Why Am I Having Migraines?

Amy Burkhart, MD, RD, is a board-certified emergency medicine physician and registered dietitian. She also trained in integrative medicine with Dr. Andrew Weil at the University of Arizona Center for Integrative Medicine. Her practice is located in Napa, CA. 1100 Lincoln Ave. Suite 200 Napa, CA 94558 (707) 927-5622 Office www.TheCeliacMD.com I have many patients in my office who suffer from migraine headaches and are looking for solutions to their symptoms. I would like to shed some light on this common malady and offer tips to aid you in limiting or eliminating migraines headaches. A study published recently in the journal Headache addresses migraine headaches in people with celiac disease, inflammatory bowel disease and non-celiac gluten sensitivity. They found that all three groups had a significant increase in migraine headaches compared to the general population. We have long thought people with celiac disease have more migraine headaches, and previous studies have addressed this issue, but now we have even more evidence this is true. And, there is little prior evidence addressing migraines in inflammatory bowel disease or non-celiac gluten sensitivity, given that the latter is a newly defined entity. WHAT IS A MIGRAINE? Migraines may come on rapidly or slowly. They typically occur on one side of the head, but can be bilateral. They may or may not be preceded by an “aura”- a type of “warning signal.” Typical auras...

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Cold Sores, Canker Sores and Gluten

Amy Burkhart, MD, RD, is a board-certified emergency medicine physician and registered dietitian. She also trained in integrative medicine with Dr. Andrew Weil at the University of Arizona Center for Integrative Medicine. Her practice is located in Napa, CA. 1100 Lincoln Ave. Suite 200 Napa, CA 94558 (707) 927-5622 Office www.TheCeliacMD.com   This month I write about two disorders that some might consider trivial, mere nuisances to be quickly forgotten-canker sores and cold sores. These painful and annoying eruptions may, however, be a clue that something else is amiss. Canker sores and cold sores are both very common and frequently confused. Their presence is usually seen as a bother that is not worthy of mention by patients in my office. I typically have to inquire about them or they are not discussed. Patients ask, “Everyone gets them, don’t they?” While they may be commonplace, if they are appearing frequently, further evaluation for underlying reasons is warranted. Ivy (names changed for privacy) came to see me several months ago because she was getting canker sores in her mouth so severe she could not eat. Newly diagnosed with non-celiac gluten sensitivity, she had heard of a correlation between canker sores and gluten. While gluten may be one trigger, Ivy was already on a gluten-free diet, so we set out to look for other possible culprits. Canker sores Canker sores, known as apthous ulcers...

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Interview with Jen Cafferty – Gluten Free & Allergen Friendly Expo

By Jennifer Iscol Jen Cafferty makes it look easy, producing huge Gluten Free & Allergen Friendly Expos in large cities across the country, launching a new television show, consulting, creating recipes, blogging, and raising two children with her husband in Chicago. I asked Jen her perspective on the Expo she founded, food trends and how she stays healthy. Jen views the Gluten Free & Allergen & Friendly Expo she founded in 2008 as going beyond food to a variety of lifestyle topics, from medical information, dining, travel and kids’ issues to daily coping. She likes to make it a welcoming and useful event for people with celiac disease, non-celiac gluten sensitivity and a gamut of food allergies. Everything sampled or sold by the vendors is gluten-free. The vendors must also label the foods for nine common allergens: milk, eggs, fish, shellfish, tree nuts, peanuts, soybeans, corn and sesame seeds. In addition to the labeling, Jen encourages attendees to double check for safety by asking each vendor about specific allergens. As the producer of the Expo, Jen has had the opportunity to observe trends over time in gluten-free and allergen-free foods. The quality is getting better now, and the prices are starting to go down, she says. Although there are more healthy products available, the majority of products are not in that category, as most people are seeking gluten-free and allergen-free...

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Gluten-Free at In-N-Out Burger

“Press the Allergy Button” Behind the Scenes at In-N-Out Burger February 2018: We’ve updated this article to reflect consumer comments we’ve received indicating that training, knowledge and safety protocols vary widely at In-N-Out locations. Consider the comments below and ask questions of the manager or staff at the location you visit. In-N-Out Burger needs to make a gluten-free safety commitment at the corporate level and disseminate policies and practices to every location. By Jennifer Iscol I make healthy meals at home, some very good ones actually, but sometimes my teenager craves a burger and fries. With few celiac-safe restaurant...

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Happy Anniversary, 1 in 133! A Time for Action

February 10th, 2013, was the tenth anniversary of the publication of the prevalence study led by Alessio Fasano, MD, revealing the high incidence of celiac disease in the United States. Until the multicenter study was published by the University of Maryland, indicating that celiac disease affects one in 133 Americans, the condition was thought to be quite rare, affecting one in 10,000. Congress Passes Key Labeling Legislation in 2004 A great deal has changed in 10 years. In that decade, the U.S. Congress passed the Food Allergen Labeling and Consumer Protection Act of 2004, which vastly improved food labeling. Wheat, the primary source of gluten in manufactured products, can no longer be a hidden ingredient and has to be labeled in plain language. The National Institutes of Health Launch Awareness Campaign in 2006 The National Institutes of Health convened a Consensus Development Conference on Celiac Disease in 2004, using the new prevalence data, offering guidelines to the medical community and identifying directions for research. The NIH officially launched a Celiac Disease Awareness Campaign in 2006, providing materials and resources for health care professionals and the public.  Studies Multiply, Awareness Rises Countless other studies from around the world improved our collective knowledge of celiac disease. University medical centers in the United Sates invested in clinical care and research. Awareness of celiac disease increased and diagnostic rates inched up from shockingly low levels...

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