The Celiac ActionLine
Celiacs Helping Celiacs
Vol. VI, Num. 2 from April 1996
Celiacs of Orlando
Gluten Intolerance Group of Florida
Publisher/Writer: Mike Jones, 12733 Newfield Drive, Orlando, FL 32837,
(407) 856-3754 Internet: mjones@digital.net
Editor: Mary Kump, 3190 Village Park Drive, Melbourne, FL
32934, (407) 254-2034
Hospital Liaison: Patricia A. Gillen, Cape Canaveral Hospital, PO Box
69, Cocoa Beach, FL 32931, (407) 799-7187
..................................................
: Inside This Issue Search For :
: ----------------- ---------- :
: In Remembrance . . . . . . . . . . . =1= :
: News Highlights . . . . . . . . . . . =2= :
: Internet . . . . . . . . . . . . . . =3= :
: Medical Information . . . . . . . . . =4= :
: Product Information . . . . . . . . . =5= :
: Hidden Gluten . . . . . . . . . . . . =6= :
: Cooking . . . . . . . . . . . . . . . =7= :
:................................................:
This newsletter is published in January, April, July, and October.
Definition: Celiac disease (CD) is used to reference the general
requirement to avoid gluten in the diet. The terms replaced are: celiac
sprue, coeliac disease, dermatitis herpetiformis (DH), and gluten
sensitive enteropathy (GSE). Except for direct quotations and medical
reference to a disease, CD will be the universal term used in this
newsletter.
============1============ In Remembrance
The Celiac community lost a close and dear friend on February 19, 1996
with the death of Elaine Hartsook, Ph.D.,R.D. at the age of 50 She was
the President and CEO of the Gluten Intolerance Group of NA. Elaine was
extremely respected for her activities in creating a medical awareness of
celiac disease. Through her attention to details, membership on national
advisory boards and her wonderful style of presenting information to
anyone that would listen, an awareness of Celiac Disease was starting in
the US. Elaine was often the first contact many celiacs had with anyone
after diagnosis and her knowledge made the transition to the GF diet a
simpler process. Many will remember her presentations aboard the Celiac
Experience. During these talks, we could never get enough of her time
for all of our questions.
She is surived by her husband Melvin Hartsook; Children, Crystal and
Jaymin; mother, Lee Gill, father, Willard Stanton; brother, Thomas
Twilligear; sisters, Ann Batson and Betty Solders.
Memorial may be sent to GIG of NA, PO Box 23053, Seattle, WA 98102 which
will continue her work for the benefit of all celiacs.
============2============ News Highlights
A. Vendor's GF Products will be exhibited at a food fair on June 9th at
Cape Canaveral Hospital. GIG of Florida and its members are hosting this
informative demonstration of products from the major vendors. This is
your opportunity to observe and taste many of the products that have been
mentioned in this newsletter. The fair starts at 1:30. For details
contact any of the GIG members.
B. _The Gluten-Free Gourmet Cooks Fast and Healthy_ by Bette Hagman
will be published in July by Henry Holt in the US and Fitzhenry &
Whiteside in Canada. This third book by Bette delivers again with over
275 great-tasting recipes that are low in fat and quick and easy to make.
ISBN 0805039805.
The book will not be available until July, but the publisher is shipping
advanced orders.
C. GIG of NA's annual conference is April 28, 1996. The presentations
are: _The Challenges of Diagnosing and Testing CS_ by Dr. Richard
Driscoll, _The Issues of Living with a Chronic Illness_ by Dr. Arthur
Louis, _Cooking with Alternate Flours_ By Bette Hagman, _Nutritional
Concerns of the Newly Diagnosed_ by Cynthia Roulette. For registration
or additional details contact GIG of NA, PO Box 23053, Seattle, WA 98102-
0353, phone (206) 325-6980.
D. Nutritional and Medical Interventions for ADD and Autism conference
The AIA-USA (Autism, Intolerance & Allergy Network), in conjunction
with FAUS (the Feingold Association of the United States) and the
DDR (Developmental Delay Registry) is holding its first
collaborative conference. It will be conducted at The Enclave
Suites in Orlando, Fla. For further information contact Judy
Schneider at: 718-987-7776. Dates in 1996 are: FAUS Session June
25-27, AIA-USA Session June 28, DDR Session June 29.
E. Canadian Celiac Association Annual Conference is May 31 through June
2 in Montreal QC, Canada. A few of the sessions are:
Controversies on the Dietary Management of CD by Dr. Ernest Seidman,
The Changing face of Osteoporosis by Dr. Alan Tenehouse,
Sugar Intolerance: Relevance for the Celiac Patient by Dr. Mishkin.
For additional details contact: Don McIntyre, 464 Coronet, Beaconsfield,
QC H9W 2E7, phone (519) 694-5242.
F. The Finland International Symposium, Sept. 5-7 1996 in Tampere,
Finland will be bring together the largest number of celiac experts in
the last few years. Some of the topics are: New Diagnosis strategy to
find CD, DH: From Gut to Skin, Malignancy and CD. For details contact:
Pekka Antilla, Tampere Congress Partners, PO Box 693, 33101 Tampere.
G. The Food Allergy Network is a wonderful organization that acts as an
excellent liaison between the consumer and many of the major food product
companies in the US. One of their greatest services is their product
alert that is funded by the producing company of a product. These alerts
are critical for those with serve allergies, i.e. shellfish, peanuts,
etc. The change last year in Pringles Potato Chips to announce the
addition of wheat starch was distributed this way. They now have a WEB
site on the Internet for these alerts and other information. The address
is: http://www.foodallergy.org
H. Can a Food-Allergic Child be Denied Attendance at School?
Fortunately, the answer is No. According to Ellie Goldberg, M.Ed.,
an educational rights specialist, "Federal law P.L. 93-112, the
Rehabilitation Act of 1973, Section 504, prohibits discrimination
in education or employment on the basis of handicap in any program
or institution receiving federal funds. A handicap is any condition
affecting one or more body systems that substantially limits one or
more major life activities, such as eating or breathing.
"Furthermore, the US Department of Agriculture Child Nutrition
Program requires federally funded school breakfast, snack, and
lunch programs to provide special meals or menu substitution at no
extra charge to students who have a doctor's written instructions
regarding (1) the student's medical or other special diet
restriction and (2) which food or ingredients are to be omitted
from the child's menus and which food choices or ingredients may be
substituted." (1)
============3============ Internet
A. Bread Baker Digest may be just the perfect item for serious bread
makers. The majority of the recipes are not GF but the tips may be very
helpful for those willing to experiment. To subscribe, send the message
subscribe bread-bakers-digest to majordomo@lists.best.com.
B. Tax Deductions for Celiac Conferences: According to Internal Revenue
Code Section 213, travel expenses that may be deducted are those
"primarily for and essential to medical care . . ."
Regulation 1.213-1(e)(1)(i) defines medical care as "the diagnosis,
cure, mitigation, treatment, or prevention of disease."
Depending upon how aggressive or conservative one wishes to be, one
could interpret this to mean that meetings that educate individuals
in the prevention of a disease are expenses incurred in the
mitigation or prevention of disease. All of the case law that I
saw dealt with travel to warmer climates, not to medical meetings
and conventions.
Some practitioners might be inclined to take a somewhat aggressive
approach and play the audit lottery, while advising their clients
that there is risk in taking the deduction. Before taking a
deduction, however, it is only prudent to consult with your tax
advisor. (2)
C. The CODEX Standard allows the maximum presence of gluten in gluten-
free foods of 200 ppm. This International standard is not followed in
the US.
D. Australian GF Products: In Australia food labeling for Gluten is now
under control and in 1994 our National Food Authority endorsed by the
Coeliac Society of Australia, the Australian Gastroenterology Institute
and the Dietitians Association of Australia published the mandatory
guidelines for food sold as Gluten Free. Prior to this ruling, food could
be sold as GF which contained less than 0.03%, which I gather is the
International standard. The lead-in period for the new guidelines was one
year. Incidentally, our National Food Authority is a federal government
organization responsible for developing national food standards.
Changes to the Australian Food Standards Code require that: Food labeled
as "gluten free' must not contain any detectable gluten. Foods labeled as
'low gluten' must not contain more than 0.02% gluten. A panel providing
nutrition information is required if a food is described as being a
gluten free or low gluten food.(This includes information on Energy,
Protein, Fat, Carbohydrates, Gluten, Sodium and Potassium, per serve and
per 100 grams). (3)
E. People with mysterious neurological ailments such as lack of
coordination or muscle weakness may need to inspect their dinner for a
cause, doctors working in Britain said Friday.
They found strong links between unidentifiable neurological
disturbances and a sensitivity to gluten, which is found in wheat,
rye and barley. A severe sensitivity to gluten, found in coeliac
disease, can cause damage to the intestine. Coeliacs cannot absorb
certain nutrients and vitamins and the disease is associated with
neurological problems. Sufferers must avoid all wheat, rye and
barley products -- including flour, bread and pasta -- for their
entire lives. Dr. Marios Hadjivassiliou and colleagues at the
Royal Hallamshire Hospital in Sheffield decided to test people with
undiagnosed neurological symptoms to see if they had a sensitivity
to gluten. They found that 57 percent of those with neurological
problems of unknown cause also had antibodies to gliadin, which is
a component of gluten. Sixteen percent of them had coeliac disease,
a much higher level than normally found.
Five percent with diagnosed disorders such as Parkinson's disease
had the antibodies, while 12 percent of a group of healthy controls
had them, they reported in the Lancet medical journal.
"This seems to be more common than people think," Hadjivassiliou
said in a telephone interview. "Up to at least one in 250 people
may well have coeliac disease. If you include people that have
anti-gliadin antibodies, who may not necessarily have coeliac
disease but have gluten sensitivity, then the numbers get even
higher." He said most of the patients with the anti-gliadin
antibodies did not have other symptoms of coeliac disease such as
poor absorption of vitamins. He said the anti-gliadin antibodies
may mistakenly take neural tissue and attack and destroy it. This
would explain why some coeliacs do not get better even when they
stop eating gluten -- sometimes the nerve damage could be
permanent.
"The next step is to see if we eliminate these antibodies from
these people, by sticking to a gluten-free diet, see what happens
to their neurological illness," Hadjivassiliou said. In any case,
Hadjivassiliou recommended that doctors test for gluten sensitivity
in patients showing up with unexplained neurological problems.
"It's a very easy test to do, a very useful screening test," he
said. (4)
============4============ Medical Information
Much medical information is of no interest to celiacs, but articles are a
simple way to explain an issue to a medical professional. These extracts
are handy references to show your physician, in his technical language,
what research has been documented throughout the world. When you
encounter a similar problem or if you have a physician willing to learn
from a patient, share these articles for the benefit of all concerned.
A. A Lupus Registry and Repository has been established for obtaining
information from families with two or more diagnosed family members with
Lupus. The study may identify the genes that determine a high
susceptibility. If you are interested contact: Ms Ida Adams, Oklahoma
Medical research Foundation, Oklahoma City, OK, (800) 522-0211 E7479. (5)
B. Autoimmunity Disease in the US effects 20 % of the population
according to AARDA. Of these, the majority are women. (6)
C. Fibroyalgia and Hypothyroidism is reported by one clinician to be
one of the many faces of hypothyroidism. the clinical features of
vitiligo, water retention, hypothermia, weight gain, cold sensitivity,
dry skin, muscle weakness, arthritis, hypertension, slow heart rate, and
constipation are common to both.
. . . Briefly with regard to treatment, patients need to be started on
thyroid hormone, T4. (7)
D. Study on the prevelance of CD in the US
ENDOMYSIUM ANTIBODIES IN BLOOD DONORS PREDICTS A HIGH PREVALENCE
OF CELIAC DISEASE IN THE USA. T. Not, K. Horvath, I.D. Hill, A.
Fasano, A. Hammed, G. Magaz. Division of Pediatric Gastroenterology
& Nutrition, University of Baltimore School of Medicine, *The
Bowman Gray School of Medicine, Winston-Salem, University of
Messina, Italy.
Several epidemiological studies in Europe using antigliadin (AGA)
and endomysium antibodies (EmA) for initial screening report the
prevalence of celiac disease (CD) to be about 1:300 of the
population. EmA is most reliable for screening with greater than
99% positive predictive value in subsequent biopsy proven cases.
There are no comparable scientific data for the USA yet and CD is
considered rare in this country. Lack of awareness could result in
significant underdiagnosis of CD in the USA.
Aim: To determine the prevalence of positive serological tests for
CD in healthy blood donors in USA.
Methods: Sera from 2000 healthy blood donors were screened for IgG
and IgA
AGA using ELISA test. All those with elevated AGA levels (IgA >18
units or IgG >25 units) and those with high normal levels (IgA 10-
18 units or IgG 15-25 units) were tested for EmA by indirect
immunofluorescence using both monkey esophagus (ME) and human
umbilical cord (HUC).
Results: The mean age of blood donors was 39 yrs with 52% being
men, 87% being Caucasian, 11.5% African American and 1.5% Asian. 95
(4.75%) of subjects had elevated AGA levels (IgG and/or IgA). A
total of 44 (2.2%) had an elevated IgA AGA. Of these, 7 were also
positive for EmA. No patient with only raised levels of IgG AGA was
positive for EmA. Of the subjects with high normal AGA levels, one
(IgA 12 units, IgG 1.8 units) was positive for EmA. Among the total
of 8 subjects with elevated EmA levels, seven were Caucasian and
one was African American. There was a 100% correlation between ME
and HUC for positively (8 samples) and negativity (288 samples).
Conclusions: The prevalence of elevated EmA levels in healthy blood
donors in USA is 1:250 (8/2000). This is similar to that reported
from countries in Europe where subsequent small intestinal biopsies
have confirmed CD in all those with EmA positively. Based on a
positive predictive value of >99% for CD in patients with elevated
EmA levels, it is likely that the 8 blood donors identified in this
study have CD. These data suggest that CD is not rare in the USA
and may be greatly underdiagnosed. There is need for a large scale
epidemiological study to determine the precise prevalence of the
disease in the USA. (8)
E. Clinicopathological Exercise of a 74-year-old woman admitted to the
hospital because of diarrhea with recurrent dehydration and severe weight
loss. This interesting discussion of the diagnosis process on pages 383
- 389 of the August 11, 94 issue of the New England Journal of Medicine
shows the diagnosis process for CD. This discussion is informative on
the process that physicians must go through in eliminating other
disorders. (9)
F. Celiac and Teens is an area of considerable differences on the diet
between teens and their parents. The majority of physicians state that
CD is a lifelong disease with the only treatment being the GF diet. But
this is hard to use on a teenager who inadvertently cheats and then
realizes that he or she do not have any symptoms.
G. The Spring 96 issue of the Canadian Celiac Association newsletter had
an excellent discussion of this subject derived from a Montreal
conference in June 1995 titled First Ste-Justine Hospital International
Symposium on Pediatric Gastroenterology and Nutrition.
The key points from the article were:
To have celiac disease and follow the GF diet is to be healthy
despite having a permanent disease.
A celiac cannot assume to be in full remission after eating gluten
for a few months or years without a biopsy. This biopsy should be
repeated every 2 to 3 years for follow-up.
Most celiac children who appear to be in remission because they
have no symptoms are still sensitive to gluten as shown by the flat
mucosa
For some unexplained reason, some will take years on a gluten
containing diet for the flat mucosa to appear. (10)
============5============ Product Information
A. Gillian Foods is the new name for GILLIANS FRENCH ROLLS. The address
is 145 Proctor Ave., Revere, MA 02151 (617) 286-4095 or Internet:
R357BOBO@aol.com
B. Eating Out: Lemon Juice can be used a wonderful salad dressing when
eating out. Also, when selecting your meal, there is nothing wrong with
asking for things like a fruit plate or bake potato when they are not on
the menu. the worst that can happen is that they will say no, but you
may be lucky.
C. Celia Cooks, new catalog includes three different shelf-stable heat-
and-serve entrees. These prepared meals need no refrigeration. One of
these lightweight packages can be tossed into a briefcase or backpack, or
kept as part of an "emergency food kit" in the trunk of a car.
The vegetarian dishes are produced by a manufacturer of international
vegetarian dishes. Celia Cooks offers three dishes --vegetables in cream
sauce, lentil chili, and curried garbanzos and potatoes. Celia Cooks
state that they have worked hard to understand the gluten-free diet, and
every box carries the 'gluten-free' label.
The mail order company, which specializes in finding gourmet meals,
condiments and snack foods for the gluten free diet, has added other new
products. The catalog describes a variety of gluten-free pasta, along
with quick Alfredo, pesto, Oriental or Marinara sauces. Other new
offerings are gluten-free steak sauce, marinades, crunchy sweet potato
snack chips, lentil crackers, and regular and sugar-free confections.
The phone number is (800) 717-0005. Email orders or inquiries to
(CeliaCooks@aol.com). Mail orders can be sent to their new address: PO
Box 2698, Darien, CT 06820.
D. Colonial Gardens Kitchens has a donut baker: It is Teflon coated,
works well with GF flours (add 1 tsp. xanthan gum to recipes) and they
taste great. It's less fattening because the donuts are baked. In 3
minutes you get six mini-donuts (the size of the hostess ones). One
current user recommends to double the batch as they freeze well. The
maker (which is like a waffle iron...hinged with depressions on both
sides) can be ordered from Colonial Gardens Kitchens (800-245-3399).
E. Tone's Spices located in Ankeny, Iowa has available a listing of
their GF spices. The list is 6 pages long. For your copy call them at
800-964-8663.
F. The Gluten-Free Pantry has added several new products. They are: an
additional Zojirushi bread machine, the model BBCC-Q20 for $195.00;
Blanched Almond flour; and Powdered Egg Whites. The address is: PO Box
881, Glastonbury, CT 06033, for orders (800) 291-8386, for inquires (860)
633-3826.
G. Authentic Foods is introducing a New BREAD MIX made from Bean Flour.
It can be used in bread machines or baked in the oven. It taste like
real bread, does not crumble, will slice thinly for sandwiches and does
not need to be toasted, and its guaranteed or your money back. To make
this bread you add 1 egg, 2 tablespoons of Oil, 1 1/2 cups of warm water,
and 1 1/2 teaspoons of dry yeast. In the next few months there are plans
for a raisin bread and a sour dough bread. For more information contact
Authentic Foods, PO Box 48813, Los Angeles, CA 90048, Phone (213) 934-
0424 or 800-806-4737, Email: YPPR94A@PRODIGY.COM
H. Tony Roma's reports that the following items are free from wheat
gluten, wheat based vinegar products and do not contain any wheat, rye,
barley, or malt: Tony Roma's barbecue sauce (Original, Carolina Honeys,
Red Hots, Blue Ridge Smokies), Cole slaw dressing, all salad dressings,
and Ranch style beans.
I. Van's Toaster Waffles are now available in another GF version,
Blueberry. They are available from health food stores and some large
grocery stores. There are also, dairy, egg, and yeast free.
J. Diamond Crystal Specialty Foods produces a tasty, GF fortified
pudding. These ready-to-use 4.25 oz single serve containers are
available in Vanilla, Chocolate, and Butterscotch. Currently they are
only available through health care channels, but if you are admitted to
the hospital, they are a wonderful GF supplement. The company address is
10 Burlington Ave, Willington, MA 01887, phone (800) 225-0592.
K. MedicI.D. is a personalized medical information necklace or bracelet
that is available for $9.95 plus 1.95 s&h. This is the fourth item of
this nature. The ActionLine previously reported on the other companies
with accessories for informing medical personnel of your medical history.
L. Fosamax is a recently approved medication for the treatment of
osteoporosis from Merck. Drugs of this type has the potential for
avoidance of bone loss by celiacs. There is conflicting information
about the GF status from the company. When questions are asked about the
ingredients, the company states that it is GF. When a question is asked
about gluten, they state that 0.5% gluten is allowed to be in this
product. This assumption is creating a problem in the use of the product
by celiacs; if it is used to state the status of products from the
company. The ActionLine is awaiting information from the company to
resolve this issue. If you are using this product do not discontinue it
without consulting your doctor. Normally, The ActionLine recommends when
in doubt to leave an item out of the diet, but in this case the initial
evidence weights towards its status as being GF.
M. MSG sensitivity is not a unique celiac problem, unless it is produced
from a toxic source. The majority of MSG used in the US does not create
a problem for celiacs. For those with an MSG sensitivity, here are some
label terms that indicate the presence of MSG: monosodium glutamate,
autolyzed yeast extract, hvp, potassium glutamate, sodium caseinate,
broth, natural or artificial flavoring.
============6============ Hidden Gluten
Whenever a product or ingredient is identified as a possible source of
gluten-contamination it will be highlighted in this section. Some
products contain a minute amount of gluten and may not have a noticeable
physical affect, but may cause internal damage. is the ActionLine's
goal. Medical research has established one standard for damage to the
gut, but it is still unknown how much gluten or if repeated exposure to
small amounts of gluten will increase a celiacs' chance of certain
cancers or cause subtle changes, such as lassitude and depression.
Nebulous terms must be researched until a satisfactory answer is obtained
that the item is free of any toxic protein. When those terms are found
on a label, we must routinely verify that it has not changed. If
adequate information is obtained and fellow celiacs do not report any
adverse reactions, those products should not be left out of your diet.
Some celiacs limit labels with nebulous terms to only a few products, in
order to reduce the amount of time spent on routine verification. When
in doubt leave it out, is the best course of action.
Gluten can be added to a product as an ingredient, through cross
contamination, or as a result of the manufacturing process. When all
gluten is kept out of a celiac's diet, the best quality of life is
enjoyed. Each person must determine their preferred life style and how
careful they will be in avoiding hidden toxic proteins.
A. La Choy Soy Sauce now has wheat listed as an ingredient on newer
bottles of the soy sauce. (11)
B. Burger King is currently testing a new french fry in several markets
which includes wheat protein (gluten) and whey. For further information,
call Burger King (305-378-3535) .
C. Louis Rich Turkey Summer Sausage is the correct name for the product
mentioned in the January 96 issues of The ActionLine. It was removed
from the company's GF list.
D. Rice Noodles were traditionally made from rice flour. There are
different styles available but routinely they are called rice noodles. A
recent review of the Orchids brand, showed these ingredients on the
label: Rice Flour, Corn Starch, Flour. Since Flour is now the third
ingredient all rice noodles should be inspected to determine if all
ingredients are GF.
E. PREVALEAN is a nutritious and low fat combination of cherries in a
hamburger mixture that is used in some Michigan school lunch programs.
Unfortunately it contains oat bran and oat fiber. (12)
============7============ Cooking
Each person must evaluate all recipes prior to use. Many inappropriate
products are included in cookbooks. The inappropriate products may be
the result of a local brand that is GF, the product may be homemade, or
the GF status may have changed.
A. Best Foods the maker of Argo Cornstarch box once again has available
two pamphlets for those with Allergy or Sensitivities. The recipes use
corn starch in most items. They are titled: "When there's an ALLERGY or
SENSITIVITY and "Recipes for people with GLUTEN INTOLERANCE'. They are
available by calling the company at 800 338-8831.
B. Bread Machine Recipes in the Oven is simple, thanks to the
conversions tricks from our friends at Red Star Yeast. These tips are
from their new recipe pamphlet.
Yeast may be used cold. All other ingredients should be at room
temperature (70 -80 deg F.)
Combine the dry ingredients in a mixing bowl and whisk together
before adding to the bread pan.
All dry ingredients, include the Red Star Active Dry Yeast, should
be thoroughly blended together before adding on top of the wet
ingredients. Mixing them together in a bowl with a wire whisk or
shaking together in a gallon-size locking bag is suggested.
Gluten-free flours are very fine and need to be well blended.
Using a mixer, beat ingredients about 10 minutes.
Check appearance of dough (paragraph 3).
Pour batter into greased bread pan.
Allow batter to rise approximately 1 hour.
Bake at 375 deg. for 45 to 60 minutes; use toothpick to test for
doneness.
C. Sandwiches without Bread ideas were published in the April 23, 1995
issue of Parade Magazine.
Tuna topped with alfalfa sprouts and melted cheese on a rice cake
Corn tortillas stuffed with ham, cheese, and chopped Romaine or
Boston lettuce. A little mayonnaise may added as an optional
ingredient was recommended by John Lutens
D. Chocolate Walnut Crumb Bars adapted by Mary Lou Thomas
1 cup butter 2 cups Semi-Sweet Chocolate Morsels,
divided
2 cups Gourmet Blend Flour 1-1/4 cups sweetened condensed milk
1/c cup sugar 1 tsp. vanilla extract
1/4 tsp. salt 1 cup chopped walnuts
Beat butter in a large mixer bowl until creamy. beat in flour, sugar,
and salt until crumbly. With floured fingers, press 2 cups crumb mixture
onto bottom of a greased 13x9-inch pan; reserve remaining mixture. Bake
in a preheated 350 degree oven for 10 to 12 minutes or edge are golden
brown.
Warm 1-1/2 cups morsels and milk in a small saucepan over low heat,
stirring until smooth. Stir in vanilla. Spread over hot crust.
Stir walnuts and remaining morsels into reserved crumb mixture; sprinkle
over chocolate filling. Bake in 350 degree oven for 25 to 30 minutes or
until center is set. Cool.
========================= Disclaimer
All recommendations, information, dietary suggestions, menus, and recipes
promulgated by this newsletter are intended for the benefit of our
readers and the general public. No liability is assumed for the use of
this information by GIG of Florida or Celiacs of Orlando. Individuals
should consult with their personal physician before following any medical
recommendations mentioned in this newsletter. Opinions expressed are
those of the authors and are not necessarily endorsed by GIG of Florida
or Celiacs of Orlando. Products mentioned or omitted do not constitute
endorsement.
If you find a grammatical error in this publication, please consider that
it is there as a result of a typing error or to make people happy who are
always looking for mistakes. If you find a technical mistake, please
report that information so that the correction may be passed along to the
readers. Original material used in The ActionLine is placed in the
public domain for the benefit of all celiacs. The information is not
copyrighted to facilitate exchange of celiac information and thoughts.
___________________
1. Food Allergy Network WWW page educator
2. Celiac Listserv, Howard J. Kass, CPA aa648@cleveland.freenet.edu
3. Celiac Listserv posted by Richard Lockley
4. Celiac Listserv Feb 8, 1996
5. _IAMES Establishes Lupus Registery and repository_, AARDA,
INFPCUS,S, Vol 4, Num 1, Winter 96, pg. 5.
6. _Antibodies in Families_, AARDA, INFPCUS,S, Vol 4, Num 1, Winter
96, pg. 4
7. _Please Treat Fibromyalgia as the Hypothroidism that it is_, AARDA,
INFPCUS,S, Vol 4, Num 1, Winter 96, pg. 5
8. The abstract will be published in the April issue of
Gastroenterology.
9. CDF Newsletter, Vol 6-1, Winter 96, pg. 5. _the name game_, SHAPE
March 96, pg. 41.
10. The Sprue-nik Pres, Vol, 5-2, Feb/Mar 96, pg. 6.
11. The Sprue-nik Press, Vol 5-3, April 96, pg. 4.
Feedback to the Listowners.