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Gluten Free Handout Why are there many different versions of the gluten-free diet? When reviewing the following information, it is important to note that there are several coeliac associations as well as medical groups and universities with different interpretations of a gluten free diet. The diet also varies from country to country. The major issue is that there are foods which should be technically free of gluten (eg distilled vinegar); but the possibility of small amounts of gluten getting through the manufacturing process concerns some of those with coeliac disease. You may hear many different opinions on oats, vinegar, ketchup and wheat starch. The best advice is to start with as few processed foods as possible until familiar and comfortable with the diet. It's important to remember that gluten-sensitivity occurs on a spectrum with coeliac disease being the most severe presentation. Many more people have non-coeliac gluten sensitivity, which can cause a range of symptoms both within and outside of the digestive tract. Foods to Avoid: NO Wheat in all forms including spelt, kamut, triticale (a combination of wheat and rye), durum, einkorn, farina, semolina, cake flour, matzo (or matzah) and couscous. Wheat is found in many bread, cakes, cereals, cookies, crackers, pretzels, pasta, and pizza crusts, but it can turn up in other products, too. Read labels to be sure. Most ingredients with “wheat” in the name including hydrolyzed wheat protein and pregelatinized wheat protein. Buckwheat, which is gluten free, is an exception. Barley and malt, which is usually made from barley, including malt syrup, malt extract, malt flavouring and malt vinegar. Rye, which is most often found in bread products. It is not typically used to make ingredients. Breaded or floured meat, poultry, seafood and vegetables, when the breading is made with wheat. Also meat, poultry and vegetables when they have a sauce or marinade that contains gluten, such as soy and teriyaki sauces. Foods that are fried in the same oil as breaded products are not considered to be safe on the gluten free diet. Liquorice, which is made with wheat flour, and other candies that contain wheat or barley. MAYBE Beer is gluten-free when made from gluten-free grains. Beer made from barley and processed to remove gluten is not considered to be gluten free. Dextrin can be made from wheat, which would be noted on the label, and would not be gluten free. Modified food starch is gluten free, except when wheat is noted on the label, either as “modified wheat starch,” modified starch (wheat) or if the “Contains” statement at the end of the ingredients list includes wheat. Wheat starch is allowed in gluten-free foods if the wheat starch has been processed to remove the gluten protein. In addition to a gluten-free label, the packaging of any product using safe wheat starch will note that it has been processed to meet gluten-free standards. Wheat starch in foods that do not also have a gluten-free label are not safe on the gluten-free diet. Oats are considered safe on the gluten-free diet if they have been specially processed to prevent crosscontamination by gluten-containing grains. These oats are labelled gluten free. Mainstream oats, including those commonly used in breakfast cereals, are not considered safe unless they are labelled gluten free. Processed cheese (spray cheese, for example) may contain gluten. Real cheese is gluten free. Seasonings and seasoning mixes can contain gluten. Wheat will be noted on the label as required by law. Soy sauce is usually fermented from wheat. Only soy sauce made without wheat is gluten free. Look for soy sauce with a gluten-free label. Prescription and over-the-counter drugs can contain gluten, although most are gluten free. Check with the pharmaceutical company, especially if you take the medication on a continuing basis. Processed cheese (spray cheese, for example) may contain gluten. Real cheese is gluten free. Seasonings and seasoning mixes can contain gluten. Wheat will be noted on the label as required by law. Soy sauce is usually fermented from wheat. Only soy sauce made without wheat is gluten free. Look for soy sauce with a gluten-free label. What can I eat? To begin with, there are many foods that you may eat. Fresh fruits and vegetables, lean meats and most dairy foods are gluten-free. Until you are familiar with the diet it is easiest to focus on these foods and gradually add in gluten-free bakery products and processed foods. Yes, to the following- Fruit Fruit is free of gluten in its natural state. Be sure to clean all produce thoroughly before using Acai Apples Apricot Bananas Oranges Papaya Passion Fruit Peaches Raspberries Strawberries Tamarind Tangerines Blackberries Blueberries Cantaloupe Pears Pineapples Plantains Watermelons Cauliflower Cabbage Carrots Celery Corn Cucumber Eggplant Garlic Green Beans Kale Lettuce Mushrooms Okra Onions Parsley Peas Peppers Potatoes (white and sweet) Pumpkins Radish Spinach Squash Turnips Watercress Vegetables Vegetables are also naturally free of gluten Acorn Agar Alfalfa Algae Arrowroot Artichoke Arugula Asparagus Avocado Beans Broccoli Brussel Sprouts Meats Meats are always gluten free unless processed breaded or fried with breadcrumbs unless its gluten free flour for the batter. Avoid gravy as most gravy has gluten in it. Beef Chicken Duck Goat Goose Lamb Pork Rabbit Turkey Quail Veal Venison Eggs and Dairy Products Butter (be sure it has no additives) Casein Cheese Cream Eggs Milk Sour Cream Yogurt- plain and not flavored Whey Flour and grains This is where you have got to be very careful and really pay attention! Almond Flour Amaranth Arrowroot Bean flour Besan Brown rice Brown rice flour Buckwheat Cassava Corn flour Corn meal Corn starch Cottonseed Dal Flaxseed Millet Pea Flour Polenta Popcorn – without coating Potato flour Quinoa Other gluten free foods Alcohol (most but not beer unless its gluten free) Baking Soda Herbs Honey Jam Jelly Juice Nuts Oils Seeds Spices (most) Syrup Vanilla Vinegar Vitamins Wine Xanthan Gum Rice Sago Soy Flour Tapioca Flour Taro Flour Tef Yeast Yucca