Article: Gluten Cross Reactivity

Hello Earthlings,

Today, while reading through an issue of Gluten Free Living, I came upon a brief article on something called Gluten-Cross reactivity. Intrigued, I did a little digging and found a more in-depth explanation of what “cross-reactivity” means. Here’s the article I found:

http://www.thepaleomom.com/2013/03/gluten-cross-reactivity-update-how-your-body-can-still-think-youre-eating-gluten-even-after-giving-it-up.html

Written by a Ph.D.-turned-gluten-free advocate, the article gives an in-depth look at the science behind gluten cross-reactivity. To be honest, at 1 A.M., the thoroughness of the article overwhelmed me, so I thought I’d try to simplify it for my readers. In short, if you have an auto-immune variety of gluten-intolerance (i.e. Celiac’s Disease), your body develops identify-and-attack cells called antibodies that are always on patrol for gluten. Once an antibody stumbles upon a gluten-protein, it sounds the alarm for all antibodies to converge on the spot and eliminate the invader. In people with Celiac’s, the attack-of-the-antibody brigade becomes over-zealous, and damage to the intestines results.

Why does this matter? Well, if you’re sick enough, your antibodies’ structure could become generalized enough to attack not just gluten-proteins, but any proteins similar to gluten as well. This is called Cross Reactivity, or the immune response that occurs when anti-bodies developed to attack gluten-proteins become generalized enough that they begin attacking proteins found in other foods as well. So, it’s possible that you could entirely eliminate the gluten-protein from your diet and still continue to have glutenated symptoms when you eat foods with similarly structured proteins.

My reaction to this was “Oh my goodness, seriously? I mean really? Come on world, cut me some slack.” As you might have guessed, if you suspect you’re experiencing cross-reactive symptoms, you’ll need to cut all of those foods out of your diet as well. Here’s a list of cross reactive foods (this list is taken from the link above):

Oats (2 different cultivars)
Buckwheat
Sorghum
Millet
Amaranth
Quinoa
Corn
Rice
Potato
Hemp
Teff
Soy
Milk (Alpha-Casein, Beta-Casein, Casomorphin, Butyrophilin, Whey Protein and whole milk)
Chocolate
Yeast
Coffee (instant, latte, espresso, imported)
Sesame
Tapioca (a.k.a. cassava or yucca)
Eggs

There is some good news! Most of these only need to be eliminated temporarily. However, the bad news is that corn, potato, milk, yeast, and rice are the ones that need to be eliminated permanently. Over time, your antibodies become less aggressive, and you can likely re-introduce all but the five aforementioned ingredients. Some more good news? Only 20% of Celiac’s suffer from cross-reactivity according to a small number of studies, so this likely doesn’t affect the vast majority of Celiacs.

I can’t say I exactly understand the specifics behind how this applies to Non-Celiacs-Gluten-Intolerant sufferers. I haven’t been diagnosed either way yet (have to wait 3 months to see my gastroenterologist..). I do know that I react to corn, potato, and milk. Milk provokes gluten-like symptoms, while corn and potato bring on hives along with some gastro-intestinal upset. Gluten-Intolerants are classified separately because it is believed that they do not experience an auto-immune reaction (as Celiacs do). However, their condition is also not considered a mere allergy. It’s sort of a confusing distinction for me (perhaps I’ll do some research to better define how these labels are distinguished from one another).

I hope this article is helpful for those who still experience symptoms despite going gluten-free. Good Luck!

Recipe: Jerusalem Turkey Burgers

IMG_8871

When I started learning to cook for my new gluten-free lifestyle, Jerusalem by Yotam Ottolenghi and Sami Tamimi was one of the first cookbooks to catch my eye. The book itself is beautifully crafted, rife with colorful photographs, and filled with unique stories of life in Jerusalem. Simply as a book, it sheds light on a culture always on the periphery of the American Mind.

When you start cooking the recipes in the book, however, the streets of the city come alive in your kitchen as the spices z’atar, sumac, and cumin charge the air with their unique aromas. Written for the dilettante chef interested in Israeli food, the recipes utilize authentic ingredients but remain simple enough for even the most novice of home cooks. Today, I made the Turkey Burger Recipe found on page 200. Without the sour cream based sauce, the turkey burger patties are completely gluten-free and paleo! With the sauce, they’re just all the more delicious. They only took me about 30 minutes to make from scratch (although they did create quite a few dishes to clean). Each burger’s varied flavors kept every bite interesting, and it took willpower for me to set just 3 of the 12 total aside for tomorrow’s work-day lunch!

Turkey & Zucchini Burgers with green onion & cumin, from Jerusalem

Ingredients:

For the patties:
1lb ground turkey
1 large zucchini, coarsely grated
3 green onions, thinly sliced
1 large egg
2 tbsp chopped mint
2 tbsp chopped cilantro
2 cloves garlic, crushed
1 tsp ground cumin
1 tsp salt
1/2 tsp ground black pepper
1/2 tsp cayenne pepper (ommitted when I made them. Cayenne is a nightshade).
olive oil for pan searing

For the sauce (optional. Do not include if you’d like to eat Paleo):
1/2 cup sour cream
2/3 cup greek yogurt
1 tsp grated lemon zest
1 tbsp freshly squeezed lemon juice
1 garlic clove, crushed
1.5 tbsp olive oil
1 tbsp sumac
1/2 tsp salt
1/4 tsp black pepper

Instructions:
First, make the sour cream sauce by placing all the ingredients in a small bowl. Stir well and set aside or chill until needed.

Preheat the oven to 425 degrees. In a large bowl, combine all the ingredients for the meatballs except the oil. Mix with your hands and then shape into about 18 burgers (I made 12).

Pour the oil into a large frying pan to form a layer about 1/8 inch thick. Heat the oil over medium heat until hot, and sear the meatballs in batches on all sides. Cook for about 4 minutes on each side until golden brown.

Transfer the seared meatballs to a baking sheet lined with wax paper (I just sprayed it with olive oil. Ran out of wax paper last week!). Place in the over for 5-7 minutes. Serve warm, with sauce if desired.

IMG_8868

IMG_8859

Eating Out: First Watch

29The biggest challenge posed to gluten-free eaters is finding trustworthy restaurants to eat and be merry in. When father’s day rolled around last Sunday, our annual tradition of Sunday Father’s Day Breakfast was in jeopardy when none of our original haunts offered gluten-free options. After searching high and low, I stumbled upon an article on local restaurants with gluten-free options that mentioned a breakfast/brunch/lunch chain called “First Watch”. The chain had a dedicated gluten-free menu, so we decided to give it a try.

I made sure to mention to our server that I was gluten-free for health reasons, emphasizing the severity of my symptoms should I become glutenated. She very pleasant about the whole thing, and seemed more than happy to relay this message to the kitchen. I ordered a gluten-free Veg’d Out Omelet sans Tomatoes with a side of Fresh Fruit (subbed for an English Muffin and Pancakes) while my dad gorged himself on what looked to be delicious (and gigantic!) pancakes with berry-syrup topping. My plate arrived without too much delay (considering the holiday), and on it rested a delightful looking three-egg omelet filled with cheese, broccoli, onions, and spinach, all seasoned with garlic, salt and pepper. For $7.50, this was about the best gluten-free deal I’d found yet! That was, unless it made me sick…

The flavor was border-line amazing. That omelet was the best I can remember having in recent memory. It was perfectly seasoned, had just the right amount of cheese, and was appropriately portioned. I remember telling my Dad, “I kind of want to order a second one. Not because I’m hungry, but because it was delicious!” There was a slight mixup with the check at the end, but I honestly didn’t really notice. I was just having a delightful timing, eating out in public with my Dad on Father’s Day 🙂

Best of all, I did not get sick! Not even so much as a hiccup. So, First Watch is 1 for 1 at this point. Their gluten-free selections are pretty limited to omelets (there are no gluten-free pancakes or muffins), but that’s more than enough for me.

HIGHLY RECOMMENDED! TAKE YOUR FRIENDS!

Recipe: Gluten-Free Breakfast Sandwiches

1010518_10151415904311396_809023328_nI don’t know about you, but I am NOT a morning person. I never was, and I highly doubt I ever will be (despite assurances from my parents that all people become morning people once they get paying jobs). So I rarely rise early enough to adequately style my hair and spare the general public its natural gruesomeness, much less to prepare a healthy breakfast! These days, rather than simply adjusting my sleeping schedule and adopting a more adult-like approach to my mornings, I strive to create easy, on-the-go, gluten-free options for my mornings.

Last week, I made blueberry muffins for every day of the work week (Mentioned in my review of Namaste Mixes). While these were certainly delicious and put me in a positive mood, I did feel slightly guilty eating what was more-or-less cake for breakfast every day. So, I decided to brainstorm some healthier breakfast ideas. As I generally do, I tried to remember what my eating habits were like before my recent lifestyle changes. Before I got sick, I used to buy those Jimmy Dean’s Breakfast Sandwiches (the Lite ones, of course), and heat them in the microwave while brushing my teeth. As soon as the microwave would ‘ding!’, I’d be scrambling out the door and rushing to the bus (likely having forgotten some book or paper). I remembered that all you needed to do was wrap these pre-packaged sandwiches in a paper towel, heat them for two minutes, and voila! Breakfast on the go! So, I decided to attempt to emulate these sandwiches with gluten-free biscuits. I hope this recipe proves helpful to you, friend 🙂 It was a delicious way to start the morning today!

Gluten-Free (and Nightshade/Corn/Vinegar/Canola Oil Free) Egg and Cheese Breakfast Sandwiches! (Makes 3 sandwiches)

Ingredients:
1.5 cups Gluten-Free Biscuit Mix (I use Namaste because of my additional allergies, but I know Pamela’s Gluten-free mixes has a biscuit mix and is more readily available. Any gluten-free pie-crust mix or high-protein flour mix recipe would be fine as well. Check out the Gluten-Free 101 section for more info on high-protein mixes).
3 tbsp. Butter
1 tsp. Baking Soda
1/3 cup water

3 Egg
3 Slices of Cheese
Any extra ingredients you might like to include with your egg patty
Salt and Pepper

Directions: Bake the Biscuits
I followed the directions on the Namaste Mixes bag, which I will reproduce for you if you do not have directions on the mix you’re using:
Preheat oven to 425 degrees. Combine Mix and Baking soda, and add a pinch of salt and any other herbs you’d like to include in your biscuits. Slice 3tsp of butter into small chunks, and then cut into flour mix. I generally use my hands and just squeeze the butter into the mix (it’s easiest). Combine water and egg in a separate bowl, whisk until frothed. Pour wet ingredients into flour mix, and stir until just combined (you don’t want to combine the ingredients too well). Grease a baking sheet, and put some flour on your fingers to more easily manipulate the dough. Spoon dough onto greased sheet and form into discs 2-3 inches in diameter (I get about 6 discs out of a recipe). Bake for 8-10 minutes, until biscuits have browned. Note: These biscuits do not rise much, so while the recipe can make 6 biscuits, you’ll likely need to use 2 per sandwich.

For egg/cheese patty: You’ll need some type of mold to shape your egg into a circle. I have a silicone circle created for the purpose of molding eggs into a circle. This clever site suggests an onion ring!

Silicone Egg Ring:

Or This clever site suggests an onion ring!
Onion Ring:

The Best Onion Ring Sunny-Side Up Eggs Recipes We Can Find

I made my egg patty from scrambled eggs, because I intended to freeze these sandwiches for easy reheating. Scramble one egg per sandwich (3 eggs total for this recipe), and include salt and pepper in scrambled egg. Pour egg into egg mold in a pan set to medium-low heat, and cover the pan (otherwise the top will not cook). Once the top is cooked, sprinkle some shredded cheese, cook for another minute. Use a spoon to push the egg patty onto one biscuit. Cover with another biscuit, and enjoy!

To Freeze and Reheat: Wrap the finished sandwich in plastic wrap until sealed. Put this wrapped sandwich in a Ziploc bag, and store in the freezer until ready (sandwiches should hold for a week). To reheat, remove the sandwich from the plastic wrap, wrap in a paper towel, and heat in the microwave for two minutes. Then, run out of your house because you’re already 15 minutes late for work, and enjoy!

Brief Update

Hello Friends,

Well, so far, I’ve pinpointed the following foods as hive-provoking:
Potatoes
Corn
Gluten
Vinegar
Canola Oil (Rapeseed Oil)

I also have pretty significant reactions to dairy (had some ice cream made with non-organic ingredients [I usually make mine organic] and woke up feeling hungover and needing to stay near a toilet all day!). This is actually pretty common for newly-diagnosed celiacs and NCGI sufferers. As most of us know, gluten damages tiny appendages called villi that cover the lining of your intestines to afford more surface area. In healthy people, lactose is digested at the very tip of your villi. If your villi have been obliterated by pernicious gluten, digesting lactose could prove problematic!

However, I’ve been able to add brown rice back into my diet, which opens up a wide range of baking possibilities! I also keep a batch of duffles around (formerly known as Date Balls..bleh), so my sweet tooth is more than satisfied. I have, however, burned out a bit on creating new and exciting recipes. I’ve been baking quite a bit from mixes, which produce good results but don’t make for fascinating blog posts. Just imagine it:

Dear Readers,

I made this with this mix! This is what I did.
1) I bought the mix.
2) I read the instructions.
3) The product was good.

Thanks for reading.

As you can see, not exactly groundbreaking content! Having taken 10 days off or so from cooking anything that requires a lot of forethought, I’m starting to feel the urge to whip out a new cookbook (I got the book Jerusalem in the mail, and it looks amazing!). So, you should be hearing from me in the next few days.

Best Wishes,

Kim

A Guide to Gluten-Free Friends

There are a few things that make me really uncomfortable. I don’t like when my arms are restrained, I cower when I see two people fighting, and I cringe when people make my food restrictions the center of their attention. The uncomfortable “Oh I’m so sorry” and the bashful “well we can eat somewhere else” that my friends invariably sigh when discovering a chosen meal or restaurant is not conducive to my food restrictions provokes that special kind of social anxiety a killjoy might feel when asking to leave a party early. While I understand that these efforts are made out of compassion (and I’m grateful for the sentiment), I think there is a better way for our glutenated friends to be considerate and support us in our food struggles.

I’m writing this guide to help non-food restricted friends handle the eating needs of their gluten-free companions. This post was inspired by the book How to be a Friend to a Friend Who’s Sick by Letty Pogrebin, in which this storied journalist recounts her experiences with breast cancer and the shortcomings and triumphs of those who tried to support her. She dedicates an entire chapter to the bizarre things people say when learning of your ailment, which sharply reminds me of the many times when, upon learning of my new gluten-restrictions, my friends would say some variation of “That sucks. I love bread.” If you were wondering, reminding me of the crumbly, aromatic wonder that is wheat-based bread is not particularly helpful. So here are some tips on how to react to your friends’ and colleagues’ food restrictions. Hopefully, they can provide some insight on our thoughts and fears when it comes to food.

Tip 1: Don’t Make Us the Center of Attention. Think about it: If your friend is newly diagnosed with food allergies or gluten-intolerance (or both), they’ve probably gone through the following experiences recently: First, your friend has experienced the onset of extremely uncomfortable, painful, persistent, and unexplained symptoms. After being tossed from doctor to doctor, your friend has somehow managed to figure out that gluten is a likely culprit. She has then engaged in a radical lifestyle change, in which she has eliminated nearly every food that she’d been accustomed to eating (Pasta, sandwiches, burgers, fried things, cookies, muffins, pancakes…and so on). It’s likely that she’s gone even further than that (as I did), dropping down to an extremely restricted diet to facilitate the healing process. She’ll have become an involuntary recluse due to her ongoing health woes. And when she finally emerges from her solitary apartment, 10lbs lighter but free of symptoms, she’ll want to get back to normal. So if she was the type of person who wouldn’t give you a dining preference unless you twisted her arm before, she certainly will not feel comfortable with being responsible to dictate to her social group which restaurants are safe for her to eat and which will provoke the symptoms that she’s so recently escaped.

My advice is to respect your friend’s approach to the lifestyle. If he/she is comfortable insisting upon which eateries and social events best suit his/her needs, then that’s great. This person has acclimated well and will probably be just fine. If your friend is more self-effacing and inclined to grin-and-bear it when caught in a social setting that’s not conducive to her lifestyle restrictions, don’t insist upon obsequiously apologizing for the situation. We recognize that we would never have thought to accommodate food allergies before getting sick, and we don’t expect anyone else to! When this lifestyle change happens, we learn to manage being hungry, and we learn to always have emergency provisions at hand. So don’t worry, we’ll be just fine. Making a big fuss about it generally just makes us uncomfortable.

Tip 2: Recognize that Dining Out for Gluten-Free Poses a Significant Health Risk. Another important thing to realize is that eating food that we haven’t cooked with our own hands is anxiety producing. Generally, gluten-free eaters slowly accumulate a small list of trusted restaurants over time, only choosing to risk gluten exposure on weekends or days when they can afford to be sick in a worst case scenario. Unless dining at one of our trusted location (and even sometimes when we ARE at one of those sites), we’re fearful and distrustful of the kitchen staff. This might not be fair to the staff, but (frankly) they’re not the ones who pay for their mistakes!

Recognizing this should help you understand a few things about your gluten-free friends. If you’re frustrated that they keep turning down your invitations for social events, this is likely the reason why. Celiacs and other Gluten-Intolerant people frequently become voluntary recluses at first. They fear placing their peers in uncomfortable situations with their inability to eat, and simply choose to forgo social settings in which awkward food-related situations might arise. Think about it…what percentage of social gatherings involve food or drink?

It might be kind of you to let them know that you completely understand their fears and anxieties, and that you would be happy to research restaurants that are conducive to their restrictions. Alternatively, if you find yourself out with a gluten-free friend who simply chooses to eat or drink nothing, don’t feel awkward or guilty for putting him in the situation to watch other people eat. They’re not thinking anything negative towards you or anyone in the group, they simply aren’t comfortable risking it. Perhaps they have an exam or important meeting the next day?

Tip 3: If you want to go above and beyond, educate yourself on what eateries are safe for gluten-free eaters. There are a few valuable resources that gluten-intolerant people and their family use to find social venues that facilitate celiac-safe eating. I’m sure your gluten-free friends would appreciate you efforts to learn a few of these places so they don’t feel obligated to consistently offer restaurant recommendations. Here are a few resources:

The Gluten Intolerant Group Restaurant Awareness Guide: The Gluten Intolerant Group offers a certification for restaurants who go above and beyond to provide safe eating options for gluten-free patrons. Just type your town’s name into the search bar, and all certified restaurants in your area should pop up. Common ones include Outback Steak House and Bonefish Grill (Outback is a particular staple of mine!).

About.com Gluten-Free Reader’s Choice: About.com’s celiac site is full of helpful resources and articles for those who are learning about the gluten-free lifestyle. This is a list of restaurants voted upon by readers who’ve had good experiences at variety of chain locations. Chipotle, Outback, and P.F. Changs are a few that make the cut.

About.com Gluten-Free Registry: This is a user-managed restaurant registry. Users can enter any restaurant that maintains a gluten-free menu. Locations are often rated by those who’ve had good experiences there. This is probably the best resource for amassing a long list of potentially safe places to list, although the ratings and practices of each eaterie are not verifiable.

Tip 4: If you insist on throwing dinner parties or baking birthday cakes for gluten-free friends, you must educate yourself on cross contamination. We have good reason to be so afraid of eating: gluten is everywhere. The protein is naturally found in wheat, rye, and barely, but it sticks relentlessly to surfaces that can easily cross-contaminate your attempts to cook gluten-free. Here are must-know facts about cooking for your friend.

I. Wheat, Barely, and Rye contain gluten. You must not include any of these ingredients in anything you cook for gluten-free friends.

II. Gluten is sticky (like Glue-ten!). It sticks to the inside of toasters, cooking surfaces, sponges, wooden cutting boards and utensils. All of these things must be replaced (and cooking surfaces cleaned well) if you decided to cook or bake for your gluten-free friends. Non-stick Cookware and Bakeware pose a particular challenge if the non-stick coating is scratched, for gluten can seep into the cracks and the pan becomes impossible to clean well enough to ensure absolute safety. To cook or bake for your gluten-free friends, you will either need stainless steel or ceramic cookware (which can be effectively cleaned), or you will need to purchase separate and dedicated non-stick gluten-free cook/bakeware.

III. You need to be aware of your friend’s multiple food allergies. We often come with a veritable collection of food restrictions! (mine are potatoes, corn, gluten, and vinegar so far).

IV. You should probably use a gluten-free baking mix for cakes, breaks, cookies, or anything else. Gluten-free baking is its own quirky science, and you will easily be daunted by the prospects of making something from scratch. Use mixes like Namaste Mixes or Chebe Mixes (found online, at Whole Foods, and at Fresh Market) to eliminate the hassle and ensure a good product.

V. When cooking meals, stick to whole foods. Many food additives are hard to identify as unsafe (Maltose, Maltodextrose, Dextrin, etc), so you’re safest sticking to the meat, fish, poultry, and produce sections of your grocery store when accommodating a gluten-free friend.

I hope this guide helps you to understand the perspective of your gluten-free friends. I’m sure they very much appreciate you reading it! Always remember that, above anything, we’re just afraid of getting sick. If we rudely decline your invitations or your thoughtful baked goods, it’s really not that we don’t appreciate your gestures. It’s because we’re afraid of them 😉 On behalf of your friends, thanks so much for reading!

Product Review: Namaste Gluten Free Mixes

As my list of allergens becomes longer and longer, visits to the grocery store turn into desperate scavenger hunts for convenient products free of vinegar, nightshades, corn, and gluten. So when  I do happen upon a product (any product) that meets these four requirements, I generally snatch it up regardless of whether or not I actually need it at the moment. That’s how I came to have two bags of Nameste Gluten Free Baking Mixes, one Muffin Mix and one Biscuit/Pie Crust mix, sitting in my pantry. They sat there, neglected, until I had the opportunity to test my reactions to brown rice. Little did I know that hiding within those plain brown bags were the tools to make delicious gluten free baked goods without the pain of measuring flours!

I have made an apple pie crust, blueberry muffins, and chocolate chip muffins with these mixes, and all have turned out fabulously. I’d have a difficult time distinguishing that pie crust from a wheat-based pie crust if blindfolded (aside from the fact that it was ever so slightly crumbly I suppose). The muffins held together very nicely, even when the bread structure was impeded by my comically large frozen blueberries. What I really love about these ready-made mixes is their inclusion of xanthan gum over guar gum. Guar gum, like xanthan gum, is helpful in holding together gluten-free baked goods, and it’s about 1/5 of the price of xanthan gum. Accordingly, many companies opt for Guar Gum over Xanthan Gum because it dramatically cuts down on production costs. However, Guar gum is derived from legumes, making it difficult to digest and giving it laxative properties. Xanthan Gum, on the other hand, is a milk-based derivative of whey powder. I find Xanthan Gum is much easier for me to handle.

To be honest, I feel like Namaste Mixes is reading my blog and making these products exclusively for me. Every single mix is produced in a facility free of potatoes, corn, vinegar, gluten, casein, and a handful of other Not Top 8 common allergens. And to top it all off, all three of my attempts at baking with these mixes has proven to be excellent! (I follow the provided recipes on the packaging. I have not tested this theory with non-Namaste recipes). I can’t recommend them enough to gluten-free eaters, especially those with multiple food allergies, and people who care for or entertain them (never worry again about inviting gluten-free eaters over for brunch!).

PS: I buy these at Whole Foods, and I have found them at Fresh Market. Most health foods stores should have them :]

Price: Depends on which mix you get, but they seem to come in at $4 for a bag that will make one batch of muffins. Much less expensive than Whole Food’s frozen gluten-free muffins ($9), which are full of corn syrup and potato starch!

Taste: 5/5 Delicious!

Texture: 5/5. I honestly find the ability of these mixtures to replicate an above-par texture without relying on a ton of allergen-additives amazing.