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  • Lindsay Cochrane
    Lindsay Cochrane

    Living with Celiac Disease in South Korea

    Reviewed and edited by a celiac disease expert.

    Journal of Gluten Sensitivity Spring 2006 Issue

    Living with Celiac Disease in South Korea - Image: CC--Republic of Korea
    Caption: Image: CC--Republic of Korea

    Celiac.com 09/21/2018 - The English as a Second Language (ESL) pie is so large in countries such as South Korea that there seem to be enough helpings for anyone interested. However, these generous slices may be off limits to individuals with severe food allergies or intolerances, including those with celiac disease. If you have diet restrictions and are thinking of heading to South Korea or another Asian country, the following information will help you decide whether or not this move is a good idea.

    One might think that Asia, the land of rice-based meals, would be a celiac’s paradise. As one naïve dietician told me before I moved to Seoul, “You couldn’t be going to a better place.” This assumption could not be further from the truth. If cooked with traditional ingredients, many local dishes are gluten-free. However, in Korea, wheat flour is now cheaper than other kinds of flour, despite the fact that it has to be imported. Wheat flour and barley are currently the two most common ingredients in Korean food products.

    In Korea, eleven major food allergens must be included on product labels: poultry eggs, milk, buckwheat, peanuts, soybean, wheat, mackerel, crab, pork, peaches, and tomatoes. As for anything else, the Korean Food and Drug Administration states that only the five major ingredients in a product have to be labeled. Furthermore, a label need only include intentional ingredients, not things accidentally mixed into a product through cross-contamination. So you can say goodbye to warnings like: “this product may contain traces of peanuts.” Stricter labeling regulations will be put into effect in September 2006. However, these laws will remain less stringent than those in North America and Europe. According to a source at the KFDA, labeling restrictions are similar in Japan and more lax in China and South East Asia.

    One can easily learn Korean for “I’m allergic to ____” in any phrasebook or from a Korean coworker, friend, or even the guy in the next seat on your Korean Air flight. Yet it is the cultural barrier, not the language barrier, which poses the most difficulties for a celiac.

    Korean culture revolves around the sharing of food due to food shortages during the Japanese occupation; Koreans do not ask, “How are you?” but, “Have you had your meal?” Co-workers, friends, and even the occasional stranger will offer to share food. The politest way to refuse is by saying, “Thank you, but I can’t. I’m allergic.” Also, rather than saying you are allergic to something in Korean—allerugi—it is much more effective to say you cannot have it. (see the list of useful phrases). Unfortunately, even these statements are unlikely to be fully effective when eating Korean food. Many Koreans are completely unaware that frequently-used ingredients such as tashida soup flavouring and soybean powder contain wheat.

    Most Koreans I spoke with were shocked to hear that, as a celiac, I could not eat food which had so much as touched gluten. Generally, they assume that people with food allergies are still able to consume a product with a 1-2% trace of the allergen. Food allergies, celiac disease, vegetarianism, and other kinds of diet restrictions are rare in this country and are not taken very seriously. Furthermore, according to gastroenterologist Dr. Kim of Severance Hospital in Seoul, only two people were ever diagnosed with celiac disease in Korea.

    The world of North American restaurants, where servers cater to those with food allergies, food sensitivities, and plain old picky eaters, is very far away. Koreans generally order what is on the menu without making any special requests. Even Westerners who learn enough of the Korean language to explain their diets often end up being served something they asked specifically not to have. Furthermore, Korean food is not served on personal plates: everyone at the table reaches his or her chopsticks into the various communal dishes, causing cross-contamination.

    I was at a restaurant with some Korean friends and was trying to explain my gluten-intolerance to them, when one young man told me he was so sensitive to peaches that he could not so much as touch a peach without breaking out into a rash. Five minutes later I saw him eat a dish containing peach slices. This is the attitude of Koreans to food allergies—both theirs and yours.

    The gluten-free meal which is safest and easiest to find in Korea is samgyupsal. This dish features fatty, thick slices of pork cooked over a clean grill right at your table. Just make sure that all sauces are kept off the grill. Bibimbop is a rice, vegetable, and egg dish usually served with kochujang, a red pepper paste which unfortunately contains wheat. Bibimbop can be ordered, however, with the kochujang on the side.

    Most foreigners are in Korea to work rather than visit, and having an apartment provides the extra advantage of having one’s own cooking space. There are a few of us who have managed the gluten-free diet in Korea. However, it has not been easy. If you have celiac disease or food allergies and are thinking of moving to this part of the world, I can guarantee you that it will be a monumental challenge.

    Useful Korean phrases:

    • Thank you, but I can’t. I’m allergic: kamsa hamnida man, allerugi issoyo.
    • I cannot have barley, rye, or wheat: chonun pori hago homil hago mil motmuhgeyo.
    • Barley: pori
    • Wheat: mil
    • Rye: homil
    • Bibimbop with the red pepper paste on the side: bibimbop kochujang garu
    • Grilled Pork: samgyupsal

    Edited by Scott Adams



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    Guest Laura

    I have made a resolution to never travel outside of the US for the reasons pointed out in this article.  In 2009 I went to local Asian markets hoping to find rice based foods e.g. rice paper & rice noodles.  I read the ingredient labels on dozens of fresh and frozen products, many imported.  They all contained "wheat".  The modern wheat has destroyed my health. I eat like a "cave man" (meat-fruits-vegetables). That's it!   99.9% of processed foods contain cross-reactors of egg-yeast-dairy and 99.9% include heat-processed oils that contain "toxic" residuals amounts of hexane-bleach-defoaming agents-deodorizers (canola, vegetable, seed & flower oils). I am no longer surprised at the increasing gastric cancer & lymphoma rates. How sad is it that food has gotten to this point of toxicity?

     

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    sophierohini
    On 9/25/2018 at 2:39 PM, Guest Laura said:

    I have made a resolution to never travel outside of the US for the reasons pointed out in this article.  In 2009 I went to local Asian markets hoping to find rice based foods e.g. rice paper & rice noodles.  I read the ingredient labels on dozens of fresh and frozen products, many imported.  They all contained "wheat".  The modern wheat has destroyed my health. I eat like a "cave man" (meat-fruits-vegetables). That's it!   99.9% of processed foods contain cross-reactors of egg-yeast-dairy and 99.9% include heat-processed oils that contain "toxic" residuals amounts of hexane-bleach-defoaming agents-deodorizers (canola, vegetable, seed & flower oils). I am no longer surprised at the increasing gastric cancer & lymphoma rates. How sad is it that food has gotten to this point of toxicity?

     

    I know this is 3 years later...but come the UK! we have incredible gluten free restaurants (there is a high prevalence in Brits and also Irish - many of Irish decent - me included grew up in the UK. There are some fantastic stand alone restaurants in London, Brighton and further afield. Lots of affordable and good chain restaurants choose to certified by Celiac UK (where they are INCREDIBLY strict, different ovens, the manager of the restaurant or chef will often come and take your order) and many independents will be very helpful. There was a really sad case where someone with a nut allergy passed away so the UK now government has very strict rules about labelling. I also had a lot of luck in Germany when I lived there - a lot of Germans speak amazing English and will be horrified you cant eat their amazing cakes but will move mountains to find you something to eat  

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    cristiana
    20 minutes ago, sophierohini said:

    I know this is 3 years later...but come the UK! we have incredible gluten free restaurants (there is a high prevalence in Brits and also Irish - many of Irish decent - me included grew up in the UK. There are some fantastic stand alone restaurants in London, Brighton and further afield. Lots of affordable and good chain restaurants choose to certified by Celiac UK (where they are INCREDIBLY strict, different ovens, the manager of the restaurant or chef will often come and take your order) and many independents will be very helpful. There was a really sad case where someone with a nut allergy passed away so the UK now government has very strict rules about labelling. I also had a lot of luck in Germany when I lived there - a lot of Germans speak amazing English and will be horrified you cant eat their amazing cakes but will move mountains to find you something to eat  

    Hi Sophie

    I'm so glad you've had good such good experiences in the UK of eating out.  That is really encouraging to know. Things are certainly improving in the UK, particularly since the very sad case you mentioned - I remember it being in all the papers.  

    I was diagnosed in 2013 and since then I have been glutened three or four times in restaurants, and one of those was a chain certified by Coeliac UK, but since the case you mentioned I think restaurateurs are much more cautious. 

    That said, I find it still pays to be one's guard.  On one occasion I only narrowly avoided glutening because my children asked the waiter if the bread provided with the gluten-free salmon and scrambled egg was also gluten-free - it wasn't, they'd made a mistake!  Also, the time a salad was served up with actual bread crumbs in amongst the lettuce etc as it had been prepared on a chopping board used for bread.  

    These days I am terribly sick 2-3 hours after being glutened, get severe chills and cannot even stand up until the gluten has passed through my digestive tract,  so I've stopped eating out altogether as I just don't want that to happen when I'm nowhere near home.  But that said, I'm one of those coeliacs who really knows about it if they get glutened; two of my girlfriends, diagnosed the same time as me, react totally differently: in fact, one does't react at all, the other gets an upset stomach for about 24 hours.  I wish I was like them as I do feel a bit limited by my condition - but that said, I still get to order a coffee or a drink and chat with everyone while they eat, and I've since concluded that actually when one is out with friends the food side of thing isn't the most important thing.

    One tip I have been given is that Michelin Star restaurants are particularly strict on the whole allergen thing.  Unfortunately my budget doesn't stretch to those too often!
     

    Cristiana

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    Guest Esther

    Posted

    The Netherlands and Italy are good for celiacs as well. Especially Italy, it's like gluten free heaven. I was so surprised when I went to Italy, there's so much which is gluten free and there are a bunch of gluten free bakeries as well

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  • About Me

    Lindsay Cochrane

    Lindsay Cochrane is an ESL teacher currently re-residing in Toronto after a 1.2 year hiatus in Asia as a teacher at ECY Kid’s Land Foreign Language School, in Anyang City, Kyeonggi do, South Korea. She enjoys teaching, reading, writing, keeping abreast of current events, studying French, volunteering, spending time with family and friends, dancing (badly), singing karaoke (even worse), and putting on her pajamas as early as possible.


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