CanadianCELIAC It's Not Pretend - May is Celiac Awareness Month Advocacy Efforts Dear Dietitian - Canadian Celiac Association
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CanadianCELIAC It's Not Pretend PLUS May is Celiac Awareness Month Advocacy Efforts Dear Dietitian Growing Up Celiac
CCA board of directors Executive CCA National Board of Directors Janet Bolton, President David Congram Treena Duncan, Past President Meredith Birchall Spencer Jennifer Stebbing, Secretary Jessica Danford Andrew Kotys, Treasurer Tamara Close Ravil Veli Melissa Secord, Kathryn Djordjevic National Executive Director Lizbeth Wall Contact us Canadian Celiac Association 1450 Meyerside Dr., Suite 503 Mississauga, ON. Canada L5T 2N5 Phone: 905.507.6208 or 800.363.7296 Fax: 905.507.4673 | Email: info@celiac.ca www.celiac.ca Canadian CELIAC A MAGAZINE FOR CANADIANS WITH CELIAC DISEASE AND GLUTEN SENSITIVITY Editorial Board Melissa Secord Graphic Design Services: Nicole Byrom Mark Ascione Contributors Nicole Byrom Janet Dalziel Jennifer Brown Salene Pyke Colette Ledoux Howard Selig Caleigh McAulay Mary Dooley Thiffault Melissa Secord Sadie Thiffault COVER PHOTO BY CARLEY TERESA PHOTOGRAPHY Copyright © 2021 by the Canadian Celiac Association Publication Agreement#40787580 DEPOSIT PHOTO Canadian Celiac is published for the Canadian Celiac Association, L’Association Canadienne de la maladie coelique. Reproduction of this magazine in whole or in part is prohibited without the express written consent of the publisher. Disclaimer: The contents of Canadian Celiac are provided in good faith for information purposes only, and using the most current information available subject to amendment, and should not be used as a substitute for the advice of a qualified medical professional. The Professional Advisory Council of the Canadian Celiac Association (CCA) has not reviewed the contents of Canadian Celiac. Use of the information is at your own risk. The CCA does not endorse any product referenced in this publication. To the fullest extent permitted by law, the CCA, its local chapters and all persons involved in the compiling of this publication disclaim any responsibility for, and make no representations or warranties regarding the information provided. In no event will CCA, its Chapters or those persons involved in compiling this publication be liable for any damages of any kind resulting from the use of the information. 2 | Canadian CELIAC
A magazine for Canadians with celiac disease and gluten sensitivity SPRING 2021 MAY IS CELIAC AWARENESS MONTH! 6 ADVOCACY EFFORTS 7 LILY’S STORY 10 GROWING UP CELIAC 12 DETECTIVE DELICIOUS WORD SEARCH 13 REGISTERED DIETITIANS 16 DEAR DIETITIAN 19 A MEMOIR – BROKEN BREAD 21 WELCOME TO VALLEY FLAXFLOUR! 24 UPDATE ON RESEARCH 27 CCA PUZZLER 29 RECIPES 30 10 21 30 VOLUME 5 | ISSUE 2 Canadian CELIAC | 3
From the editor’s desk Celiac Disease is real. #ItsNotPretend. Let us stand together to bring awareness. years ago my At the CCA we want to ensure that husband was you are supported and guided diagnosed. In through each step of your celiac addition, my journey. From pre-diagnosis, to sister-in-law newly diagnosed and for our and niece also empowered members, we want to have celiac ensure that we have content that disease. As is relevant and focused on you you can see, and your stage in the disease. this is not just a job for Thanks to our donors, we are me. This is very proud to be providing high my lifestyle, quality content for our readers. By and this is my supporting the CCA’s research, community. I advocacy, and education efforts, decided many you’re making a REAL difference My name is Nicole Byrom, and I years ago that I wanted to focus to those living with this life- am pleased to be the new Editor my career as a Dietitian on celiac changing, autoimmune disease. for the Canadian Celiac magazine. disease to learn more about the As the new Health Promotions condition that has affected my We hope you enjoy this issue! It Manager with the Canadian Celiac family so deeply. Now, working is packed with personal stories, Association, Melissa Secord CCA’s with the CCA allows to me play an evidence-based resources, expert Executive Director has handed integral role in how celiac disease help, recipes and even a little over the reins of this important is portrayed in Canada. I am fun in the form of a crossword community resource to me! focused on science, research, and puzzle and some ‘kids only’ innovation. I promise to strive for content! We have also created I am very excited to be part of this excellence in my communication a ‘Dear Dietitian’ column where thriving community. I am also a to this community and assist you our resident nutrition experts Registered Dietitian with 17 years in any way that I can. will answer commonly asked of experience in both hospital and questions about celiac disease! out-patient settings. My position May is Celiac Disease Awareness with the CCA means a great deal Month. This month we want to From our homes to yours, we to me. 15 years ago, after years of focus on celiac disease being a hope you stay safe and stay well! health struggles my mother was real disease. This not a fad diet diagnosed with celiac disease, and this is not a condition that will Nicole Byrom, RD u 6 years ago my middle daughter fade over time. When you have was diagnosed with celiac and 3 celiac disease, you have it for life. 4 | Canadian CELIAC
Celiac Awareness Month Celiac Disease is NOT Pretend! Join us all month long as locations illuminated in green to raise awareness for celiac we #ShineALightOnCeliac disease with lots of fun events disease. and activities! Celiac Awareness Month is brought you by our Lead Throughout the month of May, the CCA is offering cooking Sponsor Promise Gluten Free. demos, educational webinars, daily recipes, and more to celebrate Celiac Disease Awareness Month. Don’t forget to check out our affiliated Chapters websites for events in your local community! All times shown in Eastern Daylight Savings time. On Sunday May 16, the international celiac community is coming together to #ShineALightOnCeliac. Iconic buildings and destinations across North America including Toronto’s To learn more about Celiac Awareness Month and the CN Tower, Niagara Falls, Montreal’s Olympic Stadium #ShineALightOnCeliac initiatives, visit ItsNotPretend.ca. and Vancouver’s Science World will be just some of the Celiac Awareness Month Events CCA Launches new provocative video International Celiac Awareness Day: To break through the myths about celiac disease and Shine a Light on Celiac gluten disorders, CCA has launched a provocative video When? May 16, 2021, 11:30 AM EST (Online cooking demo) featuring 8 year-old Sadie. Dusk (Building lighting) It’s International Celiac Awareness Day! The Click here to watch and share: international celiac community is coming together to https://youtu.be/E542CnpeE_E #ShineALightOnCeliac. Iconic buildings all over the world, including Toronto’s CN Tower, Montreal’s Olympic Stadium Recipe of the Day and Vancouver’s Science World, will be lit up green to raise When? May 1-31, 2021 awareness for Celiac Disease Awareness. To learn more, Every day throughout the month we’ll be bringing you meal visit https://shinealightonceliac.org/. inspiration from our sponsors on our social media channels! CCA’s ‘Shine A Light’ on Celiac Disease events are Sponsored by: Schar, ValleyFlax, Kinnikinnick, Cup4Cup, sponsored in part by OREO. and Promise Gluten Free. Webinar Wednesdays sponsored by Glutino Outdoor Video: Dundas Square, Toronto, ON Free educational webinars every Wednesday in May! When? May 3-9, 2021 Topics include: Shared Kitchen Tour, GF101, Bone Health, Take a stroll through Dundas Square in Toronto to Could it be Celiac Disease? Click here to register: check out our ads from May 3-9. Sponsored by https://www.celiac.ca/news-events/events/ Promise Gluten Free. 6 | Canadian CELIAC
Improving Access to Safe Food KINGSTON CHAPTER WORKS WITH CCA’S FOOD DONATION PROGRAM SUE JENNETT PRESIDENT, KINGSTON CHAPTER CCA At the Kingston, Ontario Chapter of The “Save Me For Gluten Free” cam- I made my first donation for the “Save the CCA we were looking for a way paign encourages anyone to attach Me for Gluten Free” program in person to help our fellow celiacs during this a note with the special logo on it to a to the foodbank a couple of weeks difficult time. We have often taken up bag of gluten-free food for donation. ago, and look forward to many more. a collection of non-perishable foods This may be in the bin at the exit door I also posted a picture on my Insta- at some of our events for many years. of the store, or by individual drop off at gram page and was happy to hashtag Our members were very generous the foodbank itself. The label is avail- both the CCA (#SaveMe4GlutenFree and by delivering the donations to our able on the CCA website at https:// and #CCAceliac) and our adopted foodbank in person, we were able to www.celiac.ca/get-involved/saveme- foodbank. I was pleased to get such a ensure they would be kept separate, forglutenfree/. positive response online. to be given to those who required a gluten-free diet. So much has been Chapters are encouraged to go one We are a small chapter in Kingston, complicated over this past year, but step further and develop relationships and as with other groups, we have not the CCA has developed a very simple with local food banks, starting by been able to meet in person for more program to allow anyone to make “adopting” a foodbank. As President than a year now. This makes planning donations to foodbanks, that allows of the Chapter, I called the Partners in anything to mark Celiac Awareness the foodbanks to easily identify the Mission Foodbank, Kingston’s largest Month very difficult. We’ve decided to donations as gluten free. food charity, to offer to work with them. have a “Curbside Gluten-Free Food The Executive Director, Dan Irwin was Donation Pickup” on Celiac Aware- thrilled to receive my call. We spoke ness Day, Sunday, May 16th. Our about the challenges a foodbank members have been asked to gather has with volunteers and food supply. suitable gluten-free foods and leave Through our chapter, we can offer them in a bag at the end of their drive- assistance in the form or volunteers to way, or front door at a scheduled time help with the gluten-free donations, or that day, and a volunteer will pick up signage and education. The approach the donation and collectively we will was to not only solve our issues of deliver the “Save Me for Gluten Free” getting gluten-free food to those who donations to our adopted foodbank – need it, but also to address any issues a great way to celebrate and give back the foodbank might have in carrying all at the same time. u out our plan. Canadian CELIAC | 7
Behind the Scenes… LET’S REVIEW HOW CCA IS WORKING ON BEHALF OF GLUTEN-FREE CANADIANS When you support CCA, you are supporting work that often cannot be done by one person alone. It takes a team of dedicated of expert volunteers and staff to advance advocacy on key issues. Here’s a peak at what has been happening behind the scenes. 1. Self-care and nutritional on the introduction of gluten- on pulse-based foods/recipes products free oats with support from as a staple. Currently retail products that Dietitian Inez Martincevic. As • Pulses are high in dietary fibre are categorized as self-care part of its work, CCA undertook and a good source of protein like nutritionals, probiotics an international survey to • With the rise in plant-based and prebiotics and other understand how doctors are foods, this will be an area of supplements, do not need managing this ingredient or increasing concern about the to follow the same labelling what clinical guidelines exist. safety of both pulses and nuts regulations as food despite Work will continue over the as consumption increases. people still ingesting them. coming months. Health Canada is looking to 4. Diagnosis Working Group provide the public with clear 3. Food surveillance – is your A group of volunteers recently language packaging and food safe? met to begin strategically strengthen claims made on CCA’s Dietitian Working Group planning CCA’s efforts to packages. CCA has been invited has sent a proposal to Health address the lack of coverage to participate in the second Canada and CFIA to do food of the celiac blood test (ttg round of Spring stakeholder surveillance surveys on pulses, iga) at the primary healthcare consultations to help address nuts, cereal, seeds and wheat level. CCA had to halt its efforts the gaps in labelling of these starch. Of particular concern are last year due to the COVID-19 products. CCA and Coeliaque pulses and nuts. CCA is hoping outbreak. Ontario will be Québec have been advocating to see CFIA track some of these heading to the polls in June for priority allergen labelling to ingredients over a period of 2022 and CCA will be asking follow the same standards as time this fall and measure the the community to support its food and beverages. gluten levels in these products. efforts once again. Stay tuned. • Foods like prepared soups 2. Introduction of Oat-based and stews are a concern. products • For some cultures and diets CCA has been leading a study (vegan/vegetarian) rely heavily Bringing safe gluten-free grains to your plate CCA had the opportunity to make a submission to support Canada’s desire to “collectively shape a vision for a world-class grain quality assurance system and producer protection framework that meets the needs of the sector, now and for the future.” CCA made a submission for the Canadian Grain Act Revivew. As a key consumer stakeholder, the CCA was pleased to advocate for individuals seeking safe gluten-free grains from farm to fork.. u 8 | Canadian CELIAC
Lily’s Story is brought to our readers by THE CCA WOULD LIKE TO INVITE YOU TO MEET LILY. LILY’S STORY HAS TOUCHED ALL OF OUR HEARTS AND GIVEN US A MOMENT OF PAUSE. LILY’S EXPERIENCE IS NOT AN ISOLATED ONE. SADLY, MOST PEOPLE GO UNDIAGNOSED FOR, ON AVERAGE NINE YEARS BEFORE DISCOVERING THAT THEY HAVE CELIAC DISEASE. LILY WAS JUST A BABY WHEN HER TREMENDOUS HEALTH STRUGGLES BEGAN. HER STORY HAS A HAPPY AND JOYFUL ENDING, BUT THE JOURNEY TO GET THERE WAS WROUGHT WITH FEAR AND ANXIETY. HERE IS A LETTER WRITTEN TO US BY LILY’S MOTHER JENNIFER. THANK YOU, JENNIFER, FOR SHARING LILY’S STORY. WE ARE SO GRATEFUL THAT SHE IS NOW HEALTHY AND WELL. Dear Canadian Celiac Association, In September 2019, my daughter, Lily, was just past her first birthday. For the past 6 weeks we had witnessed a gradual decline in Lily’s mood, mobility and, most noticeably, her weight. She was extreme- ly constipated, vomiting, she refused to walk, would rarely smile and looked sunken and pale. We visited our family doctor twice in one month and went to Children’s Hospital three times. There we received ultrasounds, x-rays, blood work, the works. Each time with left with the diagnosis of “severe constipa- tion” and a script for laxatives. Each visit, I told the doctors and nurses, that my father was diagnosed with celiac disease 30 years ago and I requested numerous times that they test Lily. Each time I was met with reassurance that her symptoms were “not consistent with celiac disease” and were rebuffed. On Sunday of the September long weekend, we took Lily to Children’s Hospital for the 4th time. They took her again for x-rays, blood work and ultra- sounds. We were told to stay overnight for further investigations. We were told that the laxative should have worked. This time we demanded that Lily be screened for celiac disease. Over the next three days we had more blood work, an NG tube, and another x-ray, all while Lily continued to waste away. On Tuesday, a GI specialist stopped in to inform Continued on next page 10 | Canadian CELIAC
Within two days our baby was once again laughing, smiling and dancing. us that Lily’s celiac screen came back “unmeasurably high”. She was immediately put on a strict gluten-free diet and a lifelong multivitamin. Within two days our baby was once again laughing, smiling and dancing. It took her six months to catch up to her peers on the growth chart, and one year later she surpasses many of them. The CCA has been a lifesaving resource for my family. We have leveraged the tools and tips for discussing celiac disease with school providers and our extended family. Watching my father’s experiences having been diagnosed 30 years ago to today, I can attest to the on-the-ground benefits of the advocacy efforts of the CCA for food labelling and education to the general population. We do still struggle with confidence in eating out (pre-pandemic) and anxiety that those feeding Lily truly under- stand the proper food handling necessities, but we feel signifi- cantly better equipped to handle these scenarios with the advice and work of the CCA. Thank you, Jennifer u Canadian CELIAC | 11
Growing up celiac Brought to you by Kinnikinnick Visit the MEET SADIE! Growing Up Celiac page! Sadie’s Tips!! 1. Read all labels, and learn to Sadie was diagnosed with recognize the words wheat, Celiac Disease at age 3, after barley, rye and oats. demonstrating signs of iron 2. Also learn how to recognize the deficiency. Now 8 years old, Gluten-Free symbol! Sadie is a fantastic advocate for 3. I bring my own pizza and cup- herself and her health, always cakes to birthday parties. I don’t remembering to check “is it gluten eat the ones there. If there are free?” and educating others about gluten-free chips at the party, I what that means! Sadie has a pour some out from the bag, in- wonderful attitude about having stead of reaching into the same celiac disease, and reminds bowl as everyone else. her family that it is what 4. I like to read books and watch makes her unique. She is TV shows about other people optimistic that in her who have celiac disease (Like lifetime, doctors and the book Eating Gluten-Free scientists will find With Emily and the TV show a cure! When not Sugar Rush). sampling gluten- 5. If something doesn’t have in- free snacks and gredients on it, I don’t take it. bakeries, Sadie 6. In the lunchroom at school, can be found I eat at the end of the table, cartwheeling where there are fewer kids and dancing around me with crumbs. at home in 7. If you are disappointed when Toronto! someone offers you food that you know you can’t eat, make a plan to get something else after- wards that will be just as good. 8. You even have to check toys - PlayDoh and some other craft kits contain gluten! 9. Whatever you can’t buy gluten- free, you can try to make! 10. You should feel unique in your own way! u 12 | Canadian CELIAC
Detective DETECTIVEDelicious Word Search! DELICIOUS Detective Delicious Word Search! WORD SEARCH S U C F UDG EWY K S MU HC V F UA D NG I E LW L A Y KI M P OHMV D B H A N I LI H L C A NI PI O CMRW DOB HT I HI O C N ZI OCMRW E O A NT OI I O NI Z OL M A EJ A NF O U YI O K TI Z A A P PJ A L A S B F Y F U T KI O T AS AT P L PI SI B L F L TL EI OG S ET E L EI ZI B L D L EL E S G O C EI N E N AM E Z B O DN S E E S C I N N AMON S Smoreables Chocolate Vanilla KinniTOOS Waffle Pizza Donut Cinnamon Smoreables Chocolate Vanilla KinniTOOS Cookie Maple Fudge Pie Waffle Pizza Donut Cinnamon Cookie Maple Fudge Pie PRINT THIS PAGE AND PLAY! Canadian CELIAC | 13
PANCAKE BANANA BREAD! MAKE THIS TOGETHER! INGREDIENTS z 1 package Kinnikinnick Pancake and Waffle Mix (454 g) z ½ tsp baking soda (3 g) z ½ cup butter - softened (125 g) z ½ cup granulated sugar (117 g) z 2 large eggs (112 g) z 1 tbsp vanilla extract (6 g) z 2 cups mashed bananas (approx. 6 - 7) (528 g) DIRECTIONS 1. Preheat oven to 350°F (176°C). Lightly spray a loaf pan. 2. In a medium bowl, cream butter, vanilla and sugar until light and fluffy. 3. Add eggs one at a time, mixing mixture. Mix until fully touched lightly on the top). after each addition. incorporated. 8. Remove from oven and let loaf 4. Fold in mashed bananas. 6. Pour batter into loaf pan. cool slightly prior to inverting 5. Slowly add Kinnikinnick 7. Bake in preheated oven for 70 - pan. Carefully remove pan Pancake and Waffle Mix 75 minutes (check for doneness and let cool completely before and baking soda to creamed - loaf will spring back when serving. u Online: Click here to make an online donation. Donate The Canadian Celiac Association CCA uses a secure online service www.celiac.ca/donate-today to process our Today online donations. You will receive a tax receipt by email, usually within minutes of making your donation. 14 | Canadian CELIAC
I HAVE A DISEASE PEOPLE Lily, Four Years Old It’s not that rare, either. They tell their friends and coworkers they have it. Some even really think they have it. PRETEND But they don’t feel like I do. They don’t experience the pain that goes along with it. The weakness. The malnourishment. Their growth isn’t stunted like mine. And doctors didn’t lead them to believe it was something else. TO HAVE. And the more people who pretend to have it, the more people think I’m just pretending. It’s not pretend. It’s Celiac. itsnotpretend.ca Canadian CELIAC | 15
Empowering people with celiac disease. REGISTERED DIETITIANS – A PARTNER AND INVESTMENT IN YOUR OVERALL HEALTH. Have you ever thought this A dietitian has before, “I’ve been following a several roles, but no strict gluten free diet for years, matter what the job so why do I need to see a a dietitian is always registered dietitian (RD)?” If this held accountable to is a question you have asked the highest standards yourself, you are not alone! When of education and people are initially diagnosed ethics. A dietitian is with celiac disease, a dietitian can continually learning feel like a lifeline of support and and reporting on direction. However, as time goes the most up to by their importance may appear date evidence- to decrease. You may feel like based information. you have your diet under control This is true for all areas of initial diagnosis? Here are five and that you can better manage work, including celiac disease. compelling reasons! your new normal. So why visit an Research is on-going, as with RD when you have such a good most disease states, and celiac 1. Aging. handle on your diet? To better disease is no exception to As we age our bodies, and understand this question, let us this rule. A dietitian is highly our nutritional requirements delve a little deeper into the role personalized. Your dietitian will change with us. Perhaps you of a dietitian. consider your goals, culture are experiencing bone loss and and food experiences. They will have been told to increase your A registered dietitian has a create a nutrition plan for you Vitamin D and calcium intakes. minimum of a 4-year bachelor’s based on your medical history Perhaps, you have gained weight degree in addition to completing and needs, diet history and with age, and as a result are a 10-month dietetic practicum. eating patterns. All while being experiencing high blood pressure Dietitians are registered with grounded in science and the and high cholesterol levels. their provincial college to allow latest research. Neither of these conditions are them to practice dietetics and use unique to celiac disease, however DEPOSIT PHOTO the title, ‘dietitian’. Dietitians are Now that we know what a people with celiac disease have required through legislation to dietitian does, let’s answer our dietary restrictions, making these maintain competence and meet initial question! Why do I need to annual continuing competence. keep seeing a dietitian, after my Continued on next page 16 | Canadian CELIAC
health challenges more difficult most up to date information. are experiencing. Debunking to navigate. A dietitian can easily Remember dietitians are required misinformation is one of our jobs, pilot you through these dietary to practice safely, competently as is trouble-shooting a new changes safely and easily. and ethically through government health concern. Dietitians are approved Standards of Practice able to look at your diet history 2. Pregnancy. and a Code of Ethics. This and make suggestions to help If you are thinking of becoming ensures that the information you improve your current situation. As pregnant, prenatal care is receive is the most up to date mentioned before, we base all of very important! You may and best suited for your health our recommendations on science. have questions about which concern or question. We provide the evidence that supplement is best for you, studies have shown to be reliable. or which foods you need to 4. Nutrient Deficiencies. Dietitians are the place to go to encourage or avoid in your diet. Do you think you may be lacking find the truth when you have a During pregnancy you may have a specific nutrient in your diet? nutrition related health question! food aversions or cravings and Or have you been told by your wonder how to manage them and GP that you need to increase In summary, why not make your if you are meeting your nutritional your iron, Vit D, B12, omega-3 life a bit easier? A dietitian does requirements. During the post- or calcium intakes? These are the homework for you. We read natal period, once your little one examples of common nutrient the journal articles and connect is taking solid foods you will likely deficiencies that a dietitian can with the food companies. We have questions about introducing talk to you about and help you to lead the studies and ask the big gluten safely. navigate. Nutrient deficiencies can questions. We are your source happen at any stage of life, or any for the truth, and we are here to 3. Latest studies. stage of your celiac diagnosis. help! Remember that the CCA A Dietitian is the best source for how has a registered dietitian evidenced based information. No 5. When you have questions! on staff thanks to donor support! matter what the question, your Health questions will come up We are working hard every day dietitian will have both access over the years. Perhaps you to ensure that you are provided to, and an ethical obligation to have heard something that with the latest, most relevant ensure that they are providing you want to clarify or need information to help you live your you with the best care with the guidance on a new symptom you best life! u ONE PERSON’S Michelle has celiac disease, she also has asthma. Then she received JOURNEY WITH a COVID diagnosis. Click here to read all about her journey from COVID. sickness to health and all the ups and downs that came her way. Canadian CELIAC | 17
Now Available to order online www.Promiseglutenfree.ca
Dear Dietitian, 1. My sister has just been the label and it also has a ‘may diagnosed with celiac disease. contain wheat’ statement. How is Should I get tested too? this possible? ~10-15% of first-degree relatives If you see a gluten-free (GF) (parents, children and siblings) claim in conjunction with a ‘May are at risk for celiac disease so Contain Wheat’ statement, the we recommend all first-degree product is SAFE for people relatives visit their doctor to get with celiac disease but not for screened for celiac. This should people with a wheat allergy. The be done even if asymptomatic, as statement is to alert individuals many people with celiac disease with a wheat allergy to the DEPOSIT PHOTO have minimal to no symptoms. presence of low levels of wheat Celiac disease can develop at in a gluten-free food. However, any age; therefore, it is suggested manufacturers must ensure that first-degree relatives get that the product contains no tested regularly (every ~1-3 years intentionally added gluten and or earlier if symptoms arise). less than 20 parts per million gluten. Types of distilled alcohol: Regular testing is key to getting (ppm) to meet the GF criteria. rum, rye whiskey (yes, rye!), gin, an early diagnosis and an early tequila, vodka. diagnosis lowers the chance for For more information on labelling developing other autoimmune laws and regulations, check out Wine is naturally gluten free and diseases, such as type 1 diabetes our food labelling document: safe for people with celiac disease. and thyroid disease, and many https://www.celiac.ca/living- other conditions, including gluten-free/food-labelling/ Pre-mixed beverages made with anemia, osteoporosis, infertility, vodka or gin are safe while other short stature, intestinal cancers 3. With the warm weather malt-based alcoholic beverages and neurological conditions. approaching, I am wondering are not. Some beverages may about alcohol… What alcohol also have added flavors. It’s If you receive a positive can I drink that is GF? important to be cautious and diagnosis, consider the CCA Alcohol is a common question read the label carefully as the as a reliable, evidence-based among the gluten-free gluten-free version can look very resource for you and your family. community, especially as summer similar to the gluten-containing Sign up for our newsletters, approaches. Not all alcohol is version. Typically, it will state it on updates and latest news on celiac gluten free, so here are some tips the front of the label. As always, disease to help empower your life to ensure your drink(s) are safe. when in doubt, go without! and stay as healthy as possible. Distilled alcohols are safe for www.celiac.ca people with celiac disease. When A Bit About Beer: Gluten-free distilled, the gluten protein from beer is made from gluten-free 2. I have purchased a product the gluten-containing grains grains such as millet, sorghum, that has a gluten-free claim. cannot be passed through and buckwheat, amaranth, rice or When I got home, I looked at the final product does not contain Continued on next page Canadian CELIAC | 19
DEPOSIT PHOTO quinoa. When made from a gluten-free grain, these beers are permitted to state ‘gluten-free’ on the label. Note: Gluten-reduced beers are NOT the same as gluten-free beers. It is important when you are choosing a beer product, you choose one with a gluten- free claim to ensure it is safe for consumption for people with celiac disease. For more information on alcohol and gluten check out this resource: https://www.celiac.ca/ living-gluten-free/food-labelling/ alcohol-and-labelling-in-canada/ 4. I’m having a host of symptoms and wonder if I may have celiac disease? How would I know? Thank you for the question! Many MAY IS LEGACY people experience a wide range of symptoms before a celiac diagnosis. Here are the next GIVING MONTH! steps we recommend: • First, take our symptom checker and share the results with your doctor to see if you Having an up-to-date Will is important to you. need to be tested. important to ensure your loved By adding a gift to your Will, • Second, we encourage you ones are supported and your you’re deciding today to make an to watch the videos on our wishes become reality. With- impact tomorrow, leaving a better website. We have a one-hour out a valid Will the laws of your world for generations to come. webinar or three short two- province or state will decide minute videos. how your assets are distributed Are you considering creating • Third, sign up below the and who should care for minor or updating your Will? Let us videos to receive our hand children or pets. Creating a Will help. CCA now offers access to out that you can take to gives you the peace of mind of a a FREE online Will kit. There’s your doctor to start the well-thought out plan. no obligation to include a gift conversation about getting to Canadian Celiac Association tested for celiac disease. This important document can also in your Will, but we hope you’ll https://www.celiac.ca/ be a powerful force for good. choose to do so. Support Cana- gluten-related-disorders/ When creating a Will you can dian Celiac Association in your coulditbeceliac u decide to support causes that are Will. | Willfora u 20 | Canadian CELIAC
A Memoir, BROKEN BREAD MY GOAL WAS TO TELL MY STORY. DREAM DEEP AND REACH HIGH IF YOUR GOAL IS TO TELL YOURS ― BY WRITING, SINGING, DANCING, OR PAINTING IT ― OR WHISPERING IT TO THE WIND. My name is Colette, and I’m very wellresearched for clarity. I didn’t thankful for the opportunity to want the memoir to be overly introduce my memoir: Broken flowery or a woe-is-me tale, and it Bread – A Gastronomic Journey needed to be honest. The writing into Healing. I’ve been married is authentic, albeit perhaps a to my wonderful husband Claude bit quirky, with a light-hearted, for 42 years and reside in North sometimes funny touch. The book Bay, Ontario. My writing journey also includes some of my favourite began in 2010, and the book gluten-free recipes – adapted was published in 2020. It took from childhood Italian favourites far longer to complete than and treasured traditional French anticipated, but, in hindsight, Canadian Christmas foods. I needed the time to find my For those who enjoy reading voice and the material to find its a food-themed story, struggle context. The setting for the story is with anxiety, or are managing an separated into three distinct parts autoimmune condition, I have faith – my childhood neighbourhood you’ll enjoy the read. Q: Did the journey of writing this of Toronto’s Little Italy in the ‘60s, novel help you move through the where my deep connection to Q: What prompted you to write transition of becoming gluten food and the early onset of anxiety the novel ‘Broken Bread’? free? How did it change your developed; the turmoil of arriving perspective? at mid-life and unexpectedly When I received my celiac facing microscopic colitis, celiac diagnosis in 2007, it was almost The exercise of writing Part One, disease, and Type II diabetes; impossible to find reading material which highlights my childhood and the summation of how I on the topic. The one book I did growing up in Toronto’s Little managed to handle my unrealistic find was a rosy overview of the Italy, helped identify where my expectations and find balance – condition, sprinkled with fairy dust, obsession with gluten-laden finally free to explore the world and it didn’t speak to my new foods was triggered. I needed on my terms. Years ago, sage reality. I decided to write my own to do this before accepting the guidance from a renowned writer story – honestly and with light- made sure my material would be hearted humour. Continued on next page Canadian CELIAC | 21
A gastronomic journey into healing unchangeable fate of living the would say, “Read my book! remainder of my life with celiac My struggles are relatable.” disease. “At times, I’ve been fortunate Slowly but surely, over time, as to receive personal attention Canadian labelling laws were from renowned chefs in being implemented and grocery some of the finest dining store shelves were rolling out establishments. But, as gluten-free products, the positive a matter of survival, I’ve shift in my perspective is notable. found myself scouring for something safe to eat from There were many lengthy siestas dilapidated gas stations, when writing this memoir, and it where I’m pretty sure I saw took me a decade to bring the buzzards circling overhead.” book to publication, but I consider it a blessing because the narrative In all seriousness, I’d had time to evolve. Writing can be tell someone that the a daunting process, but the overall implications for managing a exercise was very cathartic. diagnosis of celiac disease But maybe, by being open and will be life-altering and honest, I could tell the world, or requires proper support – even just one person, that there avoid advice from unverified should be no shame for those sources! The Canadian of us who cart around a Mary Celiac Association, and Poppins bag that holds a few Shelley Case’s books, for of foods you will forever see samples of imperfect humanness. example, will provide all the and smell but never again taste information needed to keep (the book includes some of Q: What would you say to you safe. Most importantly, be my favourite French-Canadian someone newly diagnosed? kind to yourself, and take the Christmas and everyday Italian I’m chuckling at the question. I time required to mourn the loss recipe adaptations).. u AUTHOR BIO: COLETTE LEDOUX WAS BORN AND RAISED IN TORONTO, MOVING TO NORTH BAY, ONTARIO, IN THE EARLY SEVENTIES. ALONG WITH RAISING A FAMILY, SHE HAS BEEN SELF-EMPLOYED IN PARTNERSHIP WITH HER HUSBAND CLAUDE, INITIALLY OWNING THE RENOWNED IVAN’S RESTAURANT – A NORTH BAY TRADITION (ESTABLISHED IN 1945) FOR OVER TWO DECADES, AND NOW SOLELY FOCUSED ON MANAGING THEIR COMMERCIAL REAL ESTATE PORTFOLIO. 22 | Canadian CELIAC
Only Oats would like to extend a sincere thank you for all of the support we have received from the Celiac community during this past year. Your ongoing support of ONLY OATS has been kindly appreciated. We would also like to thank the Canadian Celiac Association for promoting Celiac awareness not only in May, but throughout the entire year. To show our heartfelt gratitude, take advantage of our CCA Members 25% off discount for the entire month of May. Enter discount code CCA at checkout in the Only Oats Online Store or use this THIS LINK to auto- apply the discount. Please feel free to contact us at www.myonlyoats.com with all your questions, comments and needs.
A Gluten-Free Certified Program Partner Feature WELCOME TO VALLEY FLAXFLOUR! Welcome to Valley Flaxflour Ltd. where the marriage of taste and nutrition are the perfect match! Howard Selig, along with his wife Wendy Rodda established Valley Flaxflour Ltd. in 1998 as a way to provide milled flax for health care facilities. Situated in beautiful Middleton, Nova Scotia Valley Flaxflour has since grown into a thriving business committed to bringing taste and nutrition to the world of gluten- free foods! Selig earned the Taste of Nova Scotia Product of the Year for his Pancake and Cookie Mix in 2016 and earned the Outstanding Innovator of the Year award in 2017 from the Annapolis Valley Chamber of Commerce. British celebrity chef Jamie Oliver also used Valley Flaxflour’s products in his protein bread recipe that was in his book Superfoods. I was able to chat with Valley Flaxflour and ask some questions to learn more about their products and hear their story! Here is our conversation! How did Valley Flaxflour Ltd. benefits of flax seeds? adding 2 Tbsp of flax to your food come to be? Since 2015 Health Canada every day you will provide over In 1990 Howard Selig, founder has allowed a claim for the 4000mg of omega-3 fats and 4 and Red Seal Cook and Certified cholesterol-lowering benefit of grams of fibre! Food Manager, left professional milled flax, encouraging 5-6 Tbsp cooking to pursue a career as daily to lower cholesterol. Flax Affordability and food security a Registered Dietitian. Selig is a is also a very good source of appear to be very important long-standing member and past fibre. People often find gluten- values of Valley Flaxflour Ltd. president of the Nova Scotia free foods to be lower in fibre Can you tell us more about this? Dietetic Association and member and therefore struggle to meet Your question about affordability of the Canadian Association of their daily fibre requirements. and food security is very Food Service Professionals. In Additionally, when eaten milled, interesting. It makes me think 1998 Valley Flaxflour Ltd. grew flax can help to lower the back over a long career, both as out of the need in long-term care glycemic load of a meal, slow the a chef and later as a Registered facilities for a source of milled flax absorption of sugars and control Dietitian, working with low-income seed. From here, Selig applied blood sugars. Flax is also a source individuals, often with under- both his cooking skills and of omega-3 fatty acids. These are developed life skills. I would professional nutrition knowledge essential fats that we also receive lead healthy eating discussions to develop recipes that would from fatty fish. Health Canada and offering food preparation provide the nutritional benefits his recommends eating 2 servings workshops. This desire to be clients were looking for. of fatty fish weekly. For some this helpful has naturally carried into Can you discuss the health can be a challenge. By simply Continued on next page 24 | Canadian CELIAC
we provide our gluten-free products to support people with celiac disease requiring food bank services my career as an entrepreneur. our suppliers and do not allow experience… lucky us! Howard is At Valley Flaxflour, we provide our nuts, dairy, fish, soy, sulfites, our Research and Development gluten-free products to support and other priority allergens as well as recipe creator. He people with celiac disease into the building unless they offers these skills through tips and requiring food bank services are safely managed to prevent videos, TakethisMakethis, on our and, most recently, a free food contamination. Our products are YouTube channel. Several dozen basket program. Our gluten-free also re-tested after processing recipes for ingredients and mixes certification and new association to ensure that there has been no are posted on our website. These with the Canadian Celiac contamination within our facility. are regularly shared through our Association has encouraged us newsletter. Our newsletter to formalize these relationships. You are located in beautiful Nova is available on our website We now offer Martha a credit to several Henderson Scotia! Where can consumers www.flaxflour.com by signing up. food andbanks within our immediate Patty Massel purchase Valley Flaxflour if they and surrounding communities for are out of province? You have a new product ‘Valley consistent, ongoing support. Our ingredients and mixes are Kitchen Bread Mix’! What can With our focus on the nutritional available throughout Canada and you tell us about this? value of our ingredients and the United States through our on- Our new Bread Mix requires mixes, and our commitment to line store at www.flaxflour.com only hot water and love to make all-Canadian, whole grains and the perfect loaf. After literally seeds, our products can be more I see your founder is also a red years of development, we struck expensive than many of the seal chef! Where can we find on a highly nutritious blend of rice-based gluten-free products. more delicious recipes using ingredients that provide the right We employ a cost-based pricing your flour? balance of soluble and non- model which eliminates the Yes, we have our own on-site soluble fibres to make a texturally natural tendency to charge chef with many years of baking pleasing, delicious, loaf of bread whatever the market can bear. without the need for added gums We also offer brown bag service or simple starches. This bread through our FIL Station, both on- remains fresh for days and is ideal site and on-line, to help reduce for sandwiches, French toast, or a packaging waste and price. lovely slice breakfast toast served with butter and jam. How do you ensure that your flour is gluten free? Where can we find you on social All ingredients are tested for the media? presence of gluten before they You can find us on Facebook arrive at our facility. Our facility https://www.facebook.com/ is maintained free of gluten and valleyflaxflour or on instagram other priority allergens. While valleyflaxflour. not certified free of the other https://www.flaxflour.com/ u allergens, we require CoAs from Canadian CELIAC | 25
Make twice CARLEY TERESA PHOTOGRAPHY the difference when you give a gift today! Celiac disease is REAL. By supporting the CCA’s research, advocacy and education efforts, you’re making a REAL difference to those living with this life-changing, autoimmune disease. Thanks to a generous matching gift, your donation will go twice as far towards creating a better, safer, and healthier future for people with Celiac disease and gluten disorders. 26 | Canadian CELIAC
Research Update New Series: In Conversation With... Dr. Elena Verdu on Gut Microbiota CCA has launched a new bi- This month, CCA host Mark John- she got started thanks to the J. monthly series of conversations son is joined by Dr. Elena Verdu A Campbell Research grant from with thought-leaders, - Professor, Division of Gastroen- CCA and its donors, click this link! stakeholders, researchers, and terology at McMaster University. others to help you learn more To learn more about her advance- Donate to Research Today! about celiac disease in Canada. ments in gut microbiota, and how Are you still experiencing celiac inflammation in the intestine and About the Study Sponsor disease symptoms despite your improve the symptoms of celiac Provention Bio, Inc., a clinical- best efforts to follow a gluten-free disease in those who continue stage biopharmaceutical company diet? to experience symptoms despite developing novel therapeutics following a gluten-free diet. aimed at intercepting and The PROACTIVE Celiac Study preventing immune-mediated is a phase 2 clinical trial testing Requirements: diseases. the safety and effects of the • 18-70 years old investigational medication • Biopsy-confirmed celiac disease PRV-015. In combination with a • On a gluten-free diet for at least gluten-free diet, PRV-015 aims to the last 12 months reduce symptoms and intestinal • Still experiencing celiac disease inflammation caused by accidental symptoms gluten exposure. You will not be asked to ingest gluten for this Study Site Locations: study. • United States (excluding Alaska and Hawaii) PRV-015 has been previously • Canada tested in about 250 people in six completed research studies. Interested? These studies show that PRV- Visit survey.proactiveceliac.com/r/ 015 has been well tolerated, and REFCCA in celiac patients it may reduce Use referral code: REFCCA Canada adds patient voice to Agriculture Canada and Afro-food review of Canadian Grains Act. https://www.celiac.ca/wp-content/uploads/2021/04/CCA-Cdn-Grain-Act-Review-Submission-Final.pdf Canadian CELIAC | 27
Statement on vaccination Professional Advisory Council (PAC) statement on COVID 19 Vaccination A vaccine has recently been approved in Canada for COVID-19 and we anticipate more vaccines will be available in the future. Our celiac community is asking for guidance of vaccination for COVID-19. At the beginning of the Covid-19 pandemic, there was a concern that people with celiac disease might be at increased risk of contracting COVID-19 and had severe outcomes from the infection, given prior studies suggesting increased risks from pneumonia and viral infections. Thus far, we have learned from an international large study1 and celiac registry2 that individuals with celiac disease are not more likely celiac disease should not affect with your health provider to to contract COVID-19 or to have the efficacy of the vaccine and consider your individual health adverse outcomes from COVID-19 should not be associated with situation is recommended. infection compared to the non- any added adverse outcome celiac population. However, we from vaccination. It is important 1 ZhenJ et al, CGH 2020 have seen the devastating effects to clarify that celiac disease is 2 International ISECURE of COVID-19 in the Canadian not considered an allergy, and celiac registry: and worldwide population, and therefore, there is no anticipated https://covidceliac.org/home therefore, mass vaccination is need to take any additional crucial to provide immunity against precaution when proceeding with CCA is pleased to offer a growing this virus. We recommend that vaccination. The CCA like many list of resources and information people with celiac disease receive other celiac societies and research as the COVID-19 pandemic the COVID-19 vaccine approved groups has stated that this vaccine impacts the Canadian gluten-free according to their provincially is likely safe for most patients who community: https://www.celiac.ca/ determined prioritization have celiac disease and have no news-events/covid19/. u schedules. Having a diagnosis of immune compromise. A discussion 28 | Canadian CELIAC
CCA Puzzler st your Celiac Knowledge! TEST YOUR 1 CELIAC KNOWLEDGE! 2 3 4 liac Knowledge! 6 7 Test your Celiac Knowledg 8 1 9 10 11 3 4 12 13 2 7 3 4 14 5 8 6 7 11 15 12 13 8 16 9 10 11 12 13 14 15 16 17 18 Print this page or do 19 this puzzle online! 17 18 19 Across: 2. To have within 3. The Canadian Celiac Association Down: Across: 6. An expert in diet and nutrition 1. The location of the Canadian Celiac 2. To have within 8. This grain contains gluten Association 3. The Canadian Celiac Asso ed 9. The identification of the nature of an illness 3. Cross- 6. An expert in diet and nut e 12. 14. A classic symptom of celiac disease A powder obtained by grinding grain Across: 4. 5. The first step in testing In order to establish a diagnosis you need 8. This grain contains gluten 9. The identification of the n of the Canadian Celiac y 15. This grain need to be labelled gluten free, 2. To have within this 12. A classic symptom of celi as there is a risk for cross contamination 7. This occurs with untreated celiac disease 14. A powder obtained by gri dy 16. You need to look for ----- sources of gluten 3.10. AThe proteinCanadian found in wheat, Celiac Association rye and barely 15. This grain need to be lab in your foods 11. A way to obtain Vitamin D without food as there is a risk for cross e 17. How you can help the CCA 6.13. AAnboneexpert inoccurs disease that diet and when nutrition the body 16. You need to look for ----- in testing 19. You need to read these to look for gluten in foods! 8.18. Alooses This grain contains gluten too much bone non-classic symptom of celiac disease in your foods 17. How you can help the CC tablish a diagnosis you need 9. The identification of the nature of an illness 19. You need to read these to foods! Canadian CELIAC | 29 12. A classic symptom of celiac disease
Recipes BREAKFAST IN BED FOR MOTHER’S DAY MAPLE PECAN FRENCH TOAST supplied by Promise Gluten-Free 20 mins Preparation Make 2 servings INGREDIENTS z 2 free-range eggs z 4 tablespoons milk z 4 slices of brioche z handful of pecans z maple syrup, to serve z sunflower oil DIRECTIONS 1. Crack the eggs into a mixing bowl. 2. Add the milk and season with salt and pepper. 3. Gently whisk the eggs and milk together with a fork, then put to one side. 4. Place the frying pan on a medium heat to heat up. 5. Dip the brioche into the eggy mixture, turning it over a few times to make sure it’s well coated and sucks up the mixture like a sponge. into the pan. 10. Toast the pecans on a 6. Add ½ a tablespoon of oil to 8. Cook for 2 to 3 minutes on separate dry frying pan, the frying pan and carefully each side, or until golden and tossing until nicely browned. swirl the pan around to evenly cooked through, using a fish 11. Serve the French toast stacked coat the inside. slice to flip it over. high, drizzled with plenty of 7. Lift the soaked bread up and 9. Place the pan back on the heat maple syrup and some nuts allow the excess mixture to and repeat steps 6 to 9 with sprinkled on each serving. drip off, then carefully lower it the remaining ingredients. 30 | Canadian CELIAC
LEMON SOLE GOUJONS supplied by Promise Gluten-Free Make 2 servings INGREDIENTS z 2 large handfuls Promise Gluten Free Chia Seed Loaf breadcrumbs z 1 lb lemon sole fillets, skinned z 2 oz gluten free flour z 2 large free-range eggs z 1 tbsp sweet paprika z 1 tbsp olive oil z Ketchup or mayo to serve OATMEAL CHOCOLATE CHIP COOKIES supplied by Valley Flaxflour DIRECTIONS 1. Preheat the oven to 430ºF. Lightly oil a baking INGREDIENTS tray. z ¼ cup butter, room temperature 2. Cut the fish into finger-width strips. Season the z ½ cup brown sugar flour and place on a plate. z 1 large egg 3. Crack the eggs into a shallow dish and lightly beat. z 1 tsp vanilla 4. Mix the paprika with the breadcrumbs on another z 1 cup Valley Kitchen all purpose flour plate. z ½ cup Valley Kitchen oatmeal 5. Coat the fish z 2 tsp baking powder with first the z ½ cup chocolate chips flour then the egg and DIRECTIONS then the 1. Preheat the oven to 350ºF breadcrumbs. 2. Line 2 small, or 1 large, baking sheets with 6. Place them parchment paper. on the oiled 3. Using an electric hand or counter mixer, cream tray drizzle the butter and brown sugar. with olive oil 4. Beat in the egg and vanilla. Add the all purpose and bake for flour, oatmeal, baking powder and chocolate 10-15 mins chips. until golden 5. Mix with a heavy spoon. all over. 6. Scoop the dough onto the lined baking sheets 7. Serve with 7. Bake for 10–12 minutes ketchup or 8. Move to rack to cool. mayo. u Canadian CELIAC | 31
Upcoming CCA Events WEBINAR WEDNESDAYS! DID YOU KNOW? Topic: My Shared Kitchen – how to safely share Adults between 19-50 years of age, a kitchen with both celiac and non-celiac family including pregnant or breast-feeding members! women, require 1,000 mg of total calcium daily, and When: Wednesday May 5 2021 07:00pm those over 50 require 1,200mg of total calcium daily. Eastern time (US and Canada) Total calcium includes both food and supplement Register in advance for this webinar: sources. In a conversation with Osteoporosis https://us02web.zoom.us/webinar/register/WN_2C- Canada, they recommend getting as much of your GdwMMVQ3CgT9dU2cjT8w calcium from food sources as possible. Here is a list of calcium food sources brought to you by Topic: Gluten Free 101 – learn all you need to Osteoporosis Canada: https://osteoporosis.ca/bone- know about celiac disease! Aimed at those newly health-osteoporosis/nutrition/calcium-requirements/ diagnosed, but a great refresher for everyone! When: Wednesday May 12 2021 07:00pm If you are unable to obtain enough calcium through Eastern time (US and Canada) your diet alone, you may want to use supplements. Register in advance for this webinar: Remember that when taking supplements, you do https://us02web.zoom.us/webinar/register/WN_ not want to exceed your total daily requirement. D76qphQ0R_yZKaz8yLfTDQ Calcium supplements come in two main forms: calcium carbonate and calcium citrate. Calcium Topic: Bone Health- a conversation with the carbonate is 40% elemental calcium, is more dietitian from Osteoporosis Canada commonly available and requires stomach acid for When: Wednesday May 19 2021 07:00pm absorption, therefore needs to be taken with meals. Eastern time (US and Canada) Calcium carbonate can cause GI side-effects such Register in advance for this webinar: as bloating, constipation and gas. As an alternative, https://us02web.zoom.us/webinar/register/WN_ Calcium citrate is 21% elemental calcium, does not OvDk9UbqQK2T3kvZrIcbjw need to be taken with food and does not have the same negative GI side effects. Calcium citrate Topic: Could it be Celiac Disease? is easier to digest and more readily absorbed A conversation with Dr. Rashid by people who take acid-reducing heartburn When: Wednesday May 26h 2021 07:00pm medications. Calcium citrate is only 21% calcium; Eastern time (US and Canada) therefore, you may need to take more tablets to Register in advance for this webinar: meet your daily requirement https://us02web.zoom.us/webinar/register/WN_yYx- Hv64aSoibOvZYvDxVkg For more information, please join us for our joint webinar with Osteoporosis Canada on May 19 at CCA National Virtual Conference 7:00pm EST where we will be discussing celiac When: November 13 & 14, 2021 – Save the Date disease and bone health! To stay updated with all CCA events. Click here: https://www.celiac.ca/news-events/events/ 32 | Canadian CELIAC
Together we can make a difference Supporting the Canadian Celiac Association has never been easier! Your gift will work towards all Canadian with celiac disease get diagnosed and empowered. Pick your way to support the CCA! Sowing the seeds for celiac! Sunflowers - $4.00 dollars from every package supports CCA. Plant during May Celiac Awareness Month and watch us grow! Tribute Giving Honour someone who has helped make your journey with celiac disease better. Support our Spring Sustaining Gifts Campaign Join the Monthly Donor Challenge and double your impact today! All new Help children like monthly gifts will be matched up to Lily get diagnosed $10,000! sooner. Your gift will be matched thanks to a generous anonymous family. Canadian CELIAC | 33
In my opinion SERIOUSLY? BY JANET DALZIEL OPINION Helpful Links As we head CCA Labelling document towards Celiac https://www.celiac.ca/living-gluten-free/food-labelling/ Awareness Gluten Free Dining Guide: Month, I want https://www.celiac.ca/living-gluten-free/dining-out/ to thank all the Gluten Free Product Finder: staff, volunteers https://www.celiac.ca/living-gluten-free/gf-product-finder/ and supporters from the CCA who have helped to get us where we are today. The two decades since are voluntary and, when present, my own diagnosis have seen often used inappropriately as a a lot: Canada’s first dedicated We must advocate basic “cover everything” precaution celiac disease clinic, in Hamilton, for ourselves to avoid potential liability, even Ontario; our right to claim the when the danger is not there. Our differential cost of GF food as a to get safe food in hospitals and image problem consists of this: medical expense on income tax; institutions. Doctors and dietitians although it is known that celiac labelling regulations that protect are not well educated in how to disease is a common autoimmune us; our hugely successful GFCP diagnose and treat our condition condition, the world doesn’t quite certification program; a program unless they have made a special take it seriously. for restaurant safety; research that study of it or are personally has led to potential new treatments affected. Restaurants are hit or miss When we want someone who is and even a cure. So, what could I and mostly miss. The gluten content responsible for feeding us to take possibly have to complain about? of over-the-counter and prescription our needs seriously, we might meds is often guess work. While claim to have an allergy because If I put on my little old lady we can rely on our food labels in that seems to make people pay curmudgeon hat, a frequent Canada to safely list all ingredients attention. They can understand occurrence, I notice that despite and identify sources of gluten, sudden death. all this progress, celiac disease still “may contain” statements that has an image problem. We must should protect us by alerting to the When we need our doctors to advocate for ourselves constantly possibility of cross contamination pay attention, it helps if we guide 34 | Canadian CELIAC
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