective treatment options resulting from a tremendous amount of research going on every day.

Reddy acknowledges that RA drugs, including steroids, do have potentially harmful side effects. But most of her patients who have experienced the debilitating pain that comes with a full onset of RA “find it very much to be worth it,” she says.

Patients often do want to talk about lifestyle changes they can make to help control their arthritis.

“I definitely recommend to all my patients a generally healthy lifestyle, getting sleep, exercising, eating a healthy, balanced diet and not being overweight,” she says. But she adds, “In terms of an ‘RA diet,’ there have been some small studies looking at specific diets in RA patients, but they have not shown any conclusive results.”

These include studies investigating vegetarian, Mediterranean, elemental and elimination diets, Reddy said.

“However,” she said, “these studies were, in general, too small to draw any particular conclusions about these diets, as more patients on the diets in many of these studies both lost weight (which might have helped the arthritis), but also more patients dropped out of the treatment arms due to adverse events related to the diets.”

©2012 the Fort Worth Star-Telegram

Visit the Fort Worth Star-Telegram at www.star-telegram.com

Whether science bears out Catherine Ruehle's assertion that she is staying well through nutrition and lifestyle changes alone -- without the use of prescription drugs -- depends on which medical and nutrition experts are asked.

Those who adhere to the emerging philosophy of healthcare called "functional medicine" believe that chronic illnesses and autoimmune disorders such as rheumatoid arthritis are highly attributable to genetic makeup and environmental and lifestyle factors, and that those things should be taken into account by physicians. Too often, they say, doctors use an acute-care model (say, that of a broken bone or appendicitis) to treat chronic disease; they treat the symptoms rather than the causes. The Institute for Functional Medicine (www.functionalmedicine.org) states, "Most physicians are not adequately trained to assess the underlying causes of complex, chronic disease and to apply strategies such as nutrition, diet and exercise to both treat and prevent these illnesses in their patients."

Fort Worth registered dietitian Kim Hogue, a member of the IMF, has not consulted with Ruehle but says she thinks her approach makes perfect sense.

"Food is medicine," Hogue says, adding that gluten, in particular, is a substance that many people don't know they're sensitive to. One of the first courses of action she as a dietician would advise RA patients to take is to eliminate potential food triggers from their diet and slowly try to add them back in, as Ruehle did.

In fact, one study cited by WebMD in its Rheumatoid Arthritis Health Center indicates that 30 to 40 percent of RA patients may benefit by eliminating "suspect" foods from their diet, and that an elimination diet is a good way to identify them.

Dr. Virginia Reddy, clinical assistant professor of internal medicine in the division of rheumatology at UT Southwestern Medical Center, also has neither consulted with Ruehle nor seen her medical records. She says that, although some studies show that some foods can have an anti-inflammatory effect and that lifestyle factors such as stress and cigarette smoking can contribute to RA flare-ups, a lifestyle-only approach to managing the disease is risky.

"I think the vast majority of people would not have their disease controlled with such an approach," she says. "There's a spectrum of the disease from very mild to very severe, so potentially people with mild disease where there's not any joint damage ... could manage it well with lifestyle modifications, but for the vast majority it would be a risky approach because when left untreated, in [most patients], RA is going to be disabling."

Although a diagnosis of RA used to be a "very scary sentence," Reddy said, now there are very effective treatment options resulting from a tremendous amount of research going on every day.

Reddy acknowledges that RA drugs, including steroids, do have potentially harmful side effects. But most of her patients who have experienced the debilitating pain that comes with a full onset of RA "find it very much to be worth it," she says.

Patients often do want to talk about lifestyle changes they can make to help control their arthritis.

"I definitely recommend to all my patients a generally healthy lifestyle, getting sleep, exercising, eating a healthy, balanced diet and not being overweight," she says. But she adds, "In terms of an 'RA diet,' there have been some small studies looking at specific diets in RA patients, but they have not shown any conclusive results."

These include studies investigating vegetarian, Mediterranean, elemental and elimination diets, Reddy said.

"However," she said, "these studies were, in general, too small to draw any particular conclusions about these diets, as more patients on the diets in many of these studies both lost weight (which might have helped the arthritis), but also more patients dropped out of the treatment arms due to adverse events related to the diets."

©2012 the Fort Worth Star-Telegram

Visit the Fort Worth Star-Telegram at www.star-telegram.com

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Individualized Nutrition for Active People

Posted Jan 27, 2012

When it comes to “diet,” most people think more about calories than nutrition. Those who are concerned about nutrition often buy into advice given by media-based experts. They may even change the food they eat to match recommended diets, going gluten free or carb free or some other food fad of the moment.

But taking general diet advice from a magazine or TV show guest is similar to listening to some “expert” recommending a size nine pair of shoes — they may fit or they may not, depending on individual foot size.

To get it right, your diet must be individualized personally for you. If you’re an athlete, or live an active lifestyle, your body will use vitamins, minerals, calories, proteins and carbohydrates differently than a more sedentary person. In addition, even a personalized diet should change according to circumstances. If you’re taking a two-week beach vacation, which will be spent mainly lying in the sun instead of hitting the gym three or four times a week, adjust your diet for the inactivity. Otherwise, you’ll be taking home the souvenir of a new layer of fat.

Most athletes know that they need protein to help repair muscles after a hard training session or a competition. But chowing down a platter-sized steak isn’t the answer. First, no matter how strenuous the workout or event, recovery doesn’t require a large amount of extra protien. Second, any protein not immediately needed by the body will be stored as fat.

One of the vitamins most neglected by athletes is the B complex, consisting of eight different vitamins that are usually found together in food such as meat and fish. B1 (Thiamine) and B6 (Pyridoxine) are specifically required by athletes. Studies have shown that athletes without enough B1 and B6 have lower energy levels and will train or compete less effectively than they do with a sufficient supply.

But here’s the complicated part: the B complex is water soluble. That means it is quickly flushed out of the body in urine. So eating a meal full of the B complex in the morning won’t help you much in the afternoon. Smaller and more frequent meals as well as supplements will help maintain your B level. In addition, taking one B factor alone may be useless if you don’t have all the other factors. The body needs them all to metabolize any individual part of the B complex.

Active humans burn lots of calories. The bad news is that this process creates free radicals, which cause both cellular and DNA damage. But our bodies have a natural defense system which neutralizes free radicals, an anti-oxidant system that’s even more developed in well-conditioned athletes. But those who want to ensure the elimination of any free radicals should eat foods high in the nutrients C, E and A. The most easily metabolized form of vitamin A is from red or orange vegetables like tomatoes and carrots.

Finally, water is a necessary part of your diet. Proper hydration should start several days before a competition so that all tissues contain maximum water. If you’re getting dehydrated during a workout or long event, you may feel it as a dry mouth or twitchy and cramping muscles rather than thirst. If you need hydration fast, go for cold, rather than air temperature water. Cold liquid is absorbed faster than warmer water, and it also cools your internal temperature, which has been heated up by activity.

For the latest in adventure sports and physical conditioning, visit Adventure Sports Weekly at http://adventuresportsweekly.com

@2012, Adventure Sports Weekly adventuresportsweekly.com

Distributed by MCT Information Services

When it comes to "diet," most people think more about calories than nutrition. Those who are concerned about nutrition often buy into advice given by media-based experts. They may even change the food they eat to match recommended diets, going gluten free or carb free or some other food fad of the moment.

But taking general diet advice from a magazine or TV show guest is similar to listening to some "expert" recommending a size nine pair of shoes -- they may fit or they may not, depending on individual foot size.

To get it right, your diet must be individualized personally for you. If you're an athlete, or live an active lifestyle, your body will use vitamins, minerals, calories, proteins and carbohydrates differently than a more sedentary person. In addition, even a personalized diet should change according to circumstances. If you're taking a two-week beach vacation, which will be spent mainly lying in the sun instead of hitting the gym three or four times a week, adjust your diet for the inactivity. Otherwise, you'll be taking home the souvenir of a new layer of fat.

Most athletes know that they need protein to help repair muscles after a hard training session or a competition. But chowing down a platter-sized steak isn't the answer. First, no matter how strenuous the workout or event, recovery doesn't require a large amount of extra protien. Second, any protein not immediately needed by the body will be stored as fat.

One of the vitamins most neglected by athletes is the B complex, consisting of eight different vitamins that are usually found together in food such as meat and fish. B1 (Thiamine) and B6 (Pyridoxine) are specifically required by athletes. Studies have shown that athletes without enough B1 and B6 have lower energy levels and will train or compete less effectively than they do with a sufficient supply.



But here's the complicated part: the B complex is water soluble. That means it is quickly flushed out of the body in urine. So eating a meal full of the B complex in the morning won't help you much in the afternoon. Smaller and more frequent meals as well as supplements will help maintain your B level. In addition, taking one B factor alone may be useless if you don't have all the other factors. The body needs them all to metabolize any individual part of the B complex.

Active humans burn lots of calories. The bad news is that this process creates free radicals, which cause both cellular and DNA damage. But our bodies have a natural defense system which neutralizes free radicals, an anti-oxidant system that's even more developed in well-conditioned athletes. But those who want to ensure the elimination of any free radicals should eat foods high in the nutrients C, E and A. The most easily metabolized form of vitamin A is from red or orange vegetables like tomatoes and carrots.

Finally, water is a necessary part of your diet. Proper hydration should start several days before a competition so that all tissues contain maximum water. If you're getting dehydrated during a workout or long event, you may feel it as a dry mouth or twitchy and cramping muscles rather than thirst. If you need hydration fast, go for cold, rather than air temperature water. Cold liquid is absorbed faster than warmer water, and it also cools your internal temperature, which has been heated up by activity.

For the latest in adventure sports and physical conditioning, visit Adventure Sports Weekly at http://adventuresportsweekly.com

@2012, Adventure Sports Weekly adventuresportsweekly.com

Distributed by MCT Information Services

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Living Successfully with Celiac Disease

Posted Nov 30, 2011

People who have celiac disease — a genetic disorder that damages the small intestine and interferes with the absorption of nutrients from food — must maintain a gluten-free diet for the rest of their lives in order to remain free of symptoms, said to Angie Sutphin, a dietitian at Western Maryland Health System.

There is no cure, pharmaceutical or otherwise, for the disease, the only treatment is a gluten-free diet.

Sutphin said that people dealing with celiac disease should learn to read labels carefully to see if the product contains gluten.

Gluten is found in food that contains wheat, rye or barley, ingredients in most grain, pasta, cereal and many processed foods, according to the National Digestive Diseases Information Clearinghouse (NDDIC).

Oats should be avoided as well because they often become contaminated after being stored in the same silos as wheat, rye and barley, according to Dr. William Mark, a gastroenterologist in Cumberland.

Gluten is also used in some medications.

“Don’t think of your condition as a death sentence. With practice and patience, you will find there are many foods you can enjoy on a gluten-free diet,” said Sutphin.

Gluten-free foods are not difficult to find. They include flours that are made of rice, soy, corn, potato or bean; nut flours (almond); quinoa; fresh meats, fish and poultry (not breaded, batter-coated or marinated); fruits; most dairy products; potatoes; rice and vegetables, according to Sutphin.

Foods other than beans, rice, potatoes and produce that are marked gluten-free typically tend to be more expensive, though most grocery stores have a gluten-free section, according to Mark.

Mark provides his patients with a list of food they are not advised to consume, as well as a list to replace those foods.

For most people, following this diet will stop symptoms of celiac disease, heal existing intestinal damage and prevent further damage.

Improvement begins within days of starting the diet, according to NDDIC.

The small intestine usually heals in three to six months in children but may take several years in adults.

Eating a gluten-free diet also helps lessen the symptoms of people with autism and schizophrenia, according to Mark.

“I don’t have celiac disease and I wouldn’t consume gluten. It’s poisonous to your whole body,” said Mark. “I have seen patients that have had hives for 20 years that go away after they stop eating gluten.”

Symptoms of celiac disease vary from person to person but can include abdominal bloating and pain; chronic diarrhea, vomiting, constipation and weight loss. These symptoms are more common in infants and children, according to the NDDIC.

Some symptoms common in adults include unexplained iron-deficiency anemia; fat-igue; joint or bone pain; arthritis; seizures; missed menstrual periods, infertility or recurrent miscarriage.

Celiac disease is diagnosed through blood tests and intestinal biopsies.

Fifteen to 25 percent of the people who have the disease also have dermatitis herpetiforms, an intensely itchy blistering skin rash that usually occurs on the elbows, knees and buttocks, according to NDDIC.

Celiac disease affects one in 133 people, according to Sutphin. Among people who have a first-degree relative — a parent, sibling or child — diagnosed with celiac disease, as many as one in 22 people may have the disease, according to NDDIC. However, people can still have the disease even though no one in their family has it.

Other times, the gene exists but the body is able to prevent the disease from manifesting, according to Mark.

Contact Elaine Blaisdell at eblaisdell@times-news.com.

©2011 the Cumberland Times News (Cumberland, Md.)

People who have celiac disease -- a genetic disorder that damages the small intestine and interferes with the absorption of nutrients from food -- must maintain a gluten-free diet for the rest of their lives in order to remain free of symptoms, said to Angie Sutphin, a dietitian at Western Maryland Health System.

There is no cure, pharmaceutical or otherwise, for the disease, the only treatment is a gluten-free diet.

Sutphin said that people dealing with celiac disease should learn to read labels carefully to see if the product contains gluten.

Gluten is found in food that contains wheat, rye or barley, ingredients in most grain, pasta, cereal and many processed foods, according to the National Digestive Diseases Information Clearinghouse (NDDIC).

Oats should be avoided as well because they often become contaminated after being stored in the same silos as wheat, rye and barley, according to Dr. William Mark, a gastroenterologist in Cumberland.

Gluten is also used in some medications.

"Don't think of your condition as a death sentence. With practice and patience, you will find there are many foods you can enjoy on a gluten-free diet," said Sutphin.

Gluten-free foods are not difficult to find. They include flours that are made of rice, soy, corn, potato or bean; nut flours (almond); quinoa; fresh meats, fish and poultry (not breaded, batter-coated or marinated); fruits; most dairy products; potatoes; rice and vegetables, according to Sutphin.

Foods other than beans, rice, potatoes and produce that are marked gluten-free typically tend to be more expensive, though most grocery stores have a gluten-free section, according to Mark.

Mark provides his patients with a list of food they are not advised to consume, as well as a list to replace those foods.

For most people, following this diet will stop symptoms of celiac disease, heal existing intestinal damage and prevent further damage.

Improvement begins within days of starting the diet, according to NDDIC.

The small intestine usually heals in three to six months in children but may take several years in adults.

Eating a gluten-free diet also helps lessen the symptoms of people with autism and schizophrenia, according to Mark.

"I don't have celiac disease and I wouldn't consume gluten. It's poisonous to your whole body," said Mark. "I have seen patients that have had hives for 20 years that go away after they stop eating gluten."

Symptoms of celiac disease vary from person to person but can include abdominal bloating and pain; chronic diarrhea, vomiting, constipation and weight loss. These symptoms are more common in infants and children, according to the NDDIC.

Some symptoms common in adults include unexplained iron-deficiency anemia; fat-igue; joint or bone pain; arthritis; seizures; missed menstrual periods, infertility or recurrent miscarriage.

Celiac disease is diagnosed through blood tests and intestinal biopsies.

Fifteen to 25 percent of the people who have the disease also have dermatitis herpetiforms, an intensely itchy blistering skin rash that usually occurs on the elbows, knees and buttocks, according to NDDIC.

Celiac disease affects one in 133 people, according to Sutphin. Among people who have a first-degree relative -- a parent, sibling or child -- diagnosed with celiac disease, as many as one in 22 people may have the disease, according to NDDIC. However, people can still have the disease even though no one in their family has it.

Other times, the gene exists but the body is able to prevent the disease from manifesting, according to Mark.

Contact Elaine Blaisdell at eblaisdell@times-news.com.

©2011 the Cumberland Times News (Cumberland, Md.)

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Dr Says Gluten Cause of Many Ills

Posted Dec 3, 2011

The last few decades have not been good for wheat.

Some of the world’s most popular diets (Atkins, South Beach and the Dukan Diet) have urged followers to ditch bread and other carbs to slim down, while a rising number of celiac and gluten sensitivity sufferers have dropped bread in the name of health.

For cardiologist William Davis, this is no coincidence. The author of the new book “Wheat Belly” (Rodale, $25.99) believes that modern wheat – including whole wheat – has become so uniquely destructive to multiple body functions that more than 80 percent of us could benefit from giving it up all together. Forty to 50 percent of us, he says, could see and feel results almost right away.

His book, which has spent time this fall on The New York Times best-sellers list for advice books, posits that when traditional wheat was genetically altered to become semi-dwarf wheat in the last century, it was assumed, without any testing, that the modifications would not change the way it affected those who ate it.

But Davis theorizes that those genetic changes could be responsible for the rise in celiac disease and gluten sensitivity we are seeing today. He further pinpoints unique compounds in wheat such as gliadin, amylopectin A and others as triggers of hunger, sharper blood sugar spikes, behavioral disorders and destructive inflammation.

Though admitting that some of his conclusions are drawn from anecdotal evidence, the Wisconsin cardiologist says he has watched thousands of patients effortlessly lose weight, relieve joint pain, eliminate their need for inhalers and improve their blood numbers with the simple removal of wheat.

But the whole world does not agree. Shortly after Davis’ book was announced through Rodale Publishing in late summer, the Grain Foods Foundation, a trade group, launched a campaign to challenge his claims, noting, among other things, that removing wheat from one’s diet could result in nutrition deficiencies.

Davis acknowledges this danger, but only if dieters replaced the wheat with unhealthful foods instead of the foods he recommends. And though GFF representatives acknowledged that no human studies were done on the safety of genetically altered wheat, they did reject his mantra that if you “lose the wheat, you lose the weight.”

“It’s not supported by the literature,” says Glenn Gaesser, the director of the Healthy Lifestyles Research Center at Arizona State University and member of the GFF advisory board. “If you lose the calories – and most of our grain calories come from wheat – you lose the weight.”

For more on the debate, Davis has responded to the challenges on his blog (wheatbellyblog.com) and the GFF has responded to readers’ questions on its blog (sixservings.org).

We recently chatted with Davis about the controversy and tips for those interested in applying his theories to their life.

Q:One of the most surprising statements in your book is that whole-wheat products aren’t that much better than white when it comes to blood sugar and certainly not when it comes to appetite stimulation, inflammation and other issues. So if we must eat bread, does it not really matter if we go for whole grain or not?

A:This genetically altered form of wheat has been transformed into such a destructive “food” that any amount has the potential to trigger undesirable consequences. For instance, there’s what I call the “I had one cookie and gained 30 pounds” effect. … One day, you go to a dinner party and they’re serving some delicious looking bruschetta hors d’oeuvres. You say, “What the heck!” … Before you know it, the floodgates of appetite have been reopened by exposure to the gliadin protein of wheat, the component responsible for triggering appetite – and you promptly gain back 30 pounds.

Others go wheat-free, then have a sandwich and suffer a food- poisoninglike reaction: diarrhea, cramps, gas for 24 to 48 hours, while others experience asthma, joint pains, sinus congestion or emotional effects like anxiety or rage. This is not a benign grain that “only” causes increased appetite and weight gain, it is incredibly disruptive for health across a spectrum of conditions.

Q:Can someone gain prorated benefits by eliminating some wheat from their diet?

A:You’d think that with elimination of, say, 80 percent of wheat, you’d obtain 80 percent of the benefit. Not true. Eighty percent elimination leads to something far less, e.g., 30 to 40 percent of the benefit. I’m not entirely sure why this is, but it may be … due to the overwhelming inflammation-triggering effect of wheat gluten and lectins, or the appetite-stimulating effects of the gliadin protein unique to wheat. But, yes, even reduction does yield benefits, just not as dramatic as elimination.

Q:What about whole barley, brown rice and even spelt?

A:Those are three different foods with different implications. Barley is a potential gluten exposure, so it can introduce inflammation and autoimmune implications in the susceptible.

Brown rice is immunologically benign, but it is a carbohydrate; when consumed in more than small quantities, it provokes higher blood sugars which, in turn, provoke glycation, or glucose- modification of proteins, the process underlying diabetes, atherosclerosis, cataracts, kidney disease, etc. I generally advise most people to limit brown rice portion size to no more than a half- cup to avoid these effects.

Spelt is one of the evolutionarily older forms of wheat, along with kamut, emmer and einkorn. They are better, since they lack the most destructive proteins. … However, the older forms of wheat can still trigger many of the same phenomena as modern wheat, just not as severely. They are better … but they are not good.

Q:So what would you advise be done on an agricultural level?

A:The first order of business is to raise awareness and just allow it to be an issue of individual choice. It also might be a good idea to resurrect some of the older forms of wheat but from when? One hundreds years ago? A thousand? We don’t have any clinical studies on this yet.

Editor’s note: Spelt and kamut are gluten-containing grains and should not be consumed by those who cannot tolerate gluten.

The last few decades have not been good for wheat.

Some of the world's most popular diets (Atkins, South Beach and the Dukan Diet) have urged followers to ditch bread and other carbs to slim down, while a rising number of celiac and gluten sensitivity sufferers have dropped bread in the name of health.

For cardiologist William Davis, this is no coincidence. The author of the new book "Wheat Belly" (Rodale, $25.99) believes that modern wheat - including whole wheat - has become so uniquely destructive to multiple body functions that more than 80 percent of us could benefit from giving it up all together. Forty to 50 percent of us, he says, could see and feel results almost right away.

His book, which has spent time this fall on The New York Times best-sellers list for advice books, posits that when traditional wheat was genetically altered to become semi-dwarf wheat in the last century, it was assumed, without any testing, that the modifications would not change the way it affected those who ate it.

But Davis theorizes that those genetic changes could be responsible for the rise in celiac disease and gluten sensitivity we are seeing today. He further pinpoints unique compounds in wheat such as gliadin, amylopectin A and others as triggers of hunger, sharper blood sugar spikes, behavioral disorders and destructive inflammation.

Though admitting that some of his conclusions are drawn from anecdotal evidence, the Wisconsin cardiologist says he has watched thousands of patients effortlessly lose weight, relieve joint pain, eliminate their need for inhalers and improve their blood numbers with the simple removal of wheat.

But the whole world does not agree. Shortly after Davis' book was announced through Rodale Publishing in late summer, the Grain Foods Foundation, a trade group, launched a campaign to challenge his claims, noting, among other things, that removing wheat from one's diet could result in nutrition deficiencies.

Davis acknowledges this danger, but only if dieters replaced the wheat with unhealthful foods instead of the foods he recommends. And though GFF representatives acknowledged that no human studies were done on the safety of genetically altered wheat, they did reject his mantra that if you "lose the wheat, you lose the weight."

"It's not supported by the literature," says Glenn Gaesser, the director of the Healthy Lifestyles Research Center at Arizona State University and member of the GFF advisory board. "If you lose the calories - and most of our grain calories come from wheat - you lose the weight."

For more on the debate, Davis has responded to the challenges on his blog (wheatbellyblog.com) and the GFF has responded to readers' questions on its blog (sixservings.org).

We recently chatted with Davis about the controversy and tips for those interested in applying his theories to their life.

Q:One of the most surprising statements in your book is that whole-wheat products aren't that much better than white when it comes to blood sugar and certainly not when it comes to appetite stimulation, inflammation and other issues. So if we must eat bread, does it not really matter if we go for whole grain or not?

A:This genetically altered form of wheat has been transformed into such a destructive "food" that any amount has the potential to trigger undesirable consequences. For instance, there's what I call the "I had one cookie and gained 30 pounds" effect. ... One day, you go to a dinner party and they're serving some delicious looking bruschetta hors d'oeuvres. You say, "What the heck!" ... Before you know it, the floodgates of appetite have been reopened by exposure to the gliadin protein of wheat, the component responsible for triggering appetite - and you promptly gain back 30 pounds.

Others go wheat-free, then have a sandwich and suffer a food- poisoninglike reaction: diarrhea, cramps, gas for 24 to 48 hours, while others experience asthma, joint pains, sinus congestion or emotional effects like anxiety or rage. This is not a benign grain that "only" causes increased appetite and weight gain, it is incredibly disruptive for health across a spectrum of conditions.

Q:Can someone gain prorated benefits by eliminating some wheat from their diet?

A:You'd think that with elimination of, say, 80 percent of wheat, you'd obtain 80 percent of the benefit. Not true. Eighty percent elimination leads to something far less, e.g., 30 to 40 percent of the benefit. I'm not entirely sure why this is, but it may be ... due to the overwhelming inflammation-triggering effect of wheat gluten and lectins, or the appetite-stimulating effects of the gliadin protein unique to wheat. But, yes, even reduction does yield benefits, just not as dramatic as elimination.

Q:What about whole barley, brown rice and even spelt?

A:Those are three different foods with different implications. Barley is a potential gluten exposure, so it can introduce inflammation and autoimmune implications in the susceptible.

Brown rice is immunologically benign, but it is a carbohydrate; when consumed in more than small quantities, it provokes higher blood sugars which, in turn, provoke glycation, or glucose- modification of proteins, the process underlying diabetes, atherosclerosis, cataracts, kidney disease, etc. I generally advise most people to limit brown rice portion size to no more than a half- cup to avoid these effects.

Spelt is one of the evolutionarily older forms of wheat, along with kamut, emmer and einkorn. They are better, since they lack the most destructive proteins. ... However, the older forms of wheat can still trigger many of the same phenomena as modern wheat, just not as severely. They are better ... but they are not good.

Q:So what would you advise be done on an agricultural level?

A:The first order of business is to raise awareness and just allow it to be an issue of individual choice. It also might be a good idea to resurrect some of the older forms of wheat but from when? One hundreds years ago? A thousand? We don't have any clinical studies on this yet.

Editor's note: Spelt and kamut are gluten-containing grains and should not be consumed by those who cannot tolerate gluten.

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Celiac Questions Answered

Posted October 26, 2011

Celiac disease is an autoimmune disease that affects an estimated 6 million people in the United States and Europe. It damages the lining of the small intestine which interferes with the absorption of nutrients from food. Here are some questions I received from readers on this topic:

Q: I read your notes in the Houston Celiac newsletter. I notice that you did not list oats as an issue like wheat, barley and rye. You mention oats only as a problem if cross contaminated with wheat. Is this correct? I thought oats contained gluten.

A: Officially, pure oats do not contain gluten – the protein found in wheat, rye and barley that sets off intestinal damage in people with celiac disease.

Celiac disease is an autoimmune disease that affects an estimated 6 million people in the United States and Europe. It damages the lining of the small intestine which interferes with the absorption of nutrients from food. Here are some questions I received from readers on this topic:

Q: I read your notes in the Houston Celiac newsletter. I notice that you did not list oats as an issue like wheat, barley and rye. You mention oats only as a problem if cross contaminated with wheat. Is this correct? I thought oats contained gluten.

A: Officially, pure oats do not contain gluten - the protein found in wheat, rye and barley that sets off intestinal damage in people with celiac disease.

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More Gluten Free Menu Options

Posted Sept 16, 2011

Eating at a restaurant can be a challenge for anyone on a restricted diet.

But when eating the wrong food can make you sick, eating out can be become downright scary.

Getting sick from food is a real possibility for the growing number of Americans who have celiac disease.

People with celiac disease have an intolerance to gluten, a protein found in wheat, barley and rye. It is considered the most under-diagnosed disease in the country, and it may affect one out of every 133 Americans, according to the Gluten Intolerance Group of North America, a national support group.

In addition, many more people have found that they have a sensitivity to wheat and/or gluten. Others have chosen not to eat wheat or gluten for various reasons. Some say they feel better without it; others think it helps with weight loss.

In the past, eating out has been difficult for anyone on a gluten-free diet. In carb-crazy, wheat-loving America, sometimes a salad might be the only thing on the menu that doesn’t use flour, bread, pasta or something else with gluten. And many times that salad comes with croutons.

Thomas Manning, a Forsyth County native who lives in North Raleigh, remembers eating out six years ago after he first found out he had celiac disease. Often, after he explained his situation, restaurant employees would become scared to serve him, worried that any mistake might make him sick. And many times when they did serve him, they’d offer nothing beyond a plain grilled chicken breast and a salad. “I got so tired of chicken breast and salad,” he said.

But now restaurants are starting to listen to — and welcome — the increasing numbers of diners who avoid wheat and gluten.

“There are a lot more restaurants that offer gluten-free options,” said Debbie Fisher of Clemmons, who also has celiac disease. “And the gluten-free menus have a lot more items on them.”

When Martha Russell learned she had celiac disease in 2003, “some people didn’t even know what gluten is,” she said. “Chefs are so much more aware of this now. And they love the challenge of creating something different for you.”

The Gluten Intolerance Group (www.gluten.net) has enrolled 1,620 restaurants in the country in its Gluten-Free Restaurant Awareness Program. In Winston-Salem, several restaurants now offer gluten-free options.

Extensive gluten-free menus are offered at such chains as Bonefish Grill, Carrabba’s Italian Grill, Firebirds Wood Fired Grill, Outback Steak House and Village Tavern, and at such independent restaurants as New Town Bistro and River Birch Lodge.

Jason’s Deli, a chain based in Texas with a location on Hanes Mall Boulevard, offers sandwiches on gluten-free bread. Mellow Mushroom and Brixx Wood Fired Pizza both offer gluten-free pizza.

Serving gluten-free meals is not as simple as removing or replacing the bread or pasta.

The gluten from wheat, barley and rye show up — or rather hide — in many ingredients.

“I’m very skeptical about any sauce or salad dressing,” said Fran Fox, because those often use flour for thickening. Fox, who has been gluten-free for 25 years, said it does require asking a lot of questions at restaurants.

Another hidden ingredient is soy sauce, which usually contains wheat. Other ingredients, such as malted barley, lurk in many processed foods.

Russell and others tend to stay away from Chinese and other Asian restaurants that use soy sauce. They often feel more comfortable in Mexican and Indian restaurants that do not rely heavily on wheat.

But it’s not just the ingredients. Cross-contamination poses a danger, too. Vegetables chopped on the same cutting board as a loaf of bread can contaminate someone’s salad and make them sick.

Similarly, the cook who makes a salad with croutons and then makes a gluten-free salad can contaminate the gluten-free salad.

At New Town Bistro, chef Donny Smith pulls out a clean cutting board and clean utensils when someone orders a gluten-free item.

“It’s not the best thing at 7 p.m. on a Saturday night, but there’s no other way around it,” Smith said. “It just becomes part of our job. We want to make sure people didn’t use tongs to grab bread out of the oven, then use it to grab a gluten-free entree.”

At Mellow Mushroom, general manager Margaret Waters said the staff changes aprons, washes hands and moves to a separate work area after receiving an order for a gluten-free pizza.

“We even have a different cart of ingredients — toppings, the sauce, the cheese — that we keep separate from everything else,” she said. And the pizza is put on a special rack so it does not touch the same oven surfaces that the regular pizzas touch.

When someone orders a gluten-free sandwich at Jason’s Deli, “only the managers are allowed to make it,” said supervisor Nancy Hernandez. “We make it in the back of the restaurant. We get all of the ingredients fresh from the back. We don’t use anything from the line” that might have come in contact with regular bread.

A plain piece of meat might seem like a safe choice, but not if it’s grilled on the same spot as grilled bread. Chef Travis Myers of River Birch Lodge sautes meats on his gluten-free menu in clean pans instead of grilling them.

Myers cooks all of his breaded and other gluten foods in one deep fryer, dedicating a second fryer to gluten-free items. “We can do french fries and (homemade potato) chips and not worry about cross-contamination,” he said.

Myers has a gluten-free menu of five appetizers, five salads, four sandwiches, eight entrees and three desserts.

In some cases, he has made an item gluten-free simply by removing the gluten ingredient. For instance, the seared tuna appetizer comes with pickled ginger but without the usual ginger sauce, which is made with soy sauce.

“Once we dove into the nuts and bolts of it, it was easy to make things gluten-free, because we make most things in-house,” Myers said. >

River Birch has offered a gluten-free menu longer than most — about six years. “Our lawyer’s family is gluten-intolerant, so that’s how we learned about it,” he said.

“Word of mouth has really helped us. Now I’d say one out of every five tables we’re getting a gluten-free order. A lot of times we’ll have a whole party of gluten-free.”

That was the case last Thursday when about a dozen members of the local Gluten Intolerance Group ate lunch at River Birch. Myers sent out a continuous supply of gluten-free items to sample.

Some are naturally gluten-free, such as the homemade potato chips with dipping sauces, and the cedar-plank salmon. Some require simple substitutions from the regular menu, like serving the goat cheese fresh instead of breaded and pan-fried in the chevre salad.

Other items include pulled pork, Thai chicken salad and gluten-free pasta in a white-wine sauce.

“Getting the staff up-to-date has been the key to this,” Myers said. “We train and retrain, telling them how serious it can be if a gluten-intolerant person got a big, old crouton on their salad.”

But the more gluten-free orders he gets, the better he and his staff can do. “I think once you get over the initial crunch, and you really grasp things, it’s easier.” mhastings@wsjournal.com

About celiac disease

Celiac disease is most often referred to as gluten intolerance. For someone who has the disease, consumption of gluten — a protein found in wheat, barley and rye — causes damage to the small intestine.

The disease has many symptoms, and different people exhibit different symptoms and different sensitivities to gluten. Possible symptoms include diarrhea, bloating, weight loss, weakness, anemia, chronic fatigue, muscle cramps, migraine headaches, nerve problems and bone pain.

Because of the variety of symptoms, celiac disease is often confused with other diseases, and it often goes undiagnosed. But a panel of blood tests has been developed to screen for the disease.

Celiac disease is a chronic, inherited disease. A cure does not exist. Treatment consists of eating a diet free of all gluten. Because the disease causes nutrients to pass through the small intestine instead of being absorbed, the disease can lead to malnutrition if left untreated.

Gluten-free menus

Here are some area restaurants that offer gluten-free menus. The menus also are posted on their websites:

* Bonefish Grill, www.bonefishgrill.com

* Brixx Wood Fired Pizza, www.brixxpizza.com

* Carrabba’s Italian Grill, www.carrabbas.com

* Firebirds Wood Fired Grill, www.firebirdsrestaurants.com

* Jason’s Deli, www.jasonsdeli.com

* Mellow Mushroom, www.mellowmushroom.com

* New Town Bistro, www.newtownbistro.com

* Olive Garden, www.olivegarden.com

* Outback Steak House, www.outback.com

* River Birch Lodge, www.riverbirchlodge.com

* Village Tavern, www.villagetavern.com

Note that these menus typically contain warnings or qualifiers that say the restaurants do not assume responsibility for the accuracy of the menus, which typically have been prepared by an outside dietitian or other person.

Many gluten-free diners say that a gluten-free menu is no guarantee of a gluten-free meal. Several local diners mentioned instances when their “gluten-free meal” arrived with wheat croutons in the salad or wheat bread on the plate.

Adequate training and knowledge can be especially difficult in large restaurants or those in which employee turnover is high.

In short, a gluten-free meal is dependent on the understanding and communication of all parties involved, including the wait staff, kitchen staff and diners.

Grace Johnston, team leader of the local Gluten Intolerance Group, makes these suggestions for eating out on a gluten-free diet:

* Go when the restaurant isn’t busy and has time to accommodate special requests.

* Talk directly with the head chef or a manager about the need for a gluten-free meal.

* Ask lots of questions about ingredients and preparation.

Michael Hastings

©2011 Winston-Salem Journal (Winston Salem, N.C.)

Eating at a restaurant can be a challenge for anyone on a restricted diet.

But when eating the wrong food can make you sick, eating out can be become downright scary.

Getting sick from food is a real possibility for the growing number of Americans who have celiac disease.

People with celiac disease have an intolerance to gluten, a protein found in wheat, barley and rye. It is considered the most under-diagnosed disease in the country, and it may affect one out of every 133 Americans, according to the Gluten Intolerance Group of North America, a national support group.

In addition, many more people have found that they have a sensitivity to wheat and/or gluten. Others have chosen not to eat wheat or gluten for various reasons. Some say they feel better without it; others think it helps with weight loss.

In the past, eating out has been difficult for anyone on a gluten-free diet. In carb-crazy, wheat-loving America, sometimes a salad might be the only thing on the menu that doesn't use flour, bread, pasta or something else with gluten. And many times that salad comes with croutons.

Thomas Manning, a Forsyth County native who lives in North Raleigh, remembers eating out six years ago after he first found out he had celiac disease. Often, after he explained his situation, restaurant employees would become scared to serve him, worried that any mistake might make him sick. And many times when they did serve him, they'd offer nothing beyond a plain grilled chicken breast and a salad. "I got so tired of chicken breast and salad," he said.

But now restaurants are starting to listen to -- and welcome -- the increasing numbers of diners who avoid wheat and gluten.

"There are a lot more restaurants that offer gluten-free options," said Debbie Fisher of Clemmons, who also has celiac disease. "And the gluten-free menus have a lot more items on them."

When Martha Russell learned she had celiac disease in 2003, "some people didn't even know what gluten is," she said. "Chefs are so much more aware of this now. And they love the challenge of creating something different for you."

The Gluten Intolerance Group (www.gluten.net) has enrolled 1,620 restaurants in the country in its Gluten-Free Restaurant Awareness Program. In Winston-Salem, several restaurants now offer gluten-free options.

Extensive gluten-free menus are offered at such chains as Bonefish Grill, Carrabba's Italian Grill, Firebirds Wood Fired Grill, Outback Steak House and Village Tavern, and at such independent restaurants as New Town Bistro and River Birch Lodge.

Jason's Deli, a chain based in Texas with a location on Hanes Mall Boulevard, offers sandwiches on gluten-free bread. Mellow Mushroom and Brixx Wood Fired Pizza both offer gluten-free pizza.

Serving gluten-free meals is not as simple as removing or replacing the bread or pasta.

The gluten from wheat, barley and rye show up -- or rather hide -- in many ingredients.

"I'm very skeptical about any sauce or salad dressing," said Fran Fox, because those often use flour for thickening. Fox, who has been gluten-free for 25 years, said it does require asking a lot of questions at restaurants.

Another hidden ingredient is soy sauce, which usually contains wheat. Other ingredients, such as malted barley, lurk in many processed foods.

Russell and others tend to stay away from Chinese and other Asian restaurants that use soy sauce. They often feel more comfortable in Mexican and Indian restaurants that do not rely heavily on wheat.

But it's not just the ingredients. Cross-contamination poses a danger, too. Vegetables chopped on the same cutting board as a loaf of bread can contaminate someone's salad and make them sick.

Similarly, the cook who makes a salad with croutons and then makes a gluten-free salad can contaminate the gluten-free salad.

At New Town Bistro, chef Donny Smith pulls out a clean cutting board and clean utensils when someone orders a gluten-free item.

"It's not the best thing at 7 p.m. on a Saturday night, but there's no other way around it," Smith said. "It just becomes part of our job. We want to make sure people didn't use tongs to grab bread out of the oven, then use it to grab a gluten-free entree."

At Mellow Mushroom, general manager Margaret Waters said the staff changes aprons, washes hands and moves to a separate work area after receiving an order for a gluten-free pizza.

"We even have a different cart of ingredients -- toppings, the sauce, the cheese -- that we keep separate from everything else," she said. And the pizza is put on a special rack so it does not touch the same oven surfaces that the regular pizzas touch.

When someone orders a gluten-free sandwich at Jason's Deli, "only the managers are allowed to make it," said supervisor Nancy Hernandez. "We make it in the back of the restaurant. We get all of the ingredients fresh from the back. We don't use anything from the line" that might have come in contact with regular bread.

A plain piece of meat might seem like a safe choice, but not if it's grilled on the same spot as grilled bread. Chef Travis Myers of River Birch Lodge sautes meats on his gluten-free menu in clean pans instead of grilling them.

Myers cooks all of his breaded and other gluten foods in one deep fryer, dedicating a second fryer to gluten-free items. "We can do french fries and (homemade potato) chips and not worry about cross-contamination," he said.

Myers has a gluten-free menu of five appetizers, five salads, four sandwiches, eight entrees and three desserts.

In some cases, he has made an item gluten-free simply by removing the gluten ingredient. For instance, the seared tuna appetizer comes with pickled ginger but without the usual ginger sauce, which is made with soy sauce.

"Once we dove into the nuts and bolts of it, it was easy to make things gluten-free, because we make most things in-house," Myers said. >

River Birch has offered a gluten-free menu longer than most -- about six years. "Our lawyer's family is gluten-intolerant, so that's how we learned about it," he said.

"Word of mouth has really helped us. Now I'd say one out of every five tables we're getting a gluten-free order. A lot of times we'll have a whole party of gluten-free."

That was the case last Thursday when about a dozen members of the local Gluten Intolerance Group ate lunch at River Birch. Myers sent out a continuous supply of gluten-free items to sample.

Some are naturally gluten-free, such as the homemade potato chips with dipping sauces, and the cedar-plank salmon. Some require simple substitutions from the regular menu, like serving the goat cheese fresh instead of breaded and pan-fried in the chevre salad.

Other items include pulled pork, Thai chicken salad and gluten-free pasta in a white-wine sauce.

"Getting the staff up-to-date has been the key to this," Myers said. "We train and retrain, telling them how serious it can be if a gluten-intolerant person got a big, old crouton on their salad."

But the more gluten-free orders he gets, the better he and his staff can do. "I think once you get over the initial crunch, and you really grasp things, it's easier." mhastings@wsjournal.com

About celiac disease

Celiac disease is most often referred to as gluten intolerance. For someone who has the disease, consumption of gluten -- a protein found in wheat, barley and rye -- causes damage to the small intestine.

The disease has many symptoms, and different people exhibit different symptoms and different sensitivities to gluten. Possible symptoms include diarrhea, bloating, weight loss, weakness, anemia, chronic fatigue, muscle cramps, migraine headaches, nerve problems and bone pain.

Because of the variety of symptoms, celiac disease is often confused with other diseases, and it often goes undiagnosed. But a panel of blood tests has been developed to screen for the disease.

Celiac disease is a chronic, inherited disease. A cure does not exist. Treatment consists of eating a diet free of all gluten. Because the disease causes nutrients to pass through the small intestine instead of being absorbed, the disease can lead to malnutrition if left untreated.

Gluten-free menus

Here are some area restaurants that offer gluten-free menus. The menus also are posted on their websites:

* Bonefish Grill, www.bonefishgrill.com

* Brixx Wood Fired Pizza, www.brixxpizza.com

* Carrabba's Italian Grill, www.carrabbas.com

* Firebirds Wood Fired Grill, www.firebirdsrestaurants.com

* Jason's Deli, www.jasonsdeli.com

* Mellow Mushroom, www.mellowmushroom.com

* New Town Bistro, www.newtownbistro.com

* Olive Garden, www.olivegarden.com

* Outback Steak House, www.outback.com

* River Birch Lodge, www.riverbirchlodge.com

* Village Tavern, www.villagetavern.com

Note that these menus typically contain warnings or qualifiers that say the restaurants do not assume responsibility for the accuracy of the menus, which typically have been prepared by an outside dietitian or other person.

Many gluten-free diners say that a gluten-free menu is no guarantee of a gluten-free meal. Several local diners mentioned instances when their "gluten-free meal" arrived with wheat croutons in the salad or wheat bread on the plate.

Adequate training and knowledge can be especially difficult in large restaurants or those in which employee turnover is high.

In short, a gluten-free meal is dependent on the understanding and communication of all parties involved, including the wait staff, kitchen staff and diners.

Grace Johnston, team leader of the local Gluten Intolerance Group, makes these suggestions for eating out on a gluten-free diet:

* Go when the restaurant isn't busy and has time to accommodate special requests.

* Talk directly with the head chef or a manager about the need for a gluten-free meal.

* Ask lots of questions about ingredients and preparation.

Michael Hastings

©2011 Winston-Salem Journal (Winston Salem, N.C.)

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Restore Balance with Food

Posted Aug 29, 2011

Can food heal?

Not in the way that Western medicine conceptualizes disease, as a set of numbers and symptoms. But for many diseases — Type 2 diabetes, heart disease, cancer and others that are the result of genetic vulnerabilities coupled with lifestyle choices, improving your diet can bend the curve to lessen, postpone and even prevent disease.

It’s a matter of balance in the body, says Esther Cohen, founder of Seven Bowls School of Nutrition and a registered dietitian with a private practice in Longmont.

“When we’re eating so many highly processed foods, with sugar, preservatives, colorings and additives, we deplete the nutrients necessary to maintain homeostasis or balance in the body,” she says.

Focus on veggies

Improving nutrition is very much part of the complementary approach that HealthLinks Clinic uses in treating patients with cancer and other conditions.

“We focus on a vegetarian diet, gluten free,” says Registered Dietitian Megan Forbes. “We use vegetables as medicine in bringing down inflammation. “The different phytonutrients involved literally change how DNA functions.”

She says there’s less emphasis on taking away nutritionally empty and harmful foods — although minimizing these is an important goal. Instead, the focus is on adding a variety of highly nutritious and delicious vegetables.

“We eat foods to help the body. It’s a huge pendulum shift,” she says, adding that an occasional treat doesn’t do harm.

“Getting on track is savoring being in the moment,” she says. That means it’s OK to have one of your mother’s awesome homemade cookies every now and then.

“It’s really important to enjoy and taste and live in the moment when you’re doing it,” Forbes says.

They key is to enjoy the cookie, but also to enjoy the healthful, energy-giving foods you’re eating. To that end, Forbes encourages clients to expand their repertoire of recipes and to try new foods.

“People get in a rut. They eat carrots, celery, onions and spinach,” she says.

Trying new vegetables and eating in season to get veggies at the peak of taste and nutrition adds to the experience, she says.

Finding balance

Cohen of Seven Bowls Nutrition says Chinese medicine recommends getting a balance of the five elements every day.

Pungent foods such as garlic, onions and cayenne peppers are associated with the metal element and are useful for cleansing the blood, she says. Bitter foods such as certain greens are considered cleansing and are associated with the fire element.

“They’re also high in mineral content,” Cohen says. “Minerals are like the spark plugs in our bodies. They ignite all the enzymatic and hormonal responses in the body.”

Those who feel lethargic and who don’t have the energy to think clearly should look at balancing the bitter element, she says.

Salt is another taste, which is related to the water element. Cohen recommends using sea salts that have diverse minerals. Sweet is related to the earth element.

“It’s very harmonizing, which is why we tend to go for sweet in our diets,” she says.

However, the sweet elements should be from unprocessed foods such as honey or maple syrup or people should try to get their sweet taste from fruits, she adds.

The sour taste, which is the one Cohen says is most commonly missing from the Western diet, is associated with the wood element. Sour foods, such as lemons, yogurt and fermented foods like sauerkraut stimulate the liver to cleanse, drawing in impurities and allowing them to be released through the lymphatic system or in urine.

Color your world

If Chinese elements seem too complicated, Cohen has another framework: color.

Not only do you eat a diversity of vitamins and minerals in your diet by eating a colorful variety of fruits and vegetables, Cohen says.

“You nourish yourself through all your senses. It’s just quite beautiful.”

Eating with consciousness and awareness means that you’re taking in the sight, smell and texture of your food, she adds.

Eating in this way is self-reinforcing, she adds.

“There’s this point when you just feel better. People say this is how they want to eat for life. Their food tastes different. They feel better. Their energy level is better. It’s not a condition they’re trying to heal, but a lifestyle.”

—–

To see more of the Daily Camera, or to subscribe to the newspaper, go to http://www.thedailycamera.com./

Copyright © 2011, Daily Camera, Boulder, Colo.

Distributed by McClatchy-Tribune Information Services.

Can food heal?

Not in the way that Western medicine conceptualizes disease, as a set of numbers and symptoms. But for many diseases -- Type 2 diabetes, heart disease, cancer and others that are the result of genetic vulnerabilities coupled with lifestyle choices, improving your diet can bend the curve to lessen, postpone and even prevent disease.

It's a matter of balance in the body, says Esther Cohen, founder of Seven Bowls School of Nutrition and a registered dietitian with a private practice in Longmont.

"When we're eating so many highly processed foods, with sugar, preservatives, colorings and additives, we deplete the nutrients necessary to maintain homeostasis or balance in the body," she says.

Focus on veggies

Improving nutrition is very much part of the complementary approach that HealthLinks Clinic uses in treating patients with cancer and other conditions.

"We focus on a vegetarian diet, gluten free," says Registered Dietitian Megan Forbes. "We use vegetables as medicine in bringing down inflammation. "The different phytonutrients involved literally change how DNA functions."

She says there's less emphasis on taking away nutritionally empty and harmful foods -- although minimizing these is an important goal. Instead, the focus is on adding a variety of highly nutritious and delicious vegetables.

"We eat foods to help the body. It's a huge pendulum shift," she says, adding that an occasional treat doesn't do harm.

"Getting on track is savoring being in the moment," she says. That means it's OK to have one of your mother's awesome homemade cookies every now and then.

"It's really important to enjoy and taste and live in the moment when you're doing it," Forbes says.

They key is to enjoy the cookie, but also to enjoy the healthful, energy-giving foods you're eating. To that end, Forbes encourages clients to expand their repertoire of recipes and to try new foods.

"People get in a rut. They eat carrots, celery, onions and spinach," she says.

Trying new vegetables and eating in season to get veggies at the peak of taste and nutrition adds to the experience, she says.

Finding balance

Cohen of Seven Bowls Nutrition says Chinese medicine recommends getting a balance of the five elements every day.

Pungent foods such as garlic, onions and cayenne peppers are associated with the metal element and are useful for cleansing the blood, she says. Bitter foods such as certain greens are considered cleansing and are associated with the fire element.

"They're also high in mineral content," Cohen says. "Minerals are like the spark plugs in our bodies. They ignite all the enzymatic and hormonal responses in the body."

Those who feel lethargic and who don't have the energy to think clearly should look at balancing the bitter element, she says.

Salt is another taste, which is related to the water element. Cohen recommends using sea salts that have diverse minerals. Sweet is related to the earth element.

"It's very harmonizing, which is why we tend to go for sweet in our diets," she says.

However, the sweet elements should be from unprocessed foods such as honey or maple syrup or people should try to get their sweet taste from fruits, she adds.

The sour taste, which is the one Cohen says is most commonly missing from the Western diet, is associated with the wood element. Sour foods, such as lemons, yogurt and fermented foods like sauerkraut stimulate the liver to cleanse, drawing in impurities and allowing them to be released through the lymphatic system or in urine.

Color your world

If Chinese elements seem too complicated, Cohen has another framework: color.

Not only do you eat a diversity of vitamins and minerals in your diet by eating a colorful variety of fruits and vegetables, Cohen says.

"You nourish yourself through all your senses. It's just quite beautiful."

Eating with consciousness and awareness means that you're taking in the sight, smell and texture of your food, she adds.

Eating in this way is self-reinforcing, she adds.

"There's this point when you just feel better. People say this is how they want to eat for life. Their food tastes different. They feel better. Their energy level is better. It's not a condition they're trying to heal, but a lifestyle."

-----

To see more of the Daily Camera, or to subscribe to the newspaper, go to http://www.thedailycamera.com./

Copyright © 2011, Daily Camera, Boulder, Colo.

Distributed by McClatchy-Tribune Information Services.

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Many Restaurants Provide Gluten Free Options

Posted Aug 25, 2011

Mary Wheeler has been on a gluten-free diet for about six years. She tends to favor restaurants that serve rice, avoiding Italian places because of the pizza and pasta.

“I just consider it art,” Wheeler, of Madison, said of food with gluten. “I can smell it and look at it but I can’t eat it.”

For Wheeler and others with gluten sensitivity, eating out can be tricky. Gluten, a protein found in grains such as wheat, barley and rye, can cause discomfort and inflammation of the small intestines, especially for those with a condition known as celiac disease.

But now, an increasing number of restaurants are catering to people who are on a gluten-free diet for celiac disease, digestive problems or even weight loss. While some grocery stores have long had special sections with gluten-free offerings, many local restaurants now tout gluten-free offerings or even entire gluten-free menus.

Biaggi’s Ristorante Italiano on Madison’s Far West Side has an extensive gluten-free menu, with about 30 items. Offerings include gluten-free bread, pizza crust, spinach spaghetti and penne pasta that can be swapped for the regular pasta in any of its dishes.

Andrew Nicholson, Biaggi’s managing partner, said between 20 to 25 percent of Biaggi’s sales are from its gluten-free items. Five years ago, the restaurant made available an entirely gluten-free menu.

“We’ve always done gluten-free dishes, but with the call for it increasing, we try to take the guesswork away and try to make people feel more comfortable when they have an actual gluten-free menu in front of them,” Nicholson said. “It seems like more and more people are going that way.”

Vin Santo, an Italian restaurant that opened in Middleton in 1998, has offered gluten-free options from Day One. It doesn’t have a separate menu, but identifies five gluten-free entrees and several others that can be modified, said owner Gregg Edwardsen. A chicken piccatta, for instance, can be dredged in rice flour instead of wheat flour, and an eggplant torte, along the lines of eggplant Parmesan, is dusted with rice flour and then fried.

“We started doing it before it was cool,” Edwardsen said. “We recognized early on that there are some people who will come with family or friends who love pasta but they need to have a gluten-free option.”

Susan Nitzke, an emeritus professor of nutritional sciences at UW-Madison, said a number of factors have come together to make gluten-free a more prevalent request from restaurant customers.

“There are certainly more people who have identified the need to avoid gluten,” she said. “Traditionally, that would be people with celiac disease or some medical form of gluten intolerance, but there are also some popular diet plans, or more sort of folklore nutrition beliefs that involve gluten.”

John Gadau, owner of the popular Downtown restaurant Sardine, said the restaurant doesn’t have gluten-free bread or highlight anything as gluten-free on its menus, but has always accommodated people who can’t eat gluten. His staff can point diners in the right direction, he said, adding that if wait staff are unsure they ask the kitchen.

“Our staff knows what’s going on as far as most of the dishes. We’ve gone over that, what it is to be gluten-free,” he said. “If it’s a fish that may be dredged in flour, we can eliminate that. That’s essentially how it works.”

Nitzke, meanwhile, cautions that those with celiac disease need to stay away from even traces of wheat and should always double-check so-called gluten-free offerings. For example, there may be a gravy that was made with flour that the server or chef wasn’t aware of, she said. Other people who are avoiding wheat for part of a weight loss program or another reason probably don’t need to be quite as careful, Nitzke added.

Dr. Arnold Wald, a gastroenterologist at UW Hospital and Clinics, said celiac disease and gluten intolerance are bigger problems than formerly realized. Whether a person has either condition is often hard to prove, he said.

“It’s the perception that you’re having symptoms that seems to be the most important thing,” Wald said. “So if people feel better if they’re not eating gluten, then I think it’s probably a wise idea to try to order gluten-free when they are eating out.”

About 1 in 100 people has celiac disease, but most don’t know it, said Danna Korn, a California-based author of books on gluten-free cooking and living. Korn said estimates show that more than half the nation’s population might have some trouble digesting gluten.

Korn, who wrote “Wheat-Free, Worry-Free: The Art of Happy, Healthy, Gluten-Free Living,” said that in some areas of the country, as many as 50 percent of restaurants are reaching out to gluten-free diners.

Nationwide, that number is “probably more like 20 percent overall and growing,” she said. “That number was about 2 percent five years ago.”

As more people find a need to avoid gluten, they are becoming more assertive about asking restaurants to accommodate them, Korn said.

“It’s an overall awareness of people realizing that they don’t want to live their life in a bubble and just sit at home and make their own little gluten-free thing,” she said.

Potato and Parmesan-crusted tilapia

For the fish:

3/4 cup dehydrated potato

1 cup grated Parmesan cheese

1 tablespoons paprika

1 tablespoon salt

1/2 tablespoon cracked pepper

4 tilapia filets, 7 oz. each

4 eggs

Combine potato, cheese, paprika, salt and pepper in a large mixing bowl. Set aside. Whisk eggs in a separate mixing bowl. Dredge fish fillets in egg mixture and coat thoroughly, then dredge into potato mixture and coat thoroughly. Cook fish in a non-stick skillet on medium-high heat with 1 tablespoon of butter and 1 tablespoon of oil for 2 minutes on each side.

For the sauce:

1/2 cup white wine

1/4 cup minced onion

1/2 pound unsalted butter

1 lemon, for juice

1/4 cup chopped basil

salt and pepper to taste

Combine wine and onion in a small sauce pot and over medium heat and reduce by two-thirds. Reduce heat to low, slowly whisk in cold butter about 2 tablespoons at a time. Add juice from lemon, chopped basil, salt and pepper. Serve with your favorite summer vegetable.

Pizza salsica

1/4 cup chopped tomato

1 teaspoon oregano

1 tablespoon olive oil

1 teaspoon chopped garlic

1/4 cup grated mozzarella/provolone blend

1 tablespoon grated Parmesan

1/4 cup ground mild Italian sausage

1/8 cup caramelized onion

1 gluten-free pizza crust (see note)

Combine tomato, oregano, oil, garlic (plus salt and pepper to taste) for the sauce. Spread evenly on the pizza crust. Add 1/3 of the cheeses, then the sausage, then the onions and finally the remaining cheese. Cook in a 400-degree oven on a pizza stone or cookie sheet for 10 to 12 minutes.

Note: Gluten-free pizza crusts are available at some local stores, including Silly Yak Bakery, 7866 Mineral Point Road.

To see more of The Wisconsin State Journal, or to subscribe to the newspaper, go to http://www.wisconsinstatejournal.com.

Copyright © 2011, The Wisconsin State Journal

Mary Wheeler has been on a gluten-free diet for about six years. She tends to favor restaurants that serve rice, avoiding Italian places because of the pizza and pasta.

"I just consider it art," Wheeler, of Madison, said of food with gluten. "I can smell it and look at it but I can't eat it."

For Wheeler and others with gluten sensitivity, eating out can be tricky. Gluten, a protein found in grains such as wheat, barley and rye, can cause discomfort and inflammation of the small intestines, especially for those with a condition known as celiac disease.

But now, an increasing number of restaurants are catering to people who are on a gluten-free diet for celiac disease, digestive problems or even weight loss. While some grocery stores have long had special sections with gluten-free offerings, many local restaurants now tout gluten-free offerings or even entire gluten-free menus.

Biaggi's Ristorante Italiano on Madison's Far West Side has an extensive gluten-free menu, with about 30 items. Offerings include gluten-free bread, pizza crust, spinach spaghetti and penne pasta that can be swapped for the regular pasta in any of its dishes.

Andrew Nicholson, Biaggi's managing partner, said between 20 to 25 percent of Biaggi's sales are from its gluten-free items. Five years ago, the restaurant made available an entirely gluten-free menu.

"We've always done gluten-free dishes, but with the call for it increasing, we try to take the guesswork away and try to make people feel more comfortable when they have an actual gluten-free menu in front of them," Nicholson said. "It seems like more and more people are going that way."

Vin Santo, an Italian restaurant that opened in Middleton in 1998, has offered gluten-free options from Day One. It doesn't have a separate menu, but identifies five gluten-free entrees and several others that can be modified, said owner Gregg Edwardsen. A chicken piccatta, for instance, can be dredged in rice flour instead of wheat flour, and an eggplant torte, along the lines of eggplant Parmesan, is dusted with rice flour and then fried.

"We started doing it before it was cool," Edwardsen said. "We recognized early on that there are some people who will come with family or friends who love pasta but they need to have a gluten-free option."

Susan Nitzke, an emeritus professor of nutritional sciences at UW-Madison, said a number of factors have come together to make gluten-free a more prevalent request from restaurant customers.

"There are certainly more people who have identified the need to avoid gluten," she said. "Traditionally, that would be people with celiac disease or some medical form of gluten intolerance, but there are also some popular diet plans, or more sort of folklore nutrition beliefs that involve gluten."

John Gadau, owner of the popular Downtown restaurant Sardine, said the restaurant doesn't have gluten-free bread or highlight anything as gluten-free on its menus, but has always accommodated people who can't eat gluten. His staff can point diners in the right direction, he said, adding that if wait staff are unsure they ask the kitchen.

"Our staff knows what's going on as far as most of the dishes. We've gone over that, what it is to be gluten-free," he said. "If it's a fish that may be dredged in flour, we can eliminate that. That's essentially how it works."

Nitzke, meanwhile, cautions that those with celiac disease need to stay away from even traces of wheat and should always double-check so-called gluten-free offerings. For example, there may be a gravy that was made with flour that the server or chef wasn't aware of, she said. Other people who are avoiding wheat for part of a weight loss program or another reason probably don't need to be quite as careful, Nitzke added.

Dr. Arnold Wald, a gastroenterologist at UW Hospital and Clinics, said celiac disease and gluten intolerance are bigger problems than formerly realized. Whether a person has either condition is often hard to prove, he said.

"It's the perception that you're having symptoms that seems to be the most important thing," Wald said. "So if people feel better if they're not eating gluten, then I think it's probably a wise idea to try to order gluten-free when they are eating out."

About 1 in 100 people has celiac disease, but most don't know it, said Danna Korn, a California-based author of books on gluten-free cooking and living. Korn said estimates show that more than half the nation's population might have some trouble digesting gluten.

Korn, who wrote "Wheat-Free, Worry-Free: The Art of Happy, Healthy, Gluten-Free Living," said that in some areas of the country, as many as 50 percent of restaurants are reaching out to gluten-free diners.

Nationwide, that number is "probably more like 20 percent overall and growing," she said. "That number was about 2 percent five years ago."

As more people find a need to avoid gluten, they are becoming more assertive about asking restaurants to accommodate them, Korn said.

"It's an overall awareness of people realizing that they don't want to live their life in a bubble and just sit at home and make their own little gluten-free thing," she said.

Potato and Parmesan-crusted tilapia

For the fish:

3/4 cup dehydrated potato

1 cup grated Parmesan cheese

1 tablespoons paprika

1 tablespoon salt

1/2 tablespoon cracked pepper

4 tilapia filets, 7 oz. each

4 eggs

Combine potato, cheese, paprika, salt and pepper in a large mixing bowl. Set aside. Whisk eggs in a separate mixing bowl. Dredge fish fillets in egg mixture and coat thoroughly, then dredge into potato mixture and coat thoroughly. Cook fish in a non-stick skillet on medium-high heat with 1 tablespoon of butter and 1 tablespoon of oil for 2 minutes on each side.

For the sauce:

1/2 cup white wine

1/4 cup minced onion

1/2 pound unsalted butter

1 lemon, for juice

1/4 cup chopped basil

salt and pepper to taste

Combine wine and onion in a small sauce pot and over medium heat and reduce by two-thirds. Reduce heat to low, slowly whisk in cold butter about 2 tablespoons at a time. Add juice from lemon, chopped basil, salt and pepper. Serve with your favorite summer vegetable.

Pizza salsica

1/4 cup chopped tomato

1 teaspoon oregano

1 tablespoon olive oil

1 teaspoon chopped garlic

1/4 cup grated mozzarella/provolone blend

1 tablespoon grated Parmesan

1/4 cup ground mild Italian sausage

1/8 cup caramelized onion

1 gluten-free pizza crust (see note)

Combine tomato, oregano, oil, garlic (plus salt and pepper to taste) for the sauce. Spread evenly on the pizza crust. Add 1/3 of the cheeses, then the sausage, then the onions and finally the remaining cheese. Cook in a 400-degree oven on a pizza stone or cookie sheet for 10 to 12 minutes.

Note: Gluten-free pizza crusts are available at some local stores, including Silly Yak Bakery, 7866 Mineral Point Road.

To see more of The Wisconsin State Journal, or to subscribe to the newspaper, go to http://www.wisconsinstatejournal.com.

Copyright © 2011, The Wisconsin State Journal

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Celiac and Sensitivities Lead to Surge in Gluten Free Lifestyles

Posted June 28, 2011

Mary Durham has spent years tweaking recipes to learn to bake without wheat — the key ingredient in nearly every loaf of bread, every batch of biscuits, every flaky pie crust.

“My love has always been making cakes and cookies. I have a horrid sweet tooth,” said the Midtown resident, who has a severe wheat allergy.

Durham, 61, started Mary’s Gluten-Free Goods this summer out of her Cooper-Young kitchen. The home kitchen is certified through the Tennessee Department of Agriculture.

After many botched batches, she has learned to retain the moisture and lightness of her recipes, such as pumpkin raisin cake, by swapping wheat flour for a mixture of rice flour, tapioca flour and potato starch.

Her cookies sell for $6 a dozen, and a loaf of bread is $6.50.

Durham’s eating habits took a dramatic turn 27 years ago when her hair began falling out. Her weight dropped dangerously, she had chronic intestinal distress and the muscles in her hands were curling in.

After months of unexplained ailments, Durham was braced for the worst. So when she learned it was her fondness for bagels and cookies that was doing her in, she was shocked.

Diagnosed with celiac disease, an autoimmune condition triggered by foods that contain gluten, Durham had only to avoid wheat, rye and barley to regain her health.

But as she soon learned, Americans are gluttons for gluten.

Along with bread and pasta, it’s found in beer, soy sauce, sausage, salad dressings, soups, instant coffee, toothpaste, lipstick and even Communion wafers.

Affecting one in 133 Americans, the digestive disease damages the villi — tiny hairlike projections that line the small intestine — and interferes with absorption of nutrients from food, according to the National Foundation for Celiac Awareness.

Durham is amazed at the number of people who are cutting gluten from their diets.

“Everybody eats gluten-free or knows someone who eats gluten-free,” she said.

And it’s more than just those diagnosed with celiac disease who are ditching glutinous grains.

People who claim to have a gluten sensitivity blame it for constipation, bloating, depression, skin rashes, infertility and a host of other ailments.

While celiac disease can be debilitating and even deadly, there isn’t much research about less-threatening gluten sensitivities, says Dr. Claudio Tombazzi.

“It can be very mild for some people,” said Tombazzi, associate professor of gastroenterology at University of Tennessee Health Science Center.

Celiac disease can be diagnosed through blood tests and biopsies of the small intestine, but there’s no test for a gluten sensitivity, he said.

The National Foundation for Celiac Awareness recommends that those with a sensitivity also follow a gluten-free diet.

Luckily for those who can’t stomach certain grains, the popularity of gluten-free diets has encouraged grocers to stock their shelves with a smorgasbord of glutenless products.

Now you can find everything from Redbridge, a gluten-free beer by Anheuser-Busch, to gluten-free Betty Crocker cake mixes and Bisquick.

Sales in gluten-free food increased 74 percent from 2004 to 2009, according to the Nielsen Co., and are expected to reach $2.6 billion by 2012.

“It was a big change initially,” said Marilyn Jackson, who removed gluten from her family’s diet when her oldest son was 10.

After Jackson’s son, Taylor, was diagnosed with a mild form of autism, the Germantown mom heard cutting gluten, as well as sugar, out of his diet could dramatically improve his social and cognitive behavior.

Now, “He feels better and does better,” she said.

Not wanting her son to miss out on the joys of sweet treats, Jackson, 50, became a prolific gluten-free baker.

Now that Taylor is 17, she has less control over his diet, but through her contacts at the Autism Solution Center in Cordova, where she volunteers, she has had lots of requests for gluten-free desserts. So many that Jackson also recently started a gluten-free bakery from her home, Sunflower Baked Goods.

“It just seems to be a niche that needs to be filled,” she said.

The bulk of the stay-at-home mom’s baking is birthday cakes, jumbo cookies and brownies.

Cupcakes, which run about $15 per dozen, have been her biggest seller.

Jackson says she sticks to the purest ingredients possible, meaning she doesn’t use processed sugars. She swaps the red food coloring in her red velvet cupcakes with beet powder, and her apple muffins are prepared only with homemade apple sauce.

By comparison, “Betty Crocker is going to have all kinds of preservatives in it,” Jackson said.

As awareness of celiac disease increases, Tombazzi says, more patients request testing for it, though what they have often is not severe.

“If you have someone who’s just having bloating, the chances for having celiac disease is low,” he said.

But for those who are diagnosed with the disease, modifying eating habits can offer relief, he said.

“If you follow the recommendations, you can avoid the complications,” he said. “This is something that can be fixed.”

— Lindsay Melvin: 529-2445

Two Memphis gluten-free bakeries:

Mary’s Gluten-Free Goods

276-3947

Sunflower Baked Goods

860-9258

Celiac information

National Foundation for Celiac Awareness

CeliacCentral.org

Gluten-free Peanut Butter Cookies

2 cups peanut butter

2 cups white sugar

4 eggs, beaten

2 cups semi-sweet chocolate chips (optional)

1 1/2 cups chopped pecans (optional)

Preheat oven to 350 degrees. Grease cookie sheet. Combine peanut butter, eggs and sugar and mix until smooth. Mix in chocolate chips and nuts, if desired. Spoon dough by tablespoons onto a cookie sheet.

Bake for 10 to 12 minutes or until lightly browned. Let the cookies cool on the cookie sheets for 5 to 10 minutes before removing.

Source: allrecipes.com

Gluten-Free Hot Breakfast Cereal

1 cup brown basmati rice

1/2 cup quinoa

1/2 cup millet

1/2 cup buckwheat groats

1/2 cup sesame seeds

1/2 cup flax seeds

1/2 cup cornmeal

1/2 cup amaranth

Grind the basmati rice in a coffee grinder until it resembles a coarse powder. Empty the ground rice into a bowl. Repeat the process with the quinoa, millet, buckwheat, sesame seeds, and flax seeds. Stir in the cornmeal and amaranth. Store in an air tight container in the refrigerator until ready to cook.

To prepare: Bring 4 cups of water and a pinch of salt to boil in a saucepan. Stir in 1 cup of cereal mix and reduce the heat to medium low. Simmer for 20 minutes stirring frequently. Makes 12 servings.

Source: allrecipes.com

Red Lobster-style Cheddar Bay Biscuits, Gluten-Free

1/3 cup shortening

1/2 cup potato starch

3/4 cup cornstarch

13/4 tsp. xanthan gum

1 tbsp. baking powder

1/4 tsp. baking soda

1 tbsp. sugar

3/4 cup milk

1/2 tsp. salt

1/2 cup shredded sharp Cheddar cheese

1/4 cup butter, softened

Topping:

1/4 butter, melted

1/2 tsp. garlic powder

Preheat oven to 375. In medium bowl, blend all ingredients except for topping. Mix very well to remove any lumps. Dough will be quite soft and a bit sticky. Roll or pat out dough on a lightly floured (cornstarch) surface. Dough should be about 1/2 -inch thick. Cut out biscuits with 21/2 -inch cookie cutter or inverted glass. Place biscuits on lightly greased baking sheet. Bake for 12-15 minutes, until lightly browned. As soon as they come out of the oven, brush with melted butter/garlic combination (mixed). Makes 6 to 8 large biscuits.

Source: celiac.com

Simple and Crunchy Nut Crackers

2 cups mixed nuts of your choice: (cashew, almonds, pumpkin seeds and flax seeds work well)

1 egg

2 tbsp. filtered water

1 1/8 tsp. sea salt

Optional toppings:

Sea salt, anise seeds, nigella seeds or some other seeds of your choice

Preheat the oven to 360.

Line two baking sheets with parchment paper.

Grind nuts into a flour consistency in a blender or food processor (food processor usually works best).

Add egg, water and sea salt and stir around with a wooden spoon until the mixture comes together in a stiff dough.

Divide the dough in two pieces and place them directly on the parchment paper.

Roll each into a rectangle, very thinly (about 1/10 of an inch thick, or as thin as you can get it). If the dough sticks to the rolling pin, roll it with parchment paper covering the dough. When done, use a knife to cut in slices or squares.

Spray a little water on top and add seeds, if using.

Bake for about 10 minutes. Stay close and keep an eye on the oven, as these crackers burn easily. Store them in jars or out in the open and eat within a few days. Makes 30 or 40, depending on how many you cut.

Source: celiac.com

To see more of The Commercial Appeal or to subscribe to the newspaper, go to http://www.commercialappeal.com.

Copyright © 2011, The Commercial Appeal, Memphis, Tenn.

Mary Durham has spent years tweaking recipes to learn to bake without wheat -- the key ingredient in nearly every loaf of bread, every batch of biscuits, every flaky pie crust.

"My love has always been making cakes and cookies. I have a horrid sweet tooth," said the Midtown resident, who has a severe wheat allergy.

Durham, 61, started Mary's Gluten-Free Goods this summer out of her Cooper-Young kitchen. The home kitchen is certified through the Tennessee Department of Agriculture.

After many botched batches, she has learned to retain the moisture and lightness of her recipes, such as pumpkin raisin cake, by swapping wheat flour for a mixture of rice flour, tapioca flour and potato starch.

Her cookies sell for $6 a dozen, and a loaf of bread is $6.50.

Durham's eating habits took a dramatic turn 27 years ago when her hair began falling out. Her weight dropped dangerously, she had chronic intestinal distress and the muscles in her hands were curling in.

After months of unexplained ailments, Durham was braced for the worst. So when she learned it was her fondness for bagels and cookies that was doing her in, she was shocked.

Diagnosed with celiac disease, an autoimmune condition triggered by foods that contain gluten, Durham had only to avoid wheat, rye and barley to regain her health.

But as she soon learned, Americans are gluttons for gluten.

Along with bread and pasta, it's found in beer, soy sauce, sausage, salad dressings, soups, instant coffee, toothpaste, lipstick and even Communion wafers.

Affecting one in 133 Americans, the digestive disease damages the villi -- tiny hairlike projections that line the small intestine -- and interferes with absorption of nutrients from food, according to the National Foundation for Celiac Awareness.

Durham is amazed at the number of people who are cutting gluten from their diets.

"Everybody eats gluten-free or knows someone who eats gluten-free," she said.

And it's more than just those diagnosed with celiac disease who are ditching glutinous grains.

People who claim to have a gluten sensitivity blame it for constipation, bloating, depression, skin rashes, infertility and a host of other ailments.

While celiac disease can be debilitating and even deadly, there isn't much research about less-threatening gluten sensitivities, says Dr. Claudio Tombazzi.

"It can be very mild for some people," said Tombazzi, associate professor of gastroenterology at University of Tennessee Health Science Center.

Celiac disease can be diagnosed through blood tests and biopsies of the small intestine, but there's no test for a gluten sensitivity, he said.

The National Foundation for Celiac Awareness recommends that those with a sensitivity also follow a gluten-free diet.

Luckily for those who can't stomach certain grains, the popularity of gluten-free diets has encouraged grocers to stock their shelves with a smorgasbord of glutenless products.

Now you can find everything from Redbridge, a gluten-free beer by Anheuser-Busch, to gluten-free Betty Crocker cake mixes and Bisquick.

Sales in gluten-free food increased 74 percent from 2004 to 2009, according to the Nielsen Co., and are expected to reach $2.6 billion by 2012.

"It was a big change initially," said Marilyn Jackson, who removed gluten from her family's diet when her oldest son was 10.

After Jackson's son, Taylor, was diagnosed with a mild form of autism, the Germantown mom heard cutting gluten, as well as sugar, out of his diet could dramatically improve his social and cognitive behavior.

Now, "He feels better and does better," she said.

Not wanting her son to miss out on the joys of sweet treats, Jackson, 50, became a prolific gluten-free baker.

Now that Taylor is 17, she has less control over his diet, but through her contacts at the Autism Solution Center in Cordova, where she volunteers, she has had lots of requests for gluten-free desserts. So many that Jackson also recently started a gluten-free bakery from her home, Sunflower Baked Goods.

"It just seems to be a niche that needs to be filled," she said.

The bulk of the stay-at-home mom's baking is birthday cakes, jumbo cookies and brownies.

Cupcakes, which run about $15 per dozen, have been her biggest seller.

Jackson says she sticks to the purest ingredients possible, meaning she doesn't use processed sugars. She swaps the red food coloring in her red velvet cupcakes with beet powder, and her apple muffins are prepared only with homemade apple sauce.

By comparison, "Betty Crocker is going to have all kinds of preservatives in it," Jackson said.

As awareness of celiac disease increases, Tombazzi says, more patients request testing for it, though what they have often is not severe.

"If you have someone who's just having bloating, the chances for having celiac disease is low," he said.

But for those who are diagnosed with the disease, modifying eating habits can offer relief, he said.

"If you follow the recommendations, you can avoid the complications," he said. "This is something that can be fixed."

-- Lindsay Melvin: 529-2445

Two Memphis gluten-free bakeries:

Mary's Gluten-Free Goods

276-3947

Sunflower Baked Goods

860-9258

Celiac information

National Foundation for Celiac Awareness

CeliacCentral.org

Gluten-free Peanut Butter Cookies

2 cups peanut butter

2 cups white sugar

4 eggs, beaten

2 cups semi-sweet chocolate chips (optional)

1 1/2 cups chopped pecans (optional)

Preheat oven to 350 degrees. Grease cookie sheet. Combine peanut butter, eggs and sugar and mix until smooth. Mix in chocolate chips and nuts, if desired. Spoon dough by tablespoons onto a cookie sheet.

Bake for 10 to 12 minutes or until lightly browned. Let the cookies cool on the cookie sheets for 5 to 10 minutes before removing.

Source: allrecipes.com

Gluten-Free Hot Breakfast Cereal

1 cup brown basmati rice

1/2 cup quinoa

1/2 cup millet

1/2 cup buckwheat groats

1/2 cup sesame seeds

1/2 cup flax seeds

1/2 cup cornmeal

1/2 cup amaranth

Grind the basmati rice in a coffee grinder until it resembles a coarse powder. Empty the ground rice into a bowl. Repeat the process with the quinoa, millet, buckwheat, sesame seeds, and flax seeds. Stir in the cornmeal and amaranth. Store in an air tight container in the refrigerator until ready to cook.

To prepare: Bring 4 cups of water and a pinch of salt to boil in a saucepan. Stir in 1 cup of cereal mix and reduce the heat to medium low. Simmer for 20 minutes stirring frequently. Makes 12 servings.

Source: allrecipes.com

Red Lobster-style Cheddar Bay Biscuits, Gluten-Free

1/3 cup shortening

1/2 cup potato starch

3/4 cup cornstarch

13/4 tsp. xanthan gum

1 tbsp. baking powder

1/4 tsp. baking soda

1 tbsp. sugar

3/4 cup milk

1/2 tsp. salt

1/2 cup shredded sharp Cheddar cheese

1/4 cup butter, softened

Topping:

1/4 butter, melted

1/2 tsp. garlic powder

Preheat oven to 375. In medium bowl, blend all ingredients except for topping. Mix very well to remove any lumps. Dough will be quite soft and a bit sticky. Roll or pat out dough on a lightly floured (cornstarch) surface. Dough should be about 1/2 -inch thick. Cut out biscuits with 21/2 -inch cookie cutter or inverted glass. Place biscuits on lightly greased baking sheet. Bake for 12-15 minutes, until lightly browned. As soon as they come out of the oven, brush with melted butter/garlic combination (mixed). Makes 6 to 8 large biscuits.

Source: celiac.com

Simple and Crunchy Nut Crackers

2 cups mixed nuts of your choice: (cashew, almonds, pumpkin seeds and flax seeds work well)

1 egg

2 tbsp. filtered water

1 1/8 tsp. sea salt

Optional toppings:

Sea salt, anise seeds, nigella seeds or some other seeds of your choice

Preheat the oven to 360.

Line two baking sheets with parchment paper.

Grind nuts into a flour consistency in a blender or food processor (food processor usually works best).

Add egg, water and sea salt and stir around with a wooden spoon until the mixture comes together in a stiff dough.

Divide the dough in two pieces and place them directly on the parchment paper.

Roll each into a rectangle, very thinly (about 1/10 of an inch thick, or as thin as you can get it). If the dough sticks to the rolling pin, roll it with parchment paper covering the dough. When done, use a knife to cut in slices or squares.

Spray a little water on top and add seeds, if using.

Bake for about 10 minutes. Stay close and keep an eye on the oven, as these crackers burn easily. Store them in jars or out in the open and eat within a few days. Makes 30 or 40, depending on how many you cut.

Source: celiac.com

To see more of The Commercial Appeal or to subscribe to the newspaper, go to http://www.commercialappeal.com.

Copyright © 2011, The Commercial Appeal, Memphis, Tenn.

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Going Gluten Free

Posted June 8, 2011

Tennis player Novak Djokovic is reportedly having a breakout season, possibly making him the world’s best athlete of 2011. And it may be due to his new gluten-free diet, according to a recent report in the Wall Street Journal: “How did Novak Djokovic conquer the tennis world? Maybe the answer is as simple as this: Since last year, he’s swearing off pasta, pizza, beer, French bread, pretzels, empanadas, Mallomars and Twizzlers — anything with gluten.”

The story goes on to say how his nutritionist discovered that Djokovic is allergic to gluten, so Djokovic banished it from his diet and “now he hits winners that seem to subscribe to the undiscovered laws of physics.”

Eliminating gluten from your diet may not make everyone a world-class athlete, but it will make you feel better if you’ve been having problems digesting it. Or, if you discover you have Celiac disease, you must give it up because eating anything with gluten will cause health issues. (Celiac disease is a genetic disorder thought to effect as many as one in 22 people, according to the National Health Institute.)

Giving up Mallomars could be done. But no bread?

“Gluten is the protein in wheat,” says Kathy Crowther, owner of Bakery of Life in Stewartsville, Mo. “It’s what binds the bread and makes it flexible and nice. Take that out, it’s dry.”

A gluten-free diet is the only treatment for Celiac disease, which may be why Mrs. Crowther is regularly asked if they make gluten-free bread. Although she has made whole-grain breads for years, using flour she grinds from locally grown organic wheat, she never tried gluten-free, until now.

“It’s a different animal,” she tells us at the new Sweet Sisters Bakery, a couple of blocks down the street from Bakery of Life. Sweet Sisters is primarily run by her daughters, Amanda Holmes and Bethany DeSelms. The women bake gluten-free bread, muffins, cookies, brownies, blondies and ready-made frozen pie crusts. It’s all done on dedicated equipment, meaning nothing with wheat is used here. Mrs. Crowley’s brother helped them get started.

“My brother is a doctor out in Washington and wanted to support them starting the gluten-free,” Mrs. Crowther says. “He was seeing more and more Celiac and thought this would be a good opportunity for them.”

There has been a learning curve for everyone, Mrs. Crowther says. A typical loaf of wheat bread needs at least 15 minutes of kneading and pounding to develop the gluten. But gluten-free dough is very sticky and should only have about five minutes of mixing. They both have yeast, but with gluten-free, you pat the bread into the pan, not punch and roll it. Missouri humidity can be a challenge. They bake with a mix of flours: chickpea, pinto bean, navy bean, sorghum and chia. They all add moisture to the bread, so you need no more. Sweet Sisters gets the flour mix from Anna Sobaski, creator of Breads from Anna, in Iowa. She developed the mix because she suffers from Celiac disease and did not want to give up the foods she loved. They tried to come up with their own blend, but found Anna’s was the best.

“We think it tastes like Hawaiian bread,” Mrs. Crowther says.

The bread is sweetened with crystallized honey and a little organic cane sugar. Sweet Sisters adds eggs, but do make bread with an egg substitute on request. They can make dairy-free and corn-free, too. (The bread contains cornstarch).

You won’t miss the gluten, even if you could eat it. The brownies are made with a fudgy ganache, that gives them a rich, melt-in-your-mouth quality. Equally delicious are the blondies, which taste something like a moist sponge cake dotted with chocolate chips. They have a garbanzo bean/fava bean mix in them, so they’re nutritious, too. The bread is great plain or for sandwiches, and they say it makes the best French toast.

“We’ve gotten a really good response because it’s something people are really looking for,” Amanda says. “They want something that reminds them of what they used to be able to have and a lot of the things on the shelf just isn’t cutting it with them.”

In addition to the bakery, the sisters sell some of their gluten-free products at The Merc in Lawrence, Kan., and at Nature’s Own, Nature’s Pantry and the City Market in Kansas City. They eventually plan to offer their products online. For customers interested in making their own gluten-free products, Sweet Sisters has an adjoining bulk food store where they sell many of the unusual flours used to make the products, along with some of Anna’s mixes for breads and muffins.

The bakery is located at 404 Main St. in Stewartsville and is open from 8 a.m. to 7 p.m. Monday through Friday and 8 a.m. to 5 p.m. on Saturday. Call (816) 669-1310 or visit www.sweetsistersgf bakery.com.

Sylvia Anderson can be reached at sylvia.anderson@newspressnow.com.

To see more of the St. Joseph News-Press or to subscribe to the newspaper, go to http://www.stjoenews-press.com/.

Copyright © 2011, St. Joseph News-Press, Mo.

Tennis player Novak Djokovic is reportedly having a breakout season, possibly making him the world's best athlete of 2011. And it may be due to his new gluten-free diet, according to a recent report in the Wall Street Journal: "How did Novak Djokovic conquer the tennis world? Maybe the answer is as simple as this: Since last year, he's swearing off pasta, pizza, beer, French bread, pretzels, empanadas, Mallomars and Twizzlers -- anything with gluten."

The story goes on to say how his nutritionist discovered that Djokovic is allergic to gluten, so Djokovic banished it from his diet and "now he hits winners that seem to subscribe to the undiscovered laws of physics."

Eliminating gluten from your diet may not make everyone a world-class athlete, but it will make you feel better if you've been having problems digesting it. Or, if you discover you have Celiac disease, you must give it up because eating anything with gluten will cause health issues. (Celiac disease is a genetic disorder thought to effect as many as one in 22 people, according to the National Health Institute.)

Giving up Mallomars could be done. But no bread?

"Gluten is the protein in wheat," says Kathy Crowther, owner of Bakery of Life in Stewartsville, Mo. "It's what binds the bread and makes it flexible and nice. Take that out, it's dry."

A gluten-free diet is the only treatment for Celiac disease, which may be why Mrs. Crowther is regularly asked if they make gluten-free bread. Although she has made whole-grain breads for years, using flour she grinds from locally grown organic wheat, she never tried gluten-free, until now.

"It's a different animal," she tells us at the new Sweet Sisters Bakery, a couple of blocks down the street from Bakery of Life. Sweet Sisters is primarily run by her daughters, Amanda Holmes and Bethany DeSelms. The women bake gluten-free bread, muffins, cookies, brownies, blondies and ready-made frozen pie crusts. It's all done on dedicated equipment, meaning nothing with wheat is used here. Mrs. Crowley's brother helped them get started.

"My brother is a doctor out in Washington and wanted to support them starting the gluten-free," Mrs. Crowther says. "He was seeing more and more Celiac and thought this would be a good opportunity for them."

There has been a learning curve for everyone, Mrs. Crowther says. A typical loaf of wheat bread needs at least 15 minutes of kneading and pounding to develop the gluten. But gluten-free dough is very sticky and should only have about five minutes of mixing. They both have yeast, but with gluten-free, you pat the bread into the pan, not punch and roll it. Missouri humidity can be a challenge. They bake with a mix of flours: chickpea, pinto bean, navy bean, sorghum and chia. They all add moisture to the bread, so you need no more. Sweet Sisters gets the flour mix from Anna Sobaski, creator of Breads from Anna, in Iowa. She developed the mix because she suffers from Celiac disease and did not want to give up the foods she loved. They tried to come up with their own blend, but found Anna's was the best.

"We think it tastes like Hawaiian bread," Mrs. Crowther says.

The bread is sweetened with crystallized honey and a little organic cane sugar. Sweet Sisters adds eggs, but do make bread with an egg substitute on request. They can make dairy-free and corn-free, too. (The bread contains cornstarch).

You won't miss the gluten, even if you could eat it. The brownies are made with a fudgy ganache, that gives them a rich, melt-in-your-mouth quality. Equally delicious are the blondies, which taste something like a moist sponge cake dotted with chocolate chips. They have a garbanzo bean/fava bean mix in them, so they're nutritious, too. The bread is great plain or for sandwiches, and they say it makes the best French toast.

"We've gotten a really good response because it's something people are really looking for," Amanda says. "They want something that reminds them of what they used to be able to have and a lot of the things on the shelf just isn't cutting it with them."

In addition to the bakery, the sisters sell some of their gluten-free products at The Merc in Lawrence, Kan., and at Nature's Own, Nature's Pantry and the City Market in Kansas City. They eventually plan to offer their products online. For customers interested in making their own gluten-free products, Sweet Sisters has an adjoining bulk food store where they sell many of the unusual flours used to make the products, along with some of Anna's mixes for breads and muffins.

The bakery is located at 404 Main St. in Stewartsville and is open from 8 a.m. to 7 p.m. Monday through Friday and 8 a.m. to 5 p.m. on Saturday. Call (816) 669-1310 or visit www.sweetsistersgf bakery.com.

Sylvia Anderson can be reached at sylvia.anderson@newspressnow.com.

To see more of the St. Joseph News-Press or to subscribe to the newspaper, go to http://www.stjoenews-press.com/.

Copyright © 2011, St. Joseph News-Press, Mo.

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Creative Cooking For Those With Food Allergies

Posted May 26, 2011

My daughter plotted her birthday cake for months, finally settling on a chocolate-flavored castle surrounded by Disney princesses.

I like decorating cakes, so my then-3-year-old’s request ordinarily wouldn’t have been a problem.

But this wasn’t an ordinary year.

This was the year we learned my daughter’s erratic sleep and constant tummy aches were caused by casein, the protein in dairy foods. The only treatment: eliminate all dairy from her diet, along with gluten, soy, tapioca, buckwheat, green peas, olive oil and half a dozen other foods a blood test indicated she couldn’t tolerate.

It turns out our daughter is one of the millions of Americans who suffer from food sensitivities, or the inability to digest certain foods. And she’s one of the lucky ones. Some 12 million have true allergies, where an immune response triggers symptoms ranging from mild itching to life-threatening swelling and breathing difficulties. Another estimated 2 million, many of them undiagnosed, suffer from celiac disease, an autoimmune reaction to gluten that damages the small intestine.

So for many people, food is a problem.

But it’s also the answer, said Carreen Blankenship of Kansas City, Kan. She and her daughters, Olivia, 7, and Layla, 5, all have celiac disease. Layla also has multiple food allergies.

“We tell the girls that you have the power to heal yourself, that you’re in control,” Blankenship said. “That power is cool.”

Blankenship wasn’t always so confident. When Olivia was diagnosed with celiac disease in 2005, she was 10 months old and so sick that she “couldn’t keep anything down or in,” Blankenship said. As Olivia’s first birthday closed in, Blankenship was frustrated and heartbroken.

“It was so devastating to think of not having a cake for her,” Blankenship said. “I wondered, what do other parents do?”

What Blankenship did was throw herself into research, clean out her kitchen and begin cooking gluten-free – including learning to bake cupcakes for Olivia’s party. She and her husband, Shawn Blankenship, then launched Olivia’s Oven, supplying hamburger and hot dog buns, desserts and pizza crusts to restaurants. Their products are free of gluten, dairy and nuts, as well as artificial preservatives. At home, she cooks with whole foods, passing on processed ingredients, in an approach often called clean, or naked, cooking.

“Our rule is that if you can’t read it, don’t eat it,” Blankenship said.

GLUTEN-FREE MIND EXPANSION

Wheat flour dominates baking for good reason. Wheat, along with a few other grains, contains two proteins called glutenin and gliadin. When combined with water, these proteins form sheets of gluten that allow breads to rise and hold their shape when baked. Eggs provide structure and richness, while butter, cream and other dairy products add flavor and tenderness.

Removing such key ingredients from recipes can be frustrating, but it’s also exciting, said Karina Allrich, who learned she had celiac disease in 2001 and began blogging at www.glutenfreegoddess.blogspot.com four years later.

“There is so much variety in taste and texture,” Allrich said of the flours now available. “To me, it feels as if my world has expanded after going gluten-free, not diminished.”

Allrich embraces flours like the light-flavored sorghum; buckwheat, a darker and more assertive flour; brown rice flour, the whole grain counterpart to white rice flo ur; quinoa, a delicate flour high in protein, calcium and iron; moist and high-fiber coconut flour; and flavorful nut flours like almond and hazelnut.

And that’s just a start.

Hilary Kass, a nutrition educator at the Community Mercantile in Lawrence, Kan., and owner of Ancient Grains Bakery, makes biscotti from teff, a tiny grain native to Africa that’s a good source of calcium, iron and protein.

Her crispy flatbread showcases amaranth, which is actually a protein-rich seed from a plant related to spinach. Millet, a nutrient-dense grain that about a third of the world’s population relies on, goes into two pancake-like flatbreads.

“I’m innately curious about food and cultures, and these grains are staples for a lot of different people around the world,” Kass said.

None of these fully replaces wheat flour, so two or more are usually combined in gluten-free flour blends. Starch is added to mimic gluten’s elasticity; interchangeable options include corn, arrowroot, potato (not to be confused with potato flour) and tapioca. Thickeners like xanthan gum or guar gum are added to help baked goods rise.

Commercial blends from Pamela’s Products, Bob’s Red Mill, King Arthur Flour and other companies are convenient and widely available. You can also make your own blend using guidelines from Gluten Free Girl (www.glutenfreegirl.com) or Living Without (www.livingwithout.com).

TWEAKING THE CHEMISTRY

Still, flour is just the start, said Elizabeth Gordon, author of “Allergy-Free Desserts” (John Wiley & Sons, 2010).

“I’m allergic to wheat and eggs, and when it comes to baking that’s pretty much everything,” said Gordon, who was inspired to also make her recipes soy- and dairy-free after a friend’s child was diagnosed with those allergies.

The solution is substitution. Gordon often uses applesauce or ground flax seed softened with water in place of eggs. Egg replacer and duck eggs (sometimes found at farmers markets) also work. Sunflower seed butter stands in for peanut and a mix of vanilla rice milk and cider vinegar for buttermilk.

Many of Gordon’s recipes call for palm fruit oil shortening (look for the Spectrum brand). I swap Earth Balance Vegan Buttery Sticks for butter in recipes, while Blankenship bakes with Fleischmann’s unsalted margarine.

Gordon’s main goals? Safety, of course, but also taste.

“I want everything to taste and have the same texture as what I’m used to eating,” she said. “If I can’t get that, I won’t make the recipe.”

Naked baking takes more than the right ingredients, though. You also have to learn how they behave, and it will most certainly be different from what you’d expect.

“It can feel overwhelming at first, as if you need to relearn everything you thought you understood about baking,” Allrich said.

Gluten-free bread dough is more gooey than stretchy, so it can’t be kneaded or baked free-form. It also requires a shorter rising time (it collapses if it rises too high) and must be carefully smoothed with wet hands or a silicone spatula before baking.

Sticky pizza dough also requires patient spreading with those wet hands. Cake and pancake batters are thicker than “normal,” and eggless batters tend to climb the beaters during mixing.

Cookie dough spreads more during baking, so it must be chilled before dropping it onto a baking sheet. Baking on parchment paper also helps. Persnickety-seeming instructions like whisking eggs until foamy or bringing all ingredients to room temperature help goodies rise.

Even the most experienced bakers occasionally produce crumbly breads, tough muffins and inedible cookies. Turn them into bread crumbs or croutons, or toss them into the compost bin. Whatever you do, keep your sense of humor handy, Allrich said.

“It helps to laugh,” she said. “We’ve all had our failures. The failures make the successes sweeter.”

And my daughter’s cake?

I used a gluten- and dairy-free Pamela’s chocolate cake mix and decorated it with homemade non dairy “butter cream” frosting. She ate her share, and then slept all night.

Sweet indeed.

READ THE LABEL, OFTEN

Baking without staples like flour, eggs or dairy, is challenging.

Happily, a growing range of packaged mixes makes it easier to produce all manner of cakes, cookies, brownies and breads, as well as pizza crust, pancakes and waffles.

There are dozens of mixes from companies including Betty Crocker, Pamela’s Products, King Arthur Flour, Bob’s Red Mill, Arrowhead Mills, Gluten Free Pantry, Namaste Foods, Cherrybrook Kitchens and Rabbit Creek Products, to name just a few.

Of course specialty markets and natural food stores carry a good selection, but so do other supermarkets.

Why the plethora of products?

“I’m doing it to help my customers,” says Donna Cook, Rabbit Creek’s owner. “The need is there.”

Still, it’s not always easy to pick a mix. Consumers should read each product’s ingredients each time they purchase it, since companies sometimes change their formulations. It’s important to know what you’re looking for, too, as names don’t always reveal an ingredient’s origin.

Durham, graham, semolina, spelt and kamut are all types of wheat, while rye, barley and triticale also contain gluten. Malt is usually made from barley, xanthan gum is derived from corn, and lecithin, a common thickener, is made from soy.

Chocolate chips often contain milk, and other products that appear dairy-free might include casein or whey. Green pea and other legume powders pop up in unexpected places, like some brands of dairy-free cheese.

Where a product was manufactured also matters. Even inherently gluten-free grains like oats or corn may contain trace amounts due to cross-contamination. Many people who are highly sensitive to gluten, like Karina Allrich, who blogs at www.glutenfreegoddess.blogspot.com, buy only ingredients labeled as gluten-free and produced in designated, gluten-free facilities. Look for details on the package, or, if in doubt, visit a brand’s web site or call the company.

RESOURCES

For more information, recipes, product information and inspiration, see these resources:

Allergic Living, www.allergicliving.com

Allergy-Free Delights, www.allergyfreedelights.com

American Celiac Disease Alliance, www.americanceliac.org (includes some Spanish-language resources)

Ancient Grains, www.ancientgrainsbakery.com

Celiac Disease Foundation, www.celiac.org

Celiac Sprue Association, www.csaceliacs.org

Elana’s Pantry, www.elanaspantry.com

Gluten Free Goddess, www.glutenfreegoddess.blogspot.com

Gluten-Free Girl and t he Chef, www.glutenfreegirl.com

Gluten-Free Living magazine, www.glutenfreeliving.com

Living Without magazine, www.livingwithout.com

Olivia’s Oven, www.oliviasoven.com

Rabbit Creek Products, www.rabbitcreekgourmet.com

The Food Allergy Queen, www.foodallergyqueen.com

EASY WHOLE-GRAIN FLATBREAD

Exploring cuisines that don’t rely on wheat, dairy or other common allergens can be as fascinating as it is helpful. This Mediterranean-inspired recipe adapted from “Food Matters” (Simon & Schuster, 2009) tastes so rich that my kids don’t believe it doesn’t contain butter or cheese.

Makes 4 to 6 small servings

1 cup chickpea flour (you can also use cornmeal or whole-wheat flour)

1 teaspoon salt

1 1/2 cups water

4 tablespoons olive oil

1/2 large onion, thinly sliced (optional; I prefer red onion)

1 tablespoon fresh rosemary leaves, minced (optional)

Directions:

Place flour in bowl. Add salt. Slowly add 1 1/2 cups water, whisking to eliminate lumps. Cover with a towel, and let sit while oven heats, or as long as 12 hours. The batter should be about the consistency of thin pancake batter.

When ready to bake, heat the oven to 450 degrees. Put the oil, onion and rosemary (if using) in a 12-inch rimmed pizza pan or skillet (cast iron works well) and place in the heated oven. Wait a couple of minutes for the oil to get hot, but not smoking; the pan is ready when you just begin to smell it. Carefully remove the pan and give the onions a stir. Pour in the batter and return the skillet to the oven. Bake 25 to 35 minutes, or until the flatbread is well browned, firm and crisp around the edges. Let it rest for a couple of minutes before cutting.

Per serving, based on 4: 227 calories (54 percent from fat), 14 grams total fat (2 grams saturated), no cholesterol, 23 grams carbohydrates, 4 grams protein, 535 milligrams sodium, 4 grams dietary fiber.

TEFF MUFFINS

Adding pureed pumpkin or sweet potatoes, shredded carrots or unsweetened coconut, applesauce or mashed banana adds moisture and flavor to gluten-free recipes. That’s how I adapted this one from Bob’s Red Mill.

Makes about 24 mini muffins

1/2 cup brown sugar

3/4 cup teff flour

3/4 cup brown rice flour (or sweet white rice flour, if preferred)

1/2 cup arrowroot starch

1 1/2 teaspoons baking powder

1/2 teaspoon cinnamon

1/4 teaspoon sea salt

2 eggs

1/3 cup olive or canola oil

1/3 cup pumpkin puree (not pumpkin pie filling)

1/3 cup water

1/2 cup hazelnuts or pecans, finely chopped (optional; you can also substitute raisins or dried cranberries)

Directions:

Preheat the oven to 400. Grease the muffin pans and set aside.

Combine the sugar, flours, arrowroot, baking powder, cinnamon and salt in a bowl. In a separate bowl, mix together the eggs, oil, pumpkin and water, and then add to the flour mixture, mixing quickly. Fold in the nuts. Fill the greased muffin pans 3/4 full. Bake for 9-11 minutes, being careful not to over bake.

Per muffin: 86 calories (37 percent from fat), 4 grams total fat (1 gram saturated), 16 milligrams cholesterol, 12 grams carbohydrates, 1 gram protein, 57 milligrams sodium, 1 gram dietary fiber.

My daughter plotted her birthday cake for months, finally settling on a chocolate-flavored castle surrounded by Disney princesses.

I like decorating cakes, so my then-3-year-old's request ordinarily wouldn't have been a problem.

But this wasn't an ordinary year.

This was the year we learned my daughter's erratic sleep and constant tummy aches were caused by casein, the protein in dairy foods. The only treatment: eliminate all dairy from her diet, along with gluten, soy, tapioca, buckwheat, green peas, olive oil and half a dozen other foods a blood test indicated she couldn't tolerate.

It turns out our daughter is one of the millions of Americans who suffer from food sensitivities, or the inability to digest certain foods. And she's one of the lucky ones. Some 12 million have true allergies, where an immune response triggers symptoms ranging from mild itching to life-threatening swelling and breathing difficulties. Another estimated 2 million, many of them undiagnosed, suffer from celiac disease, an autoimmune reaction to gluten that damages the small intestine.

So for many people, food is a problem.

But it's also the answer, said Carreen Blankenship of Kansas City, Kan. She and her daughters, Olivia, 7, and Layla, 5, all have celiac disease. Layla also has multiple food allergies.

"We tell the girls that you have the power to heal yourself, that you're in control," Blankenship said. "That power is cool."

Blankenship wasn't always so confident. When Olivia was diagnosed with celiac disease in 2005, she was 10 months old and so sick that she "couldn't keep anything down or in," Blankenship said. As Olivia's first birthday closed in, Blankenship was frustrated and heartbroken.

"It was so devastating to think of not having a cake for her," Blankenship said. "I wondered, what do other parents do?"

What Blankenship did was throw herself into research, clean out her kitchen and begin cooking gluten-free - including learning to bake cupcakes for Olivia's party. She and her husband, Shawn Blankenship, then launched Olivia's Oven, supplying hamburger and hot dog buns, desserts and pizza crusts to restaurants. Their products are free of gluten, dairy and nuts, as well as artificial preservatives. At home, she cooks with whole foods, passing on processed ingredients, in an approach often called clean, or naked, cooking.

"Our rule is that if you can't read it, don't eat it," Blankenship said.

GLUTEN-FREE MIND EXPANSION

Wheat flour dominates baking for good reason. Wheat, along with a few other grains, contains two proteins called glutenin and gliadin. When combined with water, these proteins form sheets of gluten that allow breads to rise and hold their shape when baked. Eggs provide structure and richness, while butter, cream and other dairy products add flavor and tenderness.

Removing such key ingredients from recipes can be frustrating, but it's also exciting, said Karina Allrich, who learned she had celiac disease in 2001 and began blogging at www.glutenfreegoddess.blogspot.com four years later.

"There is so much variety in taste and texture," Allrich said of the flours now available. "To me, it feels as if my world has expanded after going gluten-free, not diminished."

Allrich embraces flours like the light-flavored sorghum; buckwheat, a darker and more assertive flour; brown rice flour, the whole grain counterpart to white rice flo ur; quinoa, a delicate flour high in protein, calcium and iron; moist and high-fiber coconut flour; and flavorful nut flours like almond and hazelnut.

And that's just a start.

Hilary Kass, a nutrition educator at the Community Mercantile in Lawrence, Kan., and owner of Ancient Grains Bakery, makes biscotti from teff, a tiny grain native to Africa that's a good source of calcium, iron and protein.

Her crispy flatbread showcases amaranth, which is actually a protein-rich seed from a plant related to spinach. Millet, a nutrient-dense grain that about a third of the world's population relies on, goes into two pancake-like flatbreads.

"I'm innately curious about food and cultures, and these grains are staples for a lot of different people around the world," Kass said.

None of these fully replaces wheat flour, so two or more are usually combined in gluten-free flour blends. Starch is added to mimic gluten's elasticity; interchangeable options include corn, arrowroot, potato (not to be confused with potato flour) and tapioca. Thickeners like xanthan gum or guar gum are added to help baked goods rise.

Commercial blends from Pamela's Products, Bob's Red Mill, King Arthur Flour and other companies are convenient and widely available. You can also make your own blend using guidelines from Gluten Free Girl (www.glutenfreegirl.com) or Living Without (www.livingwithout.com).

TWEAKING THE CHEMISTRY

Still, flour is just the start, said Elizabeth Gordon, author of "Allergy-Free Desserts" (John Wiley & Sons, 2010).

"I'm allergic to wheat and eggs, and when it comes to baking that's pretty much everything," said Gordon, who was inspired to also make her recipes soy- and dairy-free after a friend's child was diagnosed with those allergies.

The solution is substitution. Gordon often uses applesauce or ground flax seed softened with water in place of eggs. Egg replacer and duck eggs (sometimes found at farmers markets) also work. Sunflower seed butter stands in for peanut and a mix of vanilla rice milk and cider vinegar for buttermilk.

Many of Gordon's recipes call for palm fruit oil shortening (look for the Spectrum brand). I swap Earth Balance Vegan Buttery Sticks for butter in recipes, while Blankenship bakes with Fleischmann's unsalted margarine.

Gordon's main goals? Safety, of course, but also taste.

"I want everything to taste and have the same texture as what I'm used to eating," she said. "If I can't get that, I won't make the recipe."

Naked baking takes more than the right ingredients, though. You also have to learn how they behave, and it will most certainly be different from what you'd expect.

"It can feel overwhelming at first, as if you need to relearn everything you thought you understood about baking," Allrich said.

Gluten-free bread dough is more gooey than stretchy, so it can't be kneaded or baked free-form. It also requires a shorter rising time (it collapses if it rises too high) and must be carefully smoothed with wet hands or a silicone spatula before baking.

Sticky pizza dough also requires patient spreading with those wet hands. Cake and pancake batters are thicker than "normal," and eggless batters tend to climb the beaters during mixing.

Cookie dough spreads more during baking, so it must be chilled before dropping it onto a baking sheet. Baking on parchment paper also helps. Persnickety-seeming instructions like whisking eggs until foamy or bringing all ingredients to room temperature help goodies rise.

Even the most experienced bakers occasionally produce crumbly breads, tough muffins and inedible cookies. Turn them into bread crumbs or croutons, or toss them into the compost bin. Whatever you do, keep your sense of humor handy, Allrich said.

"It helps to laugh," she said. "We've all had our failures. The failures make the successes sweeter."

And my daughter's cake?

I used a gluten- and dairy-free Pamela's chocolate cake mix and decorated it with homemade non dairy "butter cream" frosting. She ate her share, and then slept all night.

Sweet indeed.

READ THE LABEL, OFTEN

Baking without staples like flour, eggs or dairy, is challenging.

Happily, a growing range of packaged mixes makes it easier to produce all manner of cakes, cookies, brownies and breads, as well as pizza crust, pancakes and waffles.

There are dozens of mixes from companies including Betty Crocker, Pamela's Products, King Arthur Flour, Bob's Red Mill, Arrowhead Mills, Gluten Free Pantry, Namaste Foods, Cherrybrook Kitchens and Rabbit Creek Products, to name just a few.

Of course specialty markets and natural food stores carry a good selection, but so do other supermarkets.

Why the plethora of products?

"I'm doing it to help my customers," says Donna Cook, Rabbit Creek's owner. "The need is there."

Still, it's not always easy to pick a mix. Consumers should read each product's ingredients each time they purchase it, since companies sometimes change their formulations. It's important to know what you're looking for, too, as names don't always reveal an ingredient's origin.

Durham, graham, semolina, spelt and kamut are all types of wheat, while rye, barley and triticale also contain gluten. Malt is usually made from barley, xanthan gum is derived from corn, and lecithin, a common thickener, is made from soy.

Chocolate chips often contain milk, and other products that appear dairy-free might include casein or whey. Green pea and other legume powders pop up in unexpected places, like some brands of dairy-free cheese.

Where a product was manufactured also matters. Even inherently gluten-free grains like oats or corn may contain trace amounts due to cross-contamination. Many people who are highly sensitive to gluten, like Karina Allrich, who blogs at www.glutenfreegoddess.blogspot.com, buy only ingredients labeled as gluten-free and produced in designated, gluten-free facilities. Look for details on the package, or, if in doubt, visit a brand's web site or call the company.

RESOURCES

For more information, recipes, product information and inspiration, see these resources:

Allergic Living, www.allergicliving.com

Allergy-Free Delights, www.allergyfreedelights.com

American Celiac Disease Alliance, www.americanceliac.org (includes some Spanish-language resources)

Ancient Grains, www.ancientgrainsbakery.com

Celiac Disease Foundation, www.celiac.org

Celiac Sprue Association, www.csaceliacs.org

Elana's Pantry, www.elanaspantry.com

Gluten Free Goddess, www.glutenfreegoddess.blogspot.com

Gluten-Free Girl and t he Chef, www.glutenfreegirl.com

Gluten-Free Living magazine, www.glutenfreeliving.com

Living Without magazine, www.livingwithout.com

Olivia's Oven, www.oliviasoven.com

Rabbit Creek Products, www.rabbitcreekgourmet.com

The Food Allergy Queen, www.foodallergyqueen.com

---

EASY WHOLE-GRAIN FLATBREAD

Exploring cuisines that don't rely on wheat, dairy or other common allergens can be as fascinating as it is helpful. This Mediterranean-inspired recipe adapted from "Food Matters" (Simon & Schuster, 2009) tastes so rich that my kids don't believe it doesn't contain butter or cheese.

Makes 4 to 6 small servings

1 cup chickpea flour (you can also use cornmeal or whole-wheat flour)

1 teaspoon salt

1 1/2 cups water

4 tablespoons olive oil

1/2 large onion, thinly sliced (optional; I prefer red onion)

1 tablespoon fresh rosemary leaves, minced (optional)

Directions:

Place flour in bowl. Add salt. Slowly add 1 1/2 cups water, whisking to eliminate lumps. Cover with a towel, and let sit while oven heats, or as long as 12 hours. The batter should be about the consistency of thin pancake batter.

When ready to bake, heat the oven to 450 degrees. Put the oil, onion and rosemary (if using) in a 12-inch rimmed pizza pan or skillet (cast iron works well) and place in the heated oven. Wait a couple of minutes for the oil to get hot, but not smoking; the pan is ready when you just begin to smell it. Carefully remove the pan and give the onions a stir. Pour in the batter and return the skillet to the oven. Bake 25 to 35 minutes, or until the flatbread is well browned, firm and crisp around the edges. Let it rest for a couple of minutes before cutting.

Per serving, based on 4: 227 calories (54 percent from fat), 14 grams total fat (2 grams saturated), no cholesterol, 23 grams carbohydrates, 4 grams protein, 535 milligrams sodium, 4 grams dietary fiber.

TEFF MUFFINS

Adding pureed pumpkin or sweet potatoes, shredded carrots or unsweetened coconut, applesauce or mashed banana adds moisture and flavor to gluten-free recipes. That's how I adapted this one from Bob's Red Mill.

Makes about 24 mini muffins

1/2 cup brown sugar

3/4 cup teff flour

3/4 cup brown rice flour (or sweet white rice flour, if preferred)

1/2 cup arrowroot starch

1 1/2 teaspoons baking powder

1/2 teaspoon cinnamon

1/4 teaspoon sea salt

2 eggs

1/3 cup olive or canola oil

1/3 cup pumpkin puree (not pumpkin pie filling)

1/3 cup water

1/2 cup hazelnuts or pecans, finely chopped (optional; you can also substitute raisins or dried cranberries)

Directions:

Preheat the oven to 400. Grease the muffin pans and set aside.

Combine the sugar, flours, arrowroot, baking powder, cinnamon and salt in a bowl. In a separate bowl, mix together the eggs, oil, pumpkin and water, and then add to the flour mixture, mixing quickly. Fold in the nuts. Fill the greased muffin pans 3/4 full. Bake for 9-11 minutes, being careful not to over bake.

Per muffin: 86 calories (37 percent from fat), 4 grams total fat (1 gram saturated), 16 milligrams cholesterol, 12 grams carbohydrates, 1 gram protein, 57 milligrams sodium, 1 gram dietary fiber.

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Meat Alternatives

Posted April 25, 2011

Soy and grain products can provide an alternative to a meat-based diet. They can taste like meat and have a similar texture, says Germany’s Vegetarian Association, and if they are well prepared and seasoned, a lay person wouldn’t know the difference. Here’s an overview of a few alternatives to meat:

Tofu: Asian cuisine would not be possible without tofu. It’s made from soya milk in a similar way to cheese. Because of its “mild and neutral” flavour, tofu should always be given plenty of seasoning. It can be smoked, marinated or deep fried.

TVP: Textured vegetable protein has a similar fibrous structure to meat and is also made from soya. In granular form TVP is an excellent replacement for meat in a Bolognese sauce and in block form in a goulash. It also comes in steak form but should be softened in hot water or vegetable stock before cooking.

Tempeh: This is the third soya bean product to choose from. It is made from fermented soya and has “a more intensive taste than tofu,” according to Germany’s Vegetarian Association. It can be marinated, seasoned, fried, cooked in a wok and used in soup dishes. Tempeh is also available in a smoked variety.

Seitan: This product also has a similar texture to meat but it is made from wheat gluten. Seitan can be fried or grilled as well as made into a sausage.

Soy and grain products can provide an alternative to a meat-based diet. They can taste like meat and have a similar texture, says Germany's Vegetarian Association, and if they are well prepared and seasoned, a lay person wouldn't know the difference. Here's an overview of a few alternatives to meat:

Tofu: Asian cuisine would not be possible without tofu. It's made from soya milk in a similar way to cheese. Because of its "mild and neutral" flavour, tofu should always be given plenty of seasoning. It can be smoked, marinated or deep fried.

TVP: Textured vegetable protein has a similar fibrous structure to meat and is also made from soya. In granular form TVP is an excellent replacement for meat in a Bolognese sauce and in block form in a goulash. It also comes in steak form but should be softened in hot water or vegetable stock before cooking.

Tempeh: This is the third soya bean product to choose from. It is made from fermented soya and has "a more intensive taste than tofu," according to Germany's Vegetarian Association. It can be marinated, seasoned, fried, cooked in a wok and used in soup dishes. Tempeh is also available in a smoked variety.

Seitan: This product also has a similar texture to meat but it is made from wheat gluten. Seitan can be fried or grilled as well as made into a sausage.

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Gluten Free Options Galore

Posted Mar 26, 2011

When Jennifer Harris was diagnosed with celiac disease 14 years ago, her dietary options were frustratingly spare.

The condition, which damages the lining of the small intestine and interferes with the absorption of food nutrients, is exacerbated by eating gluten, a protein found in wheat, barley, rye and sometimes oats.

Forced to adopt a gluten-free diet, Harris ordered her food online, sometimes paying so much for shipping that no matter how horrible these gluten-free products tasted, she’d eat them anyway. “There weren’t enough products in grocery stores, and health food stores were just catching on to it,” she said. “I went without bread for a long time.”

Now, Harris is not only a gluten expert, but one who is excited about the expanding food options for those who must adhere to a diet free of the sticky substance that frequently acts as a binding agent in some cakes, pastries and sauces.

Harris, who lives in Norcross, is the program chair of the Atlanta Metro Celiacs — a group of about 200 — as well as a product specialist for organic market Return to Eden. In addition, she is also marketing manager for Decatur’s gluten- and allergen-free bakery Pure Knead and an industry consultant for her own company, Just Gluten Free.

Yes, she knows her gluten, which can also be said for some major food manufacturers that have realized the interest in and necessity of gluten-free products.

But, for all of the companies churning out tasty gluten-free products, Harris is also familiar with the ones that don’t rate very highly on the taste-o-meter.

Enter Anne Byrn, the “Cake Mix Doctor” whose recent book, “The Cake Mix Doctor Bakes Gluten-Free” (Workman, $14.95), exists as a road map to enhance flavor in these less-than-savory choices.

About three years ago, Byrn, a former food editor at The Atlanta Journal-Constitution who lives in Tennessee, noticed an increase in reader e-mail inquiring about gluten-free recipes.

Then, she said, “about 18 months ago, Betty Crocker came out with gluten-free cake mixes and that’s when I decided it was time to write a book.”

For about five months, Byrn tested the cake mixes, which are based on rice flour and contain no artificial coloring or flavoring, to figure out ways to spruce up their bland core.

All her add-ins — orange juice, espresso powder, peanut butter, almond extract — are gluten-free and with each recipe, Byrn offers a dairy-free option, such as soy milk for buttermilk or coconut milk instead of sour cream. “I’m stepping into this world where flavor and taste are critical,” Byrn said. “I wanted to create cakes that, if there is one person in a family who must eat gluten-free, the whole family can still enjoy it. It’s opened my eyes to a world of folks who live with food allergies and sensitivities.”

Some medical studies have found that a gluten-free diet can aid children with autism. Proponents, from developmental specialists to parents, say that removing gluten helps gastrointestinal issues and prevents the build-up of protein by-products, which they believe affects behavior.

Also new to understanding gluten is Bruce Alterman, owner of the Brickery Grill & Bar in Sandy Springs.

About six weeks ago, the restaurant unveiled a gluten-free menu, featuring crab cakes, steaks, salads, soups, chicken and sides including French fries and sweet potato souffle.

The Brickery is one of several local restaurants to add gluten-free options — Yeah Burger and Fuego Mundo are other recent recruits — joining chains including P.F. Chang’s, Panera Bread, Boston Market and Ted’s Montana Grill.

“It’s a learning curve,” Alterman said. “We’re going to learn a lot more about what we need to do to elevate our game. It’s not a big universe [of gluten-free eaters], but it is very meaningful to that percentage.”

Although gluten-free cooking can often cost more due to the organic materials required, Alterman said at this point, the specialized offerings are foods already on the Brickery’s menu that never contained gluten initially.

It’s this type of expansion of products and knowledge that Harris finds heartening, especially when she talks to newcomers in the Atlanta Metro Celiacs group.

“I didn’t have anyone to turn to 14 years ago. Dietitians didn’t know what gluten-free was,” she said. “It’s what I wish I had back then, this helping hand that tells you not to panic, there’s good food around. You don’t have to worry that you’re going to starve.”

When Jennifer Harris was diagnosed with celiac disease 14 years ago, her dietary options were frustratingly spare.

The condition, which damages the lining of the small intestine and interferes with the absorption of food nutrients, is exacerbated by eating gluten, a protein found in wheat, barley, rye and sometimes oats.

Forced to adopt a gluten-free diet, Harris ordered her food online, sometimes paying so much for shipping that no matter how horrible these gluten-free products tasted, she'd eat them anyway. "There weren't enough products in grocery stores, and health food stores were just catching on to it," she said. "I went without bread for a long time."

Now, Harris is not only a gluten expert, but one who is excited about the expanding food options for those who must adhere to a diet free of the sticky substance that frequently acts as a binding agent in some cakes, pastries and sauces.

Harris, who lives in Norcross, is the program chair of the Atlanta Metro Celiacs --- a group of about 200 --- as well as a product specialist for organic market Return to Eden. In addition, she is also marketing manager for Decatur's gluten- and allergen-free bakery Pure Knead and an industry consultant for her own company, Just Gluten Free.

Yes, she knows her gluten, which can also be said for some major food manufacturers that have realized the interest in and necessity of gluten-free products.

But, for all of the companies churning out tasty gluten-free products, Harris is also familiar with the ones that don't rate very highly on the taste-o-meter.

Enter Anne Byrn, the "Cake Mix Doctor" whose recent book, "The Cake Mix Doctor Bakes Gluten-Free" (Workman, $14.95), exists as a road map to enhance flavor in these less-than-savory choices.

About three years ago, Byrn, a former food editor at The Atlanta Journal-Constitution who lives in Tennessee, noticed an increase in reader e-mail inquiring about gluten-free recipes.

Then, she said, "about 18 months ago, Betty Crocker came out with gluten-free cake mixes and that's when I decided it was time to write a book."

For about five months, Byrn tested the cake mixes, which are based on rice flour and contain no artificial coloring or flavoring, to figure out ways to spruce up their bland core.

All her add-ins --- orange juice, espresso powder, peanut butter, almond extract --- are gluten-free and with each recipe, Byrn offers a dairy-free option, such as soy milk for buttermilk or coconut milk instead of sour cream. "I'm stepping into this world where flavor and taste are critical," Byrn said. "I wanted to create cakes that, if there is one person in a family who must eat gluten-free, the whole family can still enjoy it. It's opened my eyes to a world of folks who live with food allergies and sensitivities."

Some medical studies have found that a gluten-free diet can aid children with autism. Proponents, from developmental specialists to parents, say that removing gluten helps gastrointestinal issues and prevents the build-up of protein by-products, which they believe affects behavior.

Also new to understanding gluten is Bruce Alterman, owner of the Brickery Grill & Bar in Sandy Springs.

About six weeks ago, the restaurant unveiled a gluten-free menu, featuring crab cakes, steaks, salads, soups, chicken and sides including French fries and sweet potato souffle.

The Brickery is one of several local restaurants to add gluten-free options --- Yeah Burger and Fuego Mundo are other recent recruits --- joining chains including P.F. Chang's, Panera Bread, Boston Market and Ted's Montana Grill.

"It's a learning curve," Alterman said. "We're going to learn a lot more about what we need to do to elevate our game. It's not a big universe [of gluten-free eaters], but it is very meaningful to that percentage."

Although gluten-free cooking can often cost more due to the organic materials required, Alterman said at this point, the specialized offerings are foods already on the Brickery's menu that never contained gluten initially.

It's this type of expansion of products and knowledge that Harris finds heartening, especially when she talks to newcomers in the Atlanta Metro Celiacs group.

"I didn't have anyone to turn to 14 years ago. Dietitians didn't know what gluten-free was," she said. "It's what I wish I had back then, this helping hand that tells you not to panic, there's good food around. You don't have to worry that you're going to starve."

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Clean Eating Recipes

Posted Mar 3, 2011

Terry Walters, author of the new cookbook “Clean Start,” started to educate herself about nutrition and flavor after discovering she had high cholesterol at age 18.

“My dad had a heart attack, and I had my cholesterol checked,” she said. “The doctor said to eat more brown rice and kale. I took one bite, and said, ‘There’s got to be a way to make this taste better.’”

Since that time, Walters has been on the forefront of the clean-eating lifestyle movement, counseling friends while teaching others how to make healthy food taste great.

Now, a busy mother of two young girls, Walters has written two cookbooks boasting recipes that are not only delicious, but easy to prepare.

“My kids call my cooking ‘dump and stir,’” she said. “I don’t measure anything.”

Walters self-published her first cookbook, “Clean Food,” in 2007. Her second book, “Clean Start” (Sterling Epicure) came out in November.

The idea behind eating clean is to try to incorporate food that’s unprocessed and close to the source, Walters said. Her recipes call for whole grains, veggies, nuts and seeds but no dairy or animal products.

“They are super-nutritional foods that we need more of,” she said. “We all need more minerals from vegetables and more protein alternatives.”

Some of the healthy recipes in “Clean Start” include a Roasted Cauliflower and Garlic Soup, Asparagus with Miso Lemon Dressing and Maple Mustard and Tahini Glazed Carrots.

“Try to eat all the colors and all the tastes,” she advised. “Whole grains are high in B vitamins and B-12 for healthy blood cells. Dark leafy greens help cleanse the liver.”

Walters acknowledges that making big changes in your diet can be a difficult task, especially if you’ve got a long way to get back to the source. The main thing is to make a start in the right direction.

“Clean is different for everyone,” she said. “For some, it’s getting rid of processed foods. For others, it’s going to the farm … Just move closer to the source, and one step closer can make a big difference.”

For example, if you’re eating instant oatmeal, she suggests trying steel-cut oats.

If you’re tired of the same old vegetables, try adding a new one every week, such as kale.

“If you did it every week for a year, that’s going to change your taste buds and your body,” she said. “At the end of the year, you’ll be a different person.”

Along with eating well, Walters said she controls her cholesterol levels by exercising and meditating.

“I’m just looking to make a clean start every day,” she said. “It’s food — it’s supposed to be enjoyed.”

For more information, go to eatclean.info.

The following recipes are from Terry Walters’ “Clean Start.” “The combination of bitter greens, soothing fennel and tart blood orange makes this a super-refreshing and beautiful addition to nearly any spring menu,” she writes. “For a completely different taste, substitute fresh mint leaves for the thyme.”

Watercress and Fennel Salad with Blood Orange and Thyme Vinaigrette

Makes 4 servings

2 blood oranges

2 bunches watercress, trimmed

1/2 fennel bulb, cored and thinly sliced

For vinaigrette:

1/4 cup lemon juice

1/4 teaspoon lemon zest

1/2 cup extra virgin olive oil

1 tablespoon minced shallot

4 teaspoons maple syrup

1 tablespoon fresh thyme leaves, chopped

— Sea salt and freshly ground black pepper

To prepare oranges, cut off both ends, and cut between the peel and the orange to remove peel and pith completely. Cut oranges crosswise into 1/4 -inch slices, place in bowl and set aside.

Arrange watercress on individual plates or on a large platter and top with sliced fennel.

In small bowl, whisk together lemon juice, lemon zest, olive oil, shallot, maple syrup and thyme leaves. Season to taste with salt and pepper. Remove oranges from bowl and arrange on salad. Pour remaining juice from oranges into the vinaigrette bowl. Whisk to combine, drizzle evenly over salad and serve.

“Miso is a great source of essential vitamin B12 and immune-strengthening zinc,” she writes. “Plus, it delivers big taste and significant health benefits.”

Asparagus with Miso Lemon Dressing and Marcona Almonds

Makes 4 servings

2 bunches asparagus

1/4 cup water

3 garlic cloves, minced

2 tablespoons extra virgin olive oil

2 tablespoons lemon juice

1 tablespoon sweet brown rice miso

1/4 cup Marcona almonds (or whole blanched almonds)

To prepare asparagus, cut off and discard woody ends and chop remaining stalks into bite-size pieces.

In large skillet or Dutch oven over high heat, bring water to boil. Add asparagus and cook 2 minutes or until bright green and just soft. Remove from heat, drain water and set aside.

In small skillet over medium-low heat, saute garlic in olive oil until soft (about 3 minutes). Remove from heat and stir in lemon juice and miso, mixing until miso is dissolved. Pour dressing over asparagus,

transfer to serving dish, top with almonds and serve.

“I adore macaroons and make them in huge batches — doubling and even tripling the recipe each time!” she writes. “These freeze well, so you can have a supply on hand for unexpected guests or just for sneaking a few when cravings arise.”

Chewy Chocolate Macaroons

Makes 18 macaroons

2 cups shredded unsweetened coconut

1/4 teaspoon sea salt

1/4 cup coconut milk

1/4 cup maple syrup

1 teaspoon almond extract

1 cup gluten- and dairy-free chocolate chips or 6 ounces dark chocolate

Preheat oven to 350 degrees.

In large mixing bowl, combine coconut with salt. In separate bowl, whisk together coconut milk, maple syrup and almond extract. Add to coconut and stir until evenly moist.

Melt chocolate chips or chocolate in double boiler or in small pot over very low heat and pour into coconut mixture. Fold until evenly combined. Line cookie sheet with parchment paper. Scoop batter by the tablespoonful and place on cookie sheet in equal-size mounds.

Gently press to make each mound of mixture stick together. Bake 18-20 minutes or until tops appear dry. Remove from heat and place on rack to cool.

You can reach Staff Writer Diane Peterson at 521-5287 or diane.peterson@pressdemocrat .com

To see more of The Press Democrat, or to subscribe to the newspaper, go to http://www.pressdemocrat.com.

Copyright © 2011, The Press Democrat, Santa Rosa, Calif.

Distributed by McClatchy-Tribune Information Services.

Terry Walters, author of the new cookbook "Clean Start," started to educate herself about nutrition and flavor after discovering she had high cholesterol at age 18.

"My dad had a heart attack, and I had my cholesterol checked," she said. "The doctor said to eat more brown rice and kale. I took one bite, and said, 'There's got to be a way to make this taste better.'"

Since that time, Walters has been on the forefront of the clean-eating lifestyle movement, counseling friends while teaching others how to make healthy food taste great.

Now, a busy mother of two young girls, Walters has written two cookbooks boasting recipes that are not only delicious, but easy to prepare.

"My kids call my cooking 'dump and stir,'" she said. "I don't measure anything."

Walters self-published her first cookbook, "Clean Food," in 2007. Her second book, "Clean Start" (Sterling Epicure) came out in November.

The idea behind eating clean is to try to incorporate food that's unprocessed and close to the source, Walters said. Her recipes call for whole grains, veggies, nuts and seeds but no dairy or animal products.

"They are super-nutritional foods that we need more of," she said. "We all need more minerals from vegetables and more protein alternatives."

Some of the healthy recipes in "Clean Start" include a Roasted Cauliflower and Garlic Soup, Asparagus with Miso Lemon Dressing and Maple Mustard and Tahini Glazed Carrots.

"Try to eat all the colors and all the tastes," she advised. "Whole grains are high in B vitamins and B-12 for healthy blood cells. Dark leafy greens help cleanse the liver."

Walters acknowledges that making big changes in your diet can be a difficult task, especially if you've got a long way to get back to the source. The main thing is to make a start in the right direction.

"Clean is different for everyone," she said. "For some, it's getting rid of processed foods. For others, it's going to the farm ... Just move closer to the source, and one step closer can make a big difference."

For example, if you're eating instant oatmeal, she suggests trying steel-cut oats.

If you're tired of the same old vegetables, try adding a new one every week, such as kale.

"If you did it every week for a year, that's going to change your taste buds and your body," she said. "At the end of the year, you'll be a different person."

Along with eating well, Walters said she controls her cholesterol levels by exercising and meditating.

"I'm just looking to make a clean start every day," she said. "It's food -- it's supposed to be enjoyed."

For more information, go to eatclean.info.

The following recipes are from Terry Walters' "Clean Start." "The combination of bitter greens, soothing fennel and tart blood orange makes this a super-refreshing and beautiful addition to nearly any spring menu," she writes. "For a completely different taste, substitute fresh mint leaves for the thyme."

Watercress and Fennel Salad with Blood Orange and Thyme Vinaigrette

Makes 4 servings

2 blood oranges

2 bunches watercress, trimmed

1/2 fennel bulb, cored and thinly sliced

For vinaigrette:

1/4 cup lemon juice

1/4 teaspoon lemon zest

1/2 cup extra virgin olive oil

1 tablespoon minced shallot

4 teaspoons maple syrup

1 tablespoon fresh thyme leaves, chopped

-- Sea salt and freshly ground black pepper

To prepare oranges, cut off both ends, and cut between the peel and the orange to remove peel and pith completely. Cut oranges crosswise into 1/4 -inch slices, place in bowl and set aside.

Arrange watercress on individual plates or on a large platter and top with sliced fennel.

In small bowl, whisk together lemon juice, lemon zest, olive oil, shallot, maple syrup and thyme leaves. Season to taste with salt and pepper. Remove oranges from bowl and arrange on salad. Pour remaining juice from oranges into the vinaigrette bowl. Whisk to combine, drizzle evenly over salad and serve.

"Miso is a great source of essential vitamin B12 and immune-strengthening zinc," she writes. "Plus, it delivers big taste and significant health benefits."

Asparagus with Miso Lemon Dressing and Marcona Almonds

Makes 4 servings

2 bunches asparagus

1/4 cup water

3 garlic cloves, minced

2 tablespoons extra virgin olive oil

2 tablespoons lemon juice

1 tablespoon sweet brown rice miso

1/4 cup Marcona almonds (or whole blanched almonds)

To prepare asparagus, cut off and discard woody ends and chop remaining stalks into bite-size pieces.

In large skillet or Dutch oven over high heat, bring water to boil. Add asparagus and cook 2 minutes or until bright green and just soft. Remove from heat, drain water and set aside.

In small skillet over medium-low heat, saute garlic in olive oil until soft (about 3 minutes). Remove from heat and stir in lemon juice and miso, mixing until miso is dissolved. Pour dressing over asparagus,

transfer to serving dish, top with almonds and serve.

"I adore macaroons and make them in huge batches -- doubling and even tripling the recipe each time!" she writes. "These freeze well, so you can have a supply on hand for unexpected guests or just for sneaking a few when cravings arise."

Chewy Chocolate Macaroons

Makes 18 macaroons

2 cups shredded unsweetened coconut

1/4 teaspoon sea salt

1/4 cup coconut milk

1/4 cup maple syrup

1 teaspoon almond extract

1 cup gluten- and dairy-free chocolate chips or 6 ounces dark chocolate

Preheat oven to 350 degrees.

In large mixing bowl, combine coconut with salt. In separate bowl, whisk together coconut milk, maple syrup and almond extract. Add to coconut and stir until evenly moist.

Melt chocolate chips or chocolate in double boiler or in small pot over very low heat and pour into coconut mixture. Fold until evenly combined. Line cookie sheet with parchment paper. Scoop batter by the tablespoonful and place on cookie sheet in equal-size mounds.

Gently press to make each mound of mixture stick together. Bake 18-20 minutes or until tops appear dry. Remove from heat and place on rack to cool.

You can reach Staff Writer Diane Peterson at 521-5287 or diane.peterson@pressdemocrat .com

To see more of The Press Democrat, or to subscribe to the newspaper, go to http://www.pressdemocrat.com.

Copyright © 2011, The Press Democrat, Santa Rosa, Calif.

Distributed by McClatchy-Tribune Information Services.

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More Restaurants Offer Gluten Free Options

Posted Feb 9, 2011

Andreas Andoniadis learned all about cooking gluten-free when he attended culinary school a decade ago.

But it wasn’t until recently that he started putting what he learned to action.

Andoniadis, the chef behind the family-owned Opa Greek Cuisine and Fun, 2990 N. Campbell Ave., estimates that he now gets about 30 to 40 requests a week to prepare a gluten-free meal.

Word has spread by word of mouth, he said.

Opa is also on the website of Southern Arizona Celiac Support, a group that is a resource for anyone who wants to lead a gluten-free lifestyle.

The website includes a dining guide, updated by members, that includes dozens of restaurants that range from completely gluten-free to eateries that have worked with diners to help keep gluten out of the meals they make.

It also urges users “to be cautious and rigorous when ordering” because owners, chefs and menus can change, and it reminds diners to never be afraid to ask questions about their food and how it’s prepared.

Opa, for example, received decidedly mixed reviews from one member in 2008 who described a good lunch when the owner was present, but a bad experience on a later visit when he wasn’t.

Opa opened in February of that year, and at that time, Andoniadis said, he was the only one who knew how to respond to gluten-free requests. He said he fully trained his staff the next year and has seen a steady increase in demand ever since.

Celiac disease is an autoimmune condition that leaves the body unable to digest gluten, a protein found in wheat, rye, barley and sometimes oats. It’s also commonly added to a surprisingly wide variety of foods, from soy sauces to soups. The only treatment is a gluten-free diet, which requires incredible vigilance and education.

Some studies show that nearly half of the population carries some fraction of gluten intolerance.

Consumer demand is leading an increasing number of Tucson area restaurants to offer gluten-free meals, said Cheryl Wilson, the group’s president.

National chains such as Pei Wei Asian Diner, the Outback Steakhouse and Chili’s Bar & Grill were among the first to offer gluten-free menus, she said. But awareness has noticeably spread in the last couple of years.

“Almost everywhere I go, they are at least familiar with what it means to be gluten-free,” she said.

Lotus Garden, on East Speedway, was one of the first to work with the group. Owner Darryl Wong doesn’t advertise a gluten-free menu but can make about 80 percent of the regular items gluten-free upon request, Wilson said. “He’s the only place I know of that does gluten-free eggrolls!”

Wilson said she regularly receives e-mails through the group’s website from restaurant owners asking questions.

The group is developing a program in which members will work with restaurant owners about the menu and training issues.

Going gluten-free is also becoming popular with those without celiac concerns.

“People are finding out it’s a healthier way to live,” said Jerry Heintze, who in the last year started the support group’s Gluten-Free Dining Group. It meets at a different restaurant on the fourth Friday of each month. The support group’s longtime GF Lunch Bunch meets on the second Friday of every month.

Heintze, who owns tucsonnightout.com, an online dining and entertainment guide, is always on the lookout for restaurants that either have a gluten-free menu or gluten-free items.

Once he decides on a Dining Group destination, he said, “We make arrangements way ahead. I talk to the owner and or chef to go over the menu and the way they prepare the food.”

Heintze’s Dining Group has drawn as few as a dozen and as many as 40. Opa was a highlight, he said.

“That was very good, everyone really enjoyed that,” he said. “You can walk in there and say ‘I need a gluten-free meal.’”

There are lots of choices, Andoniadis said, with fish and salmon being the most popular.

> Learn more

–Southern Arizona Celiac Support’s website is packed with information: www.southernarizona celiacsupport.org

–You can also learn in person at the group’s next meeting, a potluck, held at 11 a.m. Feb. 12 at The Journey church, 4700 N. Swan Road.

–Plan to check out the Gluten Free Food Faire, to be held 10 a.m. to 2 p.m. April 30 at the Holiday Inn, 4550 S. Palo Verde Road.

Coming up

Star dining reviews will now mention if gluten-free fare is offered.

Dining tips

–Opt for restaurants where chefs make items from scratch, using fresh ingredients. They’re typically more knowledgeable about diet and special needs. Consider calling the chef ahead of time.

–The kitchen or waitstaff should be able tell you if a menu items contain wheat or gluten, and may offer substitutions or modifications.

–Call or visit and leave written information on the gluten-free diet requirements with the chef.

–Go out of your way to thank the chef and staff for their efforts. A good tip also will show your appreciation.

Source: Southern Arizona Celiac Support

To see more of The Arizona Daily Star, or to subscribe to the newspaper, go to http://www.azstarnet.com.

Copyright © 2011, The Arizona Daily Star, Tucson

Andreas Andoniadis learned all about cooking gluten-free when he attended culinary school a decade ago.

But it wasn't until recently that he started putting what he learned to action.

Andoniadis, the chef behind the family-owned Opa Greek Cuisine and Fun, 2990 N. Campbell Ave., estimates that he now gets about 30 to 40 requests a week to prepare a gluten-free meal.

Word has spread by word of mouth, he said.

Opa is also on the website of Southern Arizona Celiac Support, a group that is a resource for anyone who wants to lead a gluten-free lifestyle.

The website includes a dining guide, updated by members, that includes dozens of restaurants that range from completely gluten-free to eateries that have worked with diners to help keep gluten out of the meals they make.

It also urges users "to be cautious and rigorous when ordering" because owners, chefs and menus can change, and it reminds diners to never be afraid to ask questions about their food and how it's prepared.

Opa, for example, received decidedly mixed reviews from one member in 2008 who described a good lunch when the owner was present, but a bad experience on a later visit when he wasn't.

Opa opened in February of that year, and at that time, Andoniadis said, he was the only one who knew how to respond to gluten-free requests. He said he fully trained his staff the next year and has seen a steady increase in demand ever since.

Celiac disease is an autoimmune condition that leaves the body unable to digest gluten, a protein found in wheat, rye, barley and sometimes oats. It's also commonly added to a surprisingly wide variety of foods, from soy sauces to soups. The only treatment is a gluten-free diet, which requires incredible vigilance and education.

Some studies show that nearly half of the population carries some fraction of gluten intolerance.

Consumer demand is leading an increasing number of Tucson area restaurants to offer gluten-free meals, said Cheryl Wilson, the group's president.

National chains such as Pei Wei Asian Diner, the Outback Steakhouse and Chili's Bar & Grill were among the first to offer gluten-free menus, she said. But awareness has noticeably spread in the last couple of years.

"Almost everywhere I go, they are at least familiar with what it means to be gluten-free," she said.

Lotus Garden, on East Speedway, was one of the first to work with the group. Owner Darryl Wong doesn't advertise a gluten-free menu but can make about 80 percent of the regular items gluten-free upon request, Wilson said. "He's the only place I know of that does gluten-free eggrolls!"

Wilson said she regularly receives e-mails through the group's website from restaurant owners asking questions.

The group is developing a program in which members will work with restaurant owners about the menu and training issues.

Going gluten-free is also becoming popular with those without celiac concerns.

"People are finding out it's a healthier way to live," said Jerry Heintze, who in the last year started the support group's Gluten-Free Dining Group. It meets at a different restaurant on the fourth Friday of each month. The support group's longtime GF Lunch Bunch meets on the second Friday of every month.

Heintze, who owns tucsonnightout.com, an online dining and entertainment guide, is always on the lookout for restaurants that either have a gluten-free menu or gluten-free items.

Once he decides on a Dining Group destination, he said, "We make arrangements way ahead. I talk to the owner and or chef to go over the menu and the way they prepare the food."

Heintze's Dining Group has drawn as few as a dozen and as many as 40. Opa was a highlight, he said.

"That was very good, everyone really enjoyed that," he said. "You can walk in there and say 'I need a gluten-free meal.'"

There are lots of choices, Andoniadis said, with fish and salmon being the most popular.

> Learn more

--Southern Arizona Celiac Support's website is packed with information: www.southernarizona celiacsupport.org

--You can also learn in person at the group's next meeting, a potluck, held at 11 a.m. Feb. 12 at The Journey church, 4700 N. Swan Road.

--Plan to check out the Gluten Free Food Faire, to be held 10 a.m. to 2 p.m. April 30 at the Holiday Inn, 4550 S. Palo Verde Road.

Coming up

Star dining reviews will now mention if gluten-free fare is offered.

Dining tips

--Opt for restaurants where chefs make items from scratch, using fresh ingredients. They're typically more knowledgeable about diet and special needs. Consider calling the chef ahead of time.

--The kitchen or waitstaff should be able tell you if a menu items contain wheat or gluten, and may offer substitutions or modifications.

--Call or visit and leave written information on the gluten-free diet requirements with the chef.

--Go out of your way to thank the chef and staff for their efforts. A good tip also will show your appreciation.

Source: Southern Arizona Celiac Support

To see more of The Arizona Daily Star, or to subscribe to the newspaper, go to http://www.azstarnet.com.

Copyright © 2011, The Arizona Daily Star, Tucson

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Gluten Free Cookies

Posted Jan 13, 2010

Mary Harris and Wilma Selzer Nachsin

To purchase a copy of the book:

My Kid’s Allergic to Everything Dessert Cookbook: More Than 80 Recipes for Sweets and Treats the Whole Family Will Enjoy

Gluten-Free Honey Cake Makes one 5 by 9 inch loaf cake

Ingredients:

2 cups Bob’s Red Mill Gluten Fee All Purpose Baking Flour

1 teaspoon guar gum

1/2 teaspoon baking soda

2 teaspoons baking powder, cereal-free

1 teaspoon ground cinnamon

1/3 cup honey

1/4 cup granulated sugar

3/4 cup water

1/3 cup coconut oil or any mild tasting oil

Directions: Preheat oven to 350F. Grease one 5 by 9 inch insulated baking loaf pan. In a medium bowl, mix 2 cups Bob’s Flour with guar gum, baking soda, baking powder, and cinnamon; set aside. In a microwave-safe dish, or in a small saucepan, mix honey, sugar and water; heat slowly until small bubbles appear. Pour this mixture into the bowl of an electric mixer; add the coconut oil and beat until well mixed. Slowly add the flour mixture, beating for 2 minutes until well mixed. Pour the batter into the loaf pan. Bake for 30 to 35 minutes, or until an inserted toothpick comes out clean and the top of the cake has begun to crack. For best flavor, cool completely after baking, wrap well, and refrigerate before serving.

Carob Drop Cookies Makes 3 dozen small cookies

Ingredients:

1/2 cup cane sugar or date sugar

3/4 cup softened corn-free dairy-free margarine

1/4 teaspoon Ener-G Egg Replacer Powder mixed with 1 teaspoon water

1 teaspoon alcohol-free vanilla or almond exgtract

1/4 cup carob powder or cocoa powder

1/2 cup amaranth flour

1/2 cup oat flour

1/2 cup barley flour

Directions: Preheat oven to 350F. Use ungreased cookie sheets. In a large bowl, beat the sugar, margarine, Ener-G Egg Replacer Powder mixture, and almond or vanilla extract until fluffy. Stir in the carob (or cocoa) powder and beat again until fluffy. Stir in the flours, 1/2 cup at a time, mixing well after each addition. Using two teaspoons, drop the dough onto the cookie sheets, leaving 1 inch between cookies. Bake for 6 to 8 minutes. Using a spatula, place the cookies immediately on a platter for cooling. Once cooled, they may be decorated as you like.

To see more of WGN-TV, go to http://www.wgntv.com/.

Copyright © 2011, WGN-TV, Chicago

Mary Harris and Wilma Selzer Nachsin

To purchase a copy of the book:

My Kid's Allergic to Everything Dessert Cookbook: More Than 80 Recipes for Sweets and Treats the Whole Family Will Enjoy

Gluten-Free Honey Cake Makes one 5 by 9 inch loaf cake

Ingredients:

2 cups Bob's Red Mill Gluten Fee All Purpose Baking Flour

1 teaspoon guar gum

1/2 teaspoon baking soda

2 teaspoons baking powder, cereal-free

1 teaspoon ground cinnamon

1/3 cup honey

1/4 cup granulated sugar

3/4 cup water

1/3 cup coconut oil or any mild tasting oil

Directions: Preheat oven to 350F. Grease one 5 by 9 inch insulated baking loaf pan. In a medium bowl, mix 2 cups Bob's Flour with guar gum, baking soda, baking powder, and cinnamon; set aside. In a microwave-safe dish, or in a small saucepan, mix honey, sugar and water; heat slowly until small bubbles appear. Pour this mixture into the bowl of an electric mixer; add the coconut oil and beat until well mixed. Slowly add the flour mixture, beating for 2 minutes until well mixed. Pour the batter into the loaf pan. Bake for 30 to 35 minutes, or until an inserted toothpick comes out clean and the top of the cake has begun to crack. For best flavor, cool completely after baking, wrap well, and refrigerate before serving.

Carob Drop Cookies Makes 3 dozen small cookies

Ingredients:

1/2 cup cane sugar or date sugar

3/4 cup softened corn-free dairy-free margarine

1/4 teaspoon Ener-G Egg Replacer Powder mixed with 1 teaspoon water

1 teaspoon alcohol-free vanilla or almond exgtract

1/4 cup carob powder or cocoa powder

1/2 cup amaranth flour

1/2 cup oat flour

1/2 cup barley flour

Directions: Preheat oven to 350F. Use ungreased cookie sheets. In a large bowl, beat the sugar, margarine, Ener-G Egg Replacer Powder mixture, and almond or vanilla extract until fluffy. Stir in the carob (or cocoa) powder and beat again until fluffy. Stir in the flours, 1/2 cup at a time, mixing well after each addition. Using two teaspoons, drop the dough onto the cookie sheets, leaving 1 inch between cookies. Bake for 6 to 8 minutes. Using a spatula, place the cookies immediately on a platter for cooling. Once cooled, they may be decorated as you like.

To see more of WGN-TV, go to http://www.wgntv.com/.

Copyright © 2011, WGN-TV, Chicago

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Gluten Free Living

Posted Jan 2, 2010

Sally Fulmer, marketing manager for the Common Market, knows a bit about healthy eating and organic food.

But working at Frederick’s co-op grocery store didn’t help the digestive issues that plagued her much of her life. That is, until a co-worker suggested she try eliminating certain foods from her diet. When she eliminated all things gluten, including wheat, she noticed a big difference.

Within two weeks, she was feeling better. “I had been misdiagnosed with different ailments,” she said. “It was never diagnosed as a food allergy. Every specialist told me it was something different.”

Fulmer has never been tested for celiac disease, an autoimmune disease that is triggered by gluten. She doesn’t want to get the test, because in order to do so, one must eat gluten.

Instead, she has what she determined to be a gluten intolerance. For years, she tried various treatments designed to settle her stomach and end heartburn. Nothing worked, however.

“I felt so bad all the time,” she said. ” I never felt good.” She attributed much of that to stress. In addition to her full-time job, she was working on her master’s of business administration degree. Fulmer hikes and mountain bikes, so her digestive troubles were not related to inactivity.

What sold her on the gluten-free diet was her reaction when she added a tiny bit of gluten back in. “When I do consume a little bit of gluten, I immediately get a stomachache,” she said.

Eating gluten free is more than eliminating wheat products. Barley and rye also contain gluten. Soy sauce and many commercial salad dressings contain gluten. Malt vinegar contains gluten. Even some brands of french fries and Pringles Potato Chips contain some wheat.

“I’m very careful about what I eat,” she said. “I have to ask a lot of questions.”

Fulmer said that has been made easier because of where she works. The Common Market carries a large number of gluten-free foods, and many staff members are aware of the challenges of a gluten-free diet. “I think working here has helped me transition more smoothly,” she said. Otherwise, she said, she may have felt overwhelmed.

Some local restaurants offer gluten-free items, including The Orchard, Acacia, Hinode and Bonefish Grill. Pizzeria Uno now has a gluten-free pizza. Pizza is one popular food that can be hard for the person on the gluten-free diet to substitute. Pizzeria Uno’s version does measure up, however. “It is good,” Fulmer said.

Fulmer said her friends have been flexible about eating at restaurants with gluten-free options when they go out.

The Common Market also offers frequent gluten-free cooking classes with Jerree Nicolee, a local personal chef who cooks gluten-free. “She has helped me as well,” Fulmer said.

Nicolee has the ability to make gluten-free foods taste anything but. Before Thanksgiving, she made sweet potato biscuits that tasted better than traditional biscuits, Fulmer said. Christmas cookies, cakes, macaroni and cheese, all taste as good or better than those from traditional recipes, she added.

“She does a lot of baking,” Fulmer said. Still, during this holiday season, Fulmer must watch what she eats when at parties. “Eating gluten-free has helped me maintain a healthy weight,” she said. “This time of year, I can’t eat cakes and pies. I can’t eat all those empty calories.”

Nicolee had already started a personal chef business before she discovered she was gluten intolerant. “It was a little daunting,” Nicolee said.

Nicolee loved Italian food, bread, beer, all foods with gluten. She adapted quickly, however. She experimented with various flours, rice flour, corn flour, potato flour and soy flour. “Rice flour tends to suck up all the moisture,” Nicolee said. It works best when combined with other flours.

Through experimentation, she has learned to bake cakes, cookies and muffins. For the holidays, she features gingerbread, toffee, brownies and raspberry cheesecake bars. “I even did a cookie swap,” she said. While she couldn’t eat all the cookies she received, she did get peanut butter balls dipped in chocolate.

Her business is not limited to those with gluten intolerance, but she has found more gluten-intolerant customers than she expected in the Frederick area. There are two local bakeries, Clustered Spires Pastry Shop in Frederick and A Better Choice Bakery in Brunswick, that feature gluten-free offerings.

Nicolee likes to make people forget they are eating gluten-free.

There are even a few gluten-free beers on the market that taste pretty good, Nicolee said. And wine is gluten-free.

Nicolee and Fulmer like to focus on what they can eat.

Fulmer said she has always been a food label reader, but that’s especially important when eating gluten-free. “It’s not always called wheat,” she said. Maltodextrin is another red flag, especially if it’s derived from wheat.

“It is a challenging diet to follow,” she said. “That was one of the things I struggled with. It’s almost like a loss. It’s a life-changing diet.”

Because she ate a healthy diet to begin with, the transition wasn’t as difficult for Fulmer as it might be for someone who eats a lot of processed foods. Fruits and vegetables, which do not have gluten, have always been a large part of her diet.

“One important thing to know is that white flour comes from wheat flour,” she said. People who have a gluten intolerance or allergy must learn to read and understand food labels.

Gluten can even be found in lipstick and lip balms, some medicines and vitamins where it’s used as a binding agent, and toothpaste.

> Dr. David Kossoff, a Frederick gastroenterologist, recommends people who think they have celiac disease get tested for it. Celiac disease is probably underdiagnosed. “We’re much more attuned to it today than we were 20 years ago,” he said. In the past, celiac disease was often misdiagnosed as irritable bowel syndrome or other gastrointestinal disorder.

People with celiac disease can be anemic or suffer from other dietary disorders. Celiac disease affects the small intestine, preventing many nutrients from being properly absorbed into the diet.

The gluten-free diet almost always contains rice and potatoes. Buckwheat, corn, grits and a high-protein grain called quinoa are often part of the gluten-free diet as well. Rice pasta allows people on gluten-free diets to enjoy many of the same Italian dishes that use wheat-based pasta.

Since Fulmer gave up gluten 18 months ago, she said her outlook on life has brightened considerably. She has a lot more energy and people tell her she seems much happier.

“I feel like a completely different person,” she said. “It affected me mentally and emotionally because I felt so bad all the time.”

To see more of the Frederick News-Post or to subscribe to the newspaper, go to http://www.fredericknewspost.com.

Copyright © 2010, The Frederick News-Post, Md.

Distributed by McClatchy-Tribune Information Services.

Sally Fulmer, marketing manager for the Common Market, knows a bit about healthy eating and organic food.

But working at Frederick's co-op grocery store didn't help the digestive issues that plagued her much of her life. That is, until a co-worker suggested she try eliminating certain foods from her diet. When she eliminated all things gluten, including wheat, she noticed a big difference.

Within two weeks, she was feeling better. "I had been misdiagnosed with different ailments," she said. "It was never diagnosed as a food allergy. Every specialist told me it was something different."

Fulmer has never been tested for celiac disease, an autoimmune disease that is triggered by gluten. She doesn't want to get the test, because in order to do so, one must eat gluten.

Instead, she has what she determined to be a gluten intolerance. For years, she tried various treatments designed to settle her stomach and end heartburn. Nothing worked, however.

"I felt so bad all the time," she said. " I never felt good." She attributed much of that to stress. In addition to her full-time job, she was working on her master's of business administration degree. Fulmer hikes and mountain bikes, so her digestive troubles were not related to inactivity.

What sold her on the gluten-free diet was her reaction when she added a tiny bit of gluten back in. "When I do consume a little bit of gluten, I immediately get a stomachache," she said.

Eating gluten free is more than eliminating wheat products. Barley and rye also contain gluten. Soy sauce and many commercial salad dressings contain gluten. Malt vinegar contains gluten. Even some brands of french fries and Pringles Potato Chips contain some wheat.

"I'm very careful about what I eat," she said. "I have to ask a lot of questions."

Fulmer said that has been made easier because of where she works. The Common Market carries a large number of gluten-free foods, and many staff members are aware of the challenges of a gluten-free diet. "I think working here has helped me transition more smoothly," she said. Otherwise, she said, she may have felt overwhelmed.

Some local restaurants offer gluten-free items, including The Orchard, Acacia, Hinode and Bonefish Grill. Pizzeria Uno now has a gluten-free pizza. Pizza is one popular food that can be hard for the person on the gluten-free diet to substitute. Pizzeria Uno's version does measure up, however. "It is good," Fulmer said.

Fulmer said her friends have been flexible about eating at restaurants with gluten-free options when they go out.

The Common Market also offers frequent gluten-free cooking classes with Jerree Nicolee, a local personal chef who cooks gluten-free. "She has helped me as well," Fulmer said.

Nicolee has the ability to make gluten-free foods taste anything but. Before Thanksgiving, she made sweet potato biscuits that tasted better than traditional biscuits, Fulmer said. Christmas cookies, cakes, macaroni and cheese, all taste as good or better than those from traditional recipes, she added.

"She does a lot of baking," Fulmer said. Still, during this holiday season, Fulmer must watch what she eats when at parties. "Eating gluten-free has helped me maintain a healthy weight," she said. "This time of year, I can't eat cakes and pies. I can't eat all those empty calories."

Nicolee had already started a personal chef business before she discovered she was gluten intolerant. "It was a little daunting," Nicolee said.

Nicolee loved Italian food, bread, beer, all foods with gluten. She adapted quickly, however. She experimented with various flours, rice flour, corn flour, potato flour and soy flour. "Rice flour tends to suck up all the moisture," Nicolee said. It works best when combined with other flours.

Through experimentation, she has learned to bake cakes, cookies and muffins. For the holidays, she features gingerbread, toffee, brownies and raspberry cheesecake bars. "I even did a cookie swap," she said. While she couldn't eat all the cookies she received, she did get peanut butter balls dipped in chocolate.

Her business is not limited to those with gluten intolerance, but she has found more gluten-intolerant customers than she expected in the Frederick area. There are two local bakeries, Clustered Spires Pastry Shop in Frederick and A Better Choice Bakery in Brunswick, that feature gluten-free offerings.

Nicolee likes to make people forget they are eating gluten-free.

There are even a few gluten-free beers on the market that taste pretty good, Nicolee said. And wine is gluten-free.

Nicolee and Fulmer like to focus on what they can eat.

Fulmer said she has always been a food label reader, but that's especially important when eating gluten-free. "It's not always called wheat," she said. Maltodextrin is another red flag, especially if it's derived from wheat.

"It is a challenging diet to follow," she said. "That was one of the things I struggled with. It's almost like a loss. It's a life-changing diet."

Because she ate a healthy diet to begin with, the transition wasn't as difficult for Fulmer as it might be for someone who eats a lot of processed foods. Fruits and vegetables, which do not have gluten, have always been a large part of her diet.

"One important thing to know is that white flour comes from wheat flour," she said. People who have a gluten intolerance or allergy must learn to read and understand food labels.

Gluten can even be found in lipstick and lip balms, some medicines and vitamins where it's used as a binding agent, and toothpaste.

> Dr. David Kossoff, a Frederick gastroenterologist, recommends people who think they have celiac disease get tested for it. Celiac disease is probably underdiagnosed. "We're much more attuned to it today than we were 20 years ago," he said. In the past, celiac disease was often misdiagnosed as irritable bowel syndrome or other gastrointestinal disorder.

People with celiac disease can be anemic or suffer from other dietary disorders. Celiac disease affects the small intestine, preventing many nutrients from being properly absorbed into the diet.

The gluten-free diet almost always contains rice and potatoes. Buckwheat, corn, grits and a high-protein grain called quinoa are often part of the gluten-free diet as well. Rice pasta allows people on gluten-free diets to enjoy many of the same Italian dishes that use wheat-based pasta.

Since Fulmer gave up gluten 18 months ago, she said her outlook on life has brightened considerably. She has a lot more energy and people tell her she seems much happier.

"I feel like a completely different person," she said. "It affected me mentally and emotionally because I felt so bad all the time."

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Copyright © 2010, The Frederick News-Post, Md.

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