Will A Gluten-Free Diet Help

Will a gluten-free diet help if you have Microscopic Colitis (MC)? https://my.clevelandclinic.org/health/diseases/17227-microscopic-colitis Possibly. About 50% of MC patients also have celiac disease.

older woman sitting on gray couch in front of bookshelves holding her stomach

Microscopic Colitis is so named because your colon may look normal until tissue is examined under a microscope. This can make it hard to diagnose. And while you’re trying to get a diagnosis, symptoms may be disrupting your life.

MC is an inflammatory bowel disease that causes frequent, watery diarrhea and abdominal pain. Many patients lose weight. Others gain. It’s easy to end up dehydrated. And forget eating meals out, or even leaving your home for an extended period of time until you get it under control.

Once diagnosed, your doctor may recommend changing some medications and adding others, adding supplements, and identifying food intolerances. There’s no standard list of trigger foods although the most common are alcohol, caffeine, gluten, dairy, and sugar.

It’s easy to identify alcohol, caffeine, dairy, and sugar, but eliminating gluten is sometimes confusing. To do so, you’ll need to avoid wheat, rye, barley, and malt and their derivatives. That means look for these problematic items on a label:

Barley Grass

Barley Malt

Beer (there are GF varieties)

Bleached Flour

Bran

Bread Flour

Brewer’s Yeast

Brown Flour

Bulgur Wheat

Cookie Crumbs

Cookie Dough

Couscous

Durum wheat

Edible Coatings

Edible Films

Edible Starch

Enriched Bleached Flour

Enriched Bleached Wheat Flour

Enriched Flour

Farina

Farina Graham

Farro

Filler

Flour

Fu

Germ

Graham Flour

Groats

Hard Wheat

Hydrolyzed Wheat Gluten

Hydrolyzed Wheat Protein

Hydrolyzed Wheat Starch

Kamut

Maida

Malt

Malted Barley Flour

Malted Milk

Malt Extract

Malt Flavoring

Malt Vinegar

Matza

Matzo

Matzo Semolina

Orzo Pasta

Pasta

Pearl Barley

Triticum

Roux

Rusk

Rye

Semolina

Semolina Triticum

Spelt

Sprouted Wheat or Barley

Tabbouleh

Unbleached Flour

Vital Wheat Gluten

Wheat

Wheat Bran Extract

Wheat Germ Extract

Wheat Nuts

Wheat Protein

Whole-Meal Flour

The following items sometimes contain gluten:

Artificial Color

Baking Powder

Boxed Cereals

Broth

Caramel Color

Caramel Flavoring

Clarifying Agents

Coloring

Dextrins

Dextrimaltose

Dry Roasted Nuts

Emulsifiers

Enzymes

Fat Replacer

Flavoring

Food Starch

Food Starch Modified

Glucose Syrup

HPP

HVP

Hydrolyzed Plant Protein

Hydrolyzed Protein

Hydrogenated Starch Hydrolysate

Hydroxypropylated Starch

Maltose

Miso

Modified Food Starch

Modified Starch

Natural Flavoring

Salad Dressing

Natural Flavors

Non-dairy Creamer

Oats

Seasonings

Soba noodles

Soy Sauce

Soup

Stabilizers

Starch

Tomato Paste

Vegetable Gum

Vegetable Starch

Vitamins

Wheat Starch

Beyond these common triggers, you may need to keep a food journal over a period of time in order to isolate other foods you cannot tolerate.

With the use of medication and dietary changes, it may be possible to resume most of your usual activities with confidence. For help dealing with lingering problems, MC support groups are available.

Back to Basics

Today we’re getting back to basics by using the wayback machine to repost this piece.

While my mom didn’t cook much when I was growing up, my grandmother did. I spent enough time cooking fresh food and baking from scratch to feel comfortable with the tools and the terms. That’s not true for everyone my age and certainly not for everyone my kids’ age.

In some circles cooking has come to mean popping a packaged meal in the microwave or heating precooked entrees or vegetables in the oven. I’ve seen posts in which a description of baking from “scratch” included a cake mix.

Reducing the amount of prepackaged, convenience foods you eat can help lessen your consumption of chemical additives, sodium, manufactured fats, and sugar. It also means you may have to perform a few additional “cooking” related tasks.
eggshells
If you’re not familiar with cooking terminology, translating a recipe into a dish may seem daunting. Removing some of the mystery can help you get past the feeling that you can’t cook because you don’t even know what the words in the instructions mean. Today, let’s explore some basic cooking terms and techniques so you can be on your way to becoming a great cook!

You don’t need a lot of fancy equipment to prepare a wide variety of foods for boiling, steaming, baking or broiling. Peeling, slicing, chopping, dicing, and mincing only require a knife. But what are they?
Definitions:
Peel – Remove the outside skin from vegetables or fruits.
Slice – Cut a thick or thin, flat piece of something like fruit, vegetable, bread, or meat.
Chop – Cut food into irregular pieces of similar size to each other. Chopped pieces are typically larger than diced or minced.
Dice – Cut food into cubes between 1/8″ and 1/2″ in size. If size is not specified, use 1/4″
Mince – Mincing is like dicing, but the pieces are smaller.

When preparing vegetables and fruits, you’ll use these techniques over and over again.

Sometimes you may not want a cooked or raw vegetable to retain its shape at all. You can then use a food chopper or processor to grind or purée it. Grinding reduces the food to tiny particles. Puréeing means the food is processed until it’s smooth. You don’t have to have an electronic appliance to do this. A cooked vegetable can be mashed, then put through a sieve to create a purée.

Once you’ve prepped vegetables and meats, you may want to add heat in order to boil, steam, sauté, bake, broil, roast, grill, or braise.
Definitions
Boil – To submerge in a boiling liquid at or above the boiling point of water.
Steam – To place food above boiling water in a pot or pan using some kind of rack or basket and a cover so that steam cooks the food.
Sauté – To cook a food quickly in oil and/or butter over high heat.
Bake – To cook using dry heat in an oven or on heated metal or stones.
Broil – To cook quickly using high heat from above the food.
Roast – To cook using dry heat with a temperature of at least 300 in an environment in which hot air from an open flame, oven or other heat source envelops the food, cooking it evenly on all sides.
Grill – To cook directly over live, high heat flames.
Braise – To cook slowly in a small amount of liquid in a covered container in the oven or on a burner.
Brown – To give a cooked surface to meat or flour. Also to turn a brown color in the oven.

Sometimes you’ll want to parboil, blanch, simmer, scald or blend.
Definitions
Parboil – To briefly boil in water until food begins to soften.
Blanch – To briefly place food in boiling water, then immediately move it into cold water. 
Simmer – To cook in liquid at a temperature just below a boil. 
Scald – Refers to both dipping into boiling water, and heating milk to just below the boiling point.
Blend – To mix ingredients together thoroughly often using a beater, mixer, or blender.

You may be instructed to dot a casserole with butter before baking it, or to baste a turkey while it roasts. If so, here’s what to do:
Definitions
Dot – Cover the top with small pieces of butter.
Baste – Spoon, brush or pour drippings or liquid over a food before or during cooking.

When you begin baking from scratch, you’ll commonly see instructions to sift, mix, cut in, whisk, flour, fold, and knead so let’s prepare for that:
Definitions
From Scratch – To make from the very beginning without using already prepared ingredients.
Sift – Use a device made of a metal cup with a screen at the bottom that contains a mechanism to force the flour through the mesh.
Mix – Combine items to form one mass.
Cut In – Work solid fat into dry ingredients with a pastry blender until evenly distributed.
Whisk – Beat or stir with a whisk.
Flour – To dust a pan the shortening in a prepared baking pan with flour.
Fold – To delicately incorporate one substance into another substance without releasing air bubbles.
Knead – To work a dough by mixing, stretching, and pulling with the fingers and mashing with the heel of the hand.
grate
Other common actions are grating, whipping, and garnishing. Let’s explore those terms:
Grate – To rub firm food on a tool with small, rough, sharp-edged holes grater to create small pieces.
Whip
 – To beat vigorously to incorporate air and cause expansion.
Garnish – To decorate a dish with something attractive and flavorful.

Now that you have a guide to more than 30 common cooking terms, you can build on this knowledge as you gain experience and confidence.

Never feel bad about having to look something up. Many chefs have used books and kitchen experience to become successful. And remember, you don’t have to be a chef to be a great cook!

Back to Basics: Gluten-Free

It’s time for a back to basics: gluten-free review. The words gluten-free may have become more common over the past 15 years, but their meaning is often lost. Last week, a vegan restaurant informed me that their spaghetti was gluten-free because it didn’t have flour. In fact, the pasta was made with wheat flour. This is an easy mistake given that few of us make fresh pasta. If your household primarily buys packaged food, you simply may not know the ingredients in noodles.

Given this, perhaps it’s best to begin with a review of common foods that are suspect or must be avoided on a gluten-free diet: Bread, buns, & biscuits (including most cornbread), rolls, pancakes, waffles, naan, pita, croutons, crackers, matzah, graham crackers, cereal, bran, pretzels, some chips, couscous, tabbouleh, pasta, pizza, sandwiches, wraps, burritos, enchiladas, breaded chicken tenders or nuggets, breaded fish, meatballs, meatloaf, thickened soups, stew, gumbo, gravy, onion rings, donuts, pastries, pie, cake, cookies, creme pies, baklava, filo dough, granola bars, fruit bars, malts, malted milk balls, some other candies, beer. Even pot roast is sometimes dredged in flour prior to cooking.

The above is not a comprehensive list. Wheat, rye, barley, and malt show up in many forms. Sauces and condiments are often suspect: alfredo, creole sauce, crème sauce, demi-glace, mayonnaise, miso, soy sauce, wine sauces, tomato paste and sauce. And sometimes things that sound wrong are okay, like buckwheat.

Here’s a more comprehensive list of possible problematic items for anyone living a zero gluten lifestyle:

  • Barley
  • Barley Grass
  • Barley Malt
  • Beer (there are GF varieties)
  • Bleached Flour
  • Bran
  • Bread Flour
  • Brewer’s Yeast
  • Brown Flour
  • Bulgur Wheat
  • Cookie Crumbs
  • Cookie Dough
  • Couscous
  • Durum wheat
  • Edible Coatings
  • Edible Films
  • Edible Starch
  • Enriched Bleached Flour
  • Enriched Bleached Wheat Flour
  • Enriched Flour
  • Farina
  • Farina Graham
  • Farro
  • Filler
  • Flour
  • Fu
  • Germ
  • Graham Flour
  • Groats
  • Hard Wheat
  • Hydrolyzed Wheat Gluten
  • Hydrolyzed Wheat Protein
  • Hydrolyzed Wheat Starch
  • Kamut
  • Maida
  • Malt
  • Malted Barley Flour
  • Malted Milk
  • Malt Extract
  • Malt Flavoring
  • Malt Vinegar
  • Matza
  • Matzo
  • Matzo Semolina
  • Orzo Pasta
  • Pasta
  • Pearl Barley
  • Triticum
  • Roux
  • Rusk
  • Rye
  • Semolina
  • Semolina Triticum
  • Spelt
  • Sprouted Wheat or Barley
  • Tabbouleh
  • Unbleached Flour
  • Vital Wheat Gluten
  • Wheat
  • Wheat Bran Extract
  • Wheat Germ Extract
  • Wheat Nuts
  • Wheat Protein
  • Whole-Meal Flour
  • The following items sometimes contain gluten:
  • Artificial Color
  • Baking Powder
  • Boxed Cereals
  • Broth
  • Caramel Color
  • Caramel Flavoring
  • Clarifying Agents
  • Coloring
  • Dextrin’s
  • Dextrimaltose
  • Dry Roasted Nuts
  • Emulsifiers
  • Enzymes
  • Fat Replacer
  • Flavoring
  • Food Starch
  • Food Starch Modified
  • Glucose Syrup
  • HPP
  • HVP
  • Hydrolyzed Plant Protein
  • Hydrolyzed Protein
  • Hydrogenated Starch Hydrolysate
  • Hydroxypropylated Starch
  • Maltose
  • Miso
  • Modified Food Starch (may be corn based)
  • Modified Starch
  • Natural Flavoring
  • Salad Dressing
  • Natural Flavors
  • Non-dairy Creamer
  • Oats
  • Seasonings
  • Soba noodles
  • Soy Sauce
  • Soup
  • Stabilizers
  • Starch
  • Tomato Paste
  • Vegetable Gum
  • Vegetable Starch
  • Vitamins
  • Wheat Starch

Listed in detail, these lists can seem overwhelming. More simply, avoid wheat, rye, barley, malt and any products made from them plus oats in the US unless they’re certified gluten-free.

While there are many products that contain gluten, it is possible to have nutritious, delicious, and satisfying food while living gluten-free. And at Cooking2Thrive we’re here to answer questions, and to provide education and lifestyle support products.

 Zoom-In Zoom-Out

No matter how much planning you do in advance, you may sometimes need to zoom-in and zoom-out of a drive-through restaurant. If you’re gluten-free, this can be a challenge.

in a hurry

While most allergen information is online, you may not have the time to spare to examine a drive-through’s menu. If you’re in a rural state, you may not have a reliable phone connection to connect to the internet. In such cases, it can be helpful to have a text or note on your phone listing a few drive-through options.

There’s always some risk of cross-contact in fast-food restaurants and some franchises use a common fryer for fries and breaded chicken nuggets or other gluten-containing items. Nonetheless, it can be handy to know how to minimize exposure rather than go without anything.

To get you started, here are some common fast-food possibilities to include in your list:

McDonald’s – While this restaurant may always be readily available, it’s not the easiest choice if you’re gluten-free. Apple slices and coffee are the safest selections. Some coffee drinks may be okay, but they contain natural flavors that are not identified and could contain gluten. Also worth noting, the fries here contain wheat.

SONIC – There are several wheat/gluten-free items at Sonic although none are certified gluten-free. You will need to order the meat options without a bun. Gluten-free breakfast can include eggs, bacon, shredded cheddar, ham, sausage crumbles, sausage patty, sirloin steak, coffee, cold brew flavored coffees, tea, apple juice, orange juice, milk, Powerade®, fruit punch, all lemonades, limeades, slushes, and any soda. For other meals, burger patty, Jr burger patty, and Halal burger patty, grilled chicken breast, all beef hot dog, footlong hot dog, Halal dog, and Philly sirloin steak are options. These can be topped with American cheese, pickles, relish, ranch dressing, light ranch, ketchup, mayo, mustard, spicy brown mustard, cheddar cheese sauce, grilled onions, sauerkraut, sport peppers, and pickle spears. Tater tots, fries, and cheese fries do not contain wheat or gluten, but are fried in a common fryer. For dessert, try applesauce, a dish of ice cream, a hot fudge, strawberry, or caramel sundae. Top with nuts or whipped topping for an additional treat. Many shakes and blasts are gluten-free including vanilla, chocolate, strawberry, caramel, hot fudge, and fresh banana classic shakes; SONIC Blast® with M&M® Minis, Reese’s Peanut Butter Cups, Snicker’s® bar pieces. That’s quite a selection, all things considered! And kudos to the SONIC powers that be for organizing the information into an easy to read chart!

Wendy’s – If you’re in the mood for a salad, Wendy’s is an option. Consider a Parmesan Caesar, Apple Pecan, or Taco Salad. Croutons are packaged separately. A baked potato and chili can fill out the menu. French fries do not contain gluten ingredients but are fried in a communal fryer. You can also check out the baconator fries and chili cheese fries.

Subway® – With the addition of protein bowls, now known as No Bready Bowls®, Subway is an easy location to grab salad-heavy or protein-heavy gluten-free meals. Avoid all muffins, breads, wraps, and cookies as well as soups and pizza. Load up a protein bowl with any meat other than chicken with teriyaki or meatballs with marinara. Top with any vegetable option and add any cheese or condiment other than sweet onion teriyaki sauce. When you choose a salad rather than a bowl, all dressings are gluten-free. A big thanks to Subway for also creating an easy-to-follow chart!

In-N-Out – This may be the easiest burger place for the gluten-sensitive. Any burger can be ordered protein style (wrapped in lettuce rather than a bun). And the secret menu (items not on a published menu but known to staff and regularly provided to customers) includes 2 (beef patties) x 2 (pieces of cheese), 2 x 4, 1 x 2, 2 x 1 protein style, the flying Dutchman (2 beef patties surrounding 2 pieces of cheese), and a veggie burger (all of the burger toppings without the burger). No worries about fries being coated in something problematic. You can watch the potatoes being cut into fries and placed in the fryer. All the shakes are gluten free so order vanilla, chocolate, strawberry, black and white, or Neapolitan. I’ve had a couple of so-so meals at In-N-Out, but the ease of ordering has always been superior!

Once you’ve chosen a few readily available favorites and put them in your phone, be sure to review the websites periodically to make sure ingredients remain the same, then zoom-in and zoom-out with confidence when you’re in a hurry!

I have not received any compensation for writing this post. I have no material connection to the brands, products, or services that I have mentioned. I am disclosing this in accordance with the Federal Trade Commission’s 16 CFR, Part 255: “Guides Concerning the Use of Endorsements and Testimonials in Advertising.”