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Legal Issues Surrounding Celiac Disease EP019

In Italy, it takes only two to three weeks to get diagnosed with celiac disease. In the United States, however, it typically takes nine to 15 years. Why is there such a huge discrepancy? And what are the legal ramifications for practitioners who overlook celiac disease and non-celiac gluten sensitivity, causing patients unnecessary pain and suffering?

 On this episode, Nadine explores the legal issues surrounding celiac disease as well as the potential reasons for delayed diagnosis in the US. She also explains the differences between universal healthcare and the for-profit system and how each appears to influence celiac diagnosis.

 Listen and learn what medical practitioners need to know about celiac disease and gluten sensitivity in order to avoid being sued for malpractice, the value of standardization in celiac testing and follow-up care, and how you can get involved in advocating for universal coverage.

What’s Discussed: 

How the US health insurance system works

  • Usually purchased through employer
  • Loss of job often means loss of coverage
  • ACA provides coverage for many who were uninsured
  • For-profit system

 Why Nadine is an advocate for a single-payer system

  • People treated in ER with or without insurance (we pay regardless)
  • US healthcare is very expensive, yet outcomes poor

 Celiac disease diagnoses around the world

  • Italy: 2-3 weeks; standardized follow-up care
  • US: 9-15 years; patients endure numerous other tests, misdiagnoses, unnecessary medications
  • Canada: effective early diagnosis, but follow-up care lacking

 The excuses practitioners use to avoid diagnosing celiac disease

  • Don’t believe in it, despite research and documentation
  • Don’t want to learn about another illness
  • Gluten-free diet is too difficult for patients

 Symptoms Nadine encountered as an ER nurse that may have signaled celiac disease

  • Migraine headaches
  • Abdominal pain
  • Neurological disorders (headaches, difficulty with balance)
  • Fever

 Why practitioners should be concerned about malpractice suits if celiac disease goes undiagnosed

  • Ignorance is not a defense
  • Michael Marsh contends that failure to do appropriate screening signals liability
  • Avoid by learning the basics of celiac disease, how to diagnose and follow-up

 Why celiac disease needs to be part of differential diagnosis for every patient

 Indicators of celiac disease and non-celiac gluten sensitivity

  • HLA-DQ2 or HLA-DQ8 gene denotes predisposition for celiac proper
  • AGA antibody suggests gluten sensitivity

 Maladies suffered by patients whose celiac disease went undiagnosed

  • Mental health issues
  • Neurological disorders
  • Seizures
  • Balance issues
  • Abdominal pain
  • Incorrect diagnosis of Crohn’s or colitis
  • Hemorrhoids
  • GERD
  • High blood pressure
  • Heart attack
  • Stroke
  • Cancer

 Why standardization of testing and follow-up care is a necessity

  • Screenings are often misinterpreted
  • Celiac patients who follow a gluten-free diet are often told that they have been cured or that the initial test was a false positive when follow-up shows antibodies in normal range

 The story of Nadine’s 70-year-old celiac patient

  • Diagnosed with celiac disease by biopsy, but received no follow-up care
  • Suffered from significant neurological issues (e.g.: gluten ataxia, falling)
  • Nadine recommended standard lab tests
  • Primary care doctor refused
  • Patient returned to Nadine in distress
  • Doctor culpable for patient’s neurological damage

 Why celiac patients should consider advocating for universal coverage

 The differences between celiac diagnoses under universal vs. for-profit insurance systems

  • Financial benefit to early diagnosis under universal system (i.e.: UK, Canada, Italy)
  • No benefit to early diagnosis for insurers under for-profit structure

Resources Mentioned:

 Physicians for a National Health Program

 Health Care for All Oregon

 Mid-Valley Health Care Advocates

Additional Resources:

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

Connect with Nadine: 

Instagram

Facebook

Contact via Email

Books by Nadine:

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

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Celiac Disease and Gluten Sensitivity in Down, Turner and Williams Syndrome EP018

The medical community has an obligation to protect vulnerable populations, speaking up for any group that may not be able to advocate for themselves, and patients with Down, Turner, and Williams syndrome certainly fall into this category. Yet one facet of their health – one that could vastly improve quality of life – often goes overlooked.

There is a high prevalence of celiac disease among individuals with Down, Turner, and Williams syndrome, and it is recommended that these patients get tested annually. Unfortunately, many of the symptoms of celiac disease are attributed to the syndrome instead, and gluten sensitivity goes undiagnosed.

Today Nadine shares several case studies as well as her own experience working with patients with developmental delays. She covers the high incidence of celiac disease and non-celiac gluten sensitivity in Down, Turner, and Williams syndrome patients, the signs and symptoms of gluten damage, and the importance of annual screening in this population.

What’s Discussed: 

The prevalence of celiac disease and non-celiac gluten sensitivity in individuals with Down, Tuner and Williams syndrome

  • Annual testing is recommended
  • Signs and symptoms can be eliminated with a gluten-free diet

Tiffany’s story

  • Williams syndrome patient
  • Suffered from stage 4 liver failure and diabetes
  • Endured cracked, bleeding skin and fluid in the abdomen
  • Tested positive for celiac disease
  • Gluten-free diet resolved most of her symptoms

Alternatives to the standard blood test that could reveal non-celiac gluten sensitivity in Down syndrome patients

  • The anti-gliadin antibody (AGA) is an excellent biomarker
  • In a study published in the World Journal of Gastroenterology, 41% of Down syndrome patients had AGA antibodies

 The importance of testing family members

  • A mother who is malnourished during pregnancy may have a child with Down, Turner or Williams syndrome
  • Celiac disease may disrupt fetal development

The overlap of celiac disease and Down syndrome

  • Study found that 18 of 284 subjects ages two to 15 tested positive for celiac disease
  • In another study, 11 of 47 had positive blood tests

Symptoms of celiac disease and non-celiac gluten sensitivity

  • Diarrhea
  • Abdominal pain
  • Gas
  • Bloating
  • Constipation
  • Short stature
  • Brittle bones
  • Osteoporosis
  • Osteopenia
  • Thyroid issues
  • Anemia
  • Type 1 diabetes
  • Skin rash
  • Decreased appetite
  • Yeast overgrowth
  • Lichen planus
  • Difficulty swallowing

Nadine’s story of an autistic patient

  • Sweet gentleman who lived in group home
  • Suffered from diabetes, repeated infections and self-harm
  • Paleo diet made him calmer, didn’t irritate his throat
  • He enjoyed an improved quality of life

Cases of asymptomatic celiac disease in children with Down syndrome

  • Study published in the International Journal of Pediatrics
  • Toddlers screened at around 24 months
  • Biopsy proven celiac disease identified in 3-9% of children with Down syndrome
  • Not all patients with positive screens receive a biopsy if asymptomatic
  • One child in the study gained weight and energy on a gluten-free diet
  • A second child had less constipation and diarrhea
  • Follow-up study reported that 66% had health improvement

Resources Mentioned:

“Screening for Celiac Disease in Down’s Syndrome Patients Revealed Cases of Subtotal Villous Atrophy Without Typical for Celiac Disease HLA-DQ and Tissue Transglutaminase Antibodies” from the World Journal of Gastroenterology

“Prevalence of Celiac Disease in Down’s Syndrome” from the European Journal of Gastroenterology and Hepatology

“Asymptomatic Celiac Disease in Children with Trisomy 21 at 26 Months of Age or Less” from the International Journal of Pediatrics

Other Resources:

“Celiac Disease” from the Pediatric Gastroenterology Board Review Manual

“The Coexistence of Down Syndrome and a Triad Consisting of: Coeliac Disease, Insulin Dependent Diabetes Mellitus and Congenital Hypothyroidism” from Down Syndrome Research and Practice

“Coeliac Disease in Williams Syndrome” from the Journal of Medical Genetics

“Turner Syndrome and Celiac Disease: A Case-Control Study” from Pediatrics

Connect with Nadine: 

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Facebook

Contact via Email

Books by Nadine:

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

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What in the World Do I Eat? EP017


“Cheap food is an illusion. There is no such thing as cheap food. The real cost of the food is paid somewhere. And if it isn’t paid at the cash register, it’s charged to the environment or to the public purse in the form of subsidies. And it’s charged to your health.”

–Michael Pollan

Adopting a gluten-free lifestyle can be incredibly overwhelming, and many are resistant to the idea. Maybe you don’t want to give up the foods you love, or you don’t think you can do without pizza and beer. But the truth is that in order to heal, coping is your only option.

 Nadine is here to tell you that going gluten-free is not as difficult as you think. In fact, if it’s hard – you’re doing it wrong! She recommends a number of healthy gluten-free and Paleo-friendly food options, explains how your taste buds will change as you rid your body of addictive proteins, and discusses how to approach your grocer to request gluten-free alternatives. It’s time to stop eating for convenience and begin eating to enjoy high-quality food!

 What’s Discussed: 

Why going gluten-free can be challenging

  • Emotional attachment to food
  • Function as reward/comfort

 How to change your mindset to embrace the gluten-free lifestyle

  • Remember that there is plenty of other food to eat
  • Create a new ‘country’

 Why celiac patients should avoid eating meat from cattle fed on grass treated with glyphosate

  • Celiac patients are trying to heal increased permeability of the intestinal wall
  • Chemical in Roundup can cause ‘leaky gut’

 Nadine’s tips for realizing a healthy gluten-free diet

  • Don’t simply replace gluten-containing with gluten-free products
  • Focus on nutrient dense, whole foods high in good fat
  • Choose organic fruits and vegetables
  • Select 100% grass-fed, antibiotic free meat
  • Avoid dairy (proteins are molecularly similar to gluten)
  • Use almond, coconut or hemp milk and Kite Hill cheese/yogurt
  • Satisfy your sweet tooth with molasses, honey and occasionally maple syrup
  • Pick foods that have been processed very little or not at all
  • Explore new vegetables
  • Try bars when you are on the go (e.g.: Lärabar, EPIC, KIND)
  • Freeze fruits and vegetables to savor year round
  • Consider going Paleo (fruits, vegetables, nuts, seeds, meat, fish and eggs)

 The benefits of turning your lawn into a garden

  • ‘Growing food is like planting money’
  • Allows you to enjoy kale, tomatoes, beans, peas, peppers, squash, etc.

 How to tailgate on a gluten-free diet

  • Explore gluten-free alcohol options (i.e.: Ground Breaker, 2 Towns, honey mead)
  • Try gluten free snack foods like Kettle Brand or Jackson’s Honest chips and Jilz Crackers
  • Enjoy guacamole, salsa, hummus and pesto dips
  • Sample desserts like Hail Merry Miracle Tarts

 Nadine’s guidelines for selecting healthy foods

  • No more than five ingredients
  • Should be able to picture each ingredient

 Quality sources of fat

  • Bacon
  • Pumpkin seed and nut butters
  • Olive oil
  • Avocados
  • Eggs

 Resources Mentioned:

 Kite Hill

 Ground Breaker Brewing

 2 Towns Ciderhouse

 Kettle Brand Chips

 Jackson’s Honest Chips

 Jilz Crackers

 Hail Merry Miracle Tarts

 Lärabar

 EPIC Bar

 KIND Snacks

 Connect with Nadine: 

Instagram

Facebook

Contact via Email

Books by Nadine:

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

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Celiac Disease Worldwide EP016


Wherever there is wheat, there is susceptibility to celiac disease and non-celiac gluten sensitivity. Gluten is a growing global problem, exacerbated by the popularity of the western diet around the world. This issue has personal, social and political implications as it places a significant economic burden on individuals, communities, and even entire nations.

 The Gluten Free RN brings us a ‘big picture’ perspective of the celiac and gluten sensitive population around the world, as we learn about how other countries support these individuals. She also covers the industries that have begun to recognize the power of the gluten free population as a consumer group.

 Nadine will be doing some globe-trotting herself come September for the International Celiac Disease Symposium in New Delhi, and she is currently soliciting advice regarding where and how to eat safely during her travels in India and Thailand. Feel free to message her with recommendations!  

What’s Discussed: 

When and where wheat originated

  • Fertile Crescent (Northern Africa and the Middle East)
  • 10,000 years ago
  • High prevalence of celiac disease in these regions now

 The International Celiac Disease Symposium

  • September 2017 in New Delhi
  • Held every two years
  • Scientists, medical professionals and other interested parties
  • Share latest research

 Where celiac disease is common

  • Anywhere people are eating grains
  • More widespread as other regions adopt a western diet
  • Increased risk in Punjab population of India

 The basics of celiac disease and non-celiac gluten sensitivity

  • Can present in many ways (300+ signs and symptoms)
  • #1 autoimmune disease in the world
  • More likely to recover the sooner identified
  • 30-50% of the population carry the genes (HLA-DQ2 and HLA-DQ8) that indicate predisposition
  • Body doesn’t have enzymes to break down gluten proteins
  • Gluten damages intestines
  • Nadine recommends adopting a Paleo diet in order to heal

 The World Health Organization’s “burden of disease”

  • Measures the impact of celiac disease
  • Based on financial cost, mortality, morbidity, etc.

 How Italy supports celiac patients

  • Provide extra days off work for doctor’s appointments, shopping
  • Ship gluten free food

 Potential symptoms of celiac disease affecting every ethnicity

  • Odd gait (gluten ataxia)
  • Skin rash (dermatitis herpetiformis)

 The power of celiac and gluten-sensitive patients as a group

  • Largest untapped market in the world
  • Some industries taking notice (pharmaceutical, food)
  • Use influence to heal selves and educate others

 Why some people are so resistant to eliminating grains

  • Sometimes crave what is bad for you
  • Nutritional deficiencies may cause addiction

 Resources Mentioned:

 Guns, Germs, and Steel: The Fates of Human Societies –  by Jared M. Diamond

Connect with Nadine: 

Instagram

Facebook

Contact via Email

Books by Nadine:

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

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Emergency Preparedness with Nutrient Dense Foods EP015


It’s not a matter of if, but rather when you will encounter an emergency situation. And if you suffer from celiac disease or gluten intolerance, it is incredibly important that you are prepared with the appropriate supplies you will need to endure a hurricane, earthquake, blizzard, or other disaster.

 Nadine teaches you how to stock your cupboards with nutrient dense foods should you need to shelter in place for an extended period of time. She also outlines other essentials you will need to stay alive and assist others who may need help!

 What’s Discussed: 

Nadine’s experience responding to Hurricane Katrina

  • People were unprepared
  • FEMA provided only cheap filler foods

 Why it’s important to stock nutrient dense foods in case of emergency

  • Alleviates stress
  • Allows you to feed yourself for a period of time

 Nadine’s list of nutrient dense foods to stock

  • Protein bars
  • Gelatin
  • Jerky (without soy, teriyaki sauce)
  • Canned tuna, sardines
  • Canned chicken, turkey
  • Protein powder
  • Seaweed
  • Nuts
  • Pumpkin seed butter
  • Chocolate bars (80-100% cocoa, no milk)
  • Many more! Listen for the full list!

How to cope with a loss of electricity

  • Consume foods stored in freezer first
  • Prioritize eating perishables

 The importance of being self-reliant during a time of emergency

  • Helps you avoid overburdened hospitals and clinics

 Other essentials to have on hand in case of emergency

  • Multi-vitamins
  • Prescription medications (keep list in wallet/purse)
  • Can opener
  • Heat source (paper, wood)
  • Sleeping bags, pillows and blankets
  • Flashlights w/ working batteries
  • Extra batteries
  • Socks and shoes
  • First aid kit
  • Waterproof containers
  • Gluten free shampoos, lotions
  • Extra contact lenses and solution/glasses
  • Cash
  • Pet food

 How to obtain water if forced to shelter in place

  • Utilize water heater

 Resources Mentioned:

 Country Life Vitamins

 Road ID

Connect with Nadine: 

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Facebook

Contact via Email

Books by Nadine:

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

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Recommended Labs and Follow-up for Celiac Disease and Gluten Intolerance EP014


Freeze your poop and mail it to Texas!

 In all seriousness, a stool analysis can offer vital information about your body’s absorption of fat and nutrients, and today the Gluten Free RN explains the significance of knowing your fecal fat score and other baseline labs that can offer clues about how gluten has adversely affected your health.

Nadine outlines recommended labs for celiac disease and gluten intolerance, discussing how each test can inform the way you tweak your diet or add necessary supplements to your health care routine. She also reviews the importance of follow-up labs to track how you are healing and help you get better, faster!

 What’s Discussed: 

The importance of standardization in celiac testing and follow-up labs

 Things to consider re: the results of a celiac panel

  • 70% produce a false negative
  • A positive test guarantees intestinal damage
  • Lab to lab variability can be problematic
  • Must include total IgA and IgG
  • Interpretation can be problematic
  • Ask for a hard copy of your results

 Why a “gluten challenge” is dangerous

  • No medical or social reason to do so
  • May cause organ damage

 Additional tests that can offer valuable information

  • Fecal fat score (ask for #, over 300 indicates malabsorption)
  • Complete blood count
  • Comprehensive metabolic panel
  • Vitamin D3 level (below 40 ng/ml is critically low)
  • Vitamins A, E & K levels
  • Vitamin B6 & B12 levels
  • MTHFR gene test
  • Magnesium RBC test
  • Zinc level
  • Iodine level
  • B9/Folate level
  • Ferritin level
  • Iron level
  • Thyroid panel
  • Bone density test
  • Lipid panel
  • ANA test (autoimmune issues)
  • ESR test
  • CRP test

 How to obtain reimbursement for labs

 Why a diet change is preferable to medication in lowering cholesterol

  • Statin drugs don’t treat the underlying cause of chronic inflammation
  • Still at risk for heart attack and stroke

 What a stool analysis can tell you about your microbiome

 Why you should avoid food allergy testing in the first year of a gluten-free diet

 Resources Mentioned:

 Cyrex Labs

 EnteroLab 

Connect with Nadine: 

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Facebook

Contact via Email

Books by Nadine:

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

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Getting Started on a Gluten-Free Diet EP013

On this episode of the ‘Gluten Free RN,’ Nadine helps you get on the road to recovery with a gluten-free, casein-free diet. She walks you through what to expect and offers tactics that will support your success.

 Nadine breaks down the steps you should take to make your home a gluten-free space and ensure your comfort and health when you are on the go. She also talks you through how to carefully select food that is not just gluten-free, but also nutrient dense.

 Nadine explains the significance building a support system that includes a knowledgeable healthcare team and peers who’ve adopted a gluten-free lifestyle. Listen and learn how to get better, faster as you get started on a gluten-free diet!

 What’s Discussed: 

Why it is necessary to eliminate both gluten and casein

  • Microvilli that break down sucrose and lactase are first destroyed, last to grow back
  • The gluten and casein proteins are molecularly very similar
  • The body reads casein as a threat and triggers the immune system

 The particulars of taking a daily liquid multivitamin

  • Consider twice a day, morning and night (when your body heals)
  • Take with food and high-quality fat
  • Make sure it doesn’t contain wheat grass or barley grass

 How to clean your home thoroughly to remove all gluten

  • Meticulously clean out kitchens and cupboards
  • Give away wooden utensils, cutting boards, pastry cloths, rolling pins and colanders
  • Eliminate personal care products and pet supplies containing gluten
  • Wash your hands before you eat
  • Wash fruits and vegetables before eating

 Why it’s important to carry snacks with you

 The challenges of eating out on a gluten-free, casein-free diet

  • Staff may not have a clear understanding of a gluten-free diet
  • Cross-contamination risk can be very high

 How to rebuild your microbiome

  • Eat things that are alive, i.e.: sauerkraut, fermented food, kombucha
  • Especially important if you’ve ever taken antibiotics

 What to expect in the first days of going gluten-free

  • The feeling you can’t get enough to eat
  • Cravings for gluten and dairy products
  • Symptoms of illness as your body detoxes (headaches, fatigue, diarrhea)

 How to read labels to ensure gluten-free food is high-quality

  • Look for certified gluten-free labels
  • Make sure it’s also nutrient-dense
  • Nadine suggests only buying products with a maximum of five ingredients
  • Only buy products if you can picture each of the ingredients listed

 The importance of joining a support group

  • Share experiences, resources
  • People to shop and eat with

 The necessity of building healthcare team to assist with your lifestyle transition

  • Understand the baseline and follow-up labs needed
  • Might include Nurse Practitioner, MD, DO, Naturopath, Acupuncturist, Chiropractor and Massage Therapist

 The benefits of keeping a diary or food log

  • Allows practitioners to offer feedback
  • Could include pictures of any painful areas
  • Track your progress with new photos every three months

Resources Mentioned: 

Nadine’s Getting Started One-Pager

drrodneyford.com

countrylifevitamins.com

EZ Gluten Food Testing

Nima Sensor Test Kit

Connect with Nadine: 

Instagram

Facebook

Contact via Email

Books by Nadine:

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

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Neurological Disorders Associated with Celiac Disease and Gluten Sensitivity EP012


Nadine covers the neurological symptoms associated with celiac disease and non-celiac gluten sensitivity. Celiac disease is primarily a neurological disorder, but the neurological symptoms are often misdiagnosed.

 Nadine shares her own story as well as client anecdotes regarding the neurological issues faced by celiac patients and those with non-celiac gluten sensitivity. She outlines the common symptoms and discusses how to either slow their progression or eliminate them entirely.

Nadine explains the way gluten affects your neurological system and how a Paleo lifestyle can help you heal. Listen and understand how to get your brain back!

 What’s Discussed:

How an immobile patient misdiagnosed with MS was able to walk again

  • Inspired by Dr. Terry Wahls book, The Wahls Protocol, she adopted a Paleo diet
  • Food can be medicine or poison

Misdiagnoses given to people who actually suffered from gluten ataxia

  • Parkinson’s
  • ALS
  • MS
  • Psychosomatic disorder

Why experts advocate for including an AGA in celiac testing

  • It provides a biomarker for non-celiac gluten sensitivity

Why the neurological component of celiac disease and non-celiac gluten sensitivity is so significant

  • The entire enteric nervous system is located in the bowels
  • Constipation and diarrhea occur when peristalsis is paralyzed due to gluten

The neurological symptoms of celiac disease and non-celiac gluten sensitivity

Why patients diagnosed with Alzheimer’s or dementia could be restored by a Paleo diet

  • An autopsy is the only way to definitively diagnose Alzheimer’s
  • Many patients have improved significantly after removing gluten from their diets

The components of a Paleo diet

  • Meats and fish
  • Nuts and seeds
  • Fruits and vegetables

How a Paleo lifestyle cleared Nadine’s neurological issues

  • Her balance issues went away
  • She no longer suffered frequent falls

The standard nutritional panels for a celiac patient

How glyphosates can cause leaky gut even in the absence of celiac disease or non-celiac gluten sensitivity

The health benefits Nadine has witnessed in patients who adopt a Paleo diet

  • No longer take prescription medication
  • Normal blood pressure
  • Desirable cholesterol level
  • Absorb nutrients appropriately
  • Body heals

 Resources Mentioned: 

 The Wahls Protocol by Dr. Terry Wahls

Discovery Health: Celiac Disease

Connect with Nadine: 

Instagram

Facebook

Contact via Email

Books by Nadine:

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

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Celiac Disease and How Gluten Affects Your Skin EP011


On this episode of the ‘Gluten Free RN,’ Nadine explains how gluten affects your skin. If you have celiac disease or a gluten intolerance, you may also suffer from dermatitis herpetiformis, a painful rash that is often misdiagnosed.

Nadine shares her struggle with DH and offers advice about eliminating gluten from both your diet and personal care regime in order to heal your skin. The only treatment for this issue is a 100% gluten-free diet.

Your skin is the largest organ in your body, so listen and learn how to keep it looking and feeling good!

What’s Discussed: 

The definition of Dermatitis Herpetiformis (DH)

  • Blistering, vesicular rash that is typically round
  • Itchy, very painful and distracting
  • Caused by IgA deposits under the skin
  • May appear on hands, legs, back, armpits, buttocks, elbows, knees, scalp, torso and even eyes
  • Not contagious
  • The only treatment is a 100% gluten-free diet

 Nadine’s struggle with DH

  • Blisters, itchy and painful hands as a child
  • Irritated by latex gloves as a nurse, hands developed rash
  • Misdiagnosed by several dermatologists
  • DH finally identified by Dr. Abigail Haberman
  • Rash had exploded all over Nadine’s body and she was near death
  • Most of the rash resolved quickly after adopting a gluten-free diet

 Why steroid creams, long-term antibiotics and dapsone aren’t the answer

  • DH is an external expression of what’s happening internally
  • Topical creams don’t treat the underlying cause
  • Long-term antibiotics disrupt the microbiome and put you at risk for developing other infections
  • Dapsone is associated with serious side effects for the blood and liver
  • Removing gluten from your diet and personal care products is the only cure

 The importance of eliminating gluten from personal care products

  • Anything you put on your skin can travel through to your bloodstream
  • Discontinue the use of products that contain wheat, barley, rye or oats
  • Nadine also recommends eliminating products that contain chemicals such as lauryl sulfates and paraffins

 Resources Mentioned: 

YouTube: Your Skin on Gluten

Primal Pit Paste

ZuZu Luxe Cosmetics

Red Apple Lipstick

Desert Essence Organics

Gluten-Free Danube Cruise

Connect with Nadine: 

Instagram

Facebook

Contact via Email

Books by Nadine:

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