Showing posts with label Hidden Source of Gluten. Show all posts
Showing posts with label Hidden Source of Gluten. Show all posts
Thursday, March 13, 2014
Thursday, March 6, 2014
Tuesday, March 4, 2014
Gluten Free Products should not contain MSG...
Monosodium Glutamate (MSG)
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Monosodium Glutamate (MSG) is a flavor enhancer that is
added to food to bring out the savory taste. It is a food additive used
commonly in many foods and has been always associated with some or the other
controversies.
What exactly is MSG?
MSG is the sodium salt of glutamate which is an amino acid
made in the body. Glutamate is also a neurotransmitter in the nervous system.
Glutamate is found naturally in some protein-containing foods like meat, peas,
yeast extracts, soy sauce, mushrooms and cheese. It is made commercially
through fermentation of molasses from sugar beet or sugar cane and starch.
Which foods contain MSG?
Glutamates occur naturally in protein foods such as meat, fish, poultry and
vegetables. Free glutamates are found in foods like tomatoes, tomato paste,
cheese and mushrooms. So, many natural foods which we add to dishes to make
them tasty are high in free glutamate. Glutamates are added to food to enhance
its flavor. They are added in the form of MSG in hydrolyzed vegetable protein,
yeast extracts, flavors and fermented soy products such as soy sauce. Common
foods that can contain added MSG include savoury foods such as stocks, seasonings,
soup, sauces and savoury snacks/meals.
Why is MSG added to some food?
MSG does not have a distinct flavor on its own, but it helps
to intensify the natural savoury flavor of foods. The taste gained from
naturally occurring or added MSG in foods is described as ‘Umami’ – the fifth
basic taste after sweet, sour, bitter and salty. Umami is the savoury taste
that people enjoy in foods.
One of the other reasons that MSG is added to food is to
help reduce the sodium content. MSG is lower in sodium than table salt.
Therefore the sodium content of processed foods can be lowered by using MSG to
replace some of the salt.
Is MSG safe?
Over the past 40 years or so, there have been reports of
adverse reactions to MSG, notably the so called “Chinese restaurant syndrome”.
However there is no scientific evidence to suggest that MSG has any adverse
effects in general population in the amounts normally consumed as part of the
diet.
If you believe that you have experienced problems you may
want to limit your intake of foods high in glutamates either as an additive or
naturally occurring glutamates. Advice from your medical practitioner can help
establish if you have food intolerance or sensitivity and if you need to change
your diet you may benefit from advice from an accredited practicing dietitian.
What does added MSG mean?
Many products and restaurants claim “no added MSG” due to
the consumer demand for products without MSG. This claim means that the
manufacturer has not added MSG into the food. It is important to remember that
there may be naturally occurring glutamates in the food even if it has a “no
added MSG” claim.
Archna Shah
archnashahconsultant@gmail.com
Monday, February 10, 2014
CELIAC DISEASE- ALL WHAT WE SHOULD KNOW
Celiac disease- All what we should
know
§ It is an autoimmune digestive
disease, and as the term suggests, it is the body’s own immune system which
responds by damaging the small intestine resulting in varied degrees of
malabsorption.
1 out of
every 250 people may have CD; only 1 out of 10 people may be actually diagnosed
and are aware of their condition, thus suggesting high level of its prevalence.
Signs and
symptoms
§ Vague GI complaints-hyperacidity,
reflux, cramps, bloating, diarrhea, constipation, abdominal pain.
§ Anemia- iron deficiency anemia and
folic acid & vitamin B12 deficiency anemia.
§ Weight loss in adults, growth failure
& failure to thrive in infants and children.
§ Fatigue and pallor due to
malnutrition or multinutrient deficiencies.
§ Mood changes and irritability.
§ Reduced appetite
§ Dermatitis
Complications
§ Calcium and vitamin D malabsorption
(and compensatory secondary hyperparathyroidism) may cause osteopenia
(decreased mineral content of the bone) or osteoporosis (bone weakening and
risk of fragility fractures).
§ Celiac disease is also associated
with bacterial overgrowth of the small intestine, which can worsen
malabsorption or cause malabsoption despite adherence to treatment.
§ IgA deficiency is present, which
result in increased risk of infection and auto immune diseases.
§ Dermatitis herpetiformis; this itchy
cutaneous condition has been linked to a transglutaminase enzyme in the skin.
§ Vitamin K deficiency can lead to risk
of abnormal bleeding.
§ Recurrent miscarriages and
unexplained infertility.
§ Abnormal liver function test
(randomly detected on blood tests).
The
Treatment
Dietary
management in celiac disease is the backbone of treatment and since it is
lifelong it needs a very clear, concise and innovative management involving a
straight gluten free environment for a celiac which primarily means totally
abstaining from cereals like wheat, barley, rye, and oats.
A gluten
free diet ensures speedy healing and at the same time maintains health through
the adoption of a well-balanced, interesting lifestyle that avoids gluten and
gluten contamination even hidden gluten sources.
Hidden
sources of gluten are frequently present in what would otherwise appear to be
safe foods.
Dairy foods
need to be restricted initially because patient with untreated celiac disease
often have untreated lactase deficiency. After 3-6 months of strict gluten free
diet, adequate mucosal healing should have occurred to allow for gradual re
introduction of dairy products.
Only
treatment for celiac disease is a gluten free diet
(GFD).
· Permanent lifestyle changes
· Avoid
Wheat
Barley
Rye
Oats
Hidden source
of Gluten:
· Malted drink additives like Horlicks,
bournvita, complain, etc.
· Barley malt (a sweetener commonly
used in breakfast cereals, snacks, and convenience foods).
· Chocolates/ candies.
· Soups, soup pre mixes.
· Sauces containing flour / malted
vinegar- namely soy sauce and Worcestershire sauce / tomato sauce.
· Wheat germ oil.
· Asafetida (Hing) commonly used
seasoning in Indian cooking.
· Fruit beer, alcoholic beverages like
beer and vodka.
· Mustard powder.
· Baking powder and baking soda.
· Soya sauce.
· Malt vinegar.
· Mono sodium glutamate (MSG).
· Modified food starch.
· Using same mill to grind grains where
wheat is being ground.
· Using same bakery to produce gluten
free products where wheat products are produced.
· Using same spatula to pick various
cereals and spices (i.e. gluten containing & gluten free) at grocery shop.
· Battered food.
· Nonfood sources:
Lipstick
Stamp
and envelope glues
Play
dough
Mouth
wash and tooth paste
All chewing Gums (sugar free)
Archna Shah
archnashahconsultant@gmail.com
Sunday, February 2, 2014
Hidden Source of Gluten
To create a gluten-free environment, families, quickly learn
that label reading alone is not enough. Families benefit from dietary education
to recognize Gluten containing grains and potential hidden sources of gluten in
products. This education is best delivered by a registered dietitian familiar
with celiac disease. To achieve this level of sophistication, families need to learn
and practice several basic rules:
1. Read every product label
2. Any product that comes into contact with the mouth and
can be ingested must be GF
-
This includes nonfood items such as play dough.
-
This can be a major challenge in the
pediatric age group
3. Wheat is not the same as gluten free
- Any multi-ingredient product has the potential to be contaminated with gluten
- This is
important in restaurants and social situations.
5. Obtain knowledge about cross contamination issues*.
*See our last post “Cross Contamination”.
Multi-ingredient product list: definitions of agents and
risk of gluten contamination
Seasonings—blend of flavoring agents. The source of all
ingredients must be verified.
Extenders/thickeners—used in packaged foods to enhance the
final product and may contain gluten.
An example is baked beans.
Sauces—may have wheat protein, hydrolyzed wheat starch or
wheat flour.
Malt—barley malt may be used and listed as barley malt, malt
extract or vinegar.
Modified foods starch/gelatinized food starch—source of
starch must be identified.
Wheat is a common source
of starch. The safe forms of starch sources are rice, potato, and tapioca.
Milk—as a single ingredient is GF. If it is malted or flavored,
may contain gluten.
Flavorings—may be present in any prepared food, teas,
drinks, juices, flavored waters and baked product
Possible gluten containing products (Non
Food).
Make-up, Lips tic, Lip balm
Play dough, Paints, Toothpaste
Stamps, Envelopes, Suntan lotion
Pet food, Baby power
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