In 11 years as the Gluten Free RN, Nadine has done an incredible amount of research on celiac disease and delivered more than 2,000 lectures. No question she is frustrated to see misinformation continue to make its way onto celiac support sites and Facebook groups. How does the average person sift through all the material that’s out there—material that may be influenced by corporations and pharmaceutical companies with a vested interest in the way celiac disease is perceived—to get to the most accurate information?
Just in time for the holidays, the Gluten Free RN is sharing her wish list around the direction of celiac disease and non-celiac gluten sensitivity in the next ten years. She discusses the need for a global mass screening, explaining how celiac disease meets the World Health Organization’s criteria. She covers the reasons why pharmaceutical companies have no place in celiac research as well as the bad publicity the gluten-free community receives in the media.
Nadine speaks to the grievous lack of education about celiac disease among healthcare providers and shares her hope for a cultural shift to support people on a gluten-free diet, explaining the role nurses can play in ending the needless suffering. She talks about why a gluten-free diet is NOT dangerous and how to make the best food choices based on your lifestyle and current situation. Listen in and get empowered to accept responsibility for your health!
The need for a global mass screening
Why pharmaceutical companies should not be involved in celiac research
The misinformation about celiac disease in the media
The need to educate healthcare providers around celiac disease
Nadine’s call for support of people on a gluten-free diet
The unique position of nurses to use their influence
Why you must accept responsibility for your own health
How to avoid processed foods
Why a gluten-free diet is NOT dangerous
Freakonomics Radio: The Demonization of Gluten
2004 NIH Consensus Statement on Celiac Disease
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
You know that vitamin C is good for you. It is necessary for the growth, development and repair of all your body tissues, and it plays a role in the healthy functioning of your immune system. But evidence shows that the RDA—90mg for men and 75mg for women—may be woefully inadequate. And if you are suffering from certain types of cancer or sepsis, vitamin C may be the key to recovery.
The Gluten Free RN is joined by vitamin C researcher Alex Michaels from the Linus Pauling Institute at Oregon State University to discuss the latest developments in vitamin C, explaining how intravenous vitamin C works to kill certain cancer cells and reverses the organ failure associated with sepsis. He also covers the difference between vitamin C inadequacy and vitamin C deficiency and the debilitating symptoms of scurvy.
Nadine and Alex speak to the best food sources of vitamin C and how it impacts other vitamins and minerals like iron and copper. Alex offers his advice around how much vitamin C you should get on a daily basis and explains why synthetic and natural vitamin C are identical. Learn about the LPI mission to determine the optimal ranges of micronutrients and phytochemicals you should be getting on a daily basis and how you can benefit from their research!
Micronutrients vs. macronutrients
The difference between intravenous and oral vitamin C
Vitamin C’s resurgence as a cancer therapy
Vitamin C’s role in the treatment of sepsis
The availability of intravenous vitamin C
The fundamentals of scurvy
The best food sources of vitamin C
Factors that are known to denigrate vitamin C
How vitamin C impacts other vitamins and minerals
Alex’s take on the appropriate daily intake of vitamin C
Micronutrient Information Center
Biochemical, Physiological, and Molecular Aspects of Human Nutrition by Martha H. Stipanuk PhD and Marie A. Caudill
Cancer and Vitamin C by Ewan Cameron and Linus Pauling
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
How do you successfully transition to and maintain a 100% gluten-free diet for the rest of your life? The prospect of eliminating wheat, barley and rye from your diet may seem daunting, but it is possible to go gluten free for good—for the good of your family and your health!
The Gluten Free RN explains the addictive nature of gluten and what to expect during the detox process as you begin your gluten-free journey. She offers valuable advice around how to choose the best quality food products while avoiding potential sources of cross-contamination.
Nadine discusses the need for supplements that will help you heal faster and more completely, speaking to the vitamin levels you should monitor along the way. Listen and learn her best tips for navigating the grocery store and maintaining a positive attitude throughout the process of going gluten-free—for GOOD!
The addictive nature of gluten
What to expect during the detox process
Why you shouldn’t cheat on a gluten-free diet
Potential sources of cross-contamination
Nadine’s rules around choosing quality food products
Why there is no such thing as cheap food
The necessity of additional vitamins, supplements
Nadine’s advice around navigating the grocery store
Nadine’s best tips for going gluten-free
Resources:
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
‘When in doubt, go without.’
The problem with processed food is that you simply can’t be sure that it is gluten-free. The risk of cross-contamination is high, and no one at the big corporations is accountable for your health. Not to mention the fact that processed foods have been irradiated to make them shelf-stable, effectively killing any probiotics. Even certified gluten-free products are often low in nutrients, high in calories—and expensive!
So what should you eat? The Gluten Free RN is on the case with her best suggestions around finding organic, whole foods that contain the healthy fat you need to heal. She explains her revised, gluten-free version of the food pyramid and discusses how these nutrient-dense foods support the healing process.
Nadine provides a list of the best nutrient-dense foods, offering the benefits of each. She also speaks to the most appropriate vitamins and supplements available to solve your nutrient deficiencies. You are what you eat, so make sure you are filling your tank with nutrient-dense foods that will improve your health and quality of life!
How nutrient dense foods support healing
Why Nadine recommends staying away from gluten-free junk foods
The best sources of nutrient-dense foods
Why shelf-stable products lack nutrients
The risk of contamination in processed foods
Nadine’s revised food pyramid
The importance of eating healthy fats
Nadine’s recommendations around the best nutrient-dense foods
Nadine’s vegetable challenge
Nadine’s suggestions around additional vitamins, supplements
How to avoid cross-contamination
National Nurses in Business Association
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
With the approach of the holidays, you may be nervous about navigating family and workplace gatherings—especially if you are newly diagnosed with celiac disease. How do you explain your dietary restrictions and keep yourself safe, eating well without getting ‘glutened’?
Today the Gluten Free RN shares her best advice around managing the holidays with celiac disease. She offers ten key tenants to help you enjoy the holiday season and mitigate stress, without feeling like you’re missing out. She shares some things you need to avoid, including unsafe situations, people who make you miserable, and cheating on your gluten-free diet! But she also discusses strategies you can implement to make the season bright, such as creating new traditions, getting creative in the kitchen, and finding your tribe—the people who will support you in your gluten-free journey.
Nadine also gives tips around where to go for gluten-free ingredients and holiday recipes, and how to develop a backup plan so you won’t go hungry if the food you encounter is questionable. You are likely to encounter well-intentioned friends and family members who have no idea how to feed you safely at holiday parties. Listen in and learn how to be clear about your dietary needs and take control of your health without isolating yourself from loved ones during this most wonderful time of the year!
#1 Don’t eat anything contaminated with wheat
#2 Beware of good-intentioned people
#3 Be prepared to establish new traditions
#4 Don’t isolate yourself
#5 Gather recipes early
#6 Order ingredients in advance
#7 Don’t invite people who make you miserable
#8 Eat before you go or take your own plate
#9 Don’t be a victim
#10 Find your people
Paleo Principles: The Science Behind the Paleo Template, Step-by-Step Guides, Meal Plans, and 200+ Healthy & Delicious Recipes for Real Life by Sarah Ballantyne
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
If you’ve been following a strict gluten-free diet, but continue to suffer from lingering neurological symptoms, you may need to explore the possibility that you have Lyme disease. In fact, there are many parallels between celiac disease and Lyme, and the Gluten Free RN has called in an expert to discuss the similarities between the two disorders and why a gluten-free diet is part of the proper treatment for both.
Dr. Usha Honeyman, a chiropractic and naturopathic physician out of Corvallis, Oregon, joins Nadine to explain the fundamentals of Lyme disease. She shares her best advice around prevention and treatment, exploring why it can be difficult to get an accurate diagnosis.
Nadine and Usha also cover the inflammation of the gut that plagues both celiac and Lyme patients, the neurological component of Lyme disease, and the relationship between Lyme and illnesses like MS, Parkinson’s and ALS. Listen in to understand what can happen when Lyme goes untreated and how antibiotics coupled with a gluten-free diet may restore your health!
The fundamentals of Lyme disease
How to prevent Lyme infection
How the political controversy in medicine has led to conflicting information around Lyme disease
The treatment for Lyme disease
Why Dr. Honeyman advises Lyme patients to go gluten-free
The neurological component of Lyme disease
The alpha-gal reaction in Lyme patients in the Southeast US
The strange gait and lower-face movement in Lyme patients
The importance of having a Lyme-literate doctor
The consequences of untreated Lyme disease
The three forms of Borrelia
Resources:
Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar—Your Brain’s Silent Killers by David Perlmutter
International Lyme and Associated Diseases Society
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
The increasing number of gluten-free products on the market can be both a blessing and a curse. Yes, it gives us more options, but are those options truly safe and healthy?
Today the Gluten Free RN goes over the important questions to ask about the products you consume, explaining how the foods promoted by some gluten-free groups may be influenced by their corporate sponsors. She reminds us why we can’t simply trust the products labeled ‘gluten-free’ or ‘gluten removed,’ discussing the lack of oversight and standardization around classification and the cumulative effect of consuming a number of products that are just under the 20 ppm cutoff.
Nadine also shares a list of companies she trusts to consistently produce gluten-free products and offers suggestions around new food options we might explore. Listen in and learn to choose the nutrient-dense foods that will help your body heal!
The importance of questioning the source of your information
Why Nadine avoids the ‘gluten removed’ label
The questions to ask about gluten-free products
The cumulative effect of eating many products just under 20 ppm
Reliable companies that consistently produce truly gluten-free products
The challenges faced by newly diagnosed celiac patients
Why Nadine avoids gluten-free breads
New food options to explore as a celiac patient
Why Nadine recommends reevaluating the foods you consume
Why you can’t trust product labels
Nadine’s rules around choosing products
The Gluten Intolerance Group of North America
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
How do I get over feeling sad about giving up the foods I love? Don’t celiac patients look a certain way? Can I eat wheat when I travel to Europe?
Today the Gluten Free RN is answering your frequently asked questions about celiac disease, clearing up misconceptions around the safety of wheat in Europe, the appearance of a celiac patient, and the percentage of the population that suffers from gluten sensitivity. She speaks to the challenges of getting your healthcare provider to do appropriate testing for celiac disease and the learning curve associated with changing your diet.
Nadine also explains the risks of embarking on a gluten challenge and the benefits of a super-good high fat diet. She discusses why a single breadcrumb can trigger an autoimmune response and how she uses tools like a Nima Sensor when she eats out. Listen in and learn why one negative test doesn’t rule you out for celiac disease, especially if you suffer from type 1 diabetes.
Having celiac disease doesn’t mean you have to live in a bubble. The Gluten Free RN wants to give you the answers you need to navigate the world—happy, healthy and gluten-free!
‘My sister has celiac disease, but I tested negative. I do have type 1 diabetes… What should I do?’
‘Why do you use a Nima Sensor or EZ Gluten test strips? Doesn’t it give you a false sense of security?’
‘A single breadcrumb or dusting of flour can trigger an autoimmune response? Really?’
‘I am overweight, I have dark hair, and I’m not of European descent. Don’t celiac patients look a certain way?’
‘Why do you recommend a super-good high-fat diet?’
‘I’m already on a gluten-free diet. Do I need to go back to gluten to prove I have celiac disease?’
‘My cousin was just diagnosed with celiac disease, and she is very sad about giving up the food she grew up with. How can she get started on a gluten-free diet?’
‘Why won’t my doctor order tests for celiac disease?’
‘Can I eat wheat in Europe?’
‘Is it true that celiac disease affects 1% of the population?’
Gluten Free RN EP027: Type 1 Diabetes and Celiac Disease
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Never assume. It makes an ass of u and me!
Not only do assumptions make you feel foolish, they can be dangerous. If you suffer from celiac disease or non-celiac gluten sensitivity, assuming that a product is safe and gluten-free can be hazardous to your health! Gluten is hiding is some surprising places, from cashews to PlayDoh, and it is in your best interest to remember that anything processed in the same facility with wheat is at risk for contamination.
Today the Gluten Free RN shares the many places she has discovered gluten ‘hiding in plain sight,’ including personal care products, olive oil and communion wafers. She offers advice around supporting companies that are 100% gluten-free, alternatives to gluten-containing products, and choosing nutrient-dense foods that will help you heal.
Nadine also covers labels, discussing why you can’t necessarily trust the information you find there, the many different names for wheat to look out for, and why you should take a look even when the product should be naturally gluten-free. She reveals some of her favorite gluten-free products as well as several companies that are committed to maintaining gluten-zero production facilities. Listen in and learn how to make good choices—without giving up the activities you love. Eating gluten-free doesn’t have to be a punishment, and the Gluten Free RN can’t wait to share!
Why Nadine sticks with clearly marked gluten-free products
Some of the surprising places gluten hides
Why you can never assume a product is naturally gluten-free
Why Nadine encourages the support of companies striving to be 100% gluten-free
The many different names for wheat to watch out for on labels
Alternatives to gluten-containing products like bread, crackers and chocolate
Why you can’t trust labels
The cumulative effect of consuming products that contain just under 20 ppm of gluten
Why Nadine urges you to be picky
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
We all just want to fit in, so it can be embarrassing to have special needs when it comes to your diet. Whether you are gluten-free, Paleo, or suffering from food allergies, a feeling of isolation is not uncommon. After all, you have to eat differently from the rest of your friends, family, or colleagues—and that makes you stand out. You run the risk of being perceived as picky or annoying, when the truth is that certain foods are toxic to your system!
Today the Gluten Free RN speaks to the psychology of eating gluten-free, explaining the sense of disbelief many gluten-sensitive individuals feel when the food they love turns out to be poison. She discusses ‘food ideology’ and why changing your diet can be so challenging.
Nadine also covers the doubt, mocking, and even anger that celiac and gluten-sensitive individuals face, offering suggestions for building connections with a like-minded, gluten-free community. Listen in as she outlines her approach to dating on a Paleo diet and reassuring family and friends who find a gluten-free diet too restrictive for kids. Learn to be your own best advocate and resist the social pressure to eat the standard American diet!
Why gluten sensitive patients must be willing to experiment
A downtown Corvallis business owner’s testimonial
How to research the possibility that gluten is causing your symptoms
Why people are resistant to diet change
The difficulty around getting a celiac diagnosis
The value of preventative medicine
Dating on a gluten-free diet
The human need to be part of a community
The global shift to a Western diet
Why Nadine recommends a Whole30 diet
The narcotic-like effect of gluten on the brain
Nadine’s recent experience in hospitals
Nadine’s rules around ingredients in packaged foods
Why people on a gluten-free diet are reluctant to tell others
How to approach neighbors or family who view a gluten-free diet as too restrictive for kids
The psychology of denial
Nadine’s opposition to a gluten challenge
The genes that indicate a predisposition to celiac disease
Hospitalization is nearly always the result of a sudden, unexpected event. So how do you plan ahead to keep yourself safe in the event that a health emergency lands you in the nearest emergency room? What steps can you take to stay healthy in the hospital as a celiac or gluten-sensitive patient?
Thanks to a listener suggestion and Nadine’s recent experience with a client recovering from surgery, the Gluten Free RN is addressing the cross-contamination risk in hospital kitchens and the nutrient-deficient foods available in hospital gift shops and vending machines. She also covers the responsibilities of the pharmacist to ensure that medications are gluten-free as well as resources you can use to verify that your prescriptions are safe.
Listen in as Nadine explains the significance of having an advocate with you at the hospital, who can prevent inadvertent gluten exposure and bring in the nutrient-dense food you need to heal. Learn how to communicate your needs as a celiac patient to resistant doctors, nurses, pharmacists and RDs, and plan ahead to stay safe and healthy—even when you’re in the vulnerable position of being in the hospital.
Why celiac patients should be skeptical of gluten-free menus in the hospital
The quality of food available in hospitals
How to verify that medications are gluten-free
The role of the pharmacist in providing gluten-free medication
What you can do to communicate your needs to hospital staff
The significance of having an advocate
Gluten-free options for patients on a liquid or soft food diet
The role of nutrient-dense food in healing the body
The Catch 22 of gluten and hospitals
How antibiotics affect your system
Dough Nation by Nadine Grzeskowiak
Emergency Preparedness with Nutrient Dense Foods
GIG Resource: Hospital Stays Made Safe
Gluten Intolerance Group of North America
Imagine being admitted to a psychiatric hospital and accused of being a pathological liar because no matter how carefully you follow the high-carb diet prescribed by your physicians, you continue to lose weight. In the introduction to his book, How Doctors Think, Dr. Jerome Groopman shares the story of a woman who was misdiagnosed with anorexia nervosa. The patient was ready to give up when one last doctor discovered villous atrophy and determined that it was celiac disease—not an eating disorder—that was causing her malnourishment.
Today the Gluten Free RN explores the reasons why celiac disease and gluten sensitivity are often mistaken for anorexia nervosa. She shares the limited research in the field, as well as the symptoms related to malnourishment that may be caused by gluten, including several mental health disorders.
Listen in as Nadine covers the use of PWAG (people who avoid gluten) as a derogatory term and shares her frustration with labels like ‘orthorexia nervosa’ which imply that gluten-sensitive patients are obsessed with healthy food: ‘I avoid gluten like the plague because it is, in fact, the plague for those of us who have celiac disease.’
The use of PWAG as a derogatory term
The new term orthorexia nervosa
The concept of food as medicine
Anecdotal evidence of celiac disease misdiagnosed as anorexia
Why celiac disease and gluten sensitivity are misdiagnosed as eating disorders
The prevalence of celiac disease
How gluten affects a celiac patient
Nadine’s recommended variation of a Paleo diet
The study of celiac disease and eating disorders
The issues associated with malnourishment
The anger and contempt Nadine has experienced as the Gluten Free RN
The mental health issues associated with malnourishment
The effect of gluten on epithelial tissue
The consequences of gluten getting through the blood-brain barrier
The shocking statistics around psychotropic medication in the US
Nadine’s advice for parents of children who miss multiple days of school
The process of a gluten detox
The benefits of maintaining a gluten-free diet
The foods Nadine recommends as part of a super-good, high fat diet
Why Nadine chooses not to eat if there is any risk of gluten contamination in her food
The places where gluten hides
How Doctors Think by Jerome Groopman, MD
“The Interaction Between Eating Disorders and Celiac Disease: An Exploration of 10 Cases” in the European Journal of Gastroenterology & Hepatology
“Orthorexia and Anorexia Nervosa: Two Distinct Phenomena? A Cross-Cultural Comparison of Orthorexic Behaviours in BMC Psychiatry
“Predictors of Orthorexic Behaviours in Patients with Eating Disorders: A Preliminary Study” in BMC Psychiatry
“Eating Disorders and Celiac Disease: A Case Report” in The International Journal of Eating Disorders
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
In his opening talk at the 2017 International Celiac Disease Symposium, celiac expert Dr. Abul Abbas of UC San Francisco said, “We are drowning in data, but thirsting for information.” Though there is still much debate around celiac disease and non-celiac gluten sensitivity (even among global experts), the featured ICDS speakers sifted through the numbers to help practitioners interpret what the latest studies can tell us about the negative effects of gluten and how celiac disease presents in populations all over the world.
Today the globetrotting Gluten Free RN is coming to us from Thailand, after attending the International Celiac Disease Symposium in New Delhi, India. Armed with the latest information from the ICDS clinical forum, Nadine covers talks given by Dr. Abbas on gluten and the immunological system, and Dr. Alessio Fasano on the spectrum of gluten-related disorders. She relays information regarding the barriers researchers face in studying autoimmune disease as well as gluten’s negative impact on body tissue, including that of our brain.
Nadine also shares the most up-to-date statistics around the big business that is celiac disease and the increasing prevalence of gluten intolerance in the US and Asia. She discusses the importance of celiac testing in patients with other autoimmune and neurological disorders and the need for a global education campaign. Listen as Nadine educates you about what gluten is, where it hides, what you can do to avoid it, and how to undo the damage and get healthy again!
The challenge of eating gluten-free in India
The highlights of Dr. Abul Abbas’ talk on the immunological system
The importance of the thymus gland
Why the ‘mouse model’ doesn’t work well in the study of celiac disease
The impossibility of in vivo experiments for celiac research
The significance of epithelial barriers in a functioning immune system
The difficulty of studying the dendritic cells
How the immune system recognizes double-stranded RNA (viruses)
Dr. Terry Wahls’ work around the mitochondria
Dr. Alessio Fasano’s presentation
The big business of celiac disease
Who is affected by the gluten protein
How infants exposed to gluten are at an increased risk for developing celiac disease
The value of avoiding gluten exposure for infants
The latest statistics regarding the prevalence of celiac disease
Celiac disease in the Asian population
How the Chinese diet has evolved over time
Other disorders that may indicate undiagnosed celiac disease
Why patients should be tested for celiac disease annually
The new information about a potential connection between Wilson’s and celiac disease
What celiac experts agreed on at ICDS 2017
Gluten Free RN Travel Podcast EP036
Gluten Free Passport Allergy Cards
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Perhaps the most intriguing thing about the history of celiac disease in the US is its absence—from medical textbooks, the vast majority of research studies, and the news—from 1952 through the 1990’s. Why did celiac disease disappear from the healthcare consciousness as well as the public eye?
Today the Gluten Free RN takes a closer look at the story of celiac disease, starting with the first doctor to understand it as a dietary issue back in 1888. She highlights the important progress made by pediatricians Willem Dicke who is credited with identifying gluten as the issue and Sidney Haas who honed the gluten-free diet to exclude specific carbohydrates. Nadine explores the period of time when celiac disease seemingly ‘went dark’ in the United States, discussing the handful of renegade authors and researchers who continued to study the disease despite its absence from health education.
Nadine also explains the resurgence of gluten sensitivity to the public consciousness in the 1990’s, when medical professionals from abroad questioned the claim that there was no celiac disease in the US. She covers our evolving understanding of the symptoms of celiac disease and the woefully inadequate training around gluten in medical and nursing schools. Listen in to find out why the mass screening proposed by the National Institute of Health never materialized and how the for-profit healthcare system impacts celiac patients. Let’s honor the practitioners who dedicated their careers to understanding celiac disease and write our own history through celiac advocacy!
The first doctor to identify celiac disease
The role of Dr. Sidney V. Haas in advancing celiac treatment
The conclusions of a New York Times article from May of 1950
The grains that contain gluten
How Dr. Willem Dicke developed the gluten-free diet
The myth that celiac is a childhood disease
Elaine Gottschall’s work in developing the Specific Carbohydrate Diet
The elimination of celiac disease from medical training
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
Hilda Cherry Hill’s 1976 book Good Food, Gluten Free
The classical symptoms of celiac disease
The expanded picture of how celiac disease may present
The genes that indicate a predisposition to celiac disease
How recognition of celiac disease resurfaced in the 1990’s
The 2004 NIH Consensus Statement on Celiac Disease
How the US for-profit healthcare system impacts celiac patients
Nadine’s advice for celiac patients around choosing healthcare providers
What has changed since the NIH Consensus Statement in 2004
Dr. Rodney Ford’s role in celiac advocacy
Nadine’s guidance for vegetarians and vegans
The vulnerable populations particularly at risk for celiac disease and non-celiac gluten sensitivity
“Celiac Disease: Most Children are Now Cured but Cause is Still Unknown” in The New York Times
Management of Celiac Disease by Sidney Valentine Haas and Merrill Patterson Haas
“Whatever Happened to the Cure for Coeliac Disease? in Nutritional Therapy Today
“The Erie Country Survey of Long-Term Childhood Illness” in the American Journal of Public Health
Good Food, Gluten Free by Hilda Cherry Hills
Dr. Alessio Fasano’s 2003 Celiac Study
2004 NIH Consensus Statement on Celiac Disease
Gluten: ZERO Global by Dr. Rodney Ford
International Celiac Disease Symposium
“Small Intestinal Mucosal Abnormalities in Relatives of Patients with Dermatitis Herpetiformis” in Gut
“Adult Coeliac Disease and Other Disorders Associated with Steatorrhoea” in the British Medical Journal
The University of Chicago: Celiac Disease Facts and Figures
“A History of Coeliac Disease” in Digestive Diseases
“Dermatitis Herpetiformis in Two Patients with Idiopathic Steatorrhoea” in the British Medical Journal
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
According to the University of Chicago Celiac Disease Center, 10% of MS patients also suffer from celiac disease. Studies conducted in Italy and Spain uncovered a significant increased prevalence of celiac disease in first-degree relatives of MS patients, 18% and 32% respectively. Additional research has identified situations in which celiac disease mimicked other neurological disorders such as MS and ALS.
With evidence like that, it is definitely worth it to further explore the relationship between MS and celiac disease. Today, the Gluten Free RN investigates whether MS and celiac disease are similar, related, or perhaps the same thing, as she shares case studies from the literature and her own experience.
Nadine discusses the story of Dr. Terry Wahls, explaining how she was able to resolve her symptoms of MS with a variation of a Paleo diet. She outlines the analogous symptoms of MS and celiac cerebellar ataxia, the neurological damage caused by gluten, and how malabsorption of nutrients caused by intestinal damage can extend to medication. Listen and learn how Nadine and others have resolved symptoms of MS and other neurological disorders on a gluten-free diet!
Nadine’s MS scare
Dr. Terry Wahls’ story
The commonalities between celiac disease and MS
How celiac disease affects the body
The symptoms of celiac cerebellar ataxia
The multi-organ manifestations of celiac disease in the central nervous system
Nadine’s patient who wasn’t responding to MS medication
The 2014 study in Vienna regarding celiac disease and MS
The new evidence around seronegativity in celiac disease
The 2014 Italian study of the genetic overlap between celiac disease and MS
The association between MS and celiac disease as reported by the University of Chicago Celiac Disease Center
The genes that indicate a predisposition to celiac disease
The 2013 Iranian case study of a celiac patient diagnosed with MS
How gluten acts as a neurotoxin
The 2007 Oxford case study of celiac disease mimicking ALS
Why patients with neurological symptoms should be tested for celiac disease
Why it is acceptable to adopt a gluten-free diet if your antibody test is negative for celiac disease
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
The increased prevalence of celiac disease in MS patients revealed in a 2011 study
The fundamentals of MS
How to conduct your own research around celiac disease and neurological disorders
How long it takes to heal on a gluten-free diet
The nutrients a celiac patient is missing that contribute to neurological issues
The autoimmune symptoms Nadine resolved/reversed with a gluten-free diet
Why it’s important for celiac patients to work with educated practitioners who understand functional medicine
The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principle by Terry Wahls MD
“Celiac Disease with Cerebral and Peripheral Nerve Involvement Mimicking Multiple Sclerosis” in the Journal of Medicine and Life
“Celiac Disease in Multiple Sclerosis: A Controversial Issue” in the International Journal of Neurology and Neurotherapy
University of Chicago Celiac Disease Center MS Info
“Multiple Sclerosis or Neurological Manifestations of Celiac Disease” in Advanced Biomedical Research
“A Case of Celiac Disease Mimicking Amyotrophic Lateral Sclerosis” in Nature Clinical Practice Neurology
“Prevalence of Celiac Disease in Multiple Sclerosis” in BMC Neurology
“A Case of Concurrent Multiple Sclerosis and Celiac Disease” in Govaresh
“Neurological Disorders in Adult Celiac Disease” in the Canadian Journal of Gastroenterology
“A Case of Multiple Sclerosis and Celiac Disease” in Case Reports in Neurological Medicine
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Did you know that it is possible to diagnose celiac disease with a smile?
Damage from gluten starts in the mouth, and today the Gluten Free RN explores the important role dentists can play in identifying undiagnosed celiac disease. She outlines the symptoms of celiac disease that present in the mouth, the follow-up questions dentists should ask when they notice dental enamel defects or aphthous ulcers, and the nature of the tongue as an indicator of overall health.
This episode covers how the plastics in orthodontic retainers might contain gluten and what to do if you are accidentally exposed. Nadine also explains the relationship between fat-soluble vitamins and celiac disease, as well as the nutrient deficiencies a potential celiac patient should test for. You’re never fully dressed without a smile, so listen in to understand how to keep your mouth healthy—and prevent the accumulation of complications from celiac disease with a whole food, gluten-free diet!
How the GI tract functions
How damage from gluten presents
How dentists can play an important role in identifying undiagnosed celiac disease
The symptoms of celiac disease that present in the mouth
How Nadine treats gluten exposure
The grains to look for in personal care products (e.g.: lip balm)
The relationship between fat soluble vitamins and celiac disease
How we tested for celiac disease in children in the early 20th century
Why parents should be tested for celiac disease prior to pregnancy
The fetal development issues that may present if an expectant mother is unable to absorb nutrients
Why Nadine advocates for a mass screening
How gluten in plastics, personal care products can prevent celiac patients from healing
The questions dentists should ask when they notice dental enamel defects, aphthous ulcers
Why we need to get much better at recognizing celiac signs and symptoms
Why Eastern medicine examines the tongue as an indicator of overall health
The genes that indicate a predisposition to celiac disease
Why it is acceptable to adopt a gluten-free diet if your antibody test is negative for celiac disease
The deficiencies a potential celiac patient should test for
Why thrush may be an indicator of celiac disease or gluten sensitivity
Why one negative test for celiac disease doesn’t rule anyone out
The importance of early diagnosis
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
“An Orthodontic Retainer Preventing Remission in Celiac Disease” in Clinical Pediatrics
“Oral Manifestations of Celiac Disease: A Clinical Guide for Dentists” in the Journal of the Canadian Dental Association
Gluten Free RN Podcast EP027: Type 1 Diabetes and Celiac Disease
“The Association Between Celiac Disease, Dental Enamel Defects, and Aphthous Ulcers in a United States Cohort” in the Journal of Clinical Gastroenterology
“Small-Bowel Changes in Recurrent Ulceration of the Mouth” in Hepatogastroenterology
“Oral Signs and HLA-DQB1*02 Haploytypes in the Celiac Paediatric Patient: A Preliminary Study” in Autoimmune Diseases
“The Oral Manifestations of Celiac Disease: Information for the Pediatric Dentist” in Pediatric Dentistry
“Oral Aphthous Ulcers and Dental Enamel Defects in Children with Coeliac Disease” in Acta Paediatrica
“Oral and Dental Manifestations of Celiac Disease” in the New York State Dental Journal
“Jejunal Mucosal Abnormalities in Patients with Recurrent Aphthous Ulceration” in The British Medical Journal
“Dental Enamel Defects in Adult Coeliac Disease” in the European Journal of Internal Medicine
“Screening for Celiac Disease in Children with Dental Enamel Defects” in ISRN Pediatrics
“Celiac Disease Associated with Recurrent Aphthae” in Gut
“Importance of Oral Signs in the Diagnosis of Atypical Forms of Celiac Disease” in Recenti Progressi in Medicina
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
People are suffering. From a feeling of hopelessness. From depression and anxiety. Add to that a despair that no one supports them, and you have a desperate individual at an increased risk of committing suicide.
This topic hits close to home for Nadine, as she lost a nephew to suicide in 2007. Ian struggled with addiction issues, and he took his life at the age of 19. Because her family is predisposed to celiac disease, Nadine wonders if undiagnosed celiac disease may have been partially to blame for her nephew’s issues. Today she explores the mental health disorders that are associated with gluten getting through the blood-brain barrier. She also explains how undiagnosed celiac disease puts patients at an increased risk for morbidity, and stresses the fact that celiac disease can—and will—kill you if it goes untreated.
Listen in as the Gluten Free RN tells her own story of improved mental health on a gluten-free diet. She also covers the types of cancers that might be prevented by going gluten-free, the connection between AFib and celiac disease, and how dermatitis herpetiformis affects patients. Listen and learn the best diet to help you get better, faster, and why medical professionals need to pay more attention to the intestines!
How to define morbidity and mortality
How morbidity presents itself in undiagnosed celiac patients
Information from the World Health Organization (WHO)
The prominent mental health issues associated with celiac disease
How removing gluten from her diet improved Nadine’s mental health
The grains that contain gluten
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
Nadine’s experience with celiac disease
The connection between AFib and celiac disease
How dermatitis herpetiformis affects patients
The cancers that are potentially preventable on a gluten-free diet
The genes that indicate a predisposition to celiac disease
Other disorders that could be mitigated by a gluten-free diet
How long it takes to receive celiac diagnosis in US
The risks for patients diagnosed with celiac disease in childhood
Nadine’s research around celiac testing in autopsy
How Nadine periodically gives her system a detox
Why medical professionals should give more attention to the intestines
The issues that can result from undiagnosed celiac disease
The definition of refractory celiac disease
Why it’s crucial to remove all gluten from the environment
The connection between undiagnosed celiac disease the despair that leads to suicide
What happens when gluten gets through a leaky blood-brain barrier
The risks associated with eating traditionally grown fruits and vegetables
The goals of the first six months on a gluten-free diet
Celiac Disease and Gluten Sensitivity in Down, Turner and Williams Syndrome
“Necropsy Studies on Adult Coeliac Disease” in the Journal of Clinical Pathology
“Mortality in Celiac Disease” in Gastroenterology
“The Global Burden of Celiac Disease” in PLoSONE
“The Unknown Burden and Cost of Celiac Disease in the US” in Expert Review of Pharmacoeconomics and Outcomes Research
“Long-Term Mortality in People with Celiac Disease Diagnosed in Childhood Compared with Adulthood” in the American Journal of Gastroenterology
“Increased Risk of Atrial Fibrillation in Patients with Coeliac Disease: A Nationwide Cohort Study” in the European Heart Journal
“Increased Suicide Risk in Coeliac Disease—A Swedish Nationwide Cohort Study” in Digestive and Liver Disease
“The Burden of Celiac Disease and the Value of Having It Diagnosed” by Fredrik Norström of UMEA University
“Complications of Coeliac Disease: Are All Patients at Risk?”
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Nadine spent 17 years working as a nurse in the ER. She holds a membership in the Emergency Nurses Association, as well as a Certified Emergency Nurse certification. During the course of her career, Nadine obtained ACLS, PALS, NALS, ENPC and TNCC certifications, honing her skills in advanced cardiac life support, neonatal advanced life support, pediatric advanced life support, and trauma. Despite this impressive background and experience, she had never been educated about celiac disease, and didn’t know what to look for until she was diagnosed herself.
Nurses are in a unique position to recognize potential celiac patients and act appropriately. Though most nurses don’t have the authority to diagnose, they do have an obligation to act as patient advocates. Because celiac disease is the most underdiagnosed and misdiagnosed autoimmune disease in the world, it is important that nurses get educated about the fundamentals of celiac disease, the wide array of symptoms an undiagnosed patient may present, and how to keep celiac patients safe in and out of the hospital.
Today on the podcast, the Gluten Free RN addresses nurses, explaining how celiac disease damages the GI tract, the consequences of a ravaged immune system, and the neurological nature of the disease. She also reviews the genes that indicate a predisposition to celiac disease, the best available tests for gluten sensitivity, and the need for a worldwide mass screening. This is a must-listen for medical professionals, offering an overview of the most current celiac studies and an explanation of how to approach doing research on your own. Celiac disease is on the rise and it doesn’t discriminate, so it is crucial that the nursing community get educated – STAT.
Why nurses need to employ a high index of suspicion regarding celiac disease
The lack of training around celiac disease in the medical community
The celiac symptoms Nadine thought to be ‘normal’
What nurses need to know about celiac disease
How long it takes to receive celiac diagnosis in US
The restrictions of being a nurse
Nadine’s experience leading up to her celiac diagnosis
Nadine’s celiac diagnosis
Why a negative blood test, skin biopsy doesn’t rule out celiac disease
Nadine’s current health
Why Nadine stopped working as an ER nurse
The increased prevalence of mortality in undiagnosed celiac patients
The grains that contain gluten
The products that may contain gluten
The search terms to use when doing celiac research
Why celiac disease is primarily a neurological disorder
Why celiac disease is not an allergy
The genes that indicate a predisposition to celiac disease
Why Nadine advocates for a world-wide mass celiac screening
The relationship between celiac disease and infertility
The chronic nature of celiac disease
How gluten exposure presents for Nadine
How gluten can cause damage along entire length of GI tract
How damage to GI tract presents
How constipation can be a neurological issue
Disorders that may be caused by undiagnosed celiac disease
Why a biopsy is no longer considered the gold standard of celiac testing
The stages of intestinal damage caused by celiac disease
The consequences of a damaged immune system
The importance of including a total IgA and IgG in the celiac antibody panel
How the US has gone backwards in the last 70 years
The testing for celiac disease
The difficulty with the celiac antibody test
The best available celiac testing
Factors that might interfere with accurate celiac testing
How to carry out a clinical trial for celiac disease or gluten sensitivity
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
The findings of a celiac study published in the Journal of Insurance Medicine
Why celiac disease should be on every primary care physician’s differential diagnosis
The rise of celiac disease
Why Celiac disease is a worldwide issue
How celiac disease can lead to obesity
How the risk of cancer increases exponentially in undiagnosed celiac patients
Why nurses must be patient advocates
Nadine’s advice around research and celiac disease for nurses
Resources:
Snarky Nurses on Instagram
National Nurses in Business Association
“Increased Prevalence and Mortality in Undiagnosed Celiac Disease” in Gastroenterology
New York Times Article, May 1950
“Economic Benefits of Increased Diagnosis of Celiac Disease in a National Managed Care Population in the United States” in the Journal of Insurance Medicine
“Celiac Disease Could be a Frequent Disease in Mexico: Prevalence of Tissue Transglutaminase Antibody in Healthy Blood Donors” in the Journal of Clinical Gastroenterology
“Celiac Disease in African-Americans” in Digestive Diseases and Sciences
“Coeliac Disease” in The Lancet
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Wanderlust.
It is human nature to want to explore, to experience a geography and culture different from our own. Travel can truly enrich our lives. Yet if you have celiac disease or non-celiac gluten sensitivity, the prospect of being away from the familiar for an extended period can be intimidating. Will I be able to find a grocery store? How do I locate a gluten-free restaurant that I can trust? What do I need to bring with me to ensure that I am avoiding gluten? And what if, despite my best efforts, I am accidentally exposed to the gluten protein?
No one wants their trip ruined by an unexpected illness, but you shouldn’t let the fear of gluten exposure keep you from going on an important business trip or taking that vacation you’ve always dreamed of. The Gluten Free RN has ten years of experience helping people discover that they can travel safely on a gluten-free or Paleo diet, and today she shares her recent travel experiences with you. Road trip with Nadine and learn how she locates safe restaurants, what she takes along to avoid inadvertent gluten exposure, and which apps and online resources offer the best advice for gluten-free travel!
The danger of living in a bubble
Nadine’s mission to teach people how to travel safely on gluten-free/Paleo diet
How Nadine packed her cooler for a summer road trip to Boston
The challenge of eating out on the road
The fundamentals of a food desert
Nadine’s advice around locating grocery stores, fresh foods when traveling
Nadine’s tips for locating safe restaurants
The myth that heat breaks down the gluten protein
How Nadine is able to go without a meal when necessary
Who to talk to when you are eating out
Nadine’s experience at a highly-rated restaurant in Boston
Nadine’s gluten-free travel supply packing list
The best gluten-free online travel resources
Why you should avoid fast food/restaurant chains that claim to have gluten-free offerings
Nadine’s upcoming River Cruise on the Danube
The food options available to the gluten-free population
International Celiac Disease Symposium
Gluten Free Portland Restaurant List
Amy Fothergill of the Warm Kitchen
Melodies of the Danube Brochure
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
When boys are hurt, we tell them to ‘rub some dirt on it’ and get back in the game. So it comes as no surprise that men have a tough time admitting weakness, especially to something as innocuous as a slice of bread. Perhaps this explains why celiac disease is considered a women’s issue, when in reality the male-to-female ratio is closer to 1:1.
Today the Gluten Free RN discusses the large numbers of men in the US who go undiagnosed or misdiagnosed, sharing several anecdotes of patients whose symptoms resolved on a gluten-free diet. She covers the particular social challenges for men with celiac disease, the laundry list of symptoms men may encounter, and the specifics of nutrition she recommends for gluten-sensitive patients.
Through it may be difficult to give up pizza and beer with the guys, it is worth the effort to go from sick and struggling to happy and healthy. Listen in and learn how to make going gluten-free simple and easy, even for men with limited culinary skills. Add bacon fat to your greens AND regain your abs with advice from the Gluten Free RN!
The myth that men are less likely to suffer from celiac disease
The addictive nature of gluten
Case study of man diagnosed with pancreatitis
Common symptoms of celiac disease in men
Why men with osteoporosis and anemia together should assume they have celiac disease
Nadine’s patient with a climbing PSA (lab indicator of prostate cancer)
How Nadine’s doctor had a change of heart around celiac disease
The lack of celiac understanding exhibited by healthcare practitioners in the US
Doug’s story
How gluten causes excessive gas, explosive diarrhea and constipation
Nadine’s advice around nutrition for gluten sensitive patients
The benefits of bacon
Why men may be more resistant to diet change
Nadine’s advice for men on eating fresh, gluten-free food
Why subsidized ingredients are found in countless products
The social challenges for men with celiac disease
How switching from vegan or vegetarian to Paleo has affected Nadine’s male patients
The Whole 30: The 30-Day Guide to Total Health and Food Freedom by Melissa and Dallas Hartwig
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Few things are as painful as losing a loved one to an overdose. Addiction is such a powerful demon, and most of us have friends or family who are facing it right now. It is easy to feel helpless, believing that there is little you can do to ease their pain. But what if a diet change could resolve the physical and psychological pain at the root of the dependency? You might be surprised to learn that gluten binds with the opioid receptors in the brain, functioning as a ‘gateway drug’ to other addictions.
Today the Gluten Free RN shares her experiences with addiction and overdose during her 17-year career in the ER, explaining how she made the connection between undiagnosed celiac disease and addiction issues. She discusses the US opioid epidemic and how a mass screening for celiac disease could prevent such widespread substance abuse. Listen as she describes the morphine-like effects of gluten on your brain, the role of the microbiome in dictating cravings, and why gluten may be at the root of the pain that leads patients to self-medicate with dangerous recreational drugs.
The sad truth is that 91 Americans die every day from an opioid overdose. Because undiagnosed celiac disease goes hand in hand with addiction, is it past time to get our loved ones tested. Suggest it today -- it could save a life.
The recent flood of headlines regarding the US opioid epidemic
How exorphins affect the brain
How Narcan reverses a heroin overdose
The potential connection between gluten and opioid addiction
The morphine-like effects of gluten and dairy on your brain
The substances patients abuse to treat pain
The symptoms of pain patients may experience due to gluten
The data around opioid overdose in the US
How gluten sensitivity may lead to pain med addiction
Common prescription meds for pain
Why patients turn to heroin for pain relief
How food can act as a ‘gateway drug’ to other addictions
Why Nadine advocates a mass screening for celiac disease
How ER departments treat alcoholics
The power of the microbiome
The mental health issues caused by untreated celiac disease that may lead patients to self-medicate
“Here’s How a Key Part of the Opioid Legislation is Not Working” in the Boston Globe
“Malabsorption of Opioid Medications” in Practical Pain Management
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
There are a number of misconceptions about celiac disease, even within the medical community! Despite a growing body of research to the contrary, many practitioners still believe celiac disease to be strictly a gastrointestinal issue with a just a few tell-tale symptoms. It’s time to get the facts, and today the Gluten Free RN shares 21 important truths about celiac disease that you need to know.
Nadine shares her take on the list compiled by Gluten Free Works, covering the truth about who is at risk, the wide variety of neurological symptoms a celiac patient might present, and the components of an optimal treatment plan. As the most common genetic autoimmune disease in the world, it is incredibly important that we understand how gluten exposure can damage the intestines and cause debilitating nutrient deficiencies.
Nadine also explains why celiac disease often goes undiagnosed and how an astute practitioner is able to accurately interpret biopsies, antibody screenings and lab work. Get familiar with these 21 important facts about celiac disease, and become your own advocate!
Recognizing Celiac Disease: Signs, Symptoms, Associated Disorders and Complications by Cleo J. Libonati
21 Important Celiac Disease Facts You Need to Know…
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
You don’t have to prove to anyone that you have celiac disease proper. Because food functions as both medicine and poison, it is important to have all the facts before you get talked into a gluten challenge … and the fact is, going back on gluten after you have adopted a gluten-free diet will cause organ damage.
The Gluten Free RN speaks to the motivation behind doing a gluten challenge, the consequences for celiac and gluten sensitive patients, and her work as a patient advocate to discourage people from being talked into a gluten challenge. She offers a detailed risk versus reward analysis of braving a gluten challenge, explaining how the maintenance of a gluten-free diet prevents the development of celiac disease and other autoimmune disorders.
Nadine also covers the unreliable nature of celiac testing in the US, where the medical community lacks savvy in interpreting results, and explains why biopsy results are no longer considered the gold standard of celiac testing. Listen in to understand the recommended diet for those who have adopted a gluten-free lifestyle and why it requires a long-term commitment. Get armed with information and protect yourself and your family from the dangerous, irreversible consequences of a gluten challenge!
The gluten free lifestyle
Why you should be cautious of restaurants with a gluten-free menu
The advantages of living in the Northwest US
Nadine’s recommendations re: food options
The misguided reason why people do a gluten challenge
The value of a gluten-free diet in preventative medicine
What it means to do a gluten challenge
The consequences of a gluten challenge on celiac and gluten sensitive patients
The risks vs. rewards of enduring a gluten challenge
Why Nadine would never do a gluten challenge
Why biopsy results are no longer considered the gold standard of celiac testing
Why an antibody panel can be unreliable in identifying celiac disease
How long it takes to obtain celiac diagnosis
Nadine’s advice around celiac testing
The enduring nature of celiac disease
Nadine’s nutrition guidelines for celiac patients
Nadine’s work as a patient advocate
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Celiac disease is grossly underdiagnosed in the United States in large part because the medical community is operating on outdated information about the condition. And despite the recommendations of the National Institute of Health back in 2004, we have yet to implement a mass screening for celiac disease, and health care providers remain alarmingly uninformed.
The Gluten Free RN is taking steps to remedy the situation by sharing the basics for medical professionals. Today she covers the WHO’s definition of celiac disease, how our understanding of the condition has change over time, and some common misconceptions about celiac disease. She also explains the top symptoms, recommended testing for celiac disease and gluten sensitivity, and the neurological nature of the disorder.
Listen in to learn what health care providers need to know about this undiagnosed epidemic, the complex web of health issues that may result from undiagnosed celiac disease, and why it is important to have a high index of suspicion and include celiac testing on every differential diagnosis. Help your patients go gluten-free and collect something other than autoimmune disorders!
The standard of care in the US
The goals of Nadine’s consulting business
How the media portrays the gluten-free lifestyle
How our understanding of celiac disease has changed over time
The recommendations of the 2004 NIH consensus meeting regarding celiac disease
The World Health Organization criteria for mass screening
The autoimmune disorders associated with undiagnosed celiac disease
The WHO definition of celiac disease
Why celiac disease can’t be ruled out with a single test
Misconceptions about celiac disease in the US medical community
How skin issues are a reflection of what is going on internally
How damage to the small intestine leads to multiple health issues
The classic symptoms of celiac disease
What celiac disease looks like in children
The prevalence of celiac disease in older adults
Potential signs of celiac disease in the aging population
The elements that get into your blood stream as a result of villous atrophy
Top symptoms of celiac disease
The effects of gluten on the brain
Populations affected by celiac disease
The findings of an economic study by Columbia University
The importance of ensuring that medications are gluten-free
Nadine’s recommendations around nutrition for celiac patients
Things to consider re: the results of a celiac panel
Additional tests that offer valuable information
Surprising facts around celiac disease contrary to conventional wisdom
“Where Have All the American Celiacs Gone?” in Acta Pediatrica
CDC 2013 Report Antibiotic Resistance Threats
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Nobody wants bad bacteria, parasites, yeast or food particles hanging around their small intestine! There are a number of causes of small intestinal bacterial overgrowth (SIBO), and undiagnosed celiac disease just happens to be one of them.
The Gluten Free RN is prepared to discuss the complexity of health issues celiac patients must resolve after going on a gluten free diet, one of which may be SIBO. She shares the symptoms of small intestinal bacterial overgrowth, how we test for SIBO, and potential treatments for the condition. Listen in to learn how foods and medication affect the microbiome and alter the environment of your intestines.
The complexity of healing once a celiac patient goes gluten free
The causes of irritable bowel syndrome
How food, drink and medication affect your intestines
The consequences of damaged villi due to undiagnosed celiac disease
The process of healing your intestines
The symptoms of SIBO
How to test for SIBO
How SIBO is treated
Risk factors for SIBO
“Small Intestinal Bacterial Overgrowth: A Comprehensive Review” in Gastroenterology and Hepatology
‘Your Skin on Gluten’ on YouTube
Melodies of the Danube Gluten-Free Cruise with Nadine
Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism