Grains have an
addictive lure. The components stimulate the narcotic centers of the human brain.
No wonder food manufacturers put wheat everywhere. The offending element
is the protein gluten, a primary ingredient in wheat flours.
Gluten can hide in licorice candy, imitation bacon, processed luncheon
meats, soy sauce, drugs and over-the-counter medications - even communion wafers.
People are becoming increasingly sensitive to gluten. Eating it may trigger
a host of symptoms including irritability, headache, difficulty concentrating,
fatigue, and increased appetite. It may even go as far as producing difficulty
with balance (called "gluten ataxia") and even a picture resembling
Gluten sensitivity in children can be hard to identify at first because
the issue may simply appear to be only a vague collage of unrelated symptoms:
attention deficit disorder, chronic earaches, stomach cramps, alternating
diarrhea and constipation, bloated abdomen, joint pain, fatigue or just
being small for their age.
When gluten sensitivity goes untreated, malnutrition develops, and the
chronic inflammation may lead eventually to various autoimmune and neurological disorders.
Gluten can trigger an increasingly common auto-immune disorder called Celiac
Disease in which the villi (tiny surface folds) of the small intestine
become inflamed, thickened, and finally flattened to the point they can
no longer absorb nutrients. This disease is characterized by the presence
of serum antibodies to various proteins including endomysium, reticulin,
gliadin, and tissue transglutaminase.2 Antibodies to neuronal tissue have been identified in patients with gluten
Celiac disease prevents the body from absorbing nutrients properly. There
are no longer as many functioning “holes in the sieve” for
nutrients to get through to the blood stream. Even after the villi in
the small intestine are described as being “back to normal,”
there remains the potential of some nutrients being absorbed at lower levels.
According to Dr. Kenneth Fine, an intestinal researcher at Entero Labs,
as many as 40% of Americans may have the gene for gluten sensitivity.
That means as many as 1 in 4 Americans may have some delayed allergic
reaction to gluten.
The good news is that much of the damage to the gut surface can usually
be reversed by following a gluten-free diet. The other good news, for
breakfast lovers, is that oats do not contain gluten, as long as they
are processed in a plant which does not also process wheat.4,5
Welcome to the gluten free diet, or GF for short.
A GF diet is considered medically imperative for people with Celiac Disease
or dermatitis herpetiformis, a gluten induced skin sensitivity rash. Some
people choose to go GF because they find it helps with Autism or Attention
Deficit Hyperactivity Disorder (ADD, AD/HD). There is also considerable
evidence that gluten is associated with illnesses as diverse as rheumatoid arthritis6, epilepsy7, odd neurologic symptoms8, autoimmune diseases including diabetes1, systemic lupus erythematosus9, migraine headaches and white matter abnormalities of the brain10, thyroiditis.11
Your favorite foods can be prepared without gluten. Bakeries are popping
up that specialize in GF lasagna, cookies, muffins, and more. You can
even find GF soaps and personal cosmetics.
Children with autism often need the “casein-free, gluten-free”
diet, which involves elimination of gluten and all foods containing the
protein casein in pasteurized milk. The Autism Network for Dietary Intervention
(ANDI) provides information and support to families who wish to follow
this diet. We prescribe this diet to these children in our clinic, and
help their parents negotiate the obstacles of shopping, reading labels,
well-meaning teachers, friends and family members who think that gluten-free
is right next door to child abuse.
What contributes to the need for GF diets? For one thing, the government
dietary guidelines that recommend several servings of grains every day.
Not good advice.
All grains can cause nutritional deficiencies, since they are all incomplete
proteins. As we eat more and more grain products we tend to eliminate
other nutritional meats, fruits, and vegetables. Think how kids, if given
the chance at the dinner table, will fill up on bread, French fries, chips.
This emphasis leads to inadequate growth because of a reduction of protein
and amino acids.
Another tip: don't make wheat cereals the first solid food you feed
a baby. This practice contributes to wheat allergies. Make pureed veggies
the first meal.
In the meantime, if a GF diet is for someone in your family, take comfort
in the fact the GF food makers have come a long way, baby.
Below is our list of eateries which we know to be GF literate as of January, 2009.
The restaurant business is subject to change, so call ahead to verify.
Consumer Beware: When you eat out, remember you run the risk of cross-contamination
from the grill, airborne particles, utensils, and more. There is no guarantee
restaurants will make the same thing the same way each time; verify with
your server. And product manufacturers sometimes change their ingredients
without advising the public.
Alberto Italian Restaurant
7171 East Cave Creek Road, Ste S, Cave Creek
Has gluten-free pasta dishes.
Locations in Phoenix, Scottsdale, & Tempe
2814 North 16th Street, Phoenix
Most items on menu happen to be GF and they know what gluten is.
Basis New American Restaurant
410 East Thunderbird Road, Phoenix
Bombay Spice Grill
10810 North Tatum Boulevard, Phoenix
Carrabba’s Italian Grill
Six locations in the Valley
13843 North Tatum Boulevard, Phoenix
NE corner of Thunderbird & Tatum
Middle Eastern cuisine, most items on menu happen to be GF
Gluten-Free Creations Bakery
Best Little Bistro
2940 East Thomas Road, Phoenix
A totally gluten-free wheat-free bakery 1 mile east of hwy 52 & Thomas,
4651 East Cactus Road, Phoenix
Havana Café (3 locations)
4225 East Camelback Road, Phoenix
6245 East Bell Road, Phoenix
4232 East Chandler Boulevard, Ahwatukee
La Stalla Cucina Rustica
60 West Buffalo, Chandler
Has gluten-free pasta
Lon’s at The Hermosa Inn
5532 North Palo Cristi, Paradise Valley
Especially helpful to call ahead
12645 North Saguaro Blvd, Ste 1, Fountain Hills
Serve GF sandwiches and a selection of GF and non-GF sweeter items.
Old Spaghetti Factory
1418 North Central Avenue, Phoenix
The Persian Room
17040 North Scottsdale Road, Phoenix
PF Chang’s China Bistro
Locations in Sedona, Tempe, and Phoenix. Offers gluten-free pizza menu.
4700 North 16th Street, Phoenix
Serving gluten-free sandwiches, muffins, cookies, dressings, and soups.
The owner is gluten-free!
Z Tejas Grill
Locations in Phoenix, Scottsdale, Tempe, Chandler
5 Hardman CM, Garrioch JJ et al. Absence of toxicity of oats in patients
with dermatitis herpetiformis. NEJM 337;26:1884-87 (Dec 25, 1997).
6 Hafström I, Ringertz B et al. A vegan diet free of gluten improves
the signs and symptoms of rheumatoid arthritis: the effects on arthritis
correlate with a reduction in antibodies to food antigens. Rheumatology
7 Pratesi R, Modelli IC et al. Celiac disease and epilepsy: favorable outcome
in a child with difficult to control seizures. Acta Neurol Scand 108;4:290
8 Haddad L, Amsterdam A et al.
Celiac disease presenting as a paraneoplastic syndrome in a patient with
synchronous endometrial and ovarian cancers. Gynecol Oncol. 2005 May;97(2):704-6.
9 Hadjivassiliou M, Sanders DS et al.
Gluten sensitivity masquerading as systemic lupus erythematosus. Ann Rheum Dis 2004;63;1501-1503.
10 Hadjivassiliou M, Grunewald RA et al.
Headache and CNS white matter abnormalities associated with gluten sensitivity. Neurology. 2001 Feb 13;56(3):385-8.
11 Volta U, Ravaglia G et al.
Coeliac Disease in Patients with Autoimmune Thyroiditis. Digestion 64;1:61-65 (2001).
12 Hope BT, Nagarkar D et al.
Long-term upregulation of protein kinase A and adenylate cyclase levels
in human smokers. J Neurosci. 2007 Feb 21;27(8):1964-72.