THE SPRUE-NIK PRESS

        Published by the Tri-County Celiac Sprue Support Group,
        a chapter of CSA/USA, Inc. serving southeastern Michigan

Nineteenth Edition                                          April 1995
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          ..................................................
          : What's Inside                       Search For :
          : -------------                       ---------- :
          : Miscellaneous Notes  . . . . . . . . .   -1-   :
          : Food Allergy Meeting . . . . . . . . .   -2-   :
          : Stress-Reducing Lifestyle Changes  . .   -3-   :
          : "Snippets From The Celiac ActionLine"    -4-   :
          : Recipe Page  . . . . . . . . . . . . .   -5-   :
          :................................................:


Disclaimer
Miscellaneous Notes: ---------1---------- This year's CSA/USA conference will be held in San Francisco, on October 6-8. The American Celiac Society is holding their conference on July 14-15 in Baltimore, Maryland. The new TCCSSG Cookbooks are now available for $10 at a group meeting, or for $12 if you have one mailed to you. Baking Tip: Do you have a favorite brownie recipe that you can't have as a celiac? If flour is the only ingredient that contains gluten, then you can convert it to a GF recipe. Just replace the flour with Bette Hagman's GF mix and a teaspoon of xanthan gum. Argo GF Recipes: The makers of Argo Corn Starch provide fat-free recipes, usage tips, and gluten-free recipes to anyone who asks. Call 1-800-344-2746 for more information. More Corn Starch Recipes: The Dial Corp., makers of Cream Pure Corn Starch, has a free recipe book. (Not all recipes are necessarily gluten free.) Call 1-800-528-0849 for more information.

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Food Allergy Meeting ----------2--------- summarized by Kathy Davis Recently I had the opportunity to attend the first meeting of a new group. This was a meeting held in Plymouth for people with allergies to food. For me it was nostalgic to sit at this meeting and remember our very first TCCSSG meeting. There were many similarities between the two meetings. There was probably the same number of people in attendance as we had at our first meeting. The Food Allergy Meeting was organized by two nurses that have children with food allergies. Dr. David Seaman, an allergist from University of Michigan Hospital, spoke on exactly what happens to the body during an allergy attack. There were many questions during the meeting directed to Dr. Seaman. I got the feeling those attending this meeting were starved for information and support. There was discussion of the problems with food labeling and eating out at restaurants. There were concerns of well-meaning family and friends who thought "just a little would not hurt". There were concerns about medications. There were those who were depressed just coping and living with a food allergy. This is where the similarities stopped! Many of those attending this meeting have had severe reactions to foods (many to peanuts) that caused them to go into anaphylactic shock. Death can occur if they are not given the treatment they need very quickly. The problem is how to get the treatment you need when at school, or a friend's house, or traveling. You never know when you can come into contact with the smell of a peanut or get a bee sting. These allergies cause very real horror stories. These people could die and they know it. After the meeting I thought of the frustration of eating out and having to send back my order maybe twice or more. I thought of what happens when I accidentally eat some gluten. Somehow, cramps, diarrhea, or gas don't seem so bad when I know that in a few hours I'll feel better. I am very glad I attended the Food Allergy Meeting, and I know their group will be a big success. It certainly puts having celiac disease in the right perspective for me. I'm glad I only have to avoid gluten to live a healthy life.

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Stress-Reducing Lifestyle Changes ----------------3---------------- by Elizabeth Sledden Dybell, Ph.D., P.C. The following list of suggested alternatives were given by Dr. Dybell at a Coping Seminar for patients with Crohn's, Colitis, and other chronic diseases. They are certainly applicable to celiacs! (Courtesy of the Houston Celiac-Sprue Support Group; reprinted with permission. Dr. Dybell can be reached at 6001 Savoy, Suite 208, Houston, TX 77036, phone 713-974-2884.) 1. Exercise (regularly). 2. Relax sometimes - if you don't know how, learn how! 3. Develop a good self-concept and sense of importance. 4. Balance where you meet your needs. Get positive strokes from various sources. 5. Get rid of your anger, old and new. 6. Build a support system - family, friends, and support group. 7. Allow yourself to receive from others sometimes. 8. Know that the source of good is sometimes within yourself. Take responsibility and blame for the good things, too. 9. Develop a new attitude about yourself. Separate who you are from what illness you have. 10. Make decisions. Take risks and learn to fail at a decision or a task. No longer can you fail as a person. 11. Expect less of others and yourself. You can also decide to learn to live with less from others and yourself. 12. Accept your limitations - inherent and imposed. Learn to make mistakes and tolerate imperfection. 13. Exert control when you can, and give up control in situations where you have none. 14. Learn to delegate, motivate, and tolerate. 15. Build a rewarding environment for yourself. Ask for what you want, teach others to give it, and tell people when they do things you like. Be direct. There is no such thing as mind-reading or loving enough. 16. Learn to appreciate yourself and what you do. Pat yourself on the back. 17. Make realistic short-term goals and sensible comparisons to others Try to compete only within yourself. 18. Change your attitude. Think positively. 19. Don't set yourself up for disappointment by trying to read other people's minds or expecting them to read yours. 20. Put some routine, order, structure, and/or predictability in your life. 21. Re-evaluate or re-approach religion and awaken your spiritual life; pray. 22. Learn to communicate: * Tell people when they embarrass, disappoint, hurt, take advantage of, or let you down. * Tell people how what they do or don't do affects your ability to do your job. * Be aware of your timing. Cool down and come back later. * Have time limits for these communications. * Provide alternatives. 23. Be selfish sometimes! 24. Requisition some space. 25. Budget time and energy - personally and at work. Learn to set priorities and stick to them. 26. Set limits for yourself. Use time management skills. 27. Act, don't always react. Exhibit internal and external control. 28. Think while you are feeling. Feel while you are thinking. 29. Find somebody to listen.

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Snippets From "The Celiac ActionLine" ------------------4------------------ The Celiac ActionLine is a quarterly newsletter published jointly by Celiacs of Orlando and by the Gluten Intolerance Group (GIG) of Florida. What follows are some of the useful things we've gleaned from their newsletters dated January 1994 through January 1995. Our thanks go to the Celiacs of Orlando and the GIG of Florida for allowing this information to be freely copied and passed on. Medically Speaking ------------------ Generic vs. Brand Name: This is a tricky issue in these days of controlling medical costs, while ensuring the GF status of medications. Some medical plans and the Federal Government require the use of generic medication when appropriate. Some generic brands are GF and can be used without any harmful side effects. The trick is to determine 1) the name of the company supplying the generic, 2) that it is GF (different doses may have different ingredients), and 3) that the pharmacy does not change sources between refills. Whenever a prescription is refilled, just verify that the medication is what was previously researched. Dispense as Written: DAW (dispense as written), when placed on a prescription, forces the issuance of the named drug. It can be a major brand name or a generic equivalent that you have verified. The pharmacy may call the physician and ask for permission to change to a generic equivalent or whatever is currently in stock. Unless your physician desires the extra work of repeating your analysis of drug ingredients, the initial prescription is approved. This system allows for control of costs and keeps the medication GF. The patient or their family may be required to perform the research in determining which medication is GF. If the physician understands and supports your need to remain on a GF diet, this technique can work. Pharmacy Questions: John Tilelli, a Hudson Bay Point Hospital pharmacist, volunteered to assist celiacs, physicians, and pharmacists in determining the active and inactive ingredients in medications. He uses a computer program to determine ingredient information not found in the PDR or Fact Book. The program is updated monthly for use throughout the hospital (located near Clearwater, Florida). Your physician or pharmacist can call John Tilelli to determine which medications are GF and appropriate for your medical condition. Call from 7:30 am to 4 pm EST, Monday through Friday, at (813) 869-5400, ext. 2615. Chronic Fatigue: In an Italian study, 10 of 11 patients suffering from Chronic Fatigue Immune Dysfunction Syndrome recovered when they were placed on a gluten-free diet.(1) Small Intestine Complications: A serious complication associated with CD is ulceration and stricture of the small intestine. It is fairly rare, and there is some question as to whether it is a separate complication or an early stage of lymphoma. There are a few cases of patients with CD and localized intestinal ulceration where no malignancy develops. These patients responded well to surgical removal of the diseased portion of the bowel. The characteristic clinical findings are diarrhea, abdominal pain, intestinal bleeding, and intestinal obstruction. These ulcers can appear at any level of the small intestine. The appearance of these ulcerations provides no clue as to their cause unless lymphoma can be diagnosed. In the initially reported series, 75 % of the reported patients died as a direct result of this complication, emphasizing its seriousness.(2) Lung Cavities in Celiacs: A study looked at seven celiacs that developed lung abscesses or cavities. These patients were seen during a 20-year period during which approximately 600 celiacs were seen and 50 died. Six of the seven celiacs with lung abscesses died. All were middle-aged. "Next to malignancy, pulmonary abscess was the commonest cause of death in the coeliac population. The development of respiratory symptoms should be regarded as a potentially serious and life-threatening event in the middle-aged coeliac patient. Lung abscess should be added to the list of respiratory diseases associated with coeliac disease."(5) Infectious Diarrhea: CD patients are at a higher risk for contracting severe infectious diarrheas and the complications associated with them. Salmonella, Camphylobacter, and Giardia are but a few such diseases from poorly cooked or stored food or from water. It is wise to avoid unpasteurized dairy products; fresh cheeses; raw or minimally cooked fish, fowl, pork, or beef; and raw honey.(7) CD in the Elderly: In a study of 228 adult celiacs, 42 (19%) were diagnosed at age 60 or over. In this study, of the 35 patients who did not have dermatitis herpetiformis, 15 had attended family doctors and hospital outpatient departments for an average of 28 years with unexplained symptoms or abnormalities in blood tests, but the diagnosis of celiac disease had been missed. Some question the value of diagnosing a condition that presents late in life with only trivial symptoms, because it involves changing long established eating habits. However, patients often only realize how unwell they were in retrospect after going on a gluten-free diet; they had come to accept their poor health as normal.(3) Talking with Your Doctor: A new book, _How to Talk to Your Doctor, The Questions to Ask_, by Dr. Janet R. Maurer, is an informative discussion of the patient-physician relationship. Through knowledge of this relationship, the patient can improve the process. The book is easy to read and covers common illnesses, medications, test procedures, the role of the specialist, hospitalization, and when to consider changing doctors. An Informed Parent: Reference material is helpful when talking with your physician about secondary problems associated with CD. This is especially true of parents, who must (sometimes) overcome a perception of parental interference from physicians. One mother recently used Dr. Michael Marsh's book, _Coeliac Disease_, to inform a physician and change a diagnosis. Children's Celiac Center: The Division of Pediatric Gastroenterology at the University of Maryland, headed by Dr. Alessio Fasano, offers the first children's center for celiac disease in the US. "Diagnostic and treatment services are provided for children with hard- to-diagnose and hard-to-treat gastrointestinal problems. Emphasis is placed on diarrheal diseases, which are a major cause of morbidity and mortality worldwide and are frequently not optimally managed even in the United States."(4) Dr. Fasano is also the medical advisor to the American Celiac Society. He can be reached at: Director of Pediatric Gastroenterology and Nutrition, University of Maryland School of Medicine, 22 South Green Street, University Center, PO Box 280, Baltimore, MD 21201, phone (410) 328-0812. CD in Italian Children: Population screening of 3,351 apparently healthy, Italian school children showed a prevalence of 3.28 celiacs per 1000, or about 1 in every 258 subjects. It suggests that celiac disease may be more common than previously recognized and one of the most prevalent life-long disorders in Italy. Initial screening was done with a small blood sample obtained from a finger prick, which was quick and easy. More detailed blood work was done on the subjects with values indicative of CD. Finally, those relative few that showed positive CD values on the second set of blood tests were given biopsies. The study showed that two of every three subjects that were biopsied were found to be affected by celiac disease.(6) Saliva Test: Dr. Susan Schiffman of Duke University, (919) 660-5657, is undertaking a study of saliva for use as a diagnostic tool for identification of celiac disease. CD Blood Test Strip: A strip-AGA test has been developed in Europe. It allows a rapid detection of serum IgG and IgA AGA from a single drop of whole blood and a dot immunobinding assay to detect anti-*-gliadin-specific antibodies.(8) The estimated cost per test is $5. The test currently gives some false positives. It has the potential for use in health fairs as a screening tool. It is currently not available in the US. Did You Know?... ---------------- CD and Irish Setters: Several medical articles have shown a susceptibility to the symptoms of CD by Irish Setters. Diagnosing CD in Women: Previous reports from Great Britain showed 10.3 years for the average time of diagnosis for women. This shows the potential for undiagnosed celiacs to suffer for years, even in countries such as Great Britain where the disease is relatively common. Child Magazine: The February 1994 issue contains an article from a celiac mother about adapting to the diet. This uplifting story gave some techniques to use with a celiac child. Experience with a celiac spouse made the family's transition easier. Exercise caution with some of the brands mentioned as they may no longer be GF. Medical Deductions & CD: The extra cost of the diet is a medical expense deduction. (Editor: See your new member packet for more details.) Another possibility to offset the cost of the diet is through a "Flexible Spending Fund" or "Cafeteria Plan", section 125 of the IRS code. This allows pretax funds for medical expenses. The plan may not be available to all wage earners. Also, funds not spent by year's end can't be transferred. Disaster Preparedness: Shelters have a difficult time in accommodating special diets. The Red Cross is now recommending that celiacs and diabetics bring their own food and medicine if they go to a shelter during a natural disaster. It is important to assemble emergency supplies and create a plan of action for different types of disasters. For a celiac, emergency supplies should include GF food products that have a long shelf life. Soups, canned fruits, vegetables, and meats, spaghetti sauce, dry GF pasta, peanut butter, breakfast cereals, and rice are a few examples. During a crisis, celiacs can help out by calling the County Emergency Management Center and offering to bring GF foods to celiacs in shelters, or by answering questions about ingredients. Hidden CD: Type I diabetics, according to an Iowa study in progress, have a 5-7% probability of having hidden CD.(9) A Sports Celiac: Johnny Pesky, former Red Sox shortstop, is a celiac. The Providence Journal-bulletin carried an article on his adaptation to the diet after the 1982 World Series. Comments about his experiences with the diet, at home and work, showed that a productive life is possible for celiacs. Pesky credits his wife with saving his life. Hidden Gluten Sources --------------------- Crescent Soup Base: There has been a change in Crescent Soup Base, which is used in Bette Hagman's cookbooks. Unfortunately, this soup base now contains wheat as an ingredient, so celiacs can no longer use it. Incorrect Status of Oats: At least one company is reporting that oats are GF. This incorrect information is credited in the 1994 United States Government Composition of Foods. The Celiac ActionLine is attempting to get a copy of this document and to demand a correction through the FDA. Since this reference is being used by companies, celiacs are faced with one additional question to ask drug manufacturers. Chee-Tos(tm): The label incorrectly appears to be appropriate. Frito Lay confirmed in August 1994 that the product contains gluten in the natural flavor. Nuts: When nuts are listed as a product ingredient they can contain a gluten-dusting to prevent sticking during production. Dairy Trim: This is a combination of oats and rice used as a fat replacer. Since it contains oats it is not GF. This is used as an ingredient in some ice creams. Celestial Seasoning: Their teas containing barley, malt or cinnamon oil should be avoided by celiacs. Also, Harvest Spice(r) and Cinnamon Apple Spice(r) might contain a grain-based alcohol. Phone: (800) 351-8175. Wheat-Free vs. Gluten-Free: Items labeled "wheat-free" are not necessarily gluten-free. This can be an area of confusion when talking with health food stores or reading labels and recipes. The problem is common in articles and recipes regarding spelt. For example, an article appeared in the March 1994 issue of "Better Homes and Gardens" discussing spelt. Several celiacs read the article and assumed that spelt was safe for the celiac diet. Spelt is NOT gluten free!! Food For Thought ---------------- Corporate Knowledge of CD: Phone calls and letters can cause changes in ingredients. Mr. Spice and Sesmark changed their ingredients to remove the possibility of gluten as a result of contact from celiacs. Home Brewing: If you are the adventurous sort, you might wish to try an experiment in brewing your own beer. The February/March 1994 issue of Beer Review contains an article entitled "Beer Allergy" that documents experiments with gluten-free beer. If anyone tries this out, let us know how it turns out. Sesmark Crackers: Sesmark received so many calls from celiacs asking about the ingredients in their rice crackers, that they changed the recipe to use only GF ingredients. Their crackers are available at grocery and health food stores. GF Condiments: Passover is the season for celiacs to stock up on their condiments for the year. Many products are GF due to the use of cider vinegar (labeled as such) and safe ingredients. Bread Tips: Betty Hagman offers these suggestions in your search for the perfect loaf of bread: * Instead of three eggs, try using one egg plus two egg whites. * For more leavening, add 1 to 3 tsp. egg replacer. * For a rounded loaf, a springy texture, and success every time, add 1 teaspoon unflavored gelatin to the dry ingredients. Thailand Rice Flour: This flour is milled using a water process as compared to the dry process used in the US. When used in baking, finished product will normally rise higher. Use this flour with caution in bread machines. Red Star: Red Star's service to new celiacs extends beyond help in baking a loaf of GF bread. In addition to answering questions about yeast and bread making, the staff at Red Star has assisted celiacs with many problems associated with the transition to the diet. Not only have the staff been understanding voices on the phone, they have helped establish contact between new celiacs and support groups. They have a special hot-line just for celiac-related questions: (800) 4-CELIAC. That translates to (800) 423-5422. Boston Chicken: Boston Chicken is in the process of developing cards to inform their customers of which items are lactose-free, gluten-free, etc. Menu information is available by calling (800) 365-7000. Recipes are proprietary, but when you explain the reason they will furnish another 800 number to call for obtaining detailed ingredient information. Incidentally, Boston Chicken uses cider vinegar in the marinade for roasted chicken. For More Information... ----------------------- International Celiac Directory: The British Coeliac Society publishes a directory of international celiac groups. The March 1994 edition lists 38 countries. Their address is: The Coeliac Society of the United Kingdom, PO Box No. 220, High Wycombe, Bucks, Hp11 2HY England. If you are planning to visit England, request their information package on how to cope with the diet in the UK. Immune System References: Two references, #93-529 Understanding the Immune System and #94-3229 The Immune System, How it Works, are available from the National Institute of Health. Write to: Office of Cancer Communication, Building 31, Room 10A24, National Cancer Institute, Bethesda, MD 20892. Mr. Spice Sauces: This is a complete line of sauces labeled free of gluten, salt, sugar, dairy products, fat, and MSG. The three sauces that contained questionable ingredients were changed to be GF as of January 1, 1995. For more information, call (800) 728-2348. Cooking with Beans: Bean flour and the _Full of Beans_ cookbook are available from J. Erika Taylor, PO Box 1317, West Covina, CA 91793. Erika is the niece of the cookbook author. The cookbook is priced at $18.95. Bean flour is $7.50 for 4.4 lbs. Shipping is $3. (Part of the actual shipping costs is being absorbed by Erika as a service to celiacs.) Rice Recipes: The USA Rice Council pamphlet on "Basic Rice Recipes for those with allergies" has eight excellent GF recipes. It is available by writing: USA Rice Council, PO Box 740121, Houston, TX 77274. A New Cookbook: _Gluten-Free Gems_ is a new GF cookbook from Noreen Moses. It is available for $16.95 from Owens Publications, 8249 SW Fairway Dr., Wilsonville, OR 97070. Recipes are designed for fellow celiacs and their households. The recipes were influenced by friends of the author from Canada, Great Britain, and Argentina. As with many cookbooks, the author occasionally specifies brand names that are not necessarily GF instead of listing generic ingredients. GIG's Cookbook: The _GIG of N.A. Cookbook_ is available for $28.15, including shipping. It contains 225 GF recipes and is available in bound or card file form. Send your order to: GIG of N.A., PO Box 23053, Seattle, WA 98102. References ---------- (1) ABCD News, Vol. 25, Issue 1, pg. 4. (2) Sleigenger & Fordtran, 5th Edition Gastrointestinal Disease, pg. 1093. (3) Hankey, GL, Holmes, GKT, "Coeliac Disease in the Elderly", GUT 35;65, 1994. (4) Letter from Dr. Fasano, dated May 2, 1994. (5) Connolly Stevens, F.M., Murray J.P., McCarthy C.F., "Lung Cavities in Patients with Coeliac Disease", Digestion, Vol. 46, 1990, pg. 72 (6) Catassi C, Ratsch I-M, Fabiani M, Bordiochia, Candela F, Coppa CV, Giorgi PL, "Coeliac disease in the year 2000: Exploring the Iceberg", The Lancet, Vol. 343 Jan. 22, 1994, pgs 200-203. (7) Bernard, Betty, MD, foreword to More From the Gluten-Free Gourmet, pgs. xix-xx. (8) Not T., MD, Ventura A., MD, Peticarari S., Basile S., Torre G., MD, Dragovic D., MD, "A new, rapid, noninvasive screening test for celiac disease", The Journal of Pediatrics, Vol. 123, Number 3, September 93, pg. 425. (9) Presentation by Dr. Joseph Murray aboard the Celiac Experience III on January 27, 1994.

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Recipe Page -----5----- ********************************************************************** Broccoli Spoon Bread 1-1/2 cup broccoli 1/4 cup chopped onion 3/4 cup cornmeal 4 eggs, separated 2 tbsp. GF flour mix** 1 cup milk 1 tsp. salt 1 cup shredded cheddar cheese 1/4 cup butter 1/8 tsp. cayenne pepper 1 cup chopped celery Cook broccoli until tender-crisp; drain. Mix 2 cups water with combined cornmeal, GF flour, and salt in a medium saucepan. Cook until thick, stirring constantly. Stir in half the butter. Saute celery and onion in the remaining butter in a skillet. Add to the cornmeal mix, blend well. Blend in the egg yolks. Add the milk, cheese, pepper, and broccoli; mix well. Fold in stiffly beaten egg whites. Pour into buttered 2-quart casserole dish. Bake at 375 degrees F for 60 minutes or until golden. This recipe came from LuAnne Holder. ********************************************************************** Gluten-Free Brownies 1/2 cup butter or margarine (1 stick) 1/4 tsp. salt 4 oz. unsweetened chocolate 2 cups sugar 4 eggs at room temperature 1 tsp. vanilla 1 cup GF flour mix** 1 tsp. xanthan gum optional: 1 tsp. methyl cellulose or clear gel 1 cup chopped nuts 1/2 cup sour cream Melt the butter and chocolate over hot water; stir. Cool this mixture. The cooling is the trick for perfect consistency!!!! If you don't, your brownies will be heavy and dry. Beat the eggs and salt until foamy and light in color. Gradually add the sugar & vanilla; continue beating until well creamed. With a few swift strokes, combine the cooled chocolate mixture and the eggs and sugar. Before the mixture becomes uniformly colored, fold in (again by hand) the mixed flour, xanthan gum, and optional methyl cellulose or clear gel. Again, before the flour is completely mixed in, fold in the nuts. Bake in a greased 9 x 13 inch pan at 350 degrees F for about 25 minutes. Do not overbake. Cool, then cut into squares or bars. The top and bottom will be slightly crisp and the interior soft, as brownies should be. Store in air-tight containers or on paper plates in Ziploc bags. These freeze very well (if you or your family can leave them alone). This recipe came from Toni Richardson. ********************************************************************** Rice Crust Pizza Crust Topping ----- ------- 2-1/2 cups cooked white rice 1 cup tomato sauce or pizza sauce 1/4 cup mozzarella cheese, grated (8 oz.) 1 egg, lightly beaten 1/2 tsp. oregano or basil, dried 1/4 cup onion, finely chopped 3/4 cup mozzarella cheese, grated 1 clove of garlic, minced 1/4 cup parmesan or asiago cheese, 1 tsp. olive oil grated 1 tbsp. butter, melted Preheat oven to 425 degrees F. Mix the first four ingredients thoroughly. Spread evenly on the bottom of a 12-inch pizza pan or pie pan. Bake 15 minutes or until surface is lightly brown. Saute onion and garlic in the olive oil. Spread over the crust. Spread on the pizza sauce; add dry herbs if the sauce is bland. Sprinkle on the two kinds of cheese. Return to the oven and bake for 8-10 minutes until the sauce is bubbly and the cheese is melted. Our current favorite for the sauce is Colavita Mushroom Sauce. One jar makes two of these pizzas. This recipe was posted on Prodigy, an on-line computer service (author unknown). ********************************************************************** ** GF flour mix: 6 parts white rice flour 2 parts potato starch (NOT the same as potato flour) 1 part tapioca starch (also called tapioca flour) ********************************************************************** Tri-County Celiac Sprue Support Group Officials: ------------------------------------------------ Physician Advisor: Thomas Alexander, M.D. Dietitian Advisor: Dorothy Vaughan, R.D. President: Jim Lyles Vice President: Diane Morof Past President: Kathy Davis Treasurer: Kathy Wagerson Secretary: Denise Parsons Newsletter Editor: Jim Lyles (200-2214@mcimail.com) Contributing Editor: Judy Hafner (gpyp07a@prodigy.com) Disclaimer: ----------- All recommendations, information, dietary suggestions, menus, shopping guide suggestions, medical updates, miscellaneous articles, and recipes in this newsletter are intended for the benefit of our members, readers, and the general public. No liability is assumed by the Tri-County Celiac Sprue Support Group or any of its members. Information in the Sprue-nik Press has not been submitted for approval to the CSA/USA medical board; however it has been approved by our physician and dietitian advisors. Individuals should consult with their physicians and dietitians before following any medical or dietary recommendations in the Sprue-nik Press. Original material used in the Sprue-nik Press is placed in the public domain for the benefit of all celiacs. The information is not copyrighted to facilitate the easy exchange of celiac information. Feel free to reproduce any portion of this newsletter, unless it specifically states otherwise. All we ask is that you indicate where the information came from. The Sprue-nik Press is published by the Tri-County Celiac Sprue Support Group (TCCSSG), a local chapter of CSA/USA located in southeast Michigan. Members receive this newsletter, a shopping guide, and a new member packet full of articles and useful information. Mail-in subscriptions are welcome. For subscription information, send an e-mail note to Jim Lyles, at the e-mail address listed above.
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