CELIAC AND THE BEAST!

Almost all what u should know about celiac

disease
By Abir Al Mojarkash

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.

CD EFFECT ON THE VILLI

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.

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. Some
studies 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 age
and the degree of damage to the small intestine.

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, malt
vinegar, beer
Ryeis commonly found in: rye bread, such as pumpernickel,
rye beer, cereals

50 SHADES OF GLUTEN

SO WHAT CAN WE EAT?

cutting

out gluten from your diet may seem

like 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 starchcontaining foods are also naturally
gluten-free: Rice, cassava, corn (maize), soy,
Potato, tapioca, beans, quinoa, millet,
buckwheat, gluten-free oats, nut flours.

SCREENING & DIAGNOSIS

tests for glutenautoantibodies:
EMA - anti-endomysial
TTG - anti-tissue transglutaminase
DGP - Deamidated Gliadin Peptide
A small bowel biopsy to 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 .
Blood

TREATMENT
Celiac disease is a chronicautoimmune 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.

FOLLOW UP

It is critical to consult adietitian experienced

with a gluten-free diet to guide you to eating
nutritious and safe foods for your body.
You shouldsee your physician three to six
months after diagnosis to identify nutritional
deficiencies, address symptoms you may still be
experiencing, and confirm your adherence to a
strict gluten-free diet.
Once it is confirmed that you are doing well, an
annual 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.

UNTREATED CD COMPLICATIONS!

For those who think that the gluten free diet is difficult
and try to give it up, just remember how serious is the
disease and how difficult is its complications!!
Only Untreated Celiac Disease can lead to:
Malnutrition (anemia, weight loss, stunted growth-in
case 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.

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)

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-Oumara
Scrumium
A New Earth (Ashrafieh-01/219920)
Live Organic (Naccache-04/444886)

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)

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 (s.alice2013@gmail.com)

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)

I REALLY HOPE IT WAS A HELPFUL PPT !