Gluten Free RN (Nadine Grzeskowiak, RN BSN CEN)
Explorez tous les épisodes de Gluten Free RN
| Date | Titre | Durée | |
|---|---|---|---|
| 26 Jan 2018 | Mental Health Disorders and Celiac Disease EP058 | 00:19:00 | |
An estimated 50% of Americans are on some type of psychotropic drug. Half of the US population! What is causing such widespread prevalence of mental health disorders? Prescription anti-depressants and sedatives don’t solve the underlying problem… So how do we get to the bottom of this? The Gluten Free RN contends that there may be a connection between mental health and undiagnosed celiac disease. Today she explains how several disorders (anxiety, depression and paranoia, among others) have been linked to gluten, discussing how a leaky blood-brain barrier can lead to hypoxia, an inflammation of the brain. Nadine walks us through the best research in mental health disorders and gluten sensitivity, sharing two landmark studies that emphasize the gut/brain connection and characterize celiac disease as primarily a neurological disorder. Nadine offers her insight around working with schizophrenic patients and the increasing number of children suffering from anxiety. Listen in to understand how gluten impacts your mental health, and learn how to eliminate brain fog, get off prescription meds, and enjoy a higher quality of life! What’s Discussed:The connection between gluten and hypoxia
The shocking statistics around Americans and psychotropic drugs
The potential relationship between mental health disorders and undiagnosed celiac disease
The health consequences of undiagnosed celiac disease
The findings of the landmark Cooke study in 1966
The conclusion of an editorial published in Neurology, Neurosurgery & Psychiatry
How a gluten-free diet can resolve gastrointestinal and psychiatric symptoms
Nadine’s experience with schizophrenia patients
The increasing number of children diagnosed with anxiety disorder
The concept of food as medicine
Resources: ‘Psychiatric Complications of Celiac Disease’ in the International Journal of Celiac Disease ‘Genetic Hypothesis of Idiopathic Schizophrenia: Its Exorphin Connection’ in Schizophrenia Bulletin ‘Markers of Gluten Sensitivity and Celiac Disease in Bipolar Disorder’ in Bipolar Disorders ‘Neuropsychiatric Symptoms and Celiac Disease’ in Neuropsychiatric Disease and Treatment Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 27 Apr 2018 | Eosinophilic Esophagitis and Celiac Disease EP069 | 00:31:11 | |
Your gastrointestinal tract is approximately 30 feet long, and it runs from your mouth all the way to the anus! We know that celiac disease can impact any part of the digestive tract. But there is another disease that wreaks havoc on the GI tract as well, a condition called eosinophilic esophagitis or EoE. The Gluten Free RN is explaining the fundamentals of eosinophilic esophagitis, from its characteristic inflammation of the esophagus and elevated eosinophils in the blood to the common symptoms of vomiting and upper abdominal pain. She walks us through the treatment for EoE, an elimination diet or steroid therapy. Nadine speaks to the research exploring a possible connection between eosinophilic esophagitis and celiac disease, citing a paper that found a higher prevalence of EoE in children with celiac disease than the general population as well as the case study of a woman with both celiac disease and elevated eosinophils in her blood. Listen in for the Gluten Free RN’s insight on the best EoE clinics and physicians in the country and learn why further study is needed around EoE and celiac disease! What’s Discussed:The fundamentals of eosinophilic esophagitis
The benefits of unsedated transnasal endoscopy for children with EoE
Some common symptoms of eosinophilic esophagitis
The condition of achalasia
The treatment for EoE
The potential increased prevalence of EoE in children with celiac disease
The case study of a 30-year-old woman with celiac disease and elevated eosinophils
Nadine’s insight on the best specialty clinics for EoE in the US
Dr. Glenn Furuta’s insight on the difficulty of diagnosing EoE
Special considerations for pediatric patients with EoE
Resources:‘Unsedated Transnasal Esophagoscopy for Monitoring Therapy in Pediatric Eosinophilic Esophagitis’ in Gastrointestinal Endoscopy ‘Eosinophilic Esophagitis Associated with Celiac Disease in Children’ in BMC Research Notes ‘Eosinophilic Gastrointestinal Disorder in Coeliac Disease: A Case Report and Review’ in Case Reports in Gastrointestinal Medicine ‘Eosinophilic Esophagitis in Children and Adults’ in Gastroenterology and Hepatology ‘The Association Between Celiac Disease and Eosinophilic Esophagitis in Children and Adults’ in BMC Gastroenterology ‘Eosinophils in Gastrointestinal Disorders’ in Immunology and Allergy Clinics of North America ‘2013 Update on Celiac Disease and Eosinophilic Esophagitis’ in Nutrients ‘Eosinophilic Esophagitis: New Insights in Pathogenesis and Therapy’ in the World Journal of Gastrointestinal Pharmacology and Therapeutics ‘Incidence and Prevalence of Eosinophilic Esophagitis in Children’ in the Journal of Pediatric Gastroenterology and Nutrition ‘Management of Eosinophilic Esophagitis and Celiac Disease’ in Current Opinion in Pharmacology ‘Increased Risk of Esophageal Eosinophilia and Eosinophilic Esophagitis in Patients with Active Celiac Disease on Biopsy’ in Clinical Gastroenterology and Hepatology ‘Individuals Affected by Eosinophilic Gastrointestinal Disorders Have Complex Unmet Needs and Frequently Experience Unique Barriers to Care’ in Clinics and Research in Hepatology and Gastroenterology ‘Eosinophilic Esophagitis and Celiac Disease: A True Association or Coincidence?’ in the Journal of Pediatric Gastroenterology and Nutrition Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 21 Apr 2017 | Weight Loss and Weight Gain Associated with Celiac Disease EP020 | 00:23:38 | |
Forget everything you thought you knew about obesity. 68% of the population of the US is overweight, and we know that there are a number of health risks associated with the issue. But did you know that people are overweight because their bodies are actually starving? Today the Gluten Free RN is challenging your assumptions about weight gain and celiac disease, revealing the surprising way your body compensates for malnourishment, the necessity of fat in nutrient absorption, and the healing power of a whole food gluten-free diet. Listen and learn why more people are overweight when diagnosed with celiac disease than underweight, more have constipation than diarrhea, and more have neurological disorders than gastrointestinal issues. Nadine is prepared to shake up your idea of what it means to have celiac disease and offer guidance regarding the food we should be eating in order to heal, and lose – or gain – weight in the process! What’s Discussed:The classic symptoms of celiac disease
The obesity epidemic in the US
Why celiac patients are overweight
The health risks associated with obesity The failings of fast food
The whole food diet Nadine recommends for celiac and gluten sensitive patients The rapid weight loss of overweight celiac patients once they adopt a gluten-free diet Why wounds may not heal appropriately in celiac patients
How to heal your body with food
Nadine’s patient with tunneling wound in sacral area
How a gluten-free diet affects underweight celiac patients
The necessity of a high-fat diet for celiac patients
‘Good’ fats that Nadine recommends incorporating into your diet
Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 08 Jun 2018 | African Americans & Celiac Disease EP072 | 00:28:57 | |
Much existing propaganda claims that African Americans do not suffer from celiac disease. Even the Gluten Free RN was surprised to find out that her adopted daughter had a genetic predisposition to the disease back in 2006, as research available at the time regarded the HLA-DQ2 and HLA-DQ8 genes to be primarily Caucasian traits. And until we take steps to conduct a mass screening, we simply don’t know how common celiac disease is among people of African descent. Today, the Gluten Free RN is exploring celiac disease in the African American population. She covers a 2006 study out of Columbia University that assessed African American celiac patients, discussing the variety of ways the subjects presented with celiac disease and the potential reasons for their poor compliance with the prescribed gluten-free diet. Nadine also considers the prevalence of celiac disease on the continent of Africa, explaining why she believes the number of celiac patients will explode with the population’s growing exposure to wheat. Listen in for the Gluten Free RN’s insight on other health issues that may point to undiagnosed celiac disease and learn how we can prevent celiac disease among the African American population with access to testing, social support and gluten-free food! What’s Discussed:The 2006 Columbia University study of celiac disease in African Americans
Why patients in the Columbia study demonstrated poor dietary compliance
Nadine’s prediction around the number of celiac patients in Africa
The statistics regarding the mortality burden of celiac disease
The overlap between diabetes and celiac disease
The health issues that may indicate undiagnosed celiac disease
How to prevent celiac disease among the African American population
Resources:Celiac Disease and How Gluten Affects Your Skin EP011 ‘Your Skin on Gluten’ on YouTube ‘Celiac Disease in African-Americans’ in Digestive Diseases and Sciences ‘First Global Estimates of Coeliac Disease and Its Mortality Burden’ in Science Daily Neurological Disorders Associated with Celiac Disease EP012 ‘HLA Typing and Celiac Disease in Moroccans’ in Medical Sciences University of Chicago: Celiac Disease Facts and Figures Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 23 Mar 2018 | Review of Colombia University Celiac Disease Conference 2018 EP064 | 00:27:04 | |
When faced with new information, it’s important to consider the source. Stop for a moment and examine whether the material is coming from someone with YOUR best interests at heart. The Gluten Free RN has just returned from the Colombia University Celiac Disease Conference, and she is breaking down the information presented to determine what’s useful—and what might be tainted by the pharmaceutical or food industry agenda. Nadine begins with a workshop led by General Mills that offered some questionable information about how grains are processed at their factories and a talk led by University of Chicago faculty on the topic of a gluten challenge. She also speaks to the differences between celiac management in the US and countries with universal healthcare like Italy and Australia. Nadine covers new testing that detects gluten exposure in stool or urine and what that reveals about the systemic nature of gluten damage as well as her take on practitioners who perpetuate the myth that grains are necessary and nutritious. Listen in for the Gluten Free RN’s insight around pharmaceutical treatments for celiac disease and the danger in volunteering for studies backed by drug companies. What’s Discussed:The two programs available at Colombia’s 2018 conference
How celiac disease is managed in Italy
Nadine’s frustration with the General Mills presentation
Nadine’s take on gluten-free Cheerios
Nadine’s confusion around Dr. Bana Jabri’s comments
Why the biopsy for celiac disease is problematic
Nadine’s insight on a gluten-free challenge
The systemic nature of gluten damage
Nadine’s stance on pharmaceutical treatments for celiac disease
The myth that grains are necessary and nutritious
Why it’s important to understand the source of your information
Australia’s requirements for gluten-free food
Resources:Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 03 Nov 2017 | Gluten Free Products EP048 | 00:34:36 | |
The increasing number of gluten-free products on the market can be both a blessing and a curse. Yes, it gives us more options, but are those options truly safe and healthy? Today the Gluten Free RN goes over the important questions to ask about the products you consume, explaining how the foods promoted by some gluten-free groups may be influenced by their corporate sponsors. She reminds us why we can’t simply trust the products labeled ‘gluten-free’ or ‘gluten removed,’ discussing the lack of oversight and standardization around classification and the cumulative effect of consuming a number of products that are just under the 20 ppm cutoff. Nadine also shares a list of companies she trusts to consistently produce gluten-free products and offers suggestions around new food options we might explore. Listen in and learn to choose the nutrient-dense foods that will help your body heal! What’s Discussed:The importance of questioning the source of your information
Why Nadine avoids the ‘gluten removed’ label The questions to ask about gluten-free products
The cumulative effect of eating many products just under 20 ppm Reliable companies that consistently produce truly gluten-free products The challenges faced by newly diagnosed celiac patients
Why Nadine avoids gluten-free breads New food options to explore as a celiac patient Why Nadine recommends reevaluating the foods you consume
Why you can’t trust product labels
Nadine’s rules around choosing products
Resources:
The Gluten Intolerance Group of North America Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 17 Feb 2017 | Celiac Disease and How Gluten Affects Your Skin EP011 | 00:29:20 | |
On this episode of the ‘Gluten Free RN,’ Nadine explains how gluten affects your skin. If you have celiac disease or a gluten intolerance, you may also suffer from dermatitis herpetiformis, a painful rash that is often misdiagnosed. Nadine shares her struggle with DH and offers advice about eliminating gluten from both your diet and personal care regime in order to heal your skin. The only treatment for this issue is a 100% gluten-free diet. Your skin is the largest organ in your body, so listen and learn how to keep it looking and feeling good! What’s Discussed:The definition of Dermatitis Herpetiformis (DH)
Nadine’s struggle with DH
Why steroid creams, long-term antibiotics and dapsone aren’t the answer
The importance of eliminating gluten from personal care products
Resources Mentioned:Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 29 Sep 2017 | Eating Disorders and Celiac Disease EP043 | 00:33:04 | |
Imagine being admitted to a psychiatric hospital and accused of being a pathological liar because no matter how carefully you follow the high-carb diet prescribed by your physicians, you continue to lose weight. In the introduction to his book, How Doctors Think, Dr. Jerome Groopman shares the story of a woman who was misdiagnosed with anorexia nervosa. The patient was ready to give up when one last doctor discovered villous atrophy and determined that it was celiac disease—not an eating disorder—that was causing her malnourishment. Today the Gluten Free RN explores the reasons why celiac disease and gluten sensitivity are often mistaken for anorexia nervosa. She shares the limited research in the field, as well as the symptoms related to malnourishment that may be caused by gluten, including several mental health disorders. Listen in as Nadine covers the use of PWAG (people who avoid gluten) as a derogatory term and shares her frustration with labels like ‘orthorexia nervosa’ which imply that gluten-sensitive patients are obsessed with healthy food: ‘I avoid gluten like the plague because it is, in fact, the plague for those of us who have celiac disease.’ What’s Discussed:The use of PWAG as a derogatory term
The new term orthorexia nervosa
The concept of food as medicine Anecdotal evidence of celiac disease misdiagnosed as anorexia
Why celiac disease and gluten sensitivity are misdiagnosed as eating disorders
The prevalence of celiac disease
How gluten affects a celiac patient
Nadine’s recommended variation of a Paleo diet
The study of celiac disease and eating disorders
The issues associated with malnourishment
The anger and contempt Nadine has experienced as the Gluten Free RN
The mental health issues associated with malnourishment
The effect of gluten on epithelial tissue
The consequences of gluten getting through the blood-brain barrier
The shocking statistics around psychotropic medication in the US
Nadine’s advice for parents of children who miss multiple days of school
The process of a gluten detox
The benefits of maintaining a gluten-free diet
The foods Nadine recommends as part of a super-good, high fat diet
Why Nadine chooses not to eat if there is any risk of gluten contamination in her food The places where gluten hides
Resources:How Doctors Think by Jerome Groopman, MD “The Interaction Between Eating Disorders and Celiac Disease: An Exploration of 10 Cases” in the European Journal of Gastroenterology & Hepatology “Orthorexia and Anorexia Nervosa: Two Distinct Phenomena? A Cross-Cultural Comparison of Orthorexic Behaviours in BMC Psychiatry “Predictors of Orthorexic Behaviours in Patients with Eating Disorders: A Preliminary Study” in BMC Psychiatry “Eating Disorders and Celiac Disease: A Case Report” in The International Journal of Eating Disorders Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 06 Apr 2018 | How to Easily Go Gluten-Free or Paleo EP066 | 00:31:03 | |
‘It’s too hard.’ ‘It’s too expensive.’ ‘It’s time-consuming.’ ‘My family won’t support me.’ There are lots of excuses why you can’t go gluten-free or Paleo, but the Gluten Free RN argues that if it’s hard, you’re doing it wrong. And today, she’s prepared to explain how to easily go gluten-free or Paleo and either maintain or regain your health. Nadine begins with a discussion of the connection between food and pain or discomfort. She explains how the processed, non-food that most people consume causes damage that prevents us from absorbing the nutrients our bodies need. She offers insight around where to go for gluten-free, organic food and how to jump-start a gluten-free or Paleo diet. The Gluten Free RN provides tips on taking control of your food choices, trying new foods, and gluten-free cooking—minus the cheap fillers. She also outlines a shopping list for nutrient-dense foods that will heal your leaky gut and feed your neurologic system. Listen in and learn the easy way to go gluten-free or Paleo and optimize your health! What’s Discussed:The value in recognizing how you feel
Nadine’s response to excuses for not going gluten-free
How to avoid non-food with empty calories
The difference between organic and conventional food
Nadine’s suggestions around where to go for gluten-free food
Nadine’s advice for going gluten-free or Paleo
How to get started on a gluten-free or Paleo diet
Nadine’s shopping list for a gluten-free diet
Resources:Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 10 Feb 2017 | Celiac Disease and its Associated Autoimmune Disorders EP010 | 00:29:13 | |
This time on the ‘Gluten Free RN’ podcast, Nadine examines the many autoimmune disorders that are associated with celiac disease. Once you have acquired one autoimmune disease, your chances of developing another increase exponentially – Nadine had seven! Nadine shares how she was able to heal the inflammation in her intestines that caused those autoimmune disorders and go from a positive ANA panel to a negative one in just a year on a Paleo diet. Listen and understand which autoimmune diseases are linked to gluten intolerance and how to dodge those bullets by going gluten-free! What’s Discussed: The chances of developing additional autoimmune disorders
Nadine’s ‘collection’ of autoimmune disorders
Why celiac disease is sometimes misdiagnosed as MS, ALS or Parkinson’s How Dr. Terry Wahls went from a wheelchair to riding a bike by eliminating gluten How it is possible for your body to heal the inflammation causing autoimmune disorders, regardless of what the medical establishment says
Additional autoimmune disorders associated with celiac disease
The importance of checking magnesium RBC levels in cardiac patients The genetic overlap between Type 1 diabetes and celiac disease
Resources Mentioned: The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles by Terry Wahls MD and Eve Adamson Terry Wahls MD Research Study Update Connect with Nadine: Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 28 Apr 2017 | The Potential Connection Between Parkinson’s and Celiac Disease EP021 | 00:26:31 | |
A diagnosis of Parkinson’s disease is devastating, and the associated symptoms – difficulty walking, tremors, memory issues – are debilitating. But what if those symptoms aren’t necessarily indicative of Parkinson’s after all? What if a simple diet change could improve or even eliminate those symptoms? Today Nadine explores anecdotal evidence suggesting that the symptoms of Parkinson’s and other demyelination syndromes might be actually be caused by celiac disease or non-celiac gluten sensitivity. She argues that as Parkinson’s diagnoses become more and more common, it is imperative that we explore the potential connection between Parkinson’s and celiac disease. Listen in to understand how gluten can affect the neurological system, why Parkinson’s patients should be tested for celiac disease, and how a gluten-free diet can heal neurological damage. What’s Discussed:Nadine’s Parkinson’s patient
Why patients diagnosed with Parkinson’s, ALS and MS should get test for celiac disease and gluten sensitivity
The need for research regarding the potential connection between Parkinson’s and celiac disease
Nadine’s recommendation for a comprehensive celiac lab test
Celiac diagnoses in patients over 60
The Stanford idiopathic familial narcolepsy study
The increasing number of Parkinson’s diagnoses
How your body heals neurological damage in the absence of gluten
Vitamin D
What your nails can tell you about your health
Dr. Terry Wahls’ MS misdiagnosis
Nadine’s story
Celiac cerebellar ataxia
Resources:The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles - by Terry Wahls, MD and Eve Adamson Connect with Nadine:‘Your Skin on Gluten’ on YouTube Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 18 Aug 2017 | Celiac Disease for Nurses EP037 | 00:43:52 | |
Nadine spent 17 years working as a nurse in the ER. She holds a membership in the Emergency Nurses Association, as well as a Certified Emergency Nurse certification. During the course of her career, Nadine obtained ACLS, PALS, NALS, ENPC and TNCC certifications, honing her skills in advanced cardiac life support, neonatal advanced life support, pediatric advanced life support, and trauma. Despite this impressive background and experience, she had never been educated about celiac disease, and didn’t know what to look for until she was diagnosed herself. Nurses are in a unique position to recognize potential celiac patients and act appropriately. Though most nurses don’t have the authority to diagnose, they do have an obligation to act as patient advocates. Because celiac disease is the most underdiagnosed and misdiagnosed autoimmune disease in the world, it is important that nurses get educated about the fundamentals of celiac disease, the wide array of symptoms an undiagnosed patient may present, and how to keep celiac patients safe in and out of the hospital. Today on the podcast, the Gluten Free RN addresses nurses, explaining how celiac disease damages the GI tract, the consequences of a ravaged immune system, and the neurological nature of the disease. She also reviews the genes that indicate a predisposition to celiac disease, the best available tests for gluten sensitivity, and the need for a worldwide mass screening. This is a must-listen for medical professionals, offering an overview of the most current celiac studies and an explanation of how to approach doing research on your own. Celiac disease is on the rise and it doesn’t discriminate, so it is crucial that the nursing community get educated – STAT. What’s Discussed:Why nurses need to employ a high index of suspicion regarding celiac disease
The lack of training around celiac disease in the medical community
The celiac symptoms Nadine thought to be ‘normal’
What nurses need to know about celiac disease
How long it takes to receive celiac diagnosis in US
The restrictions of being a nurse
Nadine’s experience leading up to her celiac diagnosis Nadine’s celiac diagnosis
Why a negative blood test, skin biopsy doesn’t rule out celiac disease Nadine’s current health Why Nadine stopped working as an ER nurse
The increased prevalence of mortality in undiagnosed celiac patients
The grains that contain gluten
The products that may contain gluten
The search terms to use when doing celiac research
Why celiac disease is primarily a neurological disorder
Why celiac disease is not an allergy
The genes that indicate a predisposition to celiac disease
Why Nadine advocates for a world-wide mass celiac screening The relationship between celiac disease and infertility
The chronic nature of celiac disease
How gluten exposure presents for Nadine
How gluten can cause damage along entire length of GI tract
How damage to GI tract presents
How constipation can be a neurological issue
Disorders that may be caused by undiagnosed celiac disease
Why a biopsy is no longer considered the gold standard of celiac testing
The stages of intestinal damage caused by celiac disease
The consequences of a damaged immune system
The importance of including a total IgA and IgG in the celiac antibody panel
How the US has gone backwards in the last 70 years
The testing for celiac disease
The difficulty with the celiac antibody test
The best available celiac testing Factors that might interfere with accurate celiac testing
How to carry out a clinical trial for celiac disease or gluten sensitivity
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
The findings of a celiac study published in the Journal of Insurance Medicine
Why celiac disease should be on every primary care physician’s differential diagnosis The rise of celiac disease
Why Celiac disease is a worldwide issue
How celiac disease can lead to obesity
How the risk of cancer increases exponentially in undiagnosed celiac patients Why nurses must be patient advocates Nadine’s advice around research and celiac disease for nurses
Resources: Snarky Nurses on Instagram National Nurses in Business Association “Increased Prevalence and Mortality in Undiagnosed Celiac Disease” in Gastroenterology New York Times Article, May 1950 “Economic Benefits of Increased Diagnosis of Celiac Disease in a National Managed Care Population in the United States” in the Journal of Insurance Medicine “Celiac Disease Could be a Frequent Disease in Mexico: Prevalence of Tissue Transglutaminase Antibody in Healthy Blood Donors” in the Journal of Clinical Gastroenterology “Celiac Disease in African-Americans” in Digestive Diseases and Sciences “Coeliac Disease” in The Lancet Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 10 Nov 2017 | Lyme Infection and Celiac Disease EP049 | 00:49:50 | |
If you’ve been following a strict gluten-free diet, but continue to suffer from lingering neurological symptoms, you may need to explore the possibility that you have Lyme disease. In fact, there are many parallels between celiac disease and Lyme, and the Gluten Free RN has called in an expert to discuss the similarities between the two disorders and why a gluten-free diet is part of the proper treatment for both. Dr. Usha Honeyman, a chiropractic and naturopathic physician out of Corvallis, Oregon, joins Nadine to explain the fundamentals of Lyme disease. She shares her best advice around prevention and treatment, exploring why it can be difficult to get an accurate diagnosis. Nadine and Usha also cover the inflammation of the gut that plagues both celiac and Lyme patients, the neurological component of Lyme disease, and the relationship between Lyme and illnesses like MS, Parkinson’s and ALS. Listen in to understand what can happen when Lyme goes untreated and how antibiotics coupled with a gluten-free diet may restore your health! What’s Discussed:The fundamentals of Lyme disease
How to prevent Lyme infection
How the political controversy in medicine has led to conflicting information around Lyme disease The treatment for Lyme disease
Why Dr. Honeyman advises Lyme patients to go gluten-free
The neurological component of Lyme disease
The alpha-gal reaction in Lyme patients in the Southeast US The strange gait and lower-face movement in Lyme patients
The importance of having a Lyme-literate doctor
The consequences of untreated Lyme disease The three forms of Borrelia
Resources: Grain Brain: The Surprising Truth about Wheat, Carbs, and Sugar—Your Brain’s Silent Killers by David Perlmutter International Lyme and Associated Diseases Society Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 08 Sep 2017 | Multiple Sclerosis and Celiac Disease EP040 | 00:30:40 | |
According to the University of Chicago Celiac Disease Center, 10% of MS patients also suffer from celiac disease. Studies conducted in Italy and Spain uncovered a significant increased prevalence of celiac disease in first-degree relatives of MS patients, 18% and 32% respectively. Additional research has identified situations in which celiac disease mimicked other neurological disorders such as MS and ALS. With evidence like that, it is definitely worth it to further explore the relationship between MS and celiac disease. Today, the Gluten Free RN investigates whether MS and celiac disease are similar, related, or perhaps the same thing, as she shares case studies from the literature and her own experience. Nadine discusses the story of Dr. Terry Wahls, explaining how she was able to resolve her symptoms of MS with a variation of a Paleo diet. She outlines the analogous symptoms of MS and celiac cerebellar ataxia, the neurological damage caused by gluten, and how malabsorption of nutrients caused by intestinal damage can extend to medication. Listen and learn how Nadine and others have resolved symptoms of MS and other neurological disorders on a gluten-free diet! What’s Discussed:Nadine’s MS scare
Dr. Terry Wahls’ story
The commonalities between celiac disease and MS
How celiac disease affects the body
The symptoms of celiac cerebellar ataxia
The multi-organ manifestations of celiac disease in the central nervous system
Nadine’s patient who wasn’t responding to MS medication
The 2014 study in Vienna regarding celiac disease and MS
The new evidence around seronegativity in celiac disease
The 2014 Italian study of the genetic overlap between celiac disease and MS
The association between MS and celiac disease as reported by the University of Chicago Celiac Disease Center
The genes that indicate a predisposition to celiac disease
The 2013 Iranian case study of a celiac patient diagnosed with MS
How gluten acts as a neurotoxin
The 2007 Oxford case study of celiac disease mimicking ALS
Why patients with neurological symptoms should be tested for celiac disease
Why it is acceptable to adopt a gluten-free diet if your antibody test is negative for celiac disease The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
The increased prevalence of celiac disease in MS patients revealed in a 2011 study
The fundamentals of MS
How to conduct your own research around celiac disease and neurological disorders
How long it takes to heal on a gluten-free diet
The nutrients a celiac patient is missing that contribute to neurological issues
The autoimmune symptoms Nadine resolved/reversed with a gluten-free diet
Why it’s important for celiac patients to work with educated practitioners who understand functional medicine Resources:The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principle by Terry Wahls MD “Celiac Disease with Cerebral and Peripheral Nerve Involvement Mimicking Multiple Sclerosis” in the Journal of Medicine and Life “Celiac Disease in Multiple Sclerosis: A Controversial Issue” in the International Journal of Neurology and Neurotherapy University of Chicago Celiac Disease Center MS Info “Multiple Sclerosis or Neurological Manifestations of Celiac Disease” in Advanced Biomedical Research “A Case of Celiac Disease Mimicking Amyotrophic Lateral Sclerosis” in Nature Clinical Practice Neurology “Prevalence of Celiac Disease in Multiple Sclerosis” in BMC Neurology “A Case of Concurrent Multiple Sclerosis and Celiac Disease” in Govaresh “Neurological Disorders in Adult Celiac Disease” in the Canadian Journal of Gastroenterology “A Case of Multiple Sclerosis and Celiac Disease” in Case Reports in Neurological Medicine Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 09 Jun 2017 | Type 1 Diabetes and Celiac Disease EP027 | 00:31:02 | |
Struggling to maintain control of your blood sugar? A gluten-free diet may be the answer! If you have one autoimmune disorder, you have a 30-50% greater risk of developing another, and both type 1 diabetes and celiac disease fall into that category. As more and more research points to an enormous overlap between type 1 diabetes and celiac disease, it is in our best interests to mitigate additional risk by getting screened and/or adopting a gluten-free or Paleo diet to mitigate further risk. Today Nadine discusses the prevalence of diabetes, several research studies that explore the connection between type 1 diabetes and celiac disease, and the potential risks for type 1 diabetics who are undiagnosed celiac patients. Listen and learn how your diet may be affecting your blood sugar and why going gluten-free could improve your health and quality of life! What’s Discussed:The prevalence of diabetes
The difference between type 1 and type 2 diabetes
Symptoms of type 1 diabetes
The enormous genetic overlap between type 1 diabetes and celiac disease
The importance of testing all type 1 diabetics for celiac disease annually
The consequences of undiagnosed celiac disease in children with type 1 diabetes
The decreased quality of life for type 1 diabetics who are undiagnosed celiac
Research studies re: the percentages of type 1 diabetics who also have celiac disease
Nadine’s anecdotal evidence of the overlap
Health risks associated with an inability to control blood sugar
Why carb counting doesn’t control blood sugar
The diet Nadine recommends for type 1 diabetics
The benefits of a gluten-free diet for type 1 diabetics
The lack of uniformity in screening guidelines Additional autoimmune diseases that may be avoided with a gluten-free diet
Potential triggers for autoimmune disorders
Treatments for small intestinal bacterial overgrowth
The dangers of maintaining high blood sugar
The long history of a connection between type 1 diabetes and celiac disease The need for information re: the connection in diabetic education services Resources:“Co-occurrence of Type 1 Diabetes Mellitus and Celiac Disease” in the World Journal of Diabetes “Coexistence of Coeliac Disease and Type 1 Diabetes” in Przeglad Gastroenterologiczny “Screening for Celiac Disease in Type 1 Diabetes: A Systematic Review” in AAP News and Journals Connect with Nadine:‘Your Skin on Gluten’ on YouTube Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 26 May 2017 | Non-Alcoholic Steatohepatitis (NASH) and Celiac Disease EP025 | 00:23:34 | |
We typically associate liver disease with alcoholism. But the liver functions as a filter, and over time it can be damaged by certain pharmaceuticals and even food. In fact, research suggests a strong correlation between undiagnosed celiac disease and non-alcoholic steatohepatitis (NASH). The Gluten Free RN shares a number of case studies in which a diet change reversed liver damage and prevented the need for an organ transplant. She also takes us through the alarming statistics regarding NASH in children and discusses her approach to treating NASH patients. Listen to understand the obesity trends in the US and how a sedentary lifestyle plays a part in liver disease. Join Nadine’s campaign to educate the population about the benefits of a gluten- and dairy-free, whole food diet – and prevent NASH! What’s Discussed:Nadine’s introduction to NASH in children
The fundamentals of NASH
Obesity trends in the United States
Why starving people are obese
The correlation between undiagnosed celiac disease and NASH
The 2015 Canadian study re: liver transplant
The basics of non-alcoholic fatty liver disease (NAFL)
Which populations are at increased risk for NASH
Liver transplant statistics
Case study demonstrating the reversal of liver damage on gluten-free diet
The correlation between celiac disease and liver disease
How Nadine approaches a patient with NASH
How to combat obesity
The liver as a detoxing organ
What a good, whole food diet looks like
The need for access to accurate nutritional information
Resources:“Non-Invasive Diagnostic Biomarkers” by Dr. Rohit Loomba of UC San Diego Connect with Nadine:‘Your Skin on Gluten’ on YouTube Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 21 Jul 2017 | 21 Important Facts About Celiac Disease EP033 | 00:28:26 | |
There are a number of misconceptions about celiac disease, even within the medical community! Despite a growing body of research to the contrary, many practitioners still believe celiac disease to be strictly a gastrointestinal issue with a just a few tell-tale symptoms. It’s time to get the facts, and today the Gluten Free RN shares 21 important truths about celiac disease that you need to know. Nadine shares her take on the list compiled by Gluten Free Works, covering the truth about who is at risk, the wide variety of neurological symptoms a celiac patient might present, and the components of an optimal treatment plan. As the most common genetic autoimmune disease in the world, it is incredibly important that we understand how gluten exposure can damage the intestines and cause debilitating nutrient deficiencies. Nadine also explains why celiac disease often goes undiagnosed and how an astute practitioner is able to accurately interpret biopsies, antibody screenings and lab work. Get familiar with these 21 important facts about celiac disease, and become your own advocate! What’s Discussed:
Resources:Recognizing Celiac Disease: Signs, Symptoms, Associated Disorders and Complications by Cleo J. Libonati 21 Important Celiac Disease Facts You Need to Know… Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 19 Dec 2016 | Gluten and Your Urinary Health - EP003 | 00:26:42 | |
In this episode of ‘Gluten Free RN,’ Nadine discusses the urinary system and urinary issues associated with the ingestion of gluten, gluten intolerance and/or celiac disease. If you are experiencing health problems related to the urinary system, it is possible that eliminating gluten and dairy will eliminate the problem. Nadine utilizes anecdotes from her own experience and those of her friend and colleague Wendy Cohan, author of The Better Bladder Book, to illustrate the connection between diet and urinary health. This episode explains how your urinary system works and outlines the difficulties you may be experiencing. Click and listen to learn how changing your diet could alleviate your pain! What’s Discussed:
Resources Mentioned: The Better Bladder Book: A Holistic Approach to Healing Interstitial Cystitis and Chronic Pelvic Pain by Wendy L. Cohan https://www.amazon.com/Better-Bladder-Book-Holistic-Interstitial/dp/0897935551/ref=sr_1_1?s=books&ie=UTF8&qid=1481754556&sr=1-1&keywords=wendy+cohan+the+better+bladder+book
Connect with Nadine: Website http://glutenfreern.com/ Instagram https://www.instagram.com/glutenfreern/ Facebook https://www.facebook.com/GlutenFreeRN Email nadine@glutenfreern.com
Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 01 Sep 2017 | Dental Issues and Celiac Disease EP039 | 00:30:19 | |
Did you know that it is possible to diagnose celiac disease with a smile? Damage from gluten starts in the mouth, and today the Gluten Free RN explores the important role dentists can play in identifying undiagnosed celiac disease. She outlines the symptoms of celiac disease that present in the mouth, the follow-up questions dentists should ask when they notice dental enamel defects or aphthous ulcers, and the nature of the tongue as an indicator of overall health. This episode covers how the plastics in orthodontic retainers might contain gluten and what to do if you are accidentally exposed. Nadine also explains the relationship between fat-soluble vitamins and celiac disease, as well as the nutrient deficiencies a potential celiac patient should test for. You’re never fully dressed without a smile, so listen in to understand how to keep your mouth healthy—and prevent the accumulation of complications from celiac disease with a whole food, gluten-free diet! What’s Discussed:How the GI tract functions
How damage from gluten presents
How dentists can play an important role in identifying undiagnosed celiac disease The symptoms of celiac disease that present in the mouth
How Nadine treats gluten exposure
The grains to look for in personal care products (e.g.: lip balm)
The relationship between fat soluble vitamins and celiac disease
How we tested for celiac disease in children in the early 20th century
Why parents should be tested for celiac disease prior to pregnancy The fetal development issues that may present if an expectant mother is unable to absorb nutrients
Why Nadine advocates for a mass screening How gluten in plastics, personal care products can prevent celiac patients from healing The questions dentists should ask when they notice dental enamel defects, aphthous ulcers
Why we need to get much better at recognizing celiac signs and symptoms
Why Eastern medicine examines the tongue as an indicator of overall health The genes that indicate a predisposition to celiac disease
Why it is acceptable to adopt a gluten-free diet if your antibody test is negative for celiac disease The deficiencies a potential celiac patient should test for
Why thrush may be an indicator of celiac disease or gluten sensitivity Why one negative test for celiac disease doesn’t rule anyone out The importance of early diagnosis
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
Resources:“An Orthodontic Retainer Preventing Remission in Celiac Disease” in Clinical Pediatrics “Oral Manifestations of Celiac Disease: A Clinical Guide for Dentists” in the Journal of the Canadian Dental Association Gluten Free RN Podcast EP027: Type 1 Diabetes and Celiac Disease “The Association Between Celiac Disease, Dental Enamel Defects, and Aphthous Ulcers in a United States Cohort” in the Journal of Clinical Gastroenterology “Small-Bowel Changes in Recurrent Ulceration of the Mouth” in Hepatogastroenterology “Oral Signs and HLA-DQB1*02 Haploytypes in the Celiac Paediatric Patient: A Preliminary Study” in Autoimmune Diseases “The Oral Manifestations of Celiac Disease: Information for the Pediatric Dentist” in Pediatric Dentistry “Oral Aphthous Ulcers and Dental Enamel Defects in Children with Coeliac Disease” in Acta Paediatrica “Oral and Dental Manifestations of Celiac Disease” in the New York State Dental Journal “Jejunal Mucosal Abnormalities in Patients with Recurrent Aphthous Ulceration” in The British Medical Journal “Dental Enamel Defects in Adult Coeliac Disease” in the European Journal of Internal Medicine “Screening for Celiac Disease in Children with Dental Enamel Defects” in ISRN Pediatrics “Celiac Disease Associated with Recurrent Aphthae” in Gut “Importance of Oral Signs in the Diagnosis of Atypical Forms of Celiac Disease” in Recenti Progressi in Medicina Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 15 Jun 2018 | Musings & Truths From the Gluten Free RN EP073 | 00:26:25 | |
‘Know your own truth and let that guide you.’ How do you cut through the noise and misinformation around gluten sensitivity and celiac disease in order to make the best choices for your health and happiness? By tapping into your intuition and asking WHY when the answers don’t feel right—and reaching out to the right people for support when you need it. Today, the Gluten Free RN is sharing her Top 10 Musings and Truths for health and wellbeing, empowering you to be self-protective and surround yourself with the people who genuinely care enough to speak up for—and with you. She shares the value in setting goals for your physical and mental health and taking your power back from the people who may have victimized you in the past. Nadine also encourages you to get educated and engage in critical thinking, questioning the information you are given and saying ‘no’ to anyone who suggests you eat gluten—even if they happen to be a doctor. Listen in to understand the idea that ‘you are your own experiment’ and learn to be the healthiest YOU you can be by committing to a 100% gluten-free diet! What’s Discussed:
Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 09 Feb 2018 | Hepatitis B Vaccine and Celiac Disease EP060 | 00:17:15 | |
We get vaccinated to protect ourselves, to gain an immunity to a particular disease. But in the case of hepatitis B, celiac patients may come to find out that we are NOT immune—despite having done the right thing in getting a hepatitis B vaccination. Today, the Gluten Free RN is walking us through the latest research around vaccination and celiac disease. She explores the fact that celiac patients are more likely to be non-responsive to HBV than the general population, explaining the fundamentals of hepatitis B and the two main theories as to why the vaccine doesn’t work for some celiac patients. Nadine shares her take on immunizations, explaining why she is a proponent of an alternate vaccination schedule for infants who may be immunocompromised. Listen in and learn how to determine whether you are truly immune to hepatitis B and protect yourself from potentially life-threatening disease! What’s Discussed:The basics of hepatitis B (HBV)
The prevalence of hepatitis B
The 2013 Italian study around celiac disease and the hepatitis B vaccine
Nadine’s experience with vaccination as a child
Nadine’s take on vaccination
The conclusion of a 2017 Italian study
The value of a hepatitis B titer
Resources:‘Vaccinations in Celiac Disease’ in the Journal of Pediatric Gastroenterology and Nutrition ‘Immune Response to Vaccines in Children with Celiac Disease’ in the World Journal of Gastroenterology ‘Immune Response to Hepatitis B Vaccine in Patients with Celiac Disease: A Systematic Review and Met-Analysis’ in Human Vaccines and Immunotherapeutics ‘Early Vaccinations are Not Risk Factors for Celiac Disease’ in Pediatrics ‘Gluten Intake Interferes with the Humoral Immune Response to Recombinant Hepatitis B Vaccine in Patients with Celiac Disease’ in Pediatrics ‘Effect of Pentavac and Measles-Mumps-Rubella (MMR) Vaccination on the Intestine’ in Gut ‘Normal of Defective Immune Response to Hepatitis B Vaccine in Patients with Diabetes and Celiac Disease’ in Human Vaccines and Immunotherapeutics Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 19 Dec 2016 | The Benefits of a Gluten-Free Diet for Pets - EP002 | 00:31:34 | |
This week on ‘Gluten Free RN,’ Nadine explores gluten intolerance in pets. She looks at the health problems pets have experienced in increasing numbers in the last several decades and contends that a Paleo Diet is more appropriate for your furry friends than a diet that includes grains. Nadine also explains the risk of cross-contamination and the importance of removing all products containing gluten (including pet food) from your home if you have a sensitivity to it. Listen and learn the ways in which a gluten-free diet is more appropriate to your pet’s biology and get pet food brand recommendations from Nadine! What’s Discussed:
Resources Mentioned: “Gluten-sensitive enteropathy in a family of Irish setters” by Sylvie C. Daminet https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1576718/?page=1 EZ Gluten Test Kit http://ezgluten.com/
Connect with Nadine: Website http://glutenfreern.com/ Instagram https://www.instagram.com/glutenfreern/ Facebook https://www.facebook.com/GlutenFreeRN Email nadine@glutenfreern.com
Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 12 May 2017 | Cardiac Issues Associated with Celiac Disease and Gluten Intolerance EP023 | 00:24:20 | |
Given the choice between a heart transplant and a gluten-free diet, the vast majority – if not all – of us would quickly opt for the diet! Yet the medical community continues to ignore celiac disease as a potential cause of cardiac complications, despite documented connections between the two conditions. The Gluten Free RN is sharing her experience with heart attack and stroke victims in the ER, and discussing the necessity of screening cardiac patients for celiac disease. She gets into the nitty gritty of how intestinal damage leads to nutrient deficiencies that affect the cardiac system, and reveals the cardiac symptoms that may resolve on a gluten-free diet. Listen in and learn about the actual cause of heart attack and stroke (spoiler alert – it’s not high cholesterol) and how Nadine has achieved a lipid panel akin to that of a ‘23-year-old marathon runner’! What’s Discussed:The connection between cardiac issues and celiac disease
The real cause of heart attack and stroke
How a gluten-free diet can resolve cardiomyopathy
Nadine’s experience in treating cardiac patients as a critical care nurse in the ER
How to correct a magnesium deficiency
How intestinal damage leads to nutrient deficiencies that affect the cardiac system
Cardiac symptoms that may resolve on a gluten-free or Paleo diet
The myth that fat is bad for us
Nadine’s call for a worldwide mass screening for celiac disease
Resources:“Celiac Disease Linked to Almost Doubled Risk of CAD” by Marlene Busko Gluten Toxicity: The Mysterious Symptoms of Celiac Disease, Dermatitis Herpetiformis, and Non-Celiac Gluten Intolerance by Shelly L. Stuart Connect with Nadine:‘Your Skin on Gluten’ on YouTube Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 13 Jan 2017 | Signs and Symptoms of Celiac Disease and Gluten Intolerance in Children EP006 | 00:32:37 | |
In this episode of ‘Gluten Free RN,’ Nadine discusses common signs and symptoms of gluten intolerance in children as well as the importance of identifying celiac disease early to allow for the growth and development of body and brain. Nadine employs anecdotes about her own clients at the Gluten Free RN office to illustrate the myriad of ways that gluten can affect the health and development of undiagnosed kids. This episode explains the GI problems, developmental delays, autoimmune disorders and neurological issues that children with gluten intolerance face as long as they remain undiagnosed. Click and listen to recognize the warning signs! What’s Discussed:The common dismissal of celiac symptoms in children The profound impact of gluten intolerance on fetal development and maternal health
Signs and symptoms of celiac disease and gluten intolerance in children Failure to thrive
Katie’s story
Why vitamins, minerals and supplements don’t help children with celiac disease or gluten intolerance Why undiagnosed celiac disease patients suffer from focus issues and psychiatric disorders
Sam’s story
The importance of testing the entire family for celiac disease once one member has received a diagnosis The high percentage of celiac patients who are asymptomatic
The increased chances of developing autoimmune disorders when children with celiac disease go undiagnosed The enormous genetic overlap between celiac disease and Type 1 diabetes Why parents should be tested for celiac disease prior to a pregnancy
How to navigate birthday parties, camps, school events, etc.
Resources Mentioned:How Doctors Think by Jerone Groopman University of Chicago Medicine Celiac Disease Center Website EnteroLab Celiac Testing Resources Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 09 Mar 2018 | Poland and Celiac Disease EP063 | 00:23:15 | |
To pierogi or not to pierogi… If you have celiac disease, there is no question that you should avoid anything made with flour or grains, no matter how delicious the dish may be. Although the Gluten Free RN has fond memories of her Polish grandmothers making traditional pastries, she contends that you don’t have to eat customary Polish food to celebrate your Polish heritage. In preparation for her upcoming trip to Warsaw in July, Nadine is taking a closer look at celiac disease in Poland. She discusses a 2009 study assessing the prevalence of celiac disease in Polish children, highlighting the asymptomatic and oligosymptomatic nature of the disease and explaining her own false negative test. Listen in for the Gluten Free RN’s insight around preparing for a trip to Poland, including research on the available gluten-free food and adult beverages! What’s Discussed:Why Nadine is concerned about her upcoming trip to Poland
Nadine’s Polish heritage
The 2009 study of celiac disease in Poland
Nadine’s genetic predisposition for celiac disease
How Nadine is preparing for travel in Poland
The prevalence of celiac disease in Poland
The gluten-free alcoholic beverages available in Poland
Nadine’s caution against eating bread in Europe
The overlap between autoimmune and celiac disease
Nadine’s suggested diet for celiac patients
Resources:NIH Consensus Development Conference on Celiac Disease ‘Screening for Celiac Disease in Poland’ in the Medical Science Monitor Gluten-Free Globetrotter Blog on Poland Gluten-Free Travel in Poland—Coeliac Youth of Europe Poland Travel Guide—Coeliac UK ‘Graves’ Disease, Celiac Disease and Liver Function Abnormalities in a Patient—Clinical Manifestation and Diagnostic Difficulties’ in ACTA Biochimica Polonica ‘Neuropsychiatric Symptoms and Celiac Disease’ in Neuropsychiatric Disease and Treatment ‘Evaluation of HLA-DQ2/DQ8 Genotype in Patients with Celiac Disease Hospitalised in 2012 at the Department of Paediatrics’ in Przeglad Gastroenterologiczny For Visitors with Coeliac Disease—Polskie Stowarzyszenie Osob z Celiakia i na Diecie Bezglutenowej Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 25 Aug 2017 | Celiac Disease, Suicide, Morbidity and Mortality EP038 | 00:35:04 | |
People are suffering. From a feeling of hopelessness. From depression and anxiety. Add to that a despair that no one supports them, and you have a desperate individual at an increased risk of committing suicide. This topic hits close to home for Nadine, as she lost a nephew to suicide in 2007. Ian struggled with addiction issues, and he took his life at the age of 19. Because her family is predisposed to celiac disease, Nadine wonders if undiagnosed celiac disease may have been partially to blame for her nephew’s issues. Today she explores the mental health disorders that are associated with gluten getting through the blood-brain barrier. She also explains how undiagnosed celiac disease puts patients at an increased risk for morbidity, and stresses the fact that celiac disease can—and will—kill you if it goes untreated. Listen in as the Gluten Free RN tells her own story of improved mental health on a gluten-free diet. She also covers the types of cancers that might be prevented by going gluten-free, the connection between AFib and celiac disease, and how dermatitis herpetiformis affects patients. Listen and learn the best diet to help you get better, faster, and why medical professionals need to pay more attention to the intestines! What’s Discussed:How to define morbidity and mortality
How morbidity presents itself in undiagnosed celiac patients
Information from the World Health Organization (WHO)
The prominent mental health issues associated with celiac disease
How removing gluten from her diet improved Nadine’s mental health
The grains that contain gluten
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
Nadine’s experience with celiac disease
The connection between AFib and celiac disease
How dermatitis herpetiformis affects patients
The cancers that are potentially preventable on a gluten-free diet
The genes that indicate a predisposition to celiac disease
Other disorders that could be mitigated by a gluten-free diet
How long it takes to receive celiac diagnosis in US
The risks for patients diagnosed with celiac disease in childhood
Nadine’s research around celiac testing in autopsy
How Nadine periodically gives her system a detox
Why medical professionals should give more attention to the intestines
The issues that can result from undiagnosed celiac disease
The definition of refractory celiac disease
Why it’s crucial to remove all gluten from the environment
The connection between undiagnosed celiac disease the despair that leads to suicide
What happens when gluten gets through a leaky blood-brain barrier
The risks associated with eating traditionally grown fruits and vegetables
The goals of the first six months on a gluten-free diet
Resources:
Celiac Disease and Gluten Sensitivity in Down, Turner and Williams Syndrome “Necropsy Studies on Adult Coeliac Disease” in the Journal of Clinical Pathology “Mortality in Celiac Disease” in Gastroenterology “The Global Burden of Celiac Disease” in PLoSONE “The Unknown Burden and Cost of Celiac Disease in the US” in Expert Review of Pharmacoeconomics and Outcomes Research “Long-Term Mortality in People with Celiac Disease Diagnosed in Childhood Compared with Adulthood” in the American Journal of Gastroenterology “Increased Risk of Atrial Fibrillation in Patients with Coeliac Disease: A Nationwide Cohort Study” in the European Heart Journal “Increased Suicide Risk in Coeliac Disease—A Swedish Nationwide Cohort Study” in Digestive and Liver Disease “The Burden of Celiac Disease and the Value of Having It Diagnosed” by Fredrik Norström of UMEA University “Complications of Coeliac Disease: Are All Patients at Risk?” Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 30 Dec 2016 | Intro to Celiac Disease and Gluten Intolerance - EP004 | 00:33:54 | |
This episode of ‘Gluten Free RN’ covers the basics of celiac disease and gluten intolerance – what those terms mean and what they might mean for you. Nadine explains which genes suggest a predisposition to gluten intolerance and what circumstances lead to a diagnosis of celiac disease proper. Nadine talks you through what happens in your digestive tract that leads to gluten proteins attacking your organs and preventing your body from absorbing the nutrients it needs. She also outlines the foods and products you need to avoid to achieve ‘gluten-zero,’ as well as the foods you can enjoy as part of a gluten-free diet. Listen in and learn where gluten is hiding and how to modify your diet to reverse the adverse effects of gluten! What’s Discussed:
Resources Mentioned: Gluten: Zero Global by Rodney Ford Connect with Nadine: Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 02 Mar 2018 | The Irish and Celiac Disease EP062 | 00:26:32 | |
The Irish are known for being lucky… But does that luck hold out when it comes to celiac disease? The prevalence of celiac disease among the Iris is 1:100, about the same as the rest of the world. And if you are a redhead of Irish descent, there is a good chance that you are an HLA-DQ2 or HLA-DQ8 gene carrier. Today, the Gluten Free RN explores Irish ancestry and celiac disease, discussing how the Potato Famine led to a change in diet for much of the surviving population. She walks us through a paper published by Irish College of General Practitioners explaining the clinical presentations and complications of celiac disease. Nadine shares her experience running the Dublin marathon and the health consequences she suffered after touring the Guinness brewery. Listen in to understand the work of the Coeliac Society of Ireland and learn about the trends in celiac disease among the Irish. What’s Discussed:Why red hair is associated with celiac disease
The prevalence of celiac disease in Irish Setters
The Irish Potato Famine
The myth that celiac disease is more prevalent in Europe than the US
The myth that women are more susceptible to celiac disease
The Irish College of General Practitioners paper on celiac disease
The prevalence of celiac disease in Ireland
The appropriate testing for celiac disease and NCGS
Nadine’s experience running the Dublin marathon in 1998
The information provided by the Coeliac Society of Ireland
Resources:‘Gluten-Sensitive Enteropathy in a Family of Irish Setters’ in The Canadian Veterinary Journal ‘Diagnosis and Management of Adult Coeliac Disease’ in ICGP ‘Prevalence and Incidence of Celiac Disease in Edinburgh and the Lothian Region of Scotland’ in Gastroenterology ‘Prevalence and Diagnosis’ by the Coeliac Society of Ireland ‘Coeliac Disease in Europe’ in Alimentary Pharmacology & Therapeutics ‘Escalation in the Amount of Adults Diagnosed with Coeliac Disease’ in Lifestyle Health ‘Gluten-Free Foods’ by the Food Safety Authority of Ireland ‘How Irish Diets of the Past Affect the Present’ in The Irish Times ‘Changes in Presentation of Celiac Disease in Ireland from the 1960s to 2015’ in Clinical Gastroenterology and Hepatology ‘Coeliac Disease: A Personal Perspective’ in Irish Health ‘Coeliac Disease: More Common Than You Think in Irish Health ‘Pathology and Management of Coeliac Disease’ by the Dublin Academic Medical Centre & UCD Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 28 Jul 2017 | Addiction Issues, Celiac Disease and Gluten EP034 | 00:28:52 | |
Few things are as painful as losing a loved one to an overdose. Addiction is such a powerful demon, and most of us have friends or family who are facing it right now. It is easy to feel helpless, believing that there is little you can do to ease their pain. But what if a diet change could resolve the physical and psychological pain at the root of the dependency? You might be surprised to learn that gluten binds with the opioid receptors in the brain, functioning as a ‘gateway drug’ to other addictions. Today the Gluten Free RN shares her experiences with addiction and overdose during her 17-year career in the ER, explaining how she made the connection between undiagnosed celiac disease and addiction issues. She discusses the US opioid epidemic and how a mass screening for celiac disease could prevent such widespread substance abuse. Listen as she describes the morphine-like effects of gluten on your brain, the role of the microbiome in dictating cravings, and why gluten may be at the root of the pain that leads patients to self-medicate with dangerous recreational drugs. The sad truth is that 91 Americans die every day from an opioid overdose. Because undiagnosed celiac disease goes hand in hand with addiction, is it past time to get our loved ones tested. Suggest it today -- it could save a life. What’s Discussed:The recent flood of headlines regarding the US opioid epidemic How exorphins affect the brain
How Narcan reverses a heroin overdose
The potential connection between gluten and opioid addiction
The morphine-like effects of gluten and dairy on your brain
The substances patients abuse to treat pain
The symptoms of pain patients may experience due to gluten
The data around opioid overdose in the US
How gluten sensitivity may lead to pain med addiction
Common prescription meds for pain
Why patients turn to heroin for pain relief
How food can act as a ‘gateway drug’ to other addictions
Why Nadine advocates a mass screening for celiac disease
How ER departments treat alcoholics
The power of the microbiome
The mental health issues caused by untreated celiac disease that may lead patients to self-medicate
Resources:“Here’s How a Key Part of the Opioid Legislation is Not Working” in the Boston Globe “Malabsorption of Opioid Medications” in Practical Pain Management Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 20 Apr 2018 | Why No Dairy on a Gluten-Free Diet? EP068 | 00:21:55 | |
If you’re just getting used to eliminating gluten from your diet, it may feel like a burden to remove dairy as well—especially if you’re a fan of comfort foods like cheese and ice cream. Why exactly do many practitioners recommend a gluten- AND dairy-free diet to patients diagnosed with celiac disease and non-celiac gluten sensitivity? The Gluten Free RN is walking us through the similarities between gliadin and casein, explaining how the proteins found in gluten, milk and cheese impact our brains. She discusses how Marsh 1 damage from celiac disease leads to an inability to break down the sugar in milk and why we crave the very foods that are making us sick. Nadine shares the story of a young man with autism whose health improved once his family went gluten-free, describing the well-documented gut-brain connection and how the right high-fat diet can repair the neurological system. Listen in for the Gluten Free RN’s insight around dairy replacement options and get empowered to reclaim your health with a gluten- and diary-free diet! What’s Discussed:The similarities between the gluten and casein proteins
How the casein protein impacts the brain
The effect of Marsh 1 damage due to celiac disease
How gluten and casein proteins act as exorphins
Nadine’s recommendations for dairy replacements How a gluten-free diet helped a young man with autism
The story of Dr. Terry Wahls
Resources:The Wahls Protocol by Dr. Terry Wahls Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 23 Feb 2018 | The US Military and Celiac Disease EP061 | 00:24:50 | |
It goes without saying that anyone who serves in the military needs to be healthy and strong—and that military leaders have an obligation to keep enlisted servicemen and women as safe and healthy as possible. So, it makes sense that people with food allergies (including celiac patients) are disqualified from military service, but it is less clear why celiac testing is not a part of the medical exam to qualify for enlistment. Today, the Gluten Free RN addresses the issue of celiac disease in the military. She explains the challenges of preparing gluten-free food in a mess hall setting and describes the consequences for an active duty soldier who is found to have celiac disease. Nadine shares a research study exploring celiac trends among active duty military as well as a case study around veterans and celiac disease. Listen in for insight on what’s behind the increased prevalence of celiac disease among military personnel and the confirmed association between celiac disease and other complex health issues. What’s Discussed:Why celiac patients are disqualified from enlisting in any branch of service
What happens to military personnel who are found to have celiac disease
The US military policy around food allergies and intolerances
Countries that allow celiac patients to serve
The Mayo Clinic study of celiac trends among active duty military
The challenge of preparing gluten-free food in a military setting
A case study involving military veterans and celiac disease
The benefits of a gluten-free diet
Nadine’s argument for celiac testing prior to enlistment
Resources:Military Standards of Medical Fitness ‘The Incidence and Risk of Celiac Disease in a Healthy US Adult Population’ in the American Journal of Gastroenterology ‘Celiac Sprue Among US Military Veterans: Associated Disorders and Clinical Manifestations’ in Digestive Diseases and Sciences ‘Gluten-Free Soldier in Afghanistan’ in Gluten-Free Living ‘Medical Mix-Up Sidelines Army Sergeant’s Career’ in Military Times Celiac Disease-Related Veterans Affairs Case Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 02 Feb 2018 | Hypothyroid, Pulmonary Edema and Celiac Disease EP059 | 00:19:59 | |
When the Gluten Free RN went on a gluten-free diet 11 years ago, her thyroid settled down and the associated symptoms and disorders—Graves’ disease, weight gain and hair loss—resolved. But when Nadine was inadvertently hit with gluten two years ago, several of those symptoms returned, along with a few new ones. She was losing hair and gaining water weight again. On top of that, her sinuses were congested. She developed asthma, a rash on her lower right leg and a scary case of pulmonary edema (excess fluid in the lungs). Hindsight being 20/20, Nadine realizes that her recent diagnosis of hypothyroidism is associated with that accidental gluten ingestion. Further study made it clear that there is a potential connection between her thyroid problems and pulmonary edema, as the leaky gut that comes with celiac disease can cause fluid shifts into body tissues. Today the Gluten Free RN explores the links among celiac disease, thyroid disorders and pulmonary edema. She explains the function of the endocrine system, the symptoms associated with hypothyroidism, and the diet she recommends for patients with thyroid issues. Listen in for Nadine’s insight around how gluten affects the thyroid gland and why the resulting low sodium levels might trigger edema in celiac patients. What’s Discussed:The function of the endocrine system
The connection between celiac disease and thyroid disorders
Nadine’s symptoms of hypothyroidism
How damp rash lotion resolved Nadine’s symptoms
Nadine’s thyroid-stimulating hormone (TSH) levels
The relationship between thyroid issues and edema
The research around thyroid disorders and celiac disease in Current Allergy and Asthma Reports
The diet Nadine recommends for celiac patients with potential thyroid issues
Why patients with unexplained pulmonary edema should be tested for celiac disease AND thyroid disorders
The symptoms associated with hypothyroidism
Resources:
‘Pregnancy Complicated with Pulmonary Edema Due to Hyperthyroidism’ in the Journal of the Chinese Medical Association ‘Sleep Apnea, Hypothyroidism and Pulmonary Edema’ in CHEST Journal Letters to the Editor ‘Thyroid and Fluid Retention’ on the Wilson’s Syndrome Site ‘Acute Pulmonary Edema as a First Manifestation of Hyperthyroidism in a Pregnant Woman’ in Revista Medica de Chile ‘Hypothyroidism and Non-Cardiogenic Pulmonary Edema: Are We Missing Something Here?’ in Endocrinology, Diabetes & Metabolism Case Reports ‘Celiac Disease and Autoimmune Thyroid Disease’ in Clinical Medicine & Research ‘Celiac Disease and Autoimmunity: Review and Controversies’ in Current Allergy and Asthma Reports ‘An Unusual Cause of Flash Pulmonary Oedema’ in BMJ Case Reports ‘Challenges in the Management of a Patient with Myxoedema Coma in Ghana: A Case Report’ in Ghana Medical Journal ‘Hyponatremia and the Thyroid: Causality or Association?’ in the Journal of Clinical Medicine ‘Interactions Between Thyroid Disorders and Kidney Disease’ in the Indian Journal of Endocrinology and Metabolism Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 24 Nov 2017 | Nutrient Dense Foods EP051 | 00:38:48 | |
‘When in doubt, go without.’ The problem with processed food is that you simply can’t be sure that it is gluten-free. The risk of cross-contamination is high, and no one at the big corporations is accountable for your health. Not to mention the fact that processed foods have been irradiated to make them shelf-stable, effectively killing any probiotics. Even certified gluten-free products are often low in nutrients, high in calories—and expensive! So what should you eat? The Gluten Free RN is on the case with her best suggestions around finding organic, whole foods that contain the healthy fat you need to heal. She explains her revised, gluten-free version of the food pyramid and discusses how these nutrient-dense foods support the healing process. Nadine provides a list of the best nutrient-dense foods, offering the benefits of each. She also speaks to the most appropriate vitamins and supplements available to solve your nutrient deficiencies. You are what you eat, so make sure you are filling your tank with nutrient-dense foods that will improve your health and quality of life! What’s Discussed:How nutrient dense foods support healing
Why Nadine recommends staying away from gluten-free junk foods
The best sources of nutrient-dense foods
Why shelf-stable products lack nutrients
The risk of contamination in processed foods
Nadine’s revised food pyramid
The importance of eating healthy fats
Nadine’s recommendations around the best nutrient-dense foods
Nadine’s vegetable challenge
Nadine’s suggestions around additional vitamins, supplements
How to avoid cross-contamination
Resources:National Nurses in Business Association Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 25 May 2018 | Celiac Disease & Why No One Should Have Belly Pain EP071 | 00:20:03 | |
Approximately 50% of ER visits are associated with abdominal pain, and the vast majority of those patients are given a diagnosis of ‘abdominal pain of an unknown origin’ and directed to come back if the condition gets worse. This is little comfort to people suffering from severe discomfort who need answers around the cause of their belly pain, not just medication to mask it temporarily. Could undiagnosed celiac disease be the source of their suffering? Today, the Gluten Free RN is diving into the issue of belly pain and undiagnosed celiac disease, discussing the expensive testing often conducted to determine the cause of abdominal discomfort—testing that rarely includes a celiac panel. She covers several of the common misdiagnoses of celiac patients as well as the incredibly high prevalence of abdominal pain in children. Nadine shares the case study of a child-patient who was misdiagnosed with appendicitis and the research published in Digestive and Liver Disease outlining the unnecessary surgical interventions endured by undiagnosed celiac patients. Listen in for the Gluten Free RN’s advice to patients with idiopathic abdominal discomfort and learn why no one should suffer from belly pain! What’s Discussed:The statistics around ER visits and abdominal pain
The most common abdominal pain diagnoses
How patients are treated for idiopathic abdominal pain
The testing to find the cause of chronic abdominal pain
How many children suffer from belly pain
Nadine’s patient who received a misdiagnosis of appendicitis
A research study around abdominal surgery and celiac disease
Nadine’s advice for patients diagnosed with idiopathic abdominal pain
Resources:‘Increased Rate of Abdominal Surgery Both Before and After Diagnosis of Celiac Disease’ in Digestive and Liver Disease ‘Screening for Celiac Disease in Children with Recurrent Abdominal Pain’ in the Journal of Pediatric Gastroenterology and Nutrition ‘Effect of a Gluten-Free Diet on Gastrointestinal Symptoms in Celiac Disease’ in the American Journal of Clinical Nutrition ‘Clinical Features and Symptom Recovery on a Gluten-Free Diet in Canadian Adults with Celiac Disease’ in the Canadian Journal of Gastroenterology ‘Association of Adult Celiac Disease with Surgical Abdominal Pain’ in Annals of Surgery ‘A New Insight into Non-Specific Abdominal Pain’ in The Annals of The Royal College of Surgeons of England Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 05 May 2017 | The Connection Between Undiagnosed Celiac Disease and Sleep Disorders EP022 | 00:27:52 | |
We all know how it feels to struggle through the day when you didn’t get enough sleep the night before. Your brain feels fuzzy, it’s tough to focus, and you simply aren’t the best version of yourself! The good news is, there may be a simple explanation for your sleep disorder – and there are steps you can take to eliminate the potential celiac symptoms that are keeping you up at night. Today the Gluten Free RN shares her struggle with sleep deprivation as an undiagnosed celiac patient who also worked the night shift in the ER. Find out how she leveraged a Paleo diet and went from having a contentious relationship with sleep to becoming a champion ‘Olympic Sleeper’ who enjoys at least eight hours of rest every night! She also covers the components of an ideal sleep space, suggestions for implementing an evening routine, and the benefits of a good night’s rest. Listen and learn about the connection between sleep disorders and undiagnosed celiac disease or non-celiac gluten sensitivity. What’s Discussed: Nadine’s struggle with sleep working the night shift
The correlation between undiagnosed celiac disease and sleep disorders
How a Paleo lifestyle can alleviate symptoms preventing sleep How many hours of sleep you should be getting each night
The components of an ideal sleep space
The model evening routine
Celiac symptoms that can cause sleep apnea How your body heals neurological damage in the absence of gluten The repercussions of vitamin C deficiency Signs of sleep disorders in children that may be caused by undiagnosed celiac disease
Signs of celiac disease in children
Why anyone with sleep disorders should get tested for celiac disease How Nadine’s sleep issues went away on a gluten-free diet
The unhealthy approach to compensating for lack of sleep
A healthy option that functions as a sleep aid The benefits of a good night’s rest When to take multivitamins
The risks associated with prescription medications Connect with Nadine: ‘Your Skin on Gluten’ on YouTube Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 07 Apr 2017 | Celiac Disease and Gluten Sensitivity in Down, Turner and Williams Syndrome EP018 | 00:28:46 | |
The medical community has an obligation to protect vulnerable populations, speaking up for any group that may not be able to advocate for themselves, and patients with Down, Turner, and Williams syndrome certainly fall into this category. Yet one facet of their health – one that could vastly improve quality of life – often goes overlooked. There is a high prevalence of celiac disease among individuals with Down, Turner, and Williams syndrome, and it is recommended that these patients get tested annually. Unfortunately, many of the symptoms of celiac disease are attributed to the syndrome instead, and gluten sensitivity goes undiagnosed. Today Nadine shares several case studies as well as her own experience working with patients with developmental delays. She covers the high incidence of celiac disease and non-celiac gluten sensitivity in Down, Turner, and Williams syndrome patients, the signs and symptoms of gluten damage, and the importance of annual screening in this population. What’s Discussed: The prevalence of celiac disease and non-celiac gluten sensitivity in individuals with Down, Tuner and Williams syndrome
Tiffany’s story
Alternatives to the standard blood test that could reveal non-celiac gluten sensitivity in Down syndrome patients
The importance of testing family members
The overlap of celiac disease and Down syndrome
Symptoms of celiac disease and non-celiac gluten sensitivity
Nadine’s story of an autistic patient
Cases of asymptomatic celiac disease in children with Down syndrome
Resources Mentioned: Other Resources: “Celiac Disease” from the Pediatric Gastroenterology Board Review Manual “Coeliac Disease in Williams Syndrome” from the Journal of Medical Genetics “Turner Syndrome and Celiac Disease: A Case-Control Study” from Pediatrics Connect with Nadine: Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 22 Sep 2017 | The 2017 International Celiac Disease Symposium Recap #1 EP042 | 00:31:14 | |
In his opening talk at the 2017 International Celiac Disease Symposium, celiac expert Dr. Abul Abbas of UC San Francisco said, “We are drowning in data, but thirsting for information.” Though there is still much debate around celiac disease and non-celiac gluten sensitivity (even among global experts), the featured ICDS speakers sifted through the numbers to help practitioners interpret what the latest studies can tell us about the negative effects of gluten and how celiac disease presents in populations all over the world. Today the globetrotting Gluten Free RN is coming to us from Thailand, after attending the International Celiac Disease Symposium in New Delhi, India. Armed with the latest information from the ICDS clinical forum, Nadine covers talks given by Dr. Abbas on gluten and the immunological system, and Dr. Alessio Fasano on the spectrum of gluten-related disorders. She relays information regarding the barriers researchers face in studying autoimmune disease as well as gluten’s negative impact on body tissue, including that of our brain. Nadine also shares the most up-to-date statistics around the big business that is celiac disease and the increasing prevalence of gluten intolerance in the US and Asia. She discusses the importance of celiac testing in patients with other autoimmune and neurological disorders and the need for a global education campaign. Listen as Nadine educates you about what gluten is, where it hides, what you can do to avoid it, and how to undo the damage and get healthy again! What’s Discussed:The challenge of eating gluten-free in India
The highlights of Dr. Abul Abbas’ talk on the immunological system
The importance of the thymus gland
Why the ‘mouse model’ doesn’t work well in the study of celiac disease The impossibility of in vivo experiments for celiac research The significance of epithelial barriers in a functioning immune system
The difficulty of studying the dendritic cells
How the immune system recognizes double-stranded RNA (viruses)
Dr. Terry Wahls’ work around the mitochondria
Dr. Alessio Fasano’s presentation
The big business of celiac disease
Who is affected by the gluten protein
How infants exposed to gluten are at an increased risk for developing celiac disease
The value of avoiding gluten exposure for infants
The latest statistics regarding the prevalence of celiac disease
Celiac disease in the Asian population
How the Chinese diet has evolved over time
Other disorders that may indicate undiagnosed celiac disease
Why patients should be tested for celiac disease annually
The new information about a potential connection between Wilson’s and celiac disease
What celiac experts agreed on at ICDS 2017
Resources:Gluten Free RN Travel Podcast EP036 Gluten Free Passport Allergy Cards Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 12 Dec 2016 | Food is Medicine - EP001 | 00:37:21 | |
In the premier episode of ‘Gluten Free RN’ Nadine tells us a bit about her journey in regaining her health and why it’s so important to understand that food is medicine to our bodies. If we think about food as medicine, we will make better food choices which will lead to much better health in both the short and long term. Nadine also discusses the increasing rate of Celiac disease diagnosis and some factors that may be influencing this. Listen in to learn why it’s so important to make good food choices and how making the right ones will help you maintain or even regain your health! What’s Discussed:
Resources Mentioned: “Seeds of Deception” by Jeffery Smith
Connect with Nadine: Email: Nadine@GlutenFreeRN.com
Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 27 Oct 2017 | FAQ’s About Celiac Disease Answered EP047 | 00:30:05 | |
How do I get over feeling sad about giving up the foods I love? Don’t celiac patients look a certain way? Can I eat wheat when I travel to Europe? Today the Gluten Free RN is answering your frequently asked questions about celiac disease, clearing up misconceptions around the safety of wheat in Europe, the appearance of a celiac patient, and the percentage of the population that suffers from gluten sensitivity. She speaks to the challenges of getting your healthcare provider to do appropriate testing for celiac disease and the learning curve associated with changing your diet. Nadine also explains the risks of embarking on a gluten challenge and the benefits of a super-good high fat diet. She discusses why a single breadcrumb can trigger an autoimmune response and how she uses tools like a Nima Sensor when she eats out. Listen in and learn why one negative test doesn’t rule you out for celiac disease, especially if you suffer from type 1 diabetes. Having celiac disease doesn’t mean you have to live in a bubble. The Gluten Free RN wants to give you the answers you need to navigate the world—happy, healthy and gluten-free! What’s Discussed:‘My sister has celiac disease, but I tested negative. I do have type 1 diabetes… What should I do?’
‘Why do you use a Nima Sensor or EZ Gluten test strips? Doesn’t it give you a false sense of security?’
‘A single breadcrumb or dusting of flour can trigger an autoimmune response? Really?’ ‘I am overweight, I have dark hair, and I’m not of European descent. Don’t celiac patients look a certain way?’
‘Why do you recommend a super-good high-fat diet?’ ‘I’m already on a gluten-free diet. Do I need to go back to gluten to prove I have celiac disease?’ ‘My cousin was just diagnosed with celiac disease, and she is very sad about giving up the food she grew up with. How can she get started on a gluten-free diet?’
‘Why won’t my doctor order tests for celiac disease?’
‘Can I eat wheat in Europe?’ ‘Is it true that celiac disease affects 1% of the population?’
Resources:Gluten Free RN EP027: Type 1 Diabetes and Celiac Disease Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 06 Oct 2017 | Staying Healthy in the Hospital with Celiac Disease EP044 | 00:28:02 | |
Hospitalization is nearly always the result of a sudden, unexpected event. So how do you plan ahead to keep yourself safe in the event that a health emergency lands you in the nearest emergency room? What steps can you take to stay healthy in the hospital as a celiac or gluten-sensitive patient? Thanks to a listener suggestion and Nadine’s recent experience with a client recovering from surgery, the Gluten Free RN is addressing the cross-contamination risk in hospital kitchens and the nutrient-deficient foods available in hospital gift shops and vending machines. She also covers the responsibilities of the pharmacist to ensure that medications are gluten-free as well as resources you can use to verify that your prescriptions are safe. Listen in as Nadine explains the significance of having an advocate with you at the hospital, who can prevent inadvertent gluten exposure and bring in the nutrient-dense food you need to heal. Learn how to communicate your needs as a celiac patient to resistant doctors, nurses, pharmacists and RDs, and plan ahead to stay safe and healthy—even when you’re in the vulnerable position of being in the hospital. What’s Discussed:Why celiac patients should be skeptical of gluten-free menus in the hospital
The quality of food available in hospitals
How to verify that medications are gluten-free
The role of the pharmacist in providing gluten-free medication
What you can do to communicate your needs to hospital staff
The significance of having an advocate
Gluten-free options for patients on a liquid or soft food diet
The role of nutrient-dense food in healing the body
The Catch 22 of gluten and hospitals
How antibiotics affect your system
Resources:Dough Nation by Nadine Grzeskowiak Emergency Preparedness with Nutrient Dense Foods GIG Resource: Hospital Stays Made Safe Gluten Intolerance Group of North America Connect with Nadine: | |||
| 06 Jan 2017 | Symptoms of Undiagnosed Celiac Disease and Gluten Intolerance EP005 | 00:30:37 | |
This time on ‘Gluten Free RN,’ Nadine continues to cover the basics of celiac disease and gluten intolerance, reviewing the consequences of intestinal damage and gluten in the bloodstream and discussing what you can and cannot eat as part of a gluten-free diet. A registered nurse certified in emergency care and a celiac patient herself, Nadine is well-versed in the health complications and symptoms you might experience with undiagnosed celiac disease or gluten intolerance, including neurological disorders, dermatologic difficulties and even mental health issues. Join the Gluten Free RN on this podcast to learn the signs of undiagnosed celiac disease and gluten intolerance so that we can all be healthy and vital for years to come! What’s Discussed: The definition of celiac disease and its chronic nature
The importance of healthy intestinal tissue
Grains to avoid that contain gluten
Places where gluten may be hiding Gluten-free, nutrient dense foods Complications caused by gluten in patients with celiac disease or gluten intolerance
The increased risk of cancer in patients with undiagnosed celiac disease Symptoms doctors look for before testing for celiac disease
Components of the test for celiac disease
The amount of time it takes to regenerate damaged villi in the absence of gluten
Additional signs of a possible gluten intolerance or celiac disease Additional symptoms Nadine has encountered in undiagnosed patients Indicators of gluten intolerance in children and elders Resources Mentioned: Gluten: Zero Global by Rodney Ford Connect with Nadine: Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 07 Jul 2017 | Celiac Disease for Health Care Providers EP031 | 00:48:48 | |
Celiac disease is grossly underdiagnosed in the United States in large part because the medical community is operating on outdated information about the condition. And despite the recommendations of the National Institute of Health back in 2004, we have yet to implement a mass screening for celiac disease, and health care providers remain alarmingly uninformed. The Gluten Free RN is taking steps to remedy the situation by sharing the basics for medical professionals. Today she covers the WHO’s definition of celiac disease, how our understanding of the condition has change over time, and some common misconceptions about celiac disease. She also explains the top symptoms, recommended testing for celiac disease and gluten sensitivity, and the neurological nature of the disorder. Listen in to learn what health care providers need to know about this undiagnosed epidemic, the complex web of health issues that may result from undiagnosed celiac disease, and why it is important to have a high index of suspicion and include celiac testing on every differential diagnosis. Help your patients go gluten-free and collect something other than autoimmune disorders! What’s Discussed:The standard of care in the US
The goals of Nadine’s consulting business
How the media portrays the gluten-free lifestyle
How our understanding of celiac disease has changed over time The recommendations of the 2004 NIH consensus meeting regarding celiac disease
The World Health Organization criteria for mass screening
The autoimmune disorders associated with undiagnosed celiac disease
The WHO definition of celiac disease
Why celiac disease can’t be ruled out with a single test
Misconceptions about celiac disease in the US medical community
How skin issues are a reflection of what is going on internally
How damage to the small intestine leads to multiple health issues
The classic symptoms of celiac disease
What celiac disease looks like in children
The prevalence of celiac disease in older adults
Potential signs of celiac disease in the aging population
The elements that get into your blood stream as a result of villous atrophy
Top symptoms of celiac disease
The effects of gluten on the brain
Populations affected by celiac disease
The findings of an economic study by Columbia University
The importance of ensuring that medications are gluten-free Nadine’s recommendations around nutrition for celiac patients
Things to consider re: the results of a celiac panel
Additional tests that offer valuable information
Surprising facts around celiac disease contrary to conventional wisdom
Resources:“Where Have All the American Celiacs Gone?” in Acta Pediatrica CDC 2013 Report Antibiotic Resistance Threats Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 13 Apr 2018 | Indigenous Populations, Celiac Disease and NCGS EP067 | 00:25:15 | |
‘Globally, indigenous peoples suffer from poorer health, are more likely to experience disability and reduced quality of life, and ultimately die younger than their non-indigenous counterparts.’ A UN Report on the health of indigenous peoples points to a significant problem, but the question is WHY? Why are native populations more prone to autoimmune disorders and type 1 diabetes? Why do they have a higher incidence of alcoholism and drug addiction? And why the lower life expectancy? The Gluten Free RN is exploring the role of food in health outcomes for indigenous populations around the world. She begins with an explanation of the dietary differences between hunter-gatherer and agricultural societies, discussing how native populations were exposed to the gluten in grains only when European conquerors came to occupy their lands. Nadine shares her challenge in finding information about indigenous populations and celiac disease, explaining why further study is necessary. She speaks to the highly processed nature of the commodity foods provided to Native Americans in the US and the shortcomings of Canada’s Food Guide when it comes to the health of First Nations people. Listen in and learn the significance of educating indigenous populations around celiac disease and non-celiac gluten sensitivity, empowering those groups to make choices that will improve their health and quality of life! What’s Discussed:The global indigenous population
The health status of indigenous populations
Why indigenous populations have more health issues
The lack of information around indigenous populations and celiac disease
The impact of grains on the native population
The prevalence of celiac disease in indigenous populations
Why eating healthy is a challenge for the indigenous population
The conclusions of the Prairie Nymph blog on Canada’s Food Guide
Why it’s important to educate indigenous people around celiac disease
Resources:Guns, Germs, and Steel: The Fates of Human Societies by Jaren M. Diamond Dough Nation by Nadine Grzeskowiak USDA Commodity Supplemental Food Program ‘Canada’s Food Guide and Native Women’ by Prairie Nymph The Sioux Chef’s Indigenous Kitchen by Sean Sherman American Indian and Alaska Native Health ‘Celiac Disease: A Life-Changing Diagnosis’ in Indian Country Today ‘Government Food Boxes? It’s Nothing New for Native Americans’ on WDET UN Indigenous Peoples Fact Sheet Summary of Aboriginal and Torres Strait Islander Health WHO Health of Indigenous Peoples WHO Indigenous Peoples and Substance Abuse Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 27 Jan 2017 | Intestinal Health and Antibiotic Resistant Threats EP008 | 00:25:16 | |
This time on the ‘Gluten Free RN’ podcast, Nadine explores the connection between gluten intolerance and antibiotic-resistant threats. Because damaged intestines compromise the immune system, undiagnosed celiac patients are more likely to develop infections that necessitate antibiotics. Nadine summarizes the 2013 CDC report, Antibiotic Resistance Threats in the United States, explaining the three microorganisms identified in the report with a Threat Level of Urgent. Listen and learn how to protect yourself and your family from the public health threat posed by these bacteria! What’s Discussed:The prevalence of undiagnosed celiac disease and gluten intolerance
The importance of healthy intestinal tissue
The soldier analogy
The need for a more judicious approach to prescribing antibiotics
How to rebuild microbiome
The need for IgA and IgG testing to complement a celiac panel The public health threat posed by antibiotic-resistant bacteria
The connection between damaged intestines and a higher risk of bacterial infection requiring antibiotics The three microorganisms with a Threat Level of Urgent
The causes of inflammation in your intestines
Why Nadine has concerns about the potential pandemic and huge loss of life presented by large numbers of undiagnosed celiac patients who are susceptible to bacterial infections Resources Mentioned:CDC Report: Antibiotic Resistance Threats in the United States, 2013 Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 17 Nov 2017 | Managing the Holidays with Celiac Disease EP050 | 00:30:20 | |
With the approach of the holidays, you may be nervous about navigating family and workplace gatherings—especially if you are newly diagnosed with celiac disease. How do you explain your dietary restrictions and keep yourself safe, eating well without getting ‘glutened’? Today the Gluten Free RN shares her best advice around managing the holidays with celiac disease. She offers ten key tenants to help you enjoy the holiday season and mitigate stress, without feeling like you’re missing out. She shares some things you need to avoid, including unsafe situations, people who make you miserable, and cheating on your gluten-free diet! But she also discusses strategies you can implement to make the season bright, such as creating new traditions, getting creative in the kitchen, and finding your tribe—the people who will support you in your gluten-free journey. Nadine also gives tips around where to go for gluten-free ingredients and holiday recipes, and how to develop a backup plan so you won’t go hungry if the food you encounter is questionable. You are likely to encounter well-intentioned friends and family members who have no idea how to feed you safely at holiday parties. Listen in and learn how to be clear about your dietary needs and take control of your health without isolating yourself from loved ones during this most wonderful time of the year! What’s Discussed:#1 Don’t eat anything contaminated with wheat
#2 Beware of good-intentioned people
#3 Be prepared to establish new traditions
#4 Don’t isolate yourself
#5 Gather recipes early
#6 Order ingredients in advance
#7 Don’t invite people who make you miserable
#8 Eat before you go or take your own plate
#9 Don’t be a victim
#10 Find your people
Resources:Paleo Principles: The Science Behind the Paleo Template, Step-by-Step Guides, Meal Plans, and 200+ Healthy & Delicious Recipes for Real Life by Sarah Ballantyne Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 01 Dec 2017 | Go Gluten Free for Good EP052 | 00:36:24 | |
How do you successfully transition to and maintain a 100% gluten-free diet for the rest of your life? The prospect of eliminating wheat, barley and rye from your diet may seem daunting, but it is possible to go gluten free for good—for the good of your family and your health! The Gluten Free RN explains the addictive nature of gluten and what to expect during the detox process as you begin your gluten-free journey. She offers valuable advice around how to choose the best quality food products while avoiding potential sources of cross-contamination. Nadine discusses the need for supplements that will help you heal faster and more completely, speaking to the vitamin levels you should monitor along the way. Listen and learn her best tips for navigating the grocery store and maintaining a positive attitude throughout the process of going gluten-free—for GOOD! What’s Discussed:The addictive nature of gluten
What to expect during the detox process
Why you shouldn’t cheat on a gluten-free diet
Potential sources of cross-contamination
Nadine’s rules around choosing quality food products
Why there is no such thing as cheap food
The necessity of additional vitamins, supplements
Nadine’s advice around navigating the grocery store
Nadine’s best tips for going gluten-free
Resources:
Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 17 Mar 2017 | Emergency Preparedness with Nutrient Dense Foods EP015 | 00:31:25 | |
It’s not a matter of if, but rather when you will encounter an emergency situation. And if you suffer from celiac disease or gluten intolerance, it is incredibly important that you are prepared with the appropriate supplies you will need to endure a hurricane, earthquake, blizzard, or other disaster. Nadine teaches you how to stock your cupboards with nutrient dense foods should you need to shelter in place for an extended period of time. She also outlines other essentials you will need to stay alive and assist others who may need help! What’s Discussed:Nadine’s experience responding to Hurricane Katrina
Why it’s important to stock nutrient dense foods in case of emergency
Nadine’s list of nutrient dense foods to stock
How to cope with a loss of electricity
The importance of being self-reliant during a time of emergency
Other essentials to have on hand in case of emergency
How to obtain water if forced to shelter in place
Resources Mentioned:Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 13 Oct 2017 | The Psychology of Eating Gluten Free EP045 | 00:38:50 | |
We all just want to fit in, so it can be embarrassing to have special needs when it comes to your diet. Whether you are gluten-free, Paleo, or suffering from food allergies, a feeling of isolation is not uncommon. After all, you have to eat differently from the rest of your friends, family, or colleagues—and that makes you stand out. You run the risk of being perceived as picky or annoying, when the truth is that certain foods are toxic to your system! Today the Gluten Free RN speaks to the psychology of eating gluten-free, explaining the sense of disbelief many gluten-sensitive individuals feel when the food they love turns out to be poison. She discusses ‘food ideology’ and why changing your diet can be so challenging. Nadine also covers the doubt, mocking, and even anger that celiac and gluten-sensitive individuals face, offering suggestions for building connections with a like-minded, gluten-free community. Listen in as she outlines her approach to dating on a Paleo diet and reassuring family and friends who find a gluten-free diet too restrictive for kids. Learn to be your own best advocate and resist the social pressure to eat the standard American diet! What’s Discussed:Why gluten sensitive patients must be willing to experiment
A downtown Corvallis business owner’s testimonial
How to research the possibility that gluten is causing your symptoms
Why people are resistant to diet change
The difficulty around getting a celiac diagnosis The value of preventative medicine Dating on a gluten-free diet
The human need to be part of a community
The global shift to a Western diet
Why Nadine recommends a Whole30 diet
The narcotic-like effect of gluten on the brain
Nadine’s recent experience in hospitals
Nadine’s rules around ingredients in packaged foods
Why people on a gluten-free diet are reluctant to tell others
How to approach neighbors or family who view a gluten-free diet as too restrictive for kids
The psychology of denial
Nadine’s opposition to a gluten challenge
The genes that indicate a predisposition to celiac disease
Resources:Connect with Nadine: | |||
| 16 Jun 2017 | The Relationship Between the Respiratory System and Celiac Disease EP028 | 00:19:13 | |
The average human takes between 14 and 20 breaths per minute. But if you are conscious of those breaths, that’s a problem. Perhaps you’re experiencing chest tightness, clogged sinuses or a nagging cough that make you very aware of every breath you take. If so, the ingestion of gluten may be a contributing factor to these respiratory issues. Today Nadine explores the relationship between the lungs and celiac disease, offering anecdotal evidence as well as explaining the way that inflammation can lead to a number of respiratory problems. Because 70-90% of your immune system is housed in your intestines, it is no surprise that a leaky gut could make you more vulnerable to respiratory tract infections. Despite the fact that current literature considers respiratory challenges to be an atypical presentation of celiac disease, the Gluten Free RN argues that there is enough anecdotal evidence to merit further study. Listen in to understand the vitamin deficiencies that likely contribute to respiratory issues, how those health concerns might be corrected by going gluten-free, and why your body heals more quickly on a high fat, whole food diet. It’s time to go gluten-free and breathe easy again! What’s Discussed: How gluten ingestion likely affects the respiratory system
Nadine’s anecdotal evidence of a connection between gluten and respiratory issues
Respiratory issues that may be corrected on a gluten-free diet
Vitamin deficiencies caused by gluten ingestion that lead to respiratory problems
Why going gluten-free eliminates many respiratory issues
Common symptoms of respiratory issues
Nadine’s recommendations around diet and nutrition
Why your body heals more quickly on a high fat, whole food diet
The genes that indicate a predisposition for celiac disease
Resources:
“Respiratory Symptoms as Atypical Manifestation of Celiac Disease” in the Pediatric Oncall Journal “Pneumococcal Septic Shock in the Setting of Hyposplenic Celiac Disease” in Hospital Physician Coeliac Australia: Associated Conditions Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 08 Dec 2017 | Alex Michaels from LPI on Vitamin C EP053 | 00:46:01 | |
You know that vitamin C is good for you. It is necessary for the growth, development and repair of all your body tissues, and it plays a role in the healthy functioning of your immune system. But evidence shows that the RDA—90mg for men and 75mg for women—may be woefully inadequate. And if you are suffering from certain types of cancer or sepsis, vitamin C may be the key to recovery. The Gluten Free RN is joined by vitamin C researcher Alex Michaels from the Linus Pauling Institute at Oregon State University to discuss the latest developments in vitamin C, explaining how intravenous vitamin C works to kill certain cancer cells and reverses the organ failure associated with sepsis. He also covers the difference between vitamin C inadequacy and vitamin C deficiency and the debilitating symptoms of scurvy. Nadine and Alex speak to the best food sources of vitamin C and how it impacts other vitamins and minerals like iron and copper. Alex offers his advice around how much vitamin C you should get on a daily basis and explains why synthetic and natural vitamin C are identical. Learn about the LPI mission to determine the optimal ranges of micronutrients and phytochemicals you should be getting on a daily basis and how you can benefit from their research! What’s Discussed:Micronutrients vs. macronutrients
The difference between intravenous and oral vitamin C
Vitamin C’s resurgence as a cancer therapy
Vitamin C’s role in the treatment of sepsis
The availability of intravenous vitamin C
The fundamentals of scurvy
The best food sources of vitamin C
Factors that are known to denigrate vitamin C
How vitamin C impacts other vitamins and minerals
Alex’s take on the appropriate daily intake of vitamin C
Resources:Micronutrient Information Center Biochemical, Physiological, and Molecular Aspects of Human Nutrition by Martha H. Stipanuk PhD and Marie A. Caudill Cancer and Vitamin C by Ewan Cameron and Linus Pauling Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 20 Oct 2017 | Where Gluten Hides EP046 | 00:31:31 | |
Never assume. It makes an ass of u and me! Not only do assumptions make you feel foolish, they can be dangerous. If you suffer from celiac disease or non-celiac gluten sensitivity, assuming that a product is safe and gluten-free can be hazardous to your health! Gluten is hiding is some surprising places, from cashews to PlayDoh, and it is in your best interest to remember that anything processed in the same facility with wheat is at risk for contamination. Today the Gluten Free RN shares the many places she has discovered gluten ‘hiding in plain sight,’ including personal care products, olive oil and communion wafers. She offers advice around supporting companies that are 100% gluten-free, alternatives to gluten-containing products, and choosing nutrient-dense foods that will help you heal. Nadine also covers labels, discussing why you can’t necessarily trust the information you find there, the many different names for wheat to look out for, and why you should take a look even when the product should be naturally gluten-free. She reveals some of her favorite gluten-free products as well as several companies that are committed to maintaining gluten-zero production facilities. Listen in and learn how to make good choices—without giving up the activities you love. Eating gluten-free doesn’t have to be a punishment, and the Gluten Free RN can’t wait to share! What’s Discussed:Why Nadine sticks with clearly marked gluten-free products Some of the surprising places gluten hides
Why you can never assume a product is naturally gluten-free
Why Nadine encourages the support of companies striving to be 100% gluten-free
The many different names for wheat to watch out for on labels Alternatives to gluten-containing products like bread, crackers and chocolate Why you can’t trust labels
The cumulative effect of consuming products that contain just under 20 ppm of gluten Why Nadine urges you to be picky
Resources:Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 19 May 2017 | The Impact of Undiagnosed Celiac Disease on Fetal Development and Maternal Health EP024 | 00:26:01 | |
‘With our technology, every time a woman dies, it’s a medical error.’ Recent reports have uncovered some alarming statistics regarding maternal mortality rates in the United States. While these numbers are on the decline in every other developed nation, pregnant women in the US are at greater risk of dying than they were in recent years. We know that undiagnosed celiac disease has a significant impact on maternal health and fetal development, and we must identify expectant mothers (and fathers) who have the potential to reap remarkable benefits from a simple diet change. This issue is especially important to the Gluten Free RN as a mother herself – as well as an emergency ER nurse certified in PALS, NLS and pediatric emergency nursing. She shares the stories of women who had difficulty getting pregnant or maintaining pregnancies as a result of undiagnosed celiac disease and gluten sensitivity, and explains how a mass screening could work to prevent such intense suffering. Listen to learn how adopting a gluten-free or Paleo diet can help women carry their babies to full-term and deliver healthy, thriving children! What’s Discussed:Nadine’s mission to get women tested for celiac disease prior to pregnancy
The story of Alice Bast
The necessity for a mass screening of men and women
The increased risks for pregnant women with undiagnosed celiac disease
The role men play in infertility
The argument that a mass screening for celiac disease is too expensive
Conditions that indicate high risk for celiac disease
Sam’s story
Why Nadine is concerned about the current generation of children
The appropriate diet to promote maternal health and proper fetal development
Deficiencies that can be corrected to promote healthy pregnancy
The US maternal mortality rate compared to other developed nations
Resources:“Maternal Mortality Rate in US Rises, Defying Global Trend, Study Finds” in The New York Times “Focus on Infants During Childbirth Leaves US Moms in Danger” on NPR “Reproductive Changes Associated with Celiac Disease” from the World Journal of Gastroenterology “Celiac Disease and Reproductive Health” from Celiac Disease: A Comprehensive Review and Update Connect with Nadine:‘Your Skin on Gluten’ on YouTube Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 31 Mar 2017 | What in the World Do I Eat? EP017 | 00:30:45 | |
“Cheap food is an illusion. There is no such thing as cheap food. The real cost of the food is paid somewhere. And if it isn’t paid at the cash register, it’s charged to the environment or to the public purse in the form of subsidies. And it’s charged to your health.” –Michael Pollan Adopting a gluten-free lifestyle can be incredibly overwhelming, and many are resistant to the idea. Maybe you don’t want to give up the foods you love, or you don’t think you can do without pizza and beer. But the truth is that in order to heal, coping is your only option. Nadine is here to tell you that going gluten-free is not as difficult as you think. In fact, if it’s hard – you’re doing it wrong! She recommends a number of healthy gluten-free and Paleo-friendly food options, explains how your taste buds will change as you rid your body of addictive proteins, and discusses how to approach your grocer to request gluten-free alternatives. It’s time to stop eating for convenience and begin eating to enjoy high-quality food! What’s Discussed:Why going gluten-free can be challenging
How to change your mindset to embrace the gluten-free lifestyle
Why celiac patients should avoid eating meat from cattle fed on grass treated with glyphosate
Nadine’s tips for realizing a healthy gluten-free diet
The benefits of turning your lawn into a garden
How to tailgate on a gluten-free diet
Nadine’s guidelines for selecting healthy foods
Quality sources of fat
Resources Mentioned:Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 24 Feb 2017 | Neurological Disorders Associated with Celiac Disease and Gluten Sensitivity EP012 | 00:27:17 | |
Nadine covers the neurological symptoms associated with celiac disease and non-celiac gluten sensitivity. Celiac disease is primarily a neurological disorder, but the neurological symptoms are often misdiagnosed. Nadine shares her own story as well as client anecdotes regarding the neurological issues faced by celiac patients and those with non-celiac gluten sensitivity. She outlines the common symptoms and discusses how to either slow their progression or eliminate them entirely. Nadine explains the way gluten affects your neurological system and how a Paleo lifestyle can help you heal. Listen and understand how to get your brain back! What’s Discussed:How an immobile patient misdiagnosed with MS was able to walk again
Misdiagnoses given to people who actually suffered from gluten ataxia
Why experts advocate for including an AGA in celiac testing
Why the neurological component of celiac disease and non-celiac gluten sensitivity is so significant
The neurological symptoms of celiac disease and non-celiac gluten sensitivity Why patients diagnosed with Alzheimer’s or dementia could be restored by a Paleo diet
The components of a Paleo diet
How a Paleo lifestyle cleared Nadine’s neurological issues
The standard nutritional panels for a celiac patient How glyphosates can cause leaky gut even in the absence of celiac disease or non-celiac gluten sensitivity The health benefits Nadine has witnessed in patients who adopt a Paleo diet
Resources Mentioned:The Wahls Protocol by Dr. Terry Wahls Discovery Health: Celiac Disease Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 30 Mar 2018 | Russia and Celiac Disease EP065 | 00:18:50 | |
As stories about Russia continue to dominate the news cycle, you are probably familiar with the recent sanctions against the country, Vladimir Putin’s reelection, and even the expulsion of Russian diplomats from the EU and US. But what do you know about celiac disease in Russia? The Gluten Free RN is taking a closer look at the limited information about celiac disease in Russia, giving us an overview of the country’s size and population and the likely number of celiac cases based on the global tendency. She discusses the thriving wheat production industry in Russia as well as the gluten-containing traditional Russian diet. Nadine walks us through a presentation created by Dr. Elena Roslavtseva at the Scientific Center for Children’s Health in Moscow, sharing how the diagnoses of celiac disease changed from the 1970’s through the 2000’s, the inconsistencies with testing for celiac disease around the nation, and the challenges of maintaining a gluten-free diet in Russia. Listen in as the Gluten Free RN covers the Journal of Immunology Research’s overview of celiac disease in Russia, explaining why the reported frequency probably doesn’t reflect the true prevalence and the necessity of a mass screening. What’s Discussed:General information about the country of Russia
Russia’s thriving wheat production industry
The first diagnoses of celiac disease in Russia
How celiac diagnoses changed in the 2000’s
The Eastern European countries that have done mass screenings
Why the data around celiac disease in Russia is unreliable
The problems associated with celiac disease in Russia
The overview presented in the Journal of Immunology Research
Resources:‘Coeliac Disease and Gluten Related Disorders in Russia and Former Soviet Republics’ by Dr. Elena Roslavtseva ‘Overview of Celiac Disease in Russia: Regional Data and Estimated Prevalence’ in the Journal of Immunology Research ‘Russia, Argentina and Canada Displace US, Europe in Global Wheat Trade’ in agriCENSUS ‘Russian Wheat Sales Expand Global Reach with Surge in Sudan’ in Bloomberg ‘Russia’s Wheat Industry: Implications for Australia’ from the Australian Export Grains Innovation Centre ‘Growing Importance of Russian Milling Wheat Worldwide’ from Solaris Commodities ‘How an Oil Giant (Russia) Came to Dominate Wheat’ in Bloomberg ‘Celiac Disease in Russia and the Former Soviet Republics’ in The Celiac Scene Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 23 Jun 2017 | Celiac Disease and Your Spleen EP029 | 00:25:48 | |
Did you know that the spleen plays a leading role in a properly functioning immune system? As the largest organ in your lymphatic system, the spleen spends its time fighting infection and keeping you healthy. Unfortunately, research points to a connection between disorders of the spleen and celiac disease. And if your immune system is already compromised because of gluten damage to your intestines, a spleen issue leaves you at heightened risk for a variety of infections and autoimmune diseases. Today the Gluten Free RN shares her personal connection to genetic spherocytosis and how spleen damage affected her family. She also covers several studies that document the correlation between spleen issues and celiac disease. Listen in to understand how your spleen functions, the symptoms of spleen disorder, and the autoimmune diseases you may develop if your spleen is damaged or removed. What’s Discussed:How your spleen works to keep you healthy
Conditions you may acquire if spleen is damaged (increased risk)
Instances in which spleen may be enlarged
Symptoms of spleen issues
The correlation between genetic spherocytosis and celiac disease
How the ratio of spleen diameter to RDW can indicate celiac disease
Why patients with hyposplenism should get tested for celiac disease
Other autoimmune diseases patients with hyposplenism may develop (increased risk)
Nadine’s recommendations around nutrition
The link between hyposplenism and autoimmune manifestations of celiac disease
Why celiac patients may not benefit from iron supplements, infusions
Resources:“Ratio of Spleen Diameter to Red Blood Cell Distributions Width” in Medicine (Baltimore) “Hyposplenism in Gastrointestinal Disease” in Gut BMJ “Hyposplenism, Adult Coeliac Disease, and Autoimmunity” in Gut BMJ “Splenic Volume Differentiates Complicated and Non-Complicated Celiac Disease” in UEG Journal Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 20 Jan 2017 | Celiac Disease and Gluten Intolerance in the Elderly Population EP007 | 00:27:17 | |
In this episode of ‘Gluten Free RN,’ Nadine discusses potential signs of celiac disease and gluten intolerance in those 65 and older. Many go undiagnosed because their symptoms are dismissed as a normal part of aging. Nadine explains how nutritional deficiencies triggered by gluten intolerance can cause the elderly to acquire a list of diagnoses and medications that might not be necessary and do not address the underlying cause of degeneration. This episode outlines how health setbacks common in the older population (osteoporosis, GI issues, dementia and degenerative disease) may be symptoms of celiac disease that could be improved or even eliminated with a gluten-free diet. Listen and learn how to improve the quality of life for those 65 and up! What’s Discussed:The prevalence of celiac disease in the older population
The recommended diet for elderly celiac patients
The genes that carry celiac disease Nadine’s story
The benefits of adopting a gluten-free diet as an older adult
GI issues that may be symptoms of celiac disease and gluten intolerance in older adults How a nutritional panel can reveal deficiencies that may be caused by gluten intolerance
Why men suffering from osteoporosis and anemia should be tested for celiac disease The connection between erectile dysfunction and potential gluten intolerance
The probable link between Type 1 or 2 diabetes and celiac disease The importance of testing patients on cholesterol or blood pressure medication for celiac disease Why Nadine recommends all patients 65 and older be tested for celiac disease yearly
How the appropriate absorption of fat can help older patients with gluten intolerance “get their brains back”
The good, high-fat foods that prevent brain atrophy
Miss Gloria’s story
How identifying celiac disease and gluten intolerance in the elderly can prevent suffering and early death Resources Mentioned:Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 04 Aug 2017 | Men and Celiac Disease EP035 | 00:33:13 | |
When boys are hurt, we tell them to ‘rub some dirt on it’ and get back in the game. So it comes as no surprise that men have a tough time admitting weakness, especially to something as innocuous as a slice of bread. Perhaps this explains why celiac disease is considered a women’s issue, when in reality the male-to-female ratio is closer to 1:1. Today the Gluten Free RN discusses the large numbers of men in the US who go undiagnosed or misdiagnosed, sharing several anecdotes of patients whose symptoms resolved on a gluten-free diet. She covers the particular social challenges for men with celiac disease, the laundry list of symptoms men may encounter, and the specifics of nutrition she recommends for gluten-sensitive patients. Through it may be difficult to give up pizza and beer with the guys, it is worth the effort to go from sick and struggling to happy and healthy. Listen in and learn how to make going gluten-free simple and easy, even for men with limited culinary skills. Add bacon fat to your greens AND regain your abs with advice from the Gluten Free RN! What’s Discussed:The myth that men are less likely to suffer from celiac disease
The addictive nature of gluten
Case study of man diagnosed with pancreatitis
Common symptoms of celiac disease in men
Why men with osteoporosis and anemia together should assume they have celiac disease
Nadine’s patient with a climbing PSA (lab indicator of prostate cancer)
How Nadine’s doctor had a change of heart around celiac disease
The lack of celiac understanding exhibited by healthcare practitioners in the US Doug’s story
How gluten causes excessive gas, explosive diarrhea and constipation
Nadine’s advice around nutrition for gluten sensitive patients
The benefits of bacon
Why men may be more resistant to diet change Nadine’s advice for men on eating fresh, gluten-free food
Why subsidized ingredients are found in countless products
The social challenges for men with celiac disease
How switching from vegan or vegetarian to Paleo has affected Nadine’s male patients
Resources:The Whole 30: The 30-Day Guide to Total Health and Food Freedom by Melissa and Dallas Hartwig Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 04 May 2018 | Blood Disorders and Celiac Disease EP070 | 00:21:55 | |
If you are being treated for a blood disorder, it is time to look deeper and explore the underlying cause. Rather than simply addressing iron- or B12-deficiency anemia in isolation, ask WHY you have a deficiency in the first place. It is possible that damage to your intestines caused by gluten is preventing your body from absorbing the nutrients necessary to grow your red blood cells and keep your immune system healthy. And anemia is not the only blood disorder associated with celiac disease and non-celiac gluten sensitivity! The Gluten Free RN is taking a closer look at the hematologic manifestations of celiac disease from anemia to hyposplenism. She explains the connection between disorders of the blood and bones, offering insight around why men with both anemia and osteoporosis are also likely to have celiac disease. Nadine discusses the danger in taking H2 blockers or proton pump inhibitors for GERD long-term, describing how those medications decrease the gastric acid necessary for breaking down food. She also addresses what you can do to identify any nutritional deficiencies in your blood and reminds us why celiac patients have difficulty absorbing the nutrients necessary to form red blood cells. Listen in to understand how the skin reflects what’s happening internally and learn how to prevent a number of blood disorders with a gluten-free diet! What’s Discussed:The hematologic manifestations of celiac disease
Why iron supplements didn’t solve Nadine’s anemia
The connection between anemia, osteoporosis and celiac disease
The danger of taking H2 blockers and PPIs long-term
How to uncover potential nutrient deficiencies in your blood
The conclusions of the 2007 study in Blood
The fat-soluble vitamins
The connection between DH and celiac disease
Resources:‘Hematologic Manifestations of Celiac Disease’ in Blood Celiac Disease and Your Spleen Dr. Ben Lynch: Folic Acid vs. Folate ‘The Thrombophilic Network of Autoantibodies in Celiac Disease’ in BMC Medicine ‘Hematologic Manifestations of Celiac Disease’ in Celiac Disease— From Pathophysiology to Advanced Therapies ‘Sarcoidosis, Celiac Disease and Deep Venous Thrombosis: A Rare Association’ in Balkan Medical Journal ‘Celiac Disease Manifesting with Deep Venous Thrombosis: A Case Report’ in Govaresh ‘How Often Do Hematologists Consider Celiac Disease in Iron-Deficiency Anemia?’ in Clinical Advances in Hematology & Oncology ‘Deep Vein Thrombosis Associated with Celiac Disease’ in Bratislavske Lekarske Listy ‘Celiac Disease Presenting with Immune Thrombocytopenic Purpura’ in Case Reports in Hematology ‘Lower Extremity Deep Vein Thrombosis Associated with Gluten-Sensitivity Celiac Disease’ in Terapevticheskii Arkhiv Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal | |||
| 05 Jan 2018 | Hopes and Wishes for Celiac Disease in 2018 EP055 | 00:23:20 | |
As we ring in the New Year, many of us take the time to jot down our aspirations for the next twelve months. What are your hopes and dreams for 2018? Health and happiness? An opportunity to travel? Stronger relationships? Whether you have big plans to hike the Grand Canyon this year, or you simply resolve to get a little more sleep, it’s likely that aspects of health and wellness are a big part of your vision for 2018. The Gluten Free RN wants you to be happy and healthy in the coming year, and today she is sharing her hopes and wishes around celiac disease for 2018. Nadine offers insight on taking control of what you can, including the food you eat. She shares her wish for widespread access to high-quality food and nutritional information that is NOT influenced by corporations. She explains the need for universal healthcare, better comprehensive testing for celiac disease (performed annually), and appropriate follow-up care for patients with a celiac diagnosis. Listen in to understand why Nadine advocates for a global celiac education campaign and learn how to evaluate new information about the disease with a critical ear. Let’s get happy and healthy in 2018 so that we can pursue all of our hopes and dreams! What’s Discussed:Nadine’s wish for health, happiness and wellness
Why Nadine advocates for universal healthcare
The need for better comprehensive testing
Nadine’s hope for worldwide knowledge of celiac disease
The importance of accurate media coverage
Why friends and family should be tested every year
The value of nutritional information not influenced by food companies
Nadine’s aspiration for universal access to high-quality food
The need for appropriate follow-up care
Nadine’s insight around celiac education
Resources:Columbia University Celiac Disease Center Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 03 Mar 2017 | Getting Started on a Gluten-Free Diet EP013 | 00:27:28 | |
On this episode of the ‘Gluten Free RN,’ Nadine helps you get on the road to recovery with a gluten-free, casein-free diet. She walks you through what to expect and offers tactics that will support your success. Nadine breaks down the steps you should take to make your home a gluten-free space and ensure your comfort and health when you are on the go. She also talks you through how to carefully select food that is not just gluten-free, but also nutrient dense. Nadine explains the significance building a support system that includes a knowledgeable healthcare team and peers who’ve adopted a gluten-free lifestyle. Listen and learn how to get better, faster as you get started on a gluten-free diet! What’s Discussed:Why it is necessary to eliminate both gluten and casein
The particulars of taking a daily liquid multivitamin
How to clean your home thoroughly to remove all gluten
Why it’s important to carry snacks with you The challenges of eating out on a gluten-free, casein-free diet
How to rebuild your microbiome
What to expect in the first days of going gluten-free
How to read labels to ensure gluten-free food is high-quality
The importance of joining a support group
The necessity of building healthcare team to assist with your lifestyle transition
The benefits of keeping a diary or food log
Resources Mentioned:Nadine’s Getting Started One-Pager Connect with Nadine: Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 19 Jan 2018 | My Health and Lessons for You EP057 | 00:22:42 | |
Two and a half years ago, Nadine was inadvertently hit with gluten—three times in a row. In the past, it had taken about ten weeks for her symptoms to resolve after an accidental exposure, but this time they stuck around. It started with feeling cold. Then she began experiencing abdominal distention and pain. Her dermatitis herpetiformis returned, she was plagued with sinus congestion, and she was gaining weight. Most concerning of all, she developed pulmonary edema, a condition caused by excess fluid in the lungs. Today, the Gluten Free RN is getting real, revealing the health struggles she has been dealing with since 2015. She explains the circumstances that led to her accidental gluten exposure and recounts the ten scary nights she spent in a recliner, forced to sit up in order to breathe. Nadine takes us along on her global search for the answers that began with a practitioner in Thailand and a tiny container of damp rash lotion, and ended with a diagnosis of myxedema from a naturopath here in the States. Nadine discusses how those three consecutive hits of gluten targeted her thyroid gland and how T3 is working to resolve her symptoms. Listen in and learn how the Gluten Free RN is reclaiming her Superwoman status and how you, too, can reach your full potential with good health and wellbeing! What’s Discussed:Maslow’s hierarchy of needs
Nadine’s health struggle the past 30 months
Nadine’s search for the underlying cause
How Nadine is reclaiming her health
How a damaged thyroid gland impacted Nadine
The importance of support in getting your health back
Resources:Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 30 Jun 2017 | Small Intestinal Bacterial Overgrowth and Celiac Disease EP030 | 00:26:51 | |
Nobody wants bad bacteria, parasites, yeast or food particles hanging around their small intestine! There are a number of causes of small intestinal bacterial overgrowth (SIBO), and undiagnosed celiac disease just happens to be one of them. The Gluten Free RN is prepared to discuss the complexity of health issues celiac patients must resolve after going on a gluten free diet, one of which may be SIBO. She shares the symptoms of small intestinal bacterial overgrowth, how we test for SIBO, and potential treatments for the condition. Listen in to learn how foods and medication affect the microbiome and alter the environment of your intestines. What’s Discussed:The complexity of healing once a celiac patient goes gluten free
The causes of irritable bowel syndrome
How food, drink and medication affect your intestines
The consequences of damaged villi due to undiagnosed celiac disease
The process of healing your intestines
The symptoms of SIBO
How to test for SIBO
How SIBO is treated
Risk factors for SIBO
Resources:“Small Intestinal Bacterial Overgrowth: A Comprehensive Review” in Gastroenterology and Hepatology Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 15 Dec 2017 | Thoughts on Celiac Disease EP054 | 00:25:44 | |
In 11 years as the Gluten Free RN, Nadine has done an incredible amount of research on celiac disease and delivered more than 2,000 lectures. No question she is frustrated to see misinformation continue to make its way onto celiac support sites and Facebook groups. How does the average person sift through all the material that’s out there—material that may be influenced by corporations and pharmaceutical companies with a vested interest in the way celiac disease is perceived—to get to the most accurate information? Just in time for the holidays, the Gluten Free RN is sharing her wish list around the direction of celiac disease and non-celiac gluten sensitivity in the next ten years. She discusses the need for a global mass screening, explaining how celiac disease meets the World Health Organization’s criteria. She covers the reasons why pharmaceutical companies have no place in celiac research as well as the bad publicity the gluten-free community receives in the media. Nadine speaks to the grievous lack of education about celiac disease among healthcare providers and shares her hope for a cultural shift to support people on a gluten-free diet, explaining the role nurses can play in ending the needless suffering. She talks about why a gluten-free diet is NOT dangerous and how to make the best food choices based on your lifestyle and current situation. Listen in and get empowered to accept responsibility for your health! What’s Discussed:The need for a global mass screening
Why pharmaceutical companies should not be involved in celiac research
The misinformation about celiac disease in the media
The need to educate healthcare providers around celiac disease
Nadine’s call for support of people on a gluten-free diet
The unique position of nurses to use their influence
Why you must accept responsibility for your own health
How to avoid processed foods
Why a gluten-free diet is NOT dangerous
Resources:Freakonomics Radio: The Demonization of Gluten 2004 NIH Consensus Statement on Celiac Disease Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 14 Apr 2017 | Legal Issues Surrounding Celiac Disease EP019 | 00:29:35 | |
In Italy, it takes only two to three weeks to get diagnosed with celiac disease. In the United States, however, it typically takes nine to 15 years. Why is there such a huge discrepancy? And what are the legal ramifications for practitioners who overlook celiac disease and non-celiac gluten sensitivity, causing patients unnecessary pain and suffering? On this episode, Nadine explores the legal issues surrounding celiac disease as well as the potential reasons for delayed diagnosis in the US. She also explains the differences between universal healthcare and the for-profit system and how each appears to influence celiac diagnosis. Listen and learn what medical practitioners need to know about celiac disease and gluten sensitivity in order to avoid being sued for malpractice, the value of standardization in celiac testing and follow-up care, and how you can get involved in advocating for universal coverage. What’s Discussed:How the US health insurance system works
Why Nadine is an advocate for a single-payer system
Celiac disease diagnoses around the world
The excuses practitioners use to avoid diagnosing celiac disease
Symptoms Nadine encountered as an ER nurse that may have signaled celiac disease
Why practitioners should be concerned about malpractice suits if celiac disease goes undiagnosed
Why celiac disease needs to be part of differential diagnosis for every patient Indicators of celiac disease and non-celiac gluten sensitivity
Maladies suffered by patients whose celiac disease went undiagnosed
Why standardization of testing and follow-up care is a necessity
The story of Nadine’s 70-year-old celiac patient
Why celiac patients should consider advocating for universal coverage The differences between celiac diagnoses under universal vs. for-profit insurance systems
Resources Mentioned:Physicians for a National Health Program Mid-Valley Health Care Advocates Additional Resources:Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 24 Mar 2017 | Celiac Disease Worldwide EP016 | 00:25:46 | |
Wherever there is wheat, there is susceptibility to celiac disease and non-celiac gluten sensitivity. Gluten is a growing global problem, exacerbated by the popularity of the western diet around the world. This issue has personal, social and political implications as it places a significant economic burden on individuals, communities, and even entire nations. The Gluten Free RN brings us a ‘big picture’ perspective of the celiac and gluten sensitive population around the world, as we learn about how other countries support these individuals. She also covers the industries that have begun to recognize the power of the gluten free population as a consumer group. Nadine will be doing some globe-trotting herself come September for the International Celiac Disease Symposium in New Delhi, and she is currently soliciting advice regarding where and how to eat safely during her travels in India and Thailand. Feel free to message her with recommendations! What’s Discussed:When and where wheat originated
The International Celiac Disease Symposium
Where celiac disease is common
The basics of celiac disease and non-celiac gluten sensitivity
The World Health Organization’s “burden of disease”
How Italy supports celiac patients
Potential symptoms of celiac disease affecting every ethnicity
The power of celiac and gluten-sensitive patients as a group
Why some people are so resistant to eliminating grains
Resources Mentioned:Guns, Germs, and Steel: The Fates of Human Societies - by Jared M. Diamond Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 14 Jul 2017 | Why a Gluten Challenge is NOT Recommended EP032 | 00:19:26 | |
You don’t have to prove to anyone that you have celiac disease proper. Because food functions as both medicine and poison, it is important to have all the facts before you get talked into a gluten challenge … and the fact is, going back on gluten after you have adopted a gluten-free diet will cause organ damage. The Gluten Free RN speaks to the motivation behind doing a gluten challenge, the consequences for celiac and gluten sensitive patients, and her work as a patient advocate to discourage people from being talked into a gluten challenge. She offers a detailed risk versus reward analysis of braving a gluten challenge, explaining how the maintenance of a gluten-free diet prevents the development of celiac disease and other autoimmune disorders. Nadine also covers the unreliable nature of celiac testing in the US, where the medical community lacks savvy in interpreting results, and explains why biopsy results are no longer considered the gold standard of celiac testing. Listen in to understand the recommended diet for those who have adopted a gluten-free lifestyle and why it requires a long-term commitment. Get armed with information and protect yourself and your family from the dangerous, irreversible consequences of a gluten challenge! What’s Discussed:The gluten free lifestyle
Why you should be cautious of restaurants with a gluten-free menu
The advantages of living in the Northwest US
Nadine’s recommendations re: food options
The misguided reason why people do a gluten challenge
The value of a gluten-free diet in preventative medicine
What it means to do a gluten challenge
The consequences of a gluten challenge on celiac and gluten sensitive patients
The risks vs. rewards of enduring a gluten challenge
Why Nadine would never do a gluten challenge Why biopsy results are no longer considered the gold standard of celiac testing
Why an antibody panel can be unreliable in identifying celiac disease
How long it takes to obtain celiac diagnosis
Nadine’s advice around celiac testing
The enduring nature of celiac disease
Nadine’s nutrition guidelines for celiac patients
Nadine’s work as a patient advocate
Resources:Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 11 Aug 2017 | Safely Traveling on a Gluten-Free or Paleo Diet EP036 | 00:26:16 | |
Wanderlust. It is human nature to want to explore, to experience a geography and culture different from our own. Travel can truly enrich our lives. Yet if you have celiac disease or non-celiac gluten sensitivity, the prospect of being away from the familiar for an extended period can be intimidating. Will I be able to find a grocery store? How do I locate a gluten-free restaurant that I can trust? What do I need to bring with me to ensure that I am avoiding gluten? And what if, despite my best efforts, I am accidentally exposed to the gluten protein? No one wants their trip ruined by an unexpected illness, but you shouldn’t let the fear of gluten exposure keep you from going on an important business trip or taking that vacation you’ve always dreamed of. The Gluten Free RN has ten years of experience helping people discover that they can travel safely on a gluten-free or Paleo diet, and today she shares her recent travel experiences with you. Road trip with Nadine and learn how she locates safe restaurants, what she takes along to avoid inadvertent gluten exposure, and which apps and online resources offer the best advice for gluten-free travel! What’s Discussed:The danger of living in a bubble
Nadine’s mission to teach people how to travel safely on gluten-free/Paleo diet
How Nadine packed her cooler for a summer road trip to Boston
The challenge of eating out on the road
The fundamentals of a food desert
Nadine’s advice around locating grocery stores, fresh foods when traveling
Nadine’s tips for locating safe restaurants
The myth that heat breaks down the gluten protein
How Nadine is able to go without a meal when necessary
Who to talk to when you are eating out
Nadine’s experience at a highly-rated restaurant in Boston
Nadine’s gluten-free travel supply packing list
The best gluten-free online travel resources Why you should avoid fast food/restaurant chains that claim to have gluten-free offerings
Nadine’s upcoming River Cruise on the Danube
The food options available to the gluten-free population
Resources:International Celiac Disease Symposium Gluten Free Portland Restaurant List Amy Fothergill of the Warm Kitchen Melodies of the Danube Brochure Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 02 Jun 2017 | Celiac Disease and the Media EP026 | 00:38:49 | |
The gluten-free movement is often dismissed in the media as a fad. Even so-called experts actively discredit the gluten-free diet and apply a negative connotation to terms like PWAG. Have you ever wondered why there is so much misinformation about celiac disease and non-celiac gluten sensitivity in the media? And who sponsors the coverage that dissuades people from going gluten-free? Today, Nadine explains how the big business of wheat affects which voices we hear in media treatment of the gluten-free movement. In addition, she covers how the for-profit healthcare system in the US affects the timely diagnosis of celiac disease and non-celiac gluten sensitivity. Celiac disease is a medical, social and economic issue with political implications. Listen and learn how to choose high quality, nutrient dense foods, and leverage your power as a gluten-free consumer! What’s Discussed:Misinformation in the media
The illusion of options in the area of food production
Nadine’s rules for buying food products
The importance of reading labels
Nadine’s story
Why countries with universal healthcare take celiac disease seriously
How long it takes to be diagnosed with celiac disease (for-profit vs. universal systems)
How doctors/experts discredit gluten-free as a fad
The inaccuracy of blood tests for celiac disease
How companies profit from undiagnosed celiac patients
The prominence of wheat as a publicly traded commodity
The health risk associated with genetically modified wheat The benefits of a gluten-free diet
Nadine’s advice re: selecting gluten-free products
How to leverage your power as a gluten-free consumer
Why you cannot assume that gluten-free menu items are truly free of gluten
What a ‘gluten free’ designation means in labeling
The Gluten Free RN mission
Resources:Connect with Nadine:‘Your Skin on Gluten’ on YouTube Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 15 Sep 2017 | The History of Celiac Disease EP041 | 00:36:26 | |
Perhaps the most intriguing thing about the history of celiac disease in the US is its absence—from medical textbooks, the vast majority of research studies, and the news—from 1952 through the 1990’s. Why did celiac disease disappear from the healthcare consciousness as well as the public eye? Today the Gluten Free RN takes a closer look at the story of celiac disease, starting with the first doctor to understand it as a dietary issue back in 1888. She highlights the important progress made by pediatricians Willem Dicke who is credited with identifying gluten as the issue and Sidney Haas who honed the gluten-free diet to exclude specific carbohydrates. Nadine explores the period of time when celiac disease seemingly ‘went dark’ in the United States, discussing the handful of renegade authors and researchers who continued to study the disease despite its absence from health education. Nadine also explains the resurgence of gluten sensitivity to the public consciousness in the 1990’s, when medical professionals from abroad questioned the claim that there was no celiac disease in the US. She covers our evolving understanding of the symptoms of celiac disease and the woefully inadequate training around gluten in medical and nursing schools. Listen in to find out why the mass screening proposed by the National Institute of Health never materialized and how the for-profit healthcare system impacts celiac patients. Let’s honor the practitioners who dedicated their careers to understanding celiac disease and write our own history through celiac advocacy! What’s Discussed:The first doctor to identify celiac disease
The role of Dr. Sidney V. Haas in advancing celiac treatment
The conclusions of a New York Times article from May of 1950
The grains that contain gluten
How Dr. Willem Dicke developed the gluten-free diet
The myth that celiac is a childhood disease
Elaine Gottschall’s work in developing the Specific Carbohydrate Diet
The elimination of celiac disease from medical training
The Paleo diet Nadine suggests for celiac and gluten-sensitive patients
Hilda Cherry Hill’s 1976 book Good Food, Gluten Free
The classical symptoms of celiac disease
The expanded picture of how celiac disease may present
The genes that indicate a predisposition to celiac disease
How recognition of celiac disease resurfaced in the 1990’s
The 2004 NIH Consensus Statement on Celiac Disease
How the US for-profit healthcare system impacts celiac patients
Nadine’s advice for celiac patients around choosing healthcare providers
What has changed since the NIH Consensus Statement in 2004
Dr. Rodney Ford’s role in celiac advocacy
Nadine’s guidance for vegetarians and vegans
The vulnerable populations particularly at risk for celiac disease and non-celiac gluten sensitivity
Resources:“Celiac Disease: Most Children are Now Cured but Cause is Still Unknown” in The New York Times Management of Celiac Disease by Sidney Valentine Haas and Merrill Patterson Haas “Whatever Happened to the Cure for Coeliac Disease? in Nutritional Therapy Today “The Erie Country Survey of Long-Term Childhood Illness” in the American Journal of Public Health Good Food, Gluten Free by Hilda Cherry Hills Dr. Alessio Fasano’s 2003 Celiac Study 2004 NIH Consensus Statement on Celiac Disease Gluten: ZERO Global by Dr. Rodney Ford International Celiac Disease Symposium “Small Intestinal Mucosal Abnormalities in Relatives of Patients with Dermatitis Herpetiformis” in Gut “Adult Coeliac Disease and Other Disorders Associated with Steatorrhoea” in the British Medical Journal The University of Chicago: Celiac Disease Facts and Figures “A History of Coeliac Disease” in Digestive Diseases “Dermatitis Herpetiformis in Two Patients with Idiopathic Steatorrhoea” in the British Medical Journal Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 22 Jun 2018 | A Nurse’s Story of Celiac Disease from 1953 EP074 | 00:19:45 | |
What did we know about celiac disease in 1953? The truth is, we knew quite a bit about sensitivity to gluten 65 years ago when Matilda Babbitz’s son Bobby was diagnosed with celiac disease. A nurse by profession, Matilda carefully observed her baby and kept detailed records of his reactions to foods, working with doctors to determine an appropriate diet for Bobby. Today, the Gluten Free RN is sharing an article published in the March 1953 edition of the American Journal of Nursing written by Matilda herself. She covers how Bobby presented with celiac disease at six months of age and the dramatic change in his health and behavior after a diet change. Nadine discusses the systematic approach Bobby’s healthcare team took in creating a custom diet, the relationship between the baby’s irritability and his inability to digest food, and his growth and development before and after treatment. She also addresses the misunderstanding that children will ‘grow out of’ celiac disease, explaining that we’ve since learned patients must adhere to a 100% gluten-free diet for life. Listen in for insight around what we can learn from past case studies of celiac disease and understand what we already knew about celiac disease back when Eisenhower was president and Gentlemen Prefer Blondes was on the big screen! What’s Discussed:How Bobby presented with celiac disease at six months of age
The dramatic change in Bobby’s behavior after a diet change
The new pediatrician’s approach when Bobby’s progress stalled
The relationship between irritable behavior and the inability to digest foods
Bobby’s growth and development before and after diagnosis
How Bobby’s mother dealt with social pressure to eat with others
The chronic nature of celiac disease
Nadine’s insight around what we knew about celiac disease in 1953
Resources‘Bobby Has Celiac Disease’ in the American Journal of Nursing Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Heal Subscribe to The Gluten Free RN Podcast: | |||
| 12 Jan 2018 | Celiac Disease for Nurses EP056 | 00:35:59 | |
Celiac disease is messy. It can develop at any age, in any ethnicity, in both men and women, with any symptom or no symptom at all. Every patient is different, and each one presents differently. There is nothing cut and dried about celiac disease, except that a 100% gluten-free diet is necessary for healing. Nurses are in a unique position to make sense of this chaos and advocate for patients, recognizing possible celiac disease and non-celiac gluten sensitivity and recommending appropriate testing when necessary. Today, the Gluten Free RN covers the basics of celiac disease for nurses, explaining the frequency with which the disorder is misdiagnosed or goes undiagnosed for years. She walks us through the testing required for a diagnosis of celiac disease proper, who should undergo testing, and why one negative test doesn’t rule out the disease. Nadine speaks to the 300-plus signs of celiac disease, reviewing the most common symptoms and the overlap between celiac disease and autoimmune disorders like type 1 diabetes. She also shares the discouraging statistics around the impact of undiagnosed celiac disease on fetal development and maternal health. Listen in to understand why Nadine encourages fellow nurses include celiac disease as part of their differential diagnosis, providing gluten-sensitive patients with a safe, gluten-free environment and a higher quality of life! What’s Discussed:The frequency with which celiac disease is misdiagnosed or goes undiagnosed
The challenges around getting a diagnosis of celiac disease proper
The chronic nature of celiac disease
The 300-plus signs and symptoms of celiac disease
Why celiac patients must be tested for potential nutritional deficiencies
The detrimental impact of undiagnosed celiac disease on fetal development, maternal health
Where gluten is hiding
Who should be tested for celiac disease
Why one negative test doesn’t rule out celiac disease
How a gluten-free diet can benefit children with stunted growth
Resources:Celiac Disease and Non-Celiac Gluten Sensitivity for Nurses Recognizing Celiac Disease: Signs, Symptoms, Associated Disorders & Complications by Cleo J. Libonati Connect with Nadine:‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||
| 03 Feb 2017 | Regain and Maintain Your Health with a Paleo Diet EP009 | 00:36:38 | |
Nadine shares how changing her eating habits had an incredibly positive impact on her health as she went from feeling better on a gluten-free diet to feeling fantastic on her own variation of a Paleo diet. Nadine gets specific about the foods you can and cannot eat and the incredible health benefits of going Paleo. Listen in and learn how to get back the health you deserve by focusing on good food! What’s Discussed: The foods to avoid on a Paleo diet The foods you can eat on a Paleo diet Nadine’s story The concept of food as medicine
Where to locate organic fruits and vegetables and meat with no antibiotics/no hormones The health benefits of a Paleo diet
The importance of sleep hygiene
Why fat is essential in absorbing nutrients
The best sources of fat for nutrient absorption
Resources Mentioned: The Paleo Solution: The Original Human Diet by Robb Wolf Practical Paleo by Diane Sanfilippo The Paleo Approach: Reverse Autoimmune Disease and Heal Your Body by Sarah Ballantyne Midway Farms http://www.midwayfarmsoregon.com/ Connect with Nadine: Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
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| 10 Mar 2017 | Recommended Labs and Follow-up for Celiac Disease and Gluten Intolerance EP014 | 00:34:55 | |
Freeze your poop and mail it to Texas! In all seriousness, a stool analysis can offer vital information about your body’s absorption of fat and nutrients, and today the Gluten Free RN explains the significance of knowing your fecal fat score and other baseline labs that can offer clues about how gluten has adversely affected your health. Nadine outlines recommended labs for celiac disease and gluten intolerance, discussing how each test can inform the way you tweak your diet or add necessary supplements to your health care routine. She also reviews the importance of follow-up labs to track how you are healing and help you get better, faster! What’s Discussed:The importance of standardization in celiac testing and follow-up labs Things to consider re: the results of a celiac panel
Why a “gluten challenge” is dangerous
Additional tests that can offer valuable information
How to obtain reimbursement for labs Why a diet change is preferable to medication in lowering cholesterol
What a stool analysis can tell you about your microbiome Why you should avoid food allergy testing in the first year of a gluten-free diet Resources Mentioned:Connect with Nadine:Books by Nadine:Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism | |||