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    Jefferson Adams
    Jefferson Adams

    Seven Common Myths About Celiac Disease and Gluten-free Eating

    Reviewed and edited by a celiac disease expert.

    Celiac.com 05/27/2014 - Here are seven common myths people have about celiac disease and gluten-free eating.

    Myth #1: Rice contains gluten, and people with celiac disease and gluten-intolerance shouldn’t eat it.

    Celiac.com Sponsor (A12):
    Status: FALSE.

    People with celiac disease and gluten-intolerance have adverse immune reactions to gluten proteins in wheat, rye and barley.

    Rice does contain gluten, just not the kind that causes adverse reactions in people with celiac disease and gluten-intolerance. Plain rice is fine for people with celiac disease.

    Photo: ElfQrin--Wikimedia CommonsMyth #2: A little gluten is okay for people with celiac disease and gluten-intolerance to eat.

    Status: MOSTLY FALSE.
    Gluten levels above 20 parts per million can cause adverse immune reactions and chronic damage in people with celiac disease.

    Current medical research defines gluten-levels below 20 parts per million as safe for people with celiac disease, and the FDA and other official organizations use that standard in labeling, those levels are so close to zero as to be “gluten-free.”

    The tiniest crumbs of bread far exceed 20ppm, so eating “a little” gluten is only possible by eating “gluten-free” food. In fact, the only properly recognized treatment for celiac disease is a gluten-free diet.

    Myth #3: Food made with gluten-free ingredients is safe for people with celiac disease.

    Status: FALSE
    Just because food is made with gluten-free ingredients, it is not necessarily safe for people with celiac disease. Case in point, Domino’s Pizza recently introduced gluten-free pizza crusts. However, these pizzas are prepared in the same areas and ovens as Domino’s regular pizzas, and are likely contaminated with gluten from wheat flour. These pizzas are not safe for people with celiac disease. There are many similar cases in the restaurant world. Contamination is a serious issue for some celiacs, so buyers be aware and be wary.

    Myth #4: Celiac disease is a food allergy.

    Status: FALSE
    Celiac disease is not a food allergy or an intolerance, it is an autoimmune disease. People with celiac disease suffer damage to the lining of the small intestine when they eat wheat, rye or barley. They also face higher risks for many other auto-immune conditions.

    Myth #5: Celiac disease only affects people of European ancestry

    Status: FALSE
    Celiac disease is more common in people of northern European ancestry, but it affects all ethnic groups and is found in southern Asia, the Middle East, North Africa and South America.

    Myth #6: Celiac disease is a children’s condition

    Status: FALSE
    Celiac disease can develop at any age. In fact, celiac disease is most commonly diagnosed in people aged 40-60 years old.

    Myth #7: Celiac disease can be painful, but isn't life-threatening.

    It’s true that classic celiac disease symptoms, like stomach pain, bone pain, fatigue, headaches, skin rash, and digestive issues, won’t kill patients outright. However, undiagnosed or untreated, celiac disease can trigger other autoimmune disorders, and leave patients at much greater risk of developing certain types of deadly cancer.



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    Guest Jacqie

    Posted

    Complete rubbish. My specialist advised crumb contamination is not a problem. Apart from being a specialist he's also celiac, as is his daughter.

    I don't believe celiac disease is a "one size fits all" situation. We are still taking baby steps in fully understanding this disorder. Perhaps some celiacs can tolerate low levels of cross contamination. I cannot. I even react to inhaled gluten, making it impossible for me to feed my own livestock, since I will react to exposure to the grain dust. I also suffer from bouts of DH, which are definitely exacerbated by any exposure to gluten.

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    Guest Rebecca Taylor

    Posted

    Mine affected not only my intestine but it helped the appendix to get inflamed. it also masked the symptoms of my gallbladder problems. having gluten intolerance since a child I was unaware of what else was going wrong. I have since learned how to make garbonzo bean donuts and corn masa cake.

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    Guest Linda

    Posted

    I will weigh in here, if I may. I have celiac disease. I cannot eat any gluten in even the smallest amounts and cross contamination is a serious event for me. An example of the "crumbs" issue, my husband brought home some cookies and ate them at his place at the table. However, unbeknownst to me, some crumbs from those cookies ended up at my place at the table. I did not know the crumbs were there and I placed some vitamins on the table which I took later. I had a gluten reaction (GI) about 20 min later.

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    Guest Lynn_M

    Posted

    The answer from a celiac expert will be the accepted wisdom of the time. Most likely someone's opinion. Dr. Peter Osborne is one celiac expert who would disagree with you, because he says any grain storage protein can be problematic, although he lists rice as the least problematic. I recall reading research articles at his website that support his conclusion. I think a research study rather than a celiac expert's opinion is what it takes to answer the question of whether the forms of gluten in other grains can cause immune reactions similar to gluten.

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    Guest Ann
    This is incorrect. People with celiac disease do not react to rice gluten the same way they do to secalin from rye, hordein from barley or gluten from wheat. Plain rice of all types is safe for people with celiac disease to consume. Ask any celiac expert.

    Jeff -- I strongly disagree with your statement of "people with celiac disease do not react to rice gluten". I have NCGS and do react to rice gluten as does a friend of mine that has celiac. Her doctor told her she was still getting gluten in her system, i.e. rice, rice cereals, etc. I believe it all has to do with the prolaines/glaumines (?) that make up rice. Wild rice is okay because it's not a grain it is a grass. People may feel better on a gluten free diet but still cause gut damage when eating rice and other grains.

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    Guest Ann

    This gives incorrect information regarding rice gluten.

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    Guest norm

    Posted

    Complete rubbish. My specialist advised crumb contamination is not a problem. Apart from being a specialist he's also celiac, as is his daughter.

    My specialist says same thing. I react strongly to a table spoon of bread crumbs, I did a study for UCSD. I used the same tester as my family. I do not have a reaction and I get tested frequently to ensure my diet is still gluten free.

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    Guest admin

    Posted

    Jeff -- I strongly disagree with your statement of "people with celiac disease do not react to rice gluten". I have NCGS and do react to rice gluten as does a friend of mine that has celiac. Her doctor told her she was still getting gluten in her system, i.e. rice, rice cereals, etc. I believe it all has to do with the prolaines/glaumines (?) that make up rice. Wild rice is okay because it's not a grain it is a grass. People may feel better on a gluten free diet but still cause gut damage when eating rice and other grains.

    Your reaction is a secondary intolerance, and not celiac disease or gluten sensitivity.

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    Guest Jefferson Adams

    Posted

    The answer from a celiac expert will be the accepted wisdom of the time. Most likely someone's opinion. Dr. Peter Osborne is one celiac expert who would disagree with you, because he says any grain storage protein can be problematic, although he lists rice as the least problematic. I recall reading research articles at his website that support his conclusion. I think a research study rather than a celiac expert's opinion is what it takes to answer the question of whether the forms of gluten in other grains can cause immune reactions similar to gluten.

    By all means researchers should study all relevant triggers for celiac disease. The overwhelming evidence and scientific opinion of the moment is that rice is safe for people with celiac disease. There is simply no solid evidence supporting the idea that rice is "problematic" for people with celiac disease. Dr. Osborne's opinion is not based on convincing science. There is no documented evidence of rice triggering gluten reactions in people with celiac disease.

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    Guest Jefferson Adams

    Posted

    This gives incorrect information regarding rice gluten.

    Specifically, what is incorrect about it? There is no hard science that shows that rice triggers gluten reactions in people with celiac disease. The vast majority of celiac disease experts and researchers, American and European, including Dr. Peter Green, Dr. Andrew Fassano, and many others, consider rice to be perfectly safe for people with celiac disease. That is simply the overwhelming medical consensus, supported by research.

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    Guest Jefferson Adams

    Posted

    For anyone else who thinks rice is not safe for people with celiac disease, here is a link to the Mayo Clinic's gluten-free food list for people with celiac disease, please go to this website, or to the Mayo Clinic dot Org. Click diseases-conditions/celiac-disease/expert-answers/celiac-disease/faq-20058118

     

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    Guest Jefferson Adams

    Posted

    What qualifies someone as being a "celiac expert" or a "celiac specialist"? Here's a fact for your list: Celiac disease affects each patient differently. Some are more sensitive than others. I cannot tolerate any ppm, I cannot tolerate food items that were on the unsafe list when I was diagnosed but have been moved to the safe list. 20ppm is less than 1/8th of a teaspoon. Just because someone has celiac disease doesn't mean they know it all. Just because someones career is studying celiac disease doesn't make them an expert. We are all individuals with different tolerances. As for rice, it depends on where the rice is stored before packaging. The same for raw beans! I wish those who make statements would use the term "for most with celiac" and I wish packaging would be required to state the real ppm amount instead of being able to say "gluten free"!

    FYI: 20ppm is FAR less that â…›th of a teaspoon. Also, you are referring to possible cross-contamination, not gluten in rice per se. Lastly, by "celiac experts," I am referring to major celiac disease researchers like Dr. Peter Green, Andrew Fassano, and doctors at places like the Mayo Clinic. I hope that helps.

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  • About Me

    Jefferson Adams

    Jefferson Adams is Celiac.com's senior writer and Digital Content Director. He earned his B.A. and M.F.A. at Arizona State University. His articles, essays, poems, stories and book reviews have appeared in numerous magazines, journals, and websites, including North American Project, Antioch Review, Caliban, Mississippi Review, Slate, and more. He is the author of more than 2,500 articles on celiac disease. His university coursework includes studies in science, scientific methodology, biology, anatomy, physiology, medicine, logic, and advanced research. He previously devised health and medical content for Colgate, Dove, Pfizer, Sharecare, Walgreens, and more. Jefferson has spoken about celiac disease to the media, including an appearance on the KQED radio show Forum, and is the editor of numerous books, including "Cereal Killers" by Scott Adams and Ron Hoggan, Ed.D.

    >VIEW ALL ARTICLES BY JEFFERSON ADAMS

     


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