Edward & Sons: Special Diets: CELIAC / GLUTEN-FREE
 
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All pictured products are Gluten Free, Casein Free, Egg Free and Milk Free


Celiac disease, also known as gluten intolerance, is a genetic disorder that affects between 1 in 150 1 to 1 in 250 2 Americans. Symptoms of celiac disease can range from the classic features, such as diarrhea, weight loss, and malnutrition, to latent symptoms such as isolated nutrient deficiencies but no gastrointestinal symptoms. The disease mostly affects people of European descent, and occurs more rarely in black and Asian populations3. Those affected suffer damage to the villi (shortening and villous flattening) in the lamina propria and crypt regions of their intestines when they eat specific food-grain antigens (toxic amino acid sequences) that are found in wheat, rye, and barley3. Oats have traditionally been considered to be toxic to celiacs, but recent scientific studies have shown otherwise. This research is ongoing, however, and it may be too early to draw solid conclusions.

it can be difficult to diagnose. The symptoms can range from "mild weakness, bone pain, and aphthous stomatitis to chronic diarrhea, abdominal bloating, and progressive weight loss.3" If a person with the disorder continues to eat gluten, studies have shown that he or she will increase their chances of gastrointestinal cancer by a factor of 40 to 100 times that of the normal population4. Further, "gastrointestinal carcinoma or lymphoma develops in up to 15 percent of patients with untreated or refractory celiac disease3."

It is therefore imperative that the disease is quickly and properly diagnosed so it can be treated as soon as possible. Based on the figures mentioned above, we can extrapolate the total possible number of people in the United States with this disorder from the total population (283,425,6075). If we do so we end up with somewhere between 1,889,504 and 1,113,702 people with celiac disease! An average of these two numbers leaves us with approximately 1,464,239 people in the United States who have the disease in its classic or latent form. It is very important that doctors understand just how high these numbers are, and to test their patients when there is any possibility that they might have the disease. Testing is fairly simple and involves either screening the patient's blood for antigliadin (AGA) and endomysium antibodies (EmA), or doing a biopsy on the areas of the intestines mentioned above, which is the still the best way to diagnose the disease.

The only acceptable treatment for celiac disease is strict adherence to a 100% gluten-free diet for life. An adherence to a gluten-free diet can prevent almost all complications caused by the disease3. A gluten-free diet means avoiding all products that contain wheat, rye and barley, or any of their derivatives. This is a difficult task as there are many hidden sources of gluten found in the ingredients of many processed foods.

  1. University of Maryland Center for Celiac Research , Multi-Center Serological Screening Study Results, Alessio Fasano, M.D., Karoly Horvath, M.D./Ph.D., May 20, 2000,
  2. Gastroenterology, April, 1996 "First Epidemiological Study of Gluten Intolerance in the United States." By Karoly Horvath, M.D., Ph.D., et. al..
  3. New England Journal of Medicine, May 2, 1996 -- Volume 334, Number 18, "The Many Faces of Celiac Disease" by Charles H. Halsted, M.D.
  4. Goggins, et. al. "Celiac Disease and Other Nutrient Related Injuries to the Gastrointestinal Tract" The American Journal of Gastroenterology. Vol. 89, No. 8, pages S2 - S13, 1994.
  5. United States Census Bureau, January 7, 2001.

Information above has been compiled from a variety of sources, including medical journals, books, doctors, scientists and the Celiac Listserv News Group. This information was taken from www.celiac.com which has a lot of information on the subject.

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