Celiac and the Beast!

7/25/2019 Celiac and the Beast!

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CELIAC AND THE BEAST!Almost all what u should know about celiac

disease

By Abir Al Mojarkash


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WHAT IS CELIAC DISEASE?

Celiac disease is an autoimmune disorder in

which the body mistakenly reacts to gluten, as if

it were a poison.

When people with celiac disease eat gluten, their

immune system reacts by attacking a part of the

immune system- the villi- that absorbs vital

nutrients.

These attacks lead to mal-absorption that in turn

can lead to serious illness.


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CD EFFECT ON THE VILLI


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IS CELIAC DISEASE HEREDITARY?

Yes, Celiac disease is hereditary, meaning that it

runs in families.

People with a first-degree relative with

celiac disease (parent, child, sibling) have a

1 in 10 risk of developing celiac disease.

Due to this fact, family members of a person with

celiac disease may wish to be tested.


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WHY ARE CELIAC DISEASE SYMPTOMS SO

VARIED?

The length of time a person was breastfed, the

age a person started eating gluten-containing

foods, and the amount of gluten-containing foods

one eats are three factors thought to play a role

in when and how celiac disease appears. Somestudies have shown that the longer a person was

breastfed, the later the symptoms of celiac

disease appear.

Symptoms also vary depending on a person's ageand the degree of damage to the small intestine.


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WHAT IS GLUTEN?

Gluten is the beast for those with celiac disease!Gluten is a general name for the proteins found in wheat, rye,

and barley.

It helps foods maintain their shape, acting as a glue that holds

food together.

The Big 3: Wheat, Barley, Rye

Wheatis commonly found in: breads, baked goods, soups,

cereals, sauces, salad dressings.

Barleyis commonly found in: Malt, food coloring, soups, maltvinegar, beer

Ryeis commonly found in: rye bread, such as pumpernickel,

rye beer, cereals


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50 SHADES OF GLUTEN


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SO WHAT CAN WE EAT?

cutting out gluten from your diet may seemlike a difficult and limiting task. Fortunately,

there are many healthy and delicious foods

that are naturally gluten-free!

These foods include:Fruits, Vegetables,Meat and poultry, Fish and seafood,

Dairy, Beans, legumes, and nuts.

The following grains and other starch-containing foods are also naturally

gluten-free:Rice, cassava, corn (maize), soy,

Potato, tapioca, beans, quinoa, millet,

buckwheat, gluten-free oats, nut flours.


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SCREENING & DIAGNOSIS

Blood testsfor gluten autoantibodies:

EMA - anti-endomysial

TTG - anti-tissue transglutaminase

DGP - Deamidated Gliadin Peptide

A smallbowelbiopsyto assess gut damage.

For those with suspected dermatitis

herpetiformis, skin biopsies will be taken of

the skin near the lesion.For those who have experienced iron, calcium ,

vitamin D, B6, B12and zinc deficiencies before

adopting a gluten-free diet, a bone density test

may be ordered .


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TREATMENT

Celiac disease is a chronic autoimmune disease,

which means that you cannot grow out of it.

Its only treatment is lifelong adherence to a

strict gluten-free diet.

A gluten-free diet heals the villous atrophy in the

small intestine, causing symptoms to resolve.


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FOLLOW UPIt is critical to consult adietitianexperienced

with a gluten-free diet to guide you to eatingnutritious and safe foods for your body.

You should see your physician three to six

months after diagnosis to identify nutritional

deficiencies, address symptoms you may still beexperiencing, and confirm your adherence to a

strict gluten-free diet.

Once it is confirmed that you are doing well, anannual physical examination with follow-up

blood testing is recommended. Antibody levels

generally return to normal after 12 months on

a gluten-free diet, although this can vary.


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UNTREATED CD COMPLICATIONS!

For those who think that the gluten free diet is difficultand try to give it up, just remember how serious is the

disease and how difficult is its complications!!

Only UntreatedCeliac Disease can lead to:

Malnutrition(anemia, weight loss, stunted growth-incase of children).

Loss of calcium and bone density(rickets in children

and osteoporosis in adults).

Infertility and miscarriage.

Lactose intolerance.

Cancer.(intestinal lymphoma and small bowel cancer)

Type 1 Diabetes.


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WHERE TO FIND GLUTEN FREE

FOOD IN LEBANON?

TSC (All Branches)

Spinneys (All Branches)

Monoprix (All Branches)

Carrefour (city center Hazmieh)Le Charcutier Aoun

Storium Saliba

Hypermarket abu khalil

Shoppers Supermarket

Market Place (m.p.- Bshamoun & Aramoun)


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WHERE TO FIND GLUTEN FREE FOOD IN

LEBANON?

(BREAD & PASTRIES)

Pate Boulanger (Ashrafieh-01501100)

Sultan Bakery ( Sed el Bouchrieh01/899115)Local (North Lebanon)

Keyrouz (Jisr El Basha-01/499992-6)

Moulin Dor (Zouk Mosbeh-09/224671)

Al-OumaraScrumium

A New Earth (Ashrafieh-01/219920)

Live Organic (Naccache-04/444886)


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WHERE TO FIND GF FOOD IN

LEBANON?

Beit El Afia (Hamra, entrance of AUBMC)

Healthy Basket in Hamra

Carlas Good Food (cornishe el mazraa)

Mazen pharmacy (cornishe el mazraa)Al Marj organic food store (Ashrafieh)

The olive tree (Sodeco Square)

Crystelle Abi Assi health clinic (Ashrafieh)

O & C Fresh market (Jal el Deeb)


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WHERE TO FIND GF FOOD IN

LEBANON?

Aziz supermarket (Qantari )

Learn & Play Children Center (Ramle el Bayda)

Marche Peitons (Hazmieh)

Le Mont Vert (Jdeideh)

Smart food shop (ghazeer)

Bshara supermarket (Bremmena)

Super marko (Beit Merry)

Crown bread (kfarhim)

Tabi3i organic shop (saida)

Light and easy (Tripoli)

Gluten free lebanon catering ([email protected])


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RESTAURANTS THAT ORDER GF

MENU

Kitchen Confidential (Ashrafieh)

Tavolina (Mar Mikhael Gemmayze)

Crepaway (they have gf bread)

Pzza.Co (Patrick Howayek Street-dt 01/999838)Gavi (El Saifi)


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IREALLYH

OPE

ITWASAH

ELPFULP

PT

!

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Celiac and the Beast!

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