Gluten-Free at In-N-Out Burger

“Press the Allergy Button” Behind the Scenes at In-N-Out Burger 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 options, off we go to In-N-Out. Did you know their entire menu is gluten-free, with the exception of the hamburger buns? They have a very simple menu – just the most basic favorites of American fast food burgers. You can order a burger “protein style” wrapped in lettuce, and add a milkshake (they are all gluten-free) and fries (from a dedicated gluten-free fryer)....

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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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Fructose Malabsorption – Is it the cause of my tummy troubles?

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 What is Fructose? Fructose is a sugar that is found in many foods such as fresh fruits and honey, high fructose corn syrup and many processed foods. It is also a component of plain table sugar , and some vegetables. What is Fructose Malabsorption? Some people cannot completely absorb fructose in their small intestine-the beginning part of the digestive tract.  The undigested fructose is then carried to the colon where our normal bacteria rapidly devour it. In the process, the bacteria produce gases which cause the intestine to swell. This is experienced by the person as bloating, cramping, gas and distention. Diarrhea may also occur due to the undigested particles of fructose. What is Fructose Intolerance? This is also known as hereditary fructose intolerance. It is VERY different from fructose malabsorption and we will not cover it here except to say the following:  it occurs in infants, is hereditary and can lead to severe health problems such as liver disease, seizures and mental retardation. The names are similar but the entities are VERY different. There is some confusion...

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Gluten-Free Labeling Update – November 2012

By Jennifer Iscol Success! It was a nail-biter to the very last minute, but we obtained 25,000 signatures on the White House gluten-free labeling petition by the deadline of October 31st, 2012. You can still sign! The petition will be open until the administration issues its official response. The more signatures we have, the stronger our collective voice. Read and sign the petition and see how many others have signed it: White House petition ( [Update: The administration issued a response and the petition is closed.] Thanks to the American Celiac Disease Alliance for ten years of leadership in advocacy for our community! Reprinted with permission from Over 25,000 Sign Gluten-Free Labeling Petition Over the past month our community took on the daunting task of gathering 25,000 signatures for a “We the People” petition asking for the gluten-free labeling standard to be completed. This special petition, made available to us through the White House webpage, presented a perfect opportunity for the community to advocate on the critical issue of gluten-free labeling. The showing of support for this effort was unparalleled. International celiac organizations rallied their members in solidarity for us and the labeling which they already enjoy. It is impossible to know how many from the celiac and gluten-intolerant community, bloggers, food manufacturers, physicians, dietitians, support groups, and so many more, that signed, and shared the petition and encouraged others to do the same. Amazing...

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Educating doctors about celiac disease

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 Dr. Burkhart reports on her trip to participate in the University of Chicago Celiac Disease Center’s Preceptorship Program, an on-site, intensive, 2-day training course for medical professionals. A Happy New Year to everyone! The holidays are winding down and 2013 is off to a sunny start here in California. It was an equally beautiful, albeit colder climate, a few weeks ago in Chicago when I had the pleasure of participating in the University of Chicago Celiac Disease Center Preceptorship Program. The program is a yearly event coordinated by the center’s founder and director, Stefano Guandalini, MD, and his staff. Dr. Guandalini is one of the world’s leading experts in celiac disease and non-celiac gluten sensitivity. He started the preceptorship seven years ago to educate and update physicians and other health care professionals on celiac disease and non-celiac gluten sensitivity. Approximately 40 medical professionals, including physicians, nurses and dietitians, were chosen from a larger pool of applicants to participate. The rising level of interest in the program is a positive sign that the American medical community is motivated to...

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