gfrn_podcast_banner

Celiac Disease, Suicide, Morbidity and Mortality EP038

People are suffering. From a feeling of hopelessness. From depression and anxiety. Add to that a despair that no one supports them, and you have a desperate individual at an increased risk of committing suicide.

This topic hits close to home for Nadine, as she lost a nephew to suicide in 2007. Ian struggled with addiction issues, and he took his life at the age of 19. Because her family is predisposed to celiac disease, Nadine wonders if undiagnosed celiac disease may have been partially to blame for her nephew’s issues. Today she explores the mental health disorders that are associated with gluten getting through the blood-brain barrier. She also explains how undiagnosed celiac disease puts patients at an increased risk for morbidity, and stresses the fact that celiac disease can—and will—kill you if it goes untreated.

Listen in as the Gluten Free RN tells her own story of improved mental health on a gluten-free diet. She also covers the types of cancers that might be prevented by going gluten-free, the connection between AFib and celiac disease, and how dermatitis herpetiformis affects patients. Listen and learn the best diet to help you get better, faster, and why medical professionals need to pay more attention to the intestines!

What’s Discussed: 

How to define morbidity and mortality

  • Morbidity = sickness
  • Mortality = death
  • People with undiagnosed celiac disease have increased risk for morbidity

How morbidity presents itself in undiagnosed celiac patients

  • Chronic anemia
  • Fatigue
  • Osteoporosis
  • Failure to thrive, grow
  • Infertility
  • Thyroid issues
  • Autoimmune disorders
  • Type 1 diabetes
  • Lupus
  • MS
  • Sjögren’s

Information from the World Health Organization (WHO)

  • Diarrheal diseases are #1 killer of children
  • Only funded one celiac study
  • 1:19 rate in pediatric patients of Sahrawi descent

The prominent mental health issues associated with celiac disease

  • Depression
  • Anxiety
  • Anti-social behavior
  • Suicide

How removing gluten from her diet improved Nadine’s mental health

  • Brain fog went away
  • ‘Got brain back’
  • Embrace all life has to offer
  • Freeing to know cause of symptoms

The grains that contain gluten

  • Wheat
  • Barley
  • Rye
  • Oats (cross-contamination)

The Paleo diet Nadine suggests for celiac and gluten-sensitive patients

  • Whole food
  • Focus on local, fresh
  • 100% grass-fed meat (no antibiotic, no hormone)
  • Fish and eggs
  • Nuts and seeds
  • 100% organic fruits and vegetables

Nadine’s experience with celiac disease

  • Multi-system organ failure, seven auto-immune disorders
  • Dermatitis herpetiformis
  • Diagnosed by dermatologist
  • Tests negative, but HLA-DQ2.5 gene carrier (both parents)

The connection between AFib and celiac disease

  • AFib puts patient at risk for stroke, sudden death
  • Check for magnesium RBC deficiency
  • Can be corrected with gluten-free diet
  • Resolve without pharmaceuticals

How dermatitis herpetiformis affects patients

  • Extremely painful, itchy skin
  • Manifestation of celiac disease
  • Suicide rate higher in patients with DH
  • Dapsone alone will not heal
  • Must also go gluten-free
  • Prolonged use of Dapsone is toxic to liver (bowel cancer, lymphoma)

The cancers that are potentially preventable on a gluten-free diet

  • Lymphoma
  • Small intestinal adenocarcinoma
  • Esophageal cancer
  • Oral pharyngeal

The genes that indicate a predisposition to celiac disease

  • HLA-DQ2
  • HLA-DQ8

Other disorders that could be mitigated by a gluten-free diet

  • Chronic anemia
  • Osteoporosis
  • Osteomalacia
  • Thyroid disorder
  • Dementia
  • Alzheimer’s
  • MS
  • Type 1 diabetes

How long it takes to receive celiac diagnosis in US

  • 9-15 years

The risks for patients diagnosed with celiac disease in childhood

  • Threefold increased risk of death (suicide, accidental death, violence)

Nadine’s research around celiac testing in autopsy

  • Couldn’t get straight answer from medical examiner (state of Oregon)
  • Study conducted in 1974 concluded that despite systematically positive response to gluten-free diet, some patients ended up with lymphoma

How Nadine periodically gives her system a detox

  • Limited fast (three to seven days)
  • Give organs, immune system a rest

Why medical professionals should give more attention to the intestines

  • Vast majority of signs, symptoms originate in intestines
  • 70-90% of immune system in intestines
  • Homocysteine levels higher in newly diagnosed celiac patients, related to other health issues

The issues that can result from undiagnosed celiac disease

  • Heart attack
  • Stroke
  • Appendix removed
  • Gall bladder removed

The definition of refractory celiac disease

  • Intestines don’t heal even on gluten-free diet
  • Sometimes caused by continued exposure to trace amounts of gluten
  • Some patients past point of being able to heal

Why it’s crucial to remove all gluten from the environment

  • Celiac patients should feel safe where live, work and go to school
  • Even trace amounts cause continued symptoms, early death
  • Takes an emotional toll to be hypervigilant, mocked by loved ones

The connection between undiagnosed celiac disease the despair that leads to suicide

  • No hope of getting better
  • Don’t feel supported, believed (celiac is real disease)
  • Depression, anxiety and other mental health disorders
  • More vulnerable if undiagnosed and enduring abusive relationship

What happens when gluten gets through a leaky blood-brain barrier

  • Inflammation of the brain
  • Hypoxia (decreased oxygen flow)
  • Low end—brain fog, anxiety, depression, fatigue
  • High end—bipolar disease, antisocial behavior, learning disabilities, schizophrenia

The risks associated with eating traditionally grown fruits and vegetables

  • Glyphosate in Roundup causes leaky gut

The goals of the first six months on a gluten-free diet

  • Remove all gluten
  • Allow villi to grow back
  • Heal inflammation
  • Repair immune system

Resources:

Celiac Disease and Gluten Sensitivity in Down, Turner and Williams Syndrome

WHO Celiac Disease Study

“Necropsy Studies on Adult Coeliac Disease” in the Journal of Clinical Pathology

“Mortality in Celiac Disease” in Gastroenterology

“The Global Burden of Celiac Disease” in PLoSONE

“The Unknown Burden and Cost of Celiac Disease in the US”  in Expert Review of Pharmacoeconomics and Outcomes Research

“Long-Term Mortality in People with Celiac Disease Diagnosed in Childhood Compared with Adulthood” in the American Journal of Gastroenterology

“Increased Risk of Atrial Fibrillation in Patients with Coeliac Disease: A Nationwide Cohort Study” in the European Heart Journal

“Increased Suicide Risk in Coeliac Disease—A Swedish Nationwide Cohort Study” in Digestive and Liver Disease

“The Burden of Celiac Disease and the Value of Having It Diagnosed” by Fredrik Norström of UMEA University

“Complications of Coeliac Disease: Are All Patients at Risk?”

“Evidence-Informed Expert Recommendations for the Management of Celiac Disease in Children” in Pediatrics

Connect with Nadine: 

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

gfrn_podcast_banner

Celiac Disease for Nurses EP037

Nadine spent 17 years working as a nurse in the ER. She holds a membership in the Emergency Nurses Association, as well as a Certified Emergency Nurse certification. During the course of her career, Nadine obtained ACLS, PALS, NALS, ENPC and TNCC certifications, honing her skills in advanced cardiac life support, neonatal advanced life support, pediatric advanced life support, and trauma. Despite this impressive background and experience, she had never been educated about celiac disease, and didn’t know what to look for until she was diagnosed herself.

Nurses are in a unique position to recognize potential celiac patients and act appropriately. Though most nurses don’t have the authority to diagnose, they do have an obligation to act as patient advocates. Because celiac disease is the most underdiagnosed and misdiagnosed autoimmune disease in the world, it is important that nurses get educated about the fundamentals of celiac disease, the wide array of symptoms an undiagnosed patient may present, and how to keep celiac patients safe in and out of the hospital.

Today on the podcast, the Gluten Free RN addresses nurses, explaining how celiac disease damages the GI tract, the consequences of a ravaged immune system, and the neurological nature of the disease. She also reviews the genes that indicate a predisposition to celiac disease, the best available tests for gluten sensitivity, and the need for a worldwide mass screening. This is a must-listen for medical professionals, offering an overview of the most current celiac studies and an explanation of how to approach doing research on your own. Celiac disease is on the rise and it doesn’t discriminate, so it is crucial that the nursing community get educated – STAT.

What’s Discussed: 

Why nurses need to employ a high index of suspicion regarding celiac disease

  • Most undiagnosed and misdiagnosed autoimmune disease in world

 The lack of training around celiac disease in the medical community

  • Nadine was nurse for 17 years
  • Didn’t know symptoms of celiac disease
  • Diagnosed ‘by accident’

 The celiac symptoms Nadine thought to be ‘normal’

  • Canker sores
  • Intermittent constipation, diarrhea
  • Eczema on hands
  • Difficult time gaining weight
  • Whole family had gas

 What nurses need to know about celiac disease

  • What it is, what it entails
  • Symptoms may present with
  • How to keep patients safe (in and out of hospital)
  • How to request testing
  • How to interpret lab results

 How long it takes to receive celiac diagnosis in US

  • 9-15 years

 The restrictions of being a nurse

  • Can’t diagnose (can recognize, treat appropriately)
  • Can’t perform surgery
  • Can’t prescribe meds, take patient off medication

 Nadine’s experience leading up to her celiac diagnosis

 Nadine’s celiac diagnosis

  • Dermatologist diagnosed
  • Blood test, skin biopsy negative
  • HLA-DQ2.5 gene carrier (super-celiac category)

 Why a negative blood test, skin biopsy doesn’t rule out celiac disease

 Nadine’s current health

 Why Nadine stopped working as an ER nurse

  • Celiac diagnosis was life-changing
  • Started own businesses
  • RN On Call, Inc
  • The Gluten Free RN
  • Celiac Nurse Consulting

 The increased prevalence of mortality in undiagnosed celiac patients

  • Undiagnosed celiac disease associated with 4-fold increased risk of death (45 years of follow-up)
  • Prevalence of undiagnosed celiac disease has increased dramatically in US over last 50 years

 The grains that contain gluten

  • Wheat
  • Barley
  • Rye
  • Oats (cross-contamination)

 The products that may contain gluten

  • Medication
  • Food
  • Personal care products

 The search terms to use when doing celiac research

  • Gluten-related disorders
  • Both spellings (celiac, coeliac)

 Why celiac disease is primarily a neurological disorder

  • Involves enteric nervous system (in intestines)
  • Vagus nerve (superhighway of information from intestines to brain)

 Why celiac disease is not an allergy

  • Allergy is IgE-mediated antibody response
  • Celiac tends to be IgA, IgG-mediated antibody responses

 The genes that indicate a predisposition to celiac disease

  • HLA-DQ2
  • HLA-DQ8

 Why Nadine advocates for a world-wide mass celiac screening

 The relationship between celiac disease and infertility

  • People with infertility issues, difficulty maintaining pregnancy should be tested

 The chronic nature of celiac disease

  • Never goes away
  • Gluten is neurotoxin
  • Must be 100% gluten-free for life

 How gluten exposure presents for Nadine

  • Blisters in mouth within 10 minutes

 How gluten can cause damage along entire length of GI tract

  • 28 to 32 feet in length
  • Person-to-person variability

 How damage to GI tract presents

  • Canker sores
  • Difficulty swallowing, dysphasia
  • GERD
  • Eosinophilic esophagitis
  • Gas, bloating
  • Diarrhea constipation
  • Crohn’s disease
  • Atypical diseases
  • Idiopathic diseases
  • Ulcerative colitis
  • Diverticulitis
  • Diverticulosis
  • Rectal cancer
  • Bowel cancer
  • Hemorrhoids

 How constipation can be a neurological issue

  • Gluten as neurotoxin can paralyze nervous system, intestines
  • Stool cannot get pushed through
  • Can result in colon cancer, megacolon

 Disorders that may be caused by undiagnosed celiac disease

  • Diabetes
  • Heart problems
  • Sudden cardiac deaths
  • Strokes
  • Bowel, rectal cancer (recent increase in young people)

 Why a biopsy is no longer considered the gold standard of celiac testing

  • Positive anti-tissue transglutaminase and positive EMA indicates damage to intestines
  • Endoscopist should take six to 15 samples in duodenum, jejunum (damage can be patchy)

 The stages of intestinal damage caused by celiac disease

  • Marsh 1 – microvilli destroyed
  • Marsh 2, 3 – villi themselves fall over, blunt or atrophy
  • Marsh 4 – looks like hot, inflamed sponge and immune system compromised

 The consequences of a damaged immune system

  • Hypo-responsive (doesn’t respond)
  • Hyper-responsive (reacts to everything)

 The importance of including a total IgA and IgG in the celiac antibody panel

  • Ensure patient is not IgA deficient

 How the US has gone backwards in the last 70 years

  • Times article from 1950 declares ‘cures certain in 90% of cases’ and ‘deaths rare’
  • Celiac disease has gone unrecognized since then

 The testing for celiac disease

  • Celiac antibody test (baseline)
  • Small intestinal biopsy
  • Nutritional panel (D3, B6, B12, magnesium RBC, zinc, ferritin)
  • Follow-up to track healing, ability to absorb nutrients

 The difficulty with the celiac antibody test

  • 70% false negative

 The best available celiac testing

 Factors that might interfere with accurate celiac testing

  • IgA deficiency
  • Benicar (blood pressure med) known to cause villous atrophy in absence of celiac disease
  • Lab-to-lab variability
  • Only tests for anti-tissue transglutaminase 2

 How to carry out a clinical trial for celiac disease or gluten sensitivity

  • Adopt gluten-, dairy-free diet for at least three months
  • It takes six months to a year for intestines to heal
  • Recommended for patients with genetic predisposition, regardless of negative blood test

 The Paleo diet Nadine suggests for celiac and gluten-sensitive patients

  • Whole food
  • Meat, fish and eggs
  • Nuts and seeds
  • Fruits and vegetables

 The findings of a celiac study published in the Journal of Insurance Medicine

  • Atypical, non-diarrheal presentations now most frequent
  • Celiac disease is grossly underdiagnosed in US
  • Average delay in diagnosis for adult patients ranges from four to 11 years
  • Diagnosis and treatment with gluten-free diet leads to improved quality of life
  • Medical costs in celiac cohort were 31% lower over three-year period

 Why celiac disease should be on every primary care physician’s differential diagnosis

 The rise of celiac disease

  • 1:501 in 1974
  • 1:219 in 1989
  • 1:100 is current estimate
  • Doubles every 15 years (according to Mayo Clinic)

 Why Celiac disease is a worldwide issue

  • Affects every ethnicity
  • Frequency of tTGA in Mexico City study was 1:37
  • Increasing diagnoses in North Africa, Middle East and Northern India

 How celiac disease can lead to obesity

  • Patient cannot absorb nutrients (malnourished)
  • Body responds by storing fat for cheap energy

 How the risk of cancer increases exponentially in undiagnosed celiac patients

 Why nurses must be patient advocates

 Nadine’s advice around research and celiac disease for nurses

  • Not taught in nursing programs
  • Do your own research to keep up with current info

Resources:

Snarky Nurses  on Instagram

National Nurses in Business Association

“Increased Prevalence and Mortality in Undiagnosed Celiac Disease” in Gastroenterology

PubMed

Cyrex Laboratories

EnteroLab

New York Times Article, May 1950

“Economic Benefits of Increased Diagnosis of Celiac Disease in a National Managed Care Population in the United States” in the Journal of Insurance Medicine

“Celiac Disease Could be a Frequent Disease in Mexico: Prevalence of Tissue Transglutaminase Antibody in Healthy Blood Donors” in the Journal of Clinical Gastroenterology

“Celiac Disease in African-Americans” in Digestive Diseases and Sciences

“Coeliac Disease” in The Lancet

Connect with Nadine: 

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

gfrn_podcast_banner

Safely Traveling on a Gluten-Free or Paleo Diet EP036

Wanderlust.

It is human nature to want to explore, to experience a geography and culture different from our own. Travel can truly enrich our lives. Yet if you have celiac disease or non-celiac gluten sensitivity, the prospect of being away from the familiar for an extended period can be intimidating. Will I be able to find a grocery store? How do I locate a gluten-free restaurant that I can trust? What do I need to bring with me to ensure that I am avoiding gluten? And what if, despite my best efforts, I am accidentally exposed to the gluten protein?

No one wants their trip ruined by an unexpected illness, but you shouldn’t let the fear of gluten exposure keep you from going on an important business trip or taking that vacation you’ve always dreamed of. The Gluten Free RN has ten years of experience helping people discover that they can travel safely on a gluten-free or Paleo diet, and today she shares her recent travel experiences with you. Road trip with Nadine and learn how she locates safe restaurants, what she takes along to avoid inadvertent gluten exposure, and which apps and online resources offer the best advice for gluten-free travel!

What’s Discussed: 

The danger of living in a bubble

  • Leads to isolation
  • No way to live

 Nadine’s mission to teach people how to travel safely on gluten-free/Paleo diet

  • Follow her travels on social
  • Posts include pics of locations, food
  • Various travel tips

 How Nadine packed her cooler for a summer road trip to Boston

 The challenge of eating out on the road

  • Lucky to live in Pacific Northwest
  • 37 100% gluten-free restaurants in Portland
  • Accommodating to food intolerance
  • More difficult other places
  • Stressful when unfamiliar with establishment

 The fundamentals of a food desert

  • Little/no access to fresh fruits, vegetables
  • Most available food is highly processed

 Nadine’s advice around locating grocery stores, fresh foods when traveling

 Nadine’s tips for locating safe restaurants

  • Employ the Find Me Gluten Free app
  • Read Yelp reviews, though can be deceptive
  • Avoid restaurants that make pizza
  • Flour stays in air for up to 72 hours
  • Enormous risk of cross-contamination

 The myth that heat breaks down the gluten protein

  • Gluten protein is heat stable
  • Very difficult to denature (even at temperatures of 1200°)
  • Applies to woks, fryers and grills

 How Nadine is able to go without a meal when necessary

  • Nutrient ‘gas tank’ is full
  • High levels of vitamin D, B6, B12 and magnesium
  • Better to skip than be sick for days, weeks or months

 Who to talk to when you are eating out

  • Start with wait staff, chef
  • Speak with manager, if necessary

 Nadine’s experience at a highly-rated restaurant in Boston

  • Selected for positive Yelp reviews
  • Friend used Nima sensor, daughter’s meal contained gluten
  • Notified wait staff, spoke to chef and manager
  • Though establishment caters to gluten-free community, next four meals also tested positive for gluten
  • Learned that pizza was also made in kitchen
  • Stopped by grocery store on way back to hotel
  • Made great, quick and easy dinner in room

 Nadine’s gluten-free travel supply packing list

  • Bamboo utensils
  • Pans
  • Nima sensor or EZ Gluten strips
  • Gluten Free Passport allergy cards
  • Activated charcoal (to take with water after accidental exposure)
  • Sense of humor

 The best gluten-free online travel resources

 Why you should avoid fast food/restaurant chains that claim to have gluten-free offerings

  • Risk of cross-contamination too high
  • May not truly understand what it means to be gluten-free
  • Using gluten-free label as marketing tool

 Nadine’s upcoming River Cruise on the Danube

  • Opportunity for safe travel
  • Responsible, attentive chefs
  • Nadine on hand to confirm food is gluten-free, Paleo

 The food options available to the gluten-free population

  • Meat, fish and eggs
  • Nuts and seeds
  • Fruits and vegetables

Resources:

International Celiac Disease Symposium

Applegate

Kite Hill

Mary’s Gone Crackers

Jilz Crackerz

EPIC bars

Gluten Free Portland Restaurant List

Amy Fothergill of the Warm Kitchen

Ground Breaker Brewing

Whole Foods

Natural Grocers

Find Me Gluten Free

Nima Sensor

EZ Gluten Test Strips

Gluten-Free Globetrotter

Gluten Free Passport

Melodies of the Danube Brochure

Connect with Nadine: 

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism

gfrn_podcast_banner

Men and Celiac Disease EP035

When boys are hurt, we tell them to ‘rub some dirt on it’ and get back in the game. So it comes as no surprise that men have a tough time admitting weakness, especially to something as innocuous as a slice of bread. Perhaps this explains why celiac disease is considered a women’s issue, when in reality the male-to-female ratio is closer to 1:1.

Today the Gluten Free RN discusses the large numbers of men in the US who go undiagnosed or misdiagnosed, sharing several anecdotes of patients whose symptoms resolved on a gluten-free diet. She covers the particular social challenges for men with celiac disease, the laundry list of symptoms men may encounter, and the specifics of nutrition she recommends for gluten-sensitive patients.

Through it may be difficult to give up pizza and beer with the guys, it is worth the effort to go from sick and struggling to happy and healthy. Listen in and learn how to make going gluten-free simple and easy, even for men with limited culinary skills. Add bacon fat to your greens AND regain your abs with advice from the Gluten Free RN!

What’s Discussed:

The myth that men are less likely to suffer from celiac disease

  • 3 women diagnosed for every man
  • Actual ratio of men to women is 1:1
  • Huge numbers of undiagnosed celiac patients in US

The addictive nature of gluten

  • Morphine-like effect
  • Difficult to give up pizza, beer

Case study of man diagnosed with pancreatitis

  • Athletic entrepreneur in 40’s
  • Tested positive for celiac disease
  • Adopted gluten-free diet
  • Pancreatitis resolved
  • Fatigue and throat-clearing went away

Common symptoms of celiac disease in men

  • Fatigue
  • Thyroid issues
  • Anemia
  • Osteoporosis
  • Bowel issues
  • Difficulty swallowing
  • Chronic cough
  • GERD
  • Gastritis
  • Hemorrhoids
  • Gas
  • Bloating
  • Diarrhea
  • Constipation
  • Irritability
  • IBS
  • Urinary incontinence
  • IBH
  • Erectile dysfunction
  • Prostatitis
  • Prostate cancer
  • Facial ticks

Why men with osteoporosis and anemia together should assume they have celiac disease

  • Review labs for red blood cell count
  • Check for hemoglobin and hematocrit in right range

Nadine’s patient with a climbing PSA (lab indicator of prostate cancer)

  • Patient had difficulty sleeping, snoring issues
  • Had to eat bread or cereal before coffee to avoid abdominal pain
  • Suffered from chronic belching, brittle nails
  • Adopted variation of Paleo diet, symptoms resolved

How Nadine’s doctor had a change of heart around celiac disease

  • Nicknamed her ‘Gluten Insufficiency Nurse’
  • Called to request consultation
  • Endoscopy report indicated he had celiac disease
  • Symptoms resolved on gluten-free diet
  • No longer needed Cialis

The lack of celiac understanding exhibited by healthcare practitioners in the US

Doug’s story

  • PA diagnosed with atypical Crohn’s
  • Three trips to ER with GI bleeding
  • Endured surgery to resect bowels
  • Followed Nadine’s instructions for gluten-free diet
  • No longer has Crohn’s, rectal bleeding
  • Feels significantly better

How gluten causes excessive gas, explosive diarrhea and constipation

  • Gluten can trigger paralysis of intestines
  • Normal BM with diet change

Nadine’s advice around nutrition for gluten sensitive patients

  • Super-good, high fat diet
  • Paleo, whole food diet is ideal
  • Incorporate meat, fish, eggs, fruits, vegetables, nuts and seeds
  • Eliminate all grains, legumes and processed foods
  • Replace starches with potatoes, rice
  • Make choices based on preference and nutritional value
  • Select fewer processed, more fresh foods
  • Don’t just replace gluten-containing foods with gluten-free version (processed = nutrient deficient)

The benefits of bacon

  • Can use bacon fat to sauté greens
  • Body uses fat to heal, keep brain and nervous system healthy, prevent neurological disorders

Why men may be more resistant to diet change

Nadine’s advice for men on eating fresh, gluten-free food

  • Find a few easy-to-prepare recipes you like
  • Use a Crock-Pot
  • Incorporate fruits and vegetables
  • ‘If it’s hard, you’re doing it wrong’

Why subsidized ingredients are found in countless products

  • Government pays food manufactures to incorporate
  • Wheat, corn, soy and peanuts in surprising foodstuffs like catsup, tuna

The social challenges for men with celiac disease

  • Don’t want to be perceived as needy, weak
  • Others may be unkind if express special dietary needs
  • Especially difficult if others cooking for you, at special events (e.g.: wedding)

How switching from vegan or vegetarian to Paleo has affected Nadine’s male patients

  • Realize healthy weight
  • Able to gain muscle mass
  • Pain issues resolve
  • Improved mood

Resources:

The Whole 30: The 30-Day Guide to Total Health and Food Freedom  by Melissa and Dallas Hartwig

Connect with Nadine: 

Instagram

Facebook

Contact via Email

‘Your Skin on Gluten’ on YouTube

Melodies of the Danube Gluten-Free Cruise with Nadine

Books by Nadine:

Dough Nation: A Nurse’s Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism