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Gluten Free RN

Gluten Free RN, Nadine Grzeskowiak RN BSN CEN, talks about every aspect of celiac disease, non-celiac gluten sensitivity, gluten free lifestyle & diet, Paleo lifestyle, microbiome and all related issues.
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Now displaying: Category: general
May 25, 2018

Approximately 50% of ER visits are associated with abdominal pain, and the vast majority of those patients are given a diagnosis of ‘abdominal pain of an unknown origin’ and directed to come back if the condition gets worse. This is little comfort to people suffering from severe discomfort who need answers around the cause of their belly pain, not just medication to mask it temporarily. Could undiagnosed celiac disease be the source of their suffering?

Today, the Gluten Free RN is diving into the issue of belly pain and undiagnosed celiac disease, discussing the expensive testing often conducted to determine the cause of abdominal discomfort—testing that rarely includes a celiac panel. She covers several of the common misdiagnoses of celiac patients as well as the incredibly high prevalence of abdominal pain in children. 

Nadine shares the case study of a child-patient who was misdiagnosed with appendicitis and the research published in Digestive and Liver Disease outlining the unnecessary surgical interventions endured by undiagnosed celiac patients. Listen in for the Gluten Free RN’s advice to patients with idiopathic abdominal discomfort and learn why no one should suffer from belly pain!

What’s Discussed:

The statistics around ER visits and abdominal pain

  • 50% of visits associated with belly pain

The most common abdominal pain diagnoses

  • Abdominal pain of unknown ideology, idiopathic abdominal pain

How patients are treated for idiopathic abdominal pain

  • Medication, directive to return if condition gets worse

The testing to find the cause of chronic abdominal pain

  • Expensive blood workups, rarely include celiac panel

How many children suffer from belly pain

  • 30% report abdominal discomfort

Nadine’s patient who received a misdiagnosis of appendicitis

  • Mother of child-patient sought second opinion prior to surgery
  • Child didn’t have appendicitis, cause of pain still unknown

A research study around abdominal surgery and celiac disease

  • Patients with celiac disease at increased risk of abdominal surgery
  • Misdiagnosis leads to inappropriate interventions (i.e.: appendectomy)

Nadine’s advice for patients diagnosed with idiopathic abdominal pain

  • Initiate clinical trail of gluten-free or Paleo diet

Resources:

‘Increased Rate of Abdominal Surgery Both Before and After Diagnosis of Celiac Disease’ in Digestive and Liver Disease

‘Screening for Celiac Disease in Children with Recurrent Abdominal Pain’ in the Journal of Pediatric Gastroenterology and Nutrition

‘Effect of a Gluten-Free Diet on Gastrointestinal Symptoms in Celiac Disease’ in the American Journal of Clinical Nutrition

‘Clinical Features and Symptom Recovery on a Gluten-Free Diet in Canadian Adults with Celiac Disease’ in the Canadian Journal of Gastroenterology

‘Association of Adult Celiac Disease with Surgical Abdominal Pain’ in Annals of Surgery

‘A New Insight into Non-Specific Abdominal Pain’ in The Annals of The Royal College of Surgeons of England

Connect with Nadine:

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal

Jan 19, 2018

Two and a half years ago, Nadine was inadvertently hit with gluten—three times in a row. In the past, it had taken about ten weeks for her symptoms to resolve after an accidental exposure, but this time they stuck around. It started with feeling cold. Then she began experiencing abdominal distention and pain.  Her dermatitis herpetiformis returned, she was plagued with sinus congestion, and she was gaining weight. Most concerning of all, she developed pulmonary edema, a condition caused by excess fluid in the lungs.

 Today, the Gluten Free RN is getting real, revealing the health struggles she has been dealing with since 2015. She explains the circumstances that led to her accidental gluten exposure and recounts the ten scary nights she spent in a recliner, forced to sit up in order to breathe.

 Nadine takes us along on her global search for the answers that began with a practitioner in Thailand and a tiny container of damp rash lotion, and ended with a diagnosis of myxedema from a naturopath here in the States. Nadine discusses how those three consecutive hits of gluten targeted her thyroid gland and how T3 is working to resolve her symptoms. Listen in and learn how the Gluten Free RN is reclaiming her Superwoman status and how you, too, can reach your full potential with good health and wellbeing!  

What’s Discussed: 

Maslow’s hierarchy of needs

  • Physiological, safety needs must be taken care of first
  • Difficult to achieve self-actualization with poor health

 Nadine’s health struggle the past 30 months

  • Inadvertently hit with gluten three times in a row
  • Symptoms persisted past usual ten weeks
  • Sinus congestion, DH, pulmonary edema and weight gain

 Nadine’s search for the underlying cause

  • Saw practitioner in Chiang Mai, damp rash lotion resolved symptoms
  • Naturopath in Oregon diagnosed myxedema (hypothyroidism)

 How Nadine is reclaiming her health

  • Taking T3 to resolve symptoms

 How a damaged thyroid gland impacted Nadine

  • Affected sleep, ability to do challenging physical activity

 The importance of support in getting your health back

  • Need relationships to support choices

Resources:

Whole30

Connect with Nadine:

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Nov 10, 2017

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!

What’s Discussed: 

The fundamentals of Lyme disease

  • Most common insect-borne disease in US
  • Primarily carried by tics (disable immune system at bite site)
  • CDC estimates 300K new cases each year

How to prevent Lyme infection

 How the political controversy in medicine has led to conflicting information around Lyme disease

The treatment for Lyme disease

  • Long-term antibiotics
  • T3 to raise body temperature, make white blood cells more efficient
  • Probiotics to support immune system

Why Dr. Honeyman advises Lyme patients to go gluten-free

  • Lyme causes inflammation of gut

 The neurological component of Lyme disease

  • Spirochetes permeate blood-brain barrier
  • Cause brain fog, balance issues, sensory disorders, etc.

The alpha-gal reaction in Lyme patients in the Southeast US

The strange gait and lower-face movement in Lyme patients

  • Bell’s palsy is red flag for Lyme disease

The importance of having a Lyme-literate doctor

  • Skin scraping of rash for diagnosis available in research setting
  • ELISA and Western blot miss 80-90% of Lyme patients

The consequences of untreated Lyme disease

 The three forms of Borrelia

  • Spirochete-form, intracellular and cystic

Resources:

Dr. Honeyman’s Website

CDC Website

Picaridin

Natrapel

Insect Shield Clothing

Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar—Your Brain’s Silent Killers by David Perlmutter

Under Our Skin Film

International Lyme and Associated Diseases Society

Connect with Nadine:

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Nov 3, 2017

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!

What’s Discussed:

The importance of questioning the source of your information

  • Gluten-free groups take money from sponsors (corporations, pharmaceutical companies)

 Why Nadine avoids the ‘gluten removed’ label

 The questions to ask about gluten-free products

  • Is it manufactured in a designated facility?
  • From where do they source the ingredients?
  • Do they batch test those ingredients?

 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

  • Feeling different
  • Loss of convenience

 Why Nadine avoids gluten-free breads

 New food options to explore as a celiac patient

 Why Nadine recommends reevaluating the foods you consume

  • Ensure they are nutrient dense, don’t cause inflammation

 Why you can’t trust product labels

  • Corporations given six months to update after ingredients change
  • Not required to test products labeled gluten-free (no oversight, standardization)

 Nadine’s rules around choosing products

  • Five ingredients or less
  • Must be able to picture ingredients

Resources:

 

Canadian Celiac Association

The Gluten Dude on Facebook

Ground Breaker Brewing

The Gluten Intolerance Group of North America

Enjoy Life Foods

Glutino

Namaste Foods

Pamela’s Products

Jilz Crackers

Lundberg Family Farms

Mary’s Gone Crackers

Casabi Crackers & Flatbread

Jackson’s Honest

Kettle Brand

Nima Sensor

EZ Gluten Test Strips

Applegate

Beeler’s Pure Pork

Hempler’s

Connect with Nadine:

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Aug 25, 2017

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!

What’s Discussed: 

How to define morbidity and mortality

  • Morbidity = sickness
  • Mortality = death
  • People with undiagnosed celiac disease have increased risk for morbidity

How morbidity presents itself in undiagnosed celiac patients

  • Chronic anemia
  • Fatigue
  • Osteoporosis
  • Failure to thrive, grow
  • Infertility
  • Thyroid issues
  • Autoimmune disorders
  • Type 1 diabetes
  • Lupus
  • MS
  • Sjögren’s

Information from the World Health Organization (WHO)

  • Diarrheal diseases are #1 killer of children
  • Only funded one celiac study
  • 1:19 rate in pediatric patients of Sahrawi descent

The prominent mental health issues associated with celiac disease

  • Depression
  • Anxiety
  • Anti-social behavior
  • Suicide

How removing gluten from her diet improved Nadine’s mental health

  • Brain fog went away
  • ‘Got brain back’
  • Embrace all life has to offer
  • Freeing to know cause of symptoms

The grains that contain gluten

  • Wheat
  • Barley
  • Rye
  • Oats (cross-contamination)

The Paleo diet Nadine suggests for celiac and gluten-sensitive patients

  • Whole food
  • Focus on local, fresh
  • 100% grass-fed meat (no antibiotic, no hormone)
  • Fish and eggs
  • Nuts and seeds
  • 100% organic fruits and vegetables

Nadine’s experience with celiac disease

  • Multi-system organ failure, seven auto-immune disorders
  • Dermatitis herpetiformis
  • Diagnosed by dermatologist
  • Tests negative, but HLA-DQ2.5 gene carrier (both parents)

The connection between AFib and celiac disease

  • AFib puts patient at risk for stroke, sudden death
  • Check for magnesium RBC deficiency
  • Can be corrected with gluten-free diet
  • Resolve without pharmaceuticals

How dermatitis herpetiformis affects patients

  • Extremely painful, itchy skin
  • Manifestation of celiac disease
  • Suicide rate higher in patients with DH
  • Dapsone alone will not heal
  • Must also go gluten-free
  • Prolonged use of Dapsone is toxic to liver (bowel cancer, lymphoma)

The cancers that are potentially preventable on a gluten-free diet

  • Lymphoma
  • Small intestinal adenocarcinoma
  • Esophageal cancer
  • Oral pharyngeal

The genes that indicate a predisposition to celiac disease

  • HLA-DQ2
  • HLA-DQ8

Other disorders that could be mitigated by a gluten-free diet

  • Chronic anemia
  • Osteoporosis
  • Osteomalacia
  • Thyroid disorder
  • Dementia
  • Alzheimer’s
  • MS
  • Type 1 diabetes

How long it takes to receive celiac diagnosis in US

  • 9-15 years

The risks for patients diagnosed with celiac disease in childhood

  • Threefold increased risk of death (suicide, accidental death, violence)

Nadine’s research around celiac testing in autopsy

  • Couldn’t get straight answer from medical examiner (state of Oregon)
  • Study conducted in 1974 concluded that despite systematically positive response to gluten-free diet, some patients ended up with lymphoma

How Nadine periodically gives her system a detox

  • Limited fast (three to seven days)
  • Give organs, immune system a rest

Why medical professionals should give more attention to the intestines

  • Vast majority of signs, symptoms originate in intestines
  • 70-90% of immune system in intestines
  • Homocysteine levels higher in newly diagnosed celiac patients, related to other health issues

The issues that can result from undiagnosed celiac disease

  • Heart attack
  • Stroke
  • Appendix removed
  • Gall bladder removed

The definition of refractory celiac disease

  • Intestines don’t heal even on gluten-free diet
  • Sometimes caused by continued exposure to trace amounts of gluten
  • Some patients past point of being able to heal

Why it’s crucial to remove all gluten from the environment

  • Celiac patients should feel safe where live, work and go to school
  • Even trace amounts cause continued symptoms, early death
  • Takes an emotional toll to be hypervigilant, mocked by loved ones

The connection between undiagnosed celiac disease the despair that leads to suicide

  • No hope of getting better
  • Don’t feel supported, believed (celiac is real disease)
  • Depression, anxiety and other mental health disorders
  • More vulnerable if undiagnosed and enduring abusive relationship

What happens when gluten gets through a leaky blood-brain barrier

  • Inflammation of the brain
  • Hypoxia (decreased oxygen flow)
  • Low end—brain fog, anxiety, depression, fatigue
  • High end—bipolar disease, antisocial behavior, learning disabilities, schizophrenia

The risks associated with eating traditionally grown fruits and vegetables

  • Glyphosate in Roundup causes leaky gut

The goals of the first six months on a gluten-free diet

  • Remove all gluten
  • Allow villi to grow back
  • Heal inflammation
  • Repair immune system

Resources:

 

Celiac Disease and Gluten Sensitivity in Down, Turner and Williams Syndrome

WHO Celiac Disease Study

“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?”

“Evidence-Informed Expert Recommendations for the Management of Celiac Disease in Children” in Pediatrics

Connect with Nadine: 

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

Aug 4, 2017

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!

What’s Discussed: 

The myth that men are less likely to suffer from celiac disease

  • 3 women diagnosed for every man
  • Actual ratio of men to women is 1:1
  • Huge numbers of undiagnosed celiac patients in US

The addictive nature of gluten

  • Morphine-like effect
  • Difficult to give up pizza, beer

Case study of man diagnosed with pancreatitis

  • Athletic entrepreneur in 40’s
  • Tested positive for celiac disease
  • Adopted gluten-free diet
  • Pancreatitis resolved
  • Fatigue and throat-clearing went away

Common symptoms of celiac disease in men

  • Fatigue
  • Thyroid issues
  • Anemia
  • Osteoporosis
  • Bowel issues
  • Difficulty swallowing
  • Chronic cough
  • GERD
  • Gastritis
  • Hemorrhoids
  • Gas
  • Bloating
  • Diarrhea
  • Constipation
  • Irritability
  • IBS
  • Urinary incontinence
  • IBH
  • Erectile dysfunction
  • Prostatitis
  • Prostate cancer
  • Facial ticks

Why men with osteoporosis and anemia together should assume they have celiac disease

  • Review labs for red blood cell count
  • Check for hemoglobin and hematocrit in right range

Nadine’s patient with a climbing PSA (lab indicator of prostate cancer)

  • Patient had difficulty sleeping, snoring issues
  • Had to eat bread or cereal before coffee to avoid abdominal pain
  • Suffered from chronic belching, brittle nails
  • Adopted variation of Paleo diet, symptoms resolved

How Nadine’s doctor had a change of heart around celiac disease

  • Nicknamed her ‘Gluten Insufficiency Nurse’
  • Called to request consultation
  • Endoscopy report indicated he had celiac disease
  • Symptoms resolved on gluten-free diet
  • No longer needed Cialis

The lack of celiac understanding exhibited by healthcare practitioners in the US

Doug’s story

  • PA diagnosed with atypical Crohn’s
  • Three trips to ER with GI bleeding
  • Endured surgery to resect bowels
  • Followed Nadine’s instructions for gluten-free diet
  • No longer has Crohn’s, rectal bleeding
  • Feels significantly better

How gluten causes excessive gas, explosive diarrhea and constipation

  • Gluten can trigger paralysis of intestines
  • Normal BM with diet change

Nadine’s advice around nutrition for gluten sensitive patients

  • Super-good, high fat diet
  • Paleo, whole food diet is ideal
  • Incorporate meat, fish, eggs, fruits, vegetables, nuts and seeds
  • Eliminate all grains, legumes and processed foods
  • Replace starches with potatoes, rice
  • Make choices based on preference and nutritional value
  • Select fewer processed, more fresh foods
  • Don’t just replace gluten-containing foods with gluten-free version (processed = nutrient deficient)

The benefits of bacon

  • Can use bacon fat to sauté greens
  • Body uses fat to heal, keep brain and nervous system healthy, prevent neurological disorders

Why men may be more resistant to diet change

Nadine’s advice for men on eating fresh, gluten-free food

  • Find a few easy-to-prepare recipes you like
  • Use a Crock-Pot
  • Incorporate fruits and vegetables
  • ‘If it’s hard, you’re doing it wrong’

Why subsidized ingredients are found in countless products

  • Government pays food manufactures to incorporate
  • Wheat, corn, soy and peanuts in surprising foodstuffs like catsup, tuna

The social challenges for men with celiac disease

  • Don’t want to be perceived as needy, weak
  • Others may be unkind if express special dietary needs
  • Especially difficult if others cooking for you, at special events (e.g.: wedding)

How switching from vegan or vegetarian to Paleo has affected Nadine’s male patients

  • Realize healthy weight
  • Able to gain muscle mass
  • Pain issues resolve
  • Improved mood

Resources:

The Whole 30: The 30-Day Guide to Total Health and Food Freedom by Melissa and Dallas Hartwig

Connect with Nadine: 

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

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