THE SPRUE-NIK PRESS

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

Volume 6, Number 7                                        October 1997
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          ..................................................
          : What's Inside                       Search For :
          : -------------                       ---------- :
          : Miscellaneous Notes  . . . . . . . . .  -1-    :
          : Focus on Autoimmune Diseases . . . . .  -2-    :
          : Wheat Starch and Celiacs . . . . . . .  -3-    :
          : Newsletter Roundup . . . . . . . . . .  -4-    :
          : Recipe Page  . . . . . . . . . . . . .  -5-    :
          :................................................:

Disclaimer
Miscellaneous Notes: ---------1---------- Just a word of caution--please be extra careful in your own homes and make your kitchens as gluten-free as possible (your own jelly, peanut butter, margarine, toaster). We all run a risk of contamination when we eat away from home, so taking precautions at home certainly eliminates some of our "potential" risks. Again, when eating out, please use the restaurant cards. Most restaurants are extremely receptive when given good reason. I just can't stress this enough. --Mary Guerriero -=-=-=-=-=-=- TCCSSG Founder Kathy Davis and her husband Dan have settled in at their new home in Kentucky. They have become members of the Greater Louisville Celiac Sprue Support Group, a relatively new CSA chapter that has already distinguished itself with its efforts to educate, a comprehensive newsletter, and a great support system for celiacs in that area. We wish Dan and Kathy well, and are glad to see that they have passed from one set of good helping hands to another. -=-=-=-=-=-=- _Special Diet Solutions_ is a new cookbook from Carol Fenster (author of Wheat-Free Recipes & Menus). This is a gluten-free (GF) cookbook with many unique features which make it particularly beneficial for celiacs that also have other sensitivities: * Each recipe includes instructions for omitting additional problem ingredients--dairy, eggs, or refined sugar--if necessary. * For Type I diabetics, each recipe includes nutrient values and food exchanges for monitoring daily nutrient intake. Each recipe also offers guidelines for using alternative sweeteners in place of refined sugar. * None of the recipes use peanuts or peanut oil, as peanut allergies are common and often serious. * For those needing to avoid yeast, there are several yeast-free bread recipes, and there are substitutions for ingredients that would normally contain yeast. * For vegans (i.e., those who eat no animal products) most of the recipes contain dairy-free and egg-free versions of baked goods. * All the recipes are intended to be as free of additives as possible. Besides the 130 pages of recipes, there are another 30 pages of appendices, covering topics such as baking with alternative sweetners, dairy and egg substitutes, and wheat-free flours; substitute thickeners; hidden sources of wheat/gluten/dairy/eggs/yeast/corn/soy; and other topics. The cost of the book is $18.95 including shipping. For more information call 1-303-741-5408, fax 1-303-741-0339, or write to Savory Palate, Inc., 8174 South Holly, Suite 404, Littleton, CO 80122-4004. For orders only, you can call toll-free 1-800-741-5418. -=-=-=-=-=-=- GF Macaroni & Cheese: At last, a vendor of gluten-free (GF) products has heard the plea of celiac parents. Pastariso has a new macaroni and cheese mix called Macariz. It is made from organic rice and includes no additives. (That means it has a creamy color, rather than the orange color that is found in other box mixes such as Kraft macaroni and cheese.) We have tested it and it has the official J&BL (Janet & Brian Lyles) seal of approval. We found it works best to boil the macaroni for 4 minutes, instead of the 2 minutes listed on the package. The only real drawback is the usual one for GF specialty items: The cost. Right now it can be purchased for $2.39 per box from the Gluten-Free Pantry (PO Box 840, Glastonbury, CT 06033; orders 1-800-291-8386; ). If your grocery or health food store carries Pastariso products, you may want to ask them to start carrying this new item. -=-=-=-=-=-=- University of Maryland Study: More funds are needed for the CD Prevalence study being initiated at the University of Maryland. Please send in your contribution to this effort, or a pledge for a certain amount per year, up to three years. (Refer to the May 1997 issue of The Sprue-nik Press.) Make your check payable to "UM Foundation--Center for Celiac Research", and mail it to: The Center for Celiac Research, Attn.: Pam King, University of Maryland School of Medicine, 700 W. Lombard St., Baltimore, MD 21201. -=-=-=-=-=-=- 9th Annual Celiac Workshop for Children and Adults will take place on December 6, 1997, at Children's Hospital in Columbus, Ohio. The program begins at 8 am, and ends with a potluck lunch at 1 pm. The cost is $12 per person for early registration, $15 otherwise. Children under 12 attend free. Call (614) 722-4949 for a registration brochure. [We've gone to the last two, and will be going again this year. It is fairly close, very inexpensive, and provides a wealth of material and product samples over the course of a single day. File this one under the category, "Extremely Good Values"--ed.]
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Wanted: A National Focus on Autoimmune Diseases -----------------------2------------------------ by Virginia Ladd, Radiology Technologist summarized by Tom Sullivan The guest speaker at the September 1997 TCCSSG General Meeting was Mrs. Virginia Ladd, President & Executive Director of the American Autoimmune-Related Diseases Association (AARDA). She was very active in Lupus associations prior to starting AARDA, and in 1985 she founded the Chronic Illness Awareness Coalition of Michigan. The description of what constitutes an autoimmune-related disease is still under discussion. While purists and everyone else will agree on 30 or so diseases, differences of opinion occur on the next 50. For example, purists will not agree that a disease which has an outside trigger is autoimmune-related. They say that only those that are self triggered can be considered. But purists not withstanding, the numbers of autoimmune-related diseases are growing. As an example, Mrs. Ladd cited two that have been reported on in just the last year. Where psychiatric diseases were not previously thought to be connected with autoimmunity, autism is now being investigated for a possible link. And Denise Dador on WXYZ-TV, Channel 7s Healthy Living, has reported on a possible connection in children between strep and compulsive behavior. While both of these findings are preliminary, they do indicate the need for basic research in autoimmunity itself. There is known to be a familial aspect to autoimmune-related diseases. Some basic research on the family correlation has been initiated by the Office of Women's Health. However, it was also noted that, even in the case of identical twins, who by definition have the same genes, if one twin has Type 1 Diabetes or Lupus, there is only a 60% chance that the other twin will also have the disease. So there is some other factor involved than just genes. As a further point, while Type 1 Diabetes and Lupus are both autoimmune diseases, they are distinctly different diseases in their own right. However, the gene loci for both diseases are, interestingly enough, found on the same chromosome. The current high profile of AIDS has definitely raised the awareness about our immune system and provided good basic genetic information. The fact that the immune system is the bodys defense system protecting us against bacteria, viruses and foreign antigens is well established. The fact that we have a natural immunity to what surrounds us and that it builds up with exposure is also well known; for example, there are more than 110 cold viruses, so were not always catching the same cold. And likewise, we know that immunizations for things like smallpox and the like are needed and force the body to produce antibodies to these diseases which protect us forever. One way to view the immune system is to compare it to a computer application program or a game program. It makes the computer function and function well. But one glitch in the program and the computer is down completely. AIDS is so devastating because the glitch is that a major component of the immune system, the T-cells, are destroyed. This eliminates any communication in the immune system about what, where and how to fight any invaders, and the body is then susceptible to any and all other viruses. But what are autoimmune-related diseases? They could also be considered as self-immunity problems. That is, the bodys immune system fails to recognize itself and considers itself as a foreign invader to be destroyed. This hypothesis was considered absurd 40 years ago. In fact, a paper proposing autoimmunity as the explanation for hypothyroidism was bluntly rejected for publication at that time. One of the papers authors? - Dr. Noel Rose, a current member of the AARDA advisory board. There is apparently some autoimmunity in all of us. Why? We dont know. It also seems to get stronger as we get older. We know what causes autoimmune-related disease: The immune system goes out of control. However, we dont know how or why the immune system goes haywire. What Mrs. Ladd and AARDA are encouraging is a national focus to seek the underlying cause of autoimmunity. They would like to see everyone involved with autoimmune diseases pushing together for basic research on autoimmunity. Because all the coalitions concerned with HIV and breast cancer united, substantial basic research is being done at many institutes and centers for cancer. There is no comparable basic research being done for autoimmunity, and wont be until all autoimmune-related coalitions also unite. One of the basic questions that needs answering is, what are the many triggers of the autoimmune diseases? For example, we know that the sun is a trigger for Lupus. Likewise, strep is a trigger for rheumatic fever. However, antibiotics will stop the strep early and no rheumatic fever develops. Also, is there an autoimmune gene? Some people have a genetic predisposition to autoimmune diseases - but never get them. Then is there more than just a trigger? There are many basic questions to answer. One of the major difficulties with autoimmune diseases is getting them diagnosed. Somebody has to think of the disease. Once thought of, diagnosis is relatively simple. However, symptoms are all so similar and the patient often receives a "chronic complainer" evaluation. A history of complaints is seldom ever available until after the disease is thought of. A familial history of autoimmune diseases is rarely asked for when taking an initial patient history. And even if it were asked, would patients know their familys autoimmune disease history? Probably not. So, the sequence of events that is needed is to educate the patients about autoimmune diseases, get the families to understand their histories and what autoimmune disease is about, educate physicians, and finally have the physicians correlate patient symptoms and family history with an appropriate autoimmune diagnosis. Current medical diagnostic practice results in expensive, multiple, unnecessary testing and visits to specialists, which is not encouraged in managed care systems. A multi-disciplined approach (which doesnt exist) would, however, produce a faster and ultimately cheaper managed care expense by providing earlier treatment and more damage prevention. There was one center in Detroit but that has been closed. Some effort is being made to initiate a program at Johns Hopkins Research Center. There are currently no good epidemiological studies to determine if autoimmune diseases are increasing or not. One small study has been conducted, but it is insufficient to make a case for research dollars. So while each of our diseases (celiac, lupus, rheumatoid arthritis, etc.) may be rare by itself, it is not rare if it is considered as part of basic autoimmunity. As with cancer and AIDS, everybody must work together in order to research the underlying autoimmune questions. AARDA is conducting its own survey at their website on the internet, for anyone who wishes to participate. To access the survey go to http://www.AARDA.org and click on "Take Our Survey" to complete the questionnaire. The question and answer period included two comprehensive queries: "How prone is a person to more autoimmune diseases if they already have one?" and, "How does one strengthen ones immune system?" For the first question Mrs. Ladd stated that one is more prone to additional autoimmune diseases if you already have one. In fact, if there is a systemic autoimmune disease, then one could conceivably develop another disease each decade. As regards taking supplements to strengthen the immune system: Be very cautious. First, do no harm. Remember, a part of the whole system is already hyperactive. In many booster products, it is not known if the active ingredient can cause problems. And we dont know if an attempt to boost the immune system will trigger it out of control. So be very careful. Second, take control. You are your own best advocate. Challenge yourself to live with the disease. Focus on how TO DO, not what you cant do. Have a positive attitude. Its amazing the impact of the placebo effect on these diseases. In the case of rheumatoid arthritis, for example, improvement has been shown in 40% of those taking placebos. [A placebo is a pill or liquid which a patient takes, thinking it contains some beneficial medicine when in fact it doesn't contain any medicine at all. Placebos are most often used in studies to see the real difference of an experimental treatment, because it is known that just believing a treatment is helpful provides some beneficial results in many cases.--ed.] And lastly, rest and pace yourself. Rest is very restorative in autoimmune diseases. So listen to your body. When you have what can only be described as that yucky feeling, stop. Dont fan the internal inflammatory response. Rest. And because yucky times will happen, dont try to do everything you can or must do on those days or at those times when youre feeling fine. Our bodies cycle. Just make your cycle a two week cycle - not a one day cycle. Then your ups and downs will even out and things will get done on a less stressful basis for you.
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Wheat Starch Intolerance in Patients with Celiac Disease ---------------------------3---------------------------- LJ Chartrand, RD, MSc; PA Russo, MD; AG Duhaime; EG Seitman, MD an article from the June 1997 issue of the _Journal of the American Dietetic Association_ summarized by Lynn Rainwater Reprinted with permission from the September 1997 newsletter of the San Antonio Celiac Sprue Support Group. The following summary and comments on this research report are by Lynn Rainwater and have been reviewed by Cathie Winmill, MS, RD. [They've also been reviewed by Dr. Alexander and Dorothy Vaughan, the TCCSSG physician and dietitian advisors, as is all of the material in this newsletter. Note that this study was mentioned briefly in last month's newsletter, but this article is more in-depth and Lynn's comments are of great help in interpreting the study.--ed.] The objective of the research was to evaluate the results of celiacs eating a small amount of gliadin in wheat starch over an extended period. Gliadin is the ethanol-soluble fraction of gluten which we celiacs are sensitive to; for simplicity, just think: gliadin = gluten. Why wheat starch? You have probably never heard of wheat starch, because it is not in general use in the United States. We define gluten-free (GF) as zero gluten. However, in 1988 the UN Food and Agricultural Organization (FAO) and the World Health Organization (WHO) stated a product could be labeled GF if it contained 1 mg gliadin or less per 100 g of product. Therefore, some European countries permit products containing wheat starch in small amounts to be labeled and sold as GF. In this Canadian study, imported European products with wheat starch were used (Juvela flour and Aglutin bread made with Juvela flour). The study was designed as a one-year trial of the addition of wheat starch to the diet of biopsy-proven celiacs who had never eaten wheat starch. Although it is desirable to "double-blind" scientific studies, in this case with some participants using products with wheat starch and others using products without wheat starch, this was not possible, as products with gluten and gluten-free products are so different. Therefore both the study group and a control group of celiacs who had previously used and apparently tolerated wheat starch ate the same wheat-starch products. It would also have been desirable to obtain before/after biopsies of all participants in the study, but this was not done because the celiac patients refused to undergo repeated biopsies. The wheat starch products used in the study contained 0.75 mg. of gliadin per 100 grams of product. For comparison, white bread made with wheat flour contains 6,200 mg of gliadin per 100 grams of product (about three slices of bread). Both the study group and the control group were asked to consume four to six slices of bread with wheat starch [but otherwise GF] for a year. This was equivalent to 0.75 mg. of gliadin per day. The patients reported that even such a small amount of wheat starch resulted in bread with taste and texture they preferred to GF bread. Within 2 weeks to 8 months, 11 of the 17 study patients reported symptoms disturbing enough to alter their well-being. 4 reported slight or occasional symptoms, and only 2 reported no symptoms. Although the symptoms varied widely from person to person, they were consistent for each individual. 11 had diarrhea, 9 gas, 7 abdominal pain, 6 fatigue/irritability, and 2 bone pain/myalgia. Of the 3 with dermatitis herpetiformis (DH), 2 developed the typical rash with blisters one month into the study. As the symptoms developed and became more bothersome, patients opted to stop eating the bread with wheat starch. By 10 months the trial was discontinued as only 2 patients still remained asymptomatic and wished to continue. For the celiac patients, the adverse symptoms resolved within 10 days to 3 weeks of discontinuing the wheat starch bread. For the DH patients, the lesions resolved within 2 weeks after they stopped eating wheat starch. A before-and-after comparison of lab tests for the study group showed no weight loss, no biochemical changes (hemoglobin, serum iron, or folate levels), and no immunologic changes (antibodies). What can we learn from this research study? 1. Lab tests do not show changes resulting from small amounts of gluten, even though patients may be having adverse reactions. So a biopsy remains the gold standard for verifying the status of intestinal villi. 2. Damage may be caused by extremely small amounts of gluten eaten over a prolonged period. The amount of gluten consumed in this study was less than one thousandth of the amount in four slices of regular bread. 3. As studies have shown, the long-term effects of regular ingestion [by celiacs] of even small amounts of gluten can include a greater risk of cancer, growth failure, osteoporosis, and (in patients with epilepsy) cerebral calcification. We celiacs must exert great care in avoiding all gluten. 4. The effects of eating small amounts of gluten may not be immediate--it may take several weeks before the symptoms surface--but the damage does take place. Therefore, we should not assume we've successfully avoided repercussions when we don't suffer immediately after cheating on our GF diet. 5. The researchers tested two brands of buckwheat flour and found 40 mg.of gliadin per 100 grams of flour in one, and 4 mg. of gliadin per 100 grams of flour in the other. As buckwheat does not contain gluten, cross-contamination during milling is probably the reason for this finding. This explains why some celiacs report symptoms after eating buckwheat flour. 6. Some celiacs can eat small amounts of gluten without showing symptoms. (2 of the study patients, and all 14 of the control patients in this study demonstrated this tolerance.) This does not mean they would show no evidence of damage if biopsied. 7. In the Finnish study [published in the New England Journal of Medicine] which supposedly showed no damage when oats were added to the celiac diet, all patients in the study were consuming a GF diet (per the FAO and WHO definition) which included wheat starch. "None of the patients had completely normal mucosal histology, whether consuming oats or not." [One could draw the conclusion that abnormal mucosal histology was due to the regular ingestion of wheat starch in the diet, and that this might mask any effects from the oats--ed.] Under these conditions it is reasonable to await further research with oats before adding them to the GF diet. 8. Celiacs in the United States are becoming increasingly familiar with Canadian mail-order vendors. As they import many European products, we should always ask, when ordering, if the product contains wheat starch. If it does, we should decline to buy the product and tell the vendor why.
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Newsletter Roundup ---------4-------- Compiled by Jim Lyles This section contains excerpts from newsletters produced by other celiac groups. ............................................. : : : Excerpts from _CDF Newsletter_ : : ------------------------------ : : Summer 1997 Elaine Monarch, publisher : : Celiac Disease Foundation : : 13251 Ventura Blvd., Suite 1 : : Studio City, CA 91604-1838 : :...........................................: Accentuate the Positive (excerpts from Elaine Monarch): Many of us know the pain of having psychiatric treatment recommended because our physicians thought our symptoms "were all in our heads". It was only last week that we received a call at the CDF office from a woman who told us she was diagnosed by a psychiatrist. The psychiatrist told her the symptoms were not in her head and to go back to her doctor. Having confirmation by the psychiatrist, the doctor then proceeded to do the appropriate blood testing and biopsy and surprise!....a diagnosed celiac. But why did it take an unnecessary visit to a psychiatrist to get her doctor to "believe" her symptoms were true? Cooke & Holmes, in their book _Coeliac Disease_ (Churchill Livingstone, New York, 1984) repeatedly cite depressive illness as the most common symptom of gluten intolerance. And in her article, "Evaluation of Mental Status of Children with Malabsorption Syndrome After Long-term Treatment" (_Psychiaria Polska_, 25/2 Mar/Apr 1991), Dr. Kozlowska identified fully 71% of the children they studied as having psychiatric disturbances. In relationship to celiac disease/dermatitis herpetiformis, to all of us who follow the gluten-free lifestyle, I cannot stress enough how important it is to look at what we CAN have, more than what we cannot have. Even those celiacs who are lactose intolerant, or diabetic, or all three, and who additionally may have other sensitivities, there is still so much we CAN have and CAN do. The Celiac Disease Foundation wants you to be informed. Gather information, check your sources, then make an informed decision, and continue to enjoy life. Take control of your own life and don't limit yourself with boundaries that are not there. -=-=- -=-=- Xanthan Gum is produced by a fermentation process using the bacterium Xanthomonas campestris. This bacteria actually grows on plants found in the cabbage family. During the fermentation process, the bacteria is fed corn syrup and minerals. When completed, the mixture is pasteurized to kill the bacteria. The gum is converted from a liquid to a solid form by using a hydroxide substance. The gum is then washed, dried, and milled to a fine powder. -=-=- -=-=- Herbal Teas: Watch out for some herbal teas that use roasted barley malt. [It should be listed in the ingredients--ed.] ............................................................. : : : Excerpts from the _CSA/GC Newsletter_ : : ------------------------------------- : : Sep. 1997 Lois Walter, editor : : Celiac Sprue Association of Greater Chicago : : 124 Newton Ave. : : Glen Ellyn, IL 60137 : :...........................................................: The Turkey Store label includes these products which contain only fresh turkey breast, and are therefore gluten-free (GF): Turkey Breast Slices, Cutlets, and Strips; Boneless Breast Tenderloins, and Boneless Breast Roasts. Also, in these three products the natural flavoring is a GF herb, so they are also GF: Lean Ground, Extra Lean Ground Breast, and Lean Burger Patties. Other Turkey Store products may be GF but the spices in them are from other suppliers and their GF status has not yet been determined. For more information, contact Jerome Foods, Inc., 34 N. 7th Street, Barron, WI 54812; (715) 537-3131; fax (715) 537-9685. ............................................................... : : : Excerpts from _Derby City Celiac_ : : --------------------------------- : : Fall 1997 Marge Johannemann, President : : Greater Louisville Celiac Sprue Support Group : : PO Box 7194 : : Louisville, KY 40257-0194 : :.............................................................: Baking Healthy is a new 100% fat free oil and shortening replacement from Smuckers. According to a representative at (888) 550-9555, this product is gluten-free (GF). Marge Johannemann used it in a lemon-blueberry muffin recipe, and reports that it worked great! .......................................................... : : : Excerpts from _Lifeline_ : : ------------------------ : : Summer 1997 (Vol. XV, No. 3) Leon Rottmann, editor : : CSA/USA, Inc. : : PO Box 31700 : : Omaha, NE 68131-0700 : :........................................................: _The Practical Gluten-free Cookbook_, by Arlene Stetzer, has been recently revised. It has 120 pages and contains 150 recipes that form a good base for newly-diagnosed celiacs. Arlene is a celiac herself and has done a good job of putting together a down-home, practical cookbook particularly suited to long-term cooks who are looking for help in switching to gluten-free cooking. The cost is $27.95. Write to Arlene Stetzer, W23032 State Road #35, Trempealeau, WI 54661; call (608) 534-6739; or fax (603) 534-6316; Visa & MasterCard are accepted. ....................................................... : : : Excerpts from the Midlands Chapter 13 Support Group : : --------------------------------------------------- : : newsletter: Sep. 1997 Sandra K. Allen, editor : : Route 1 Box 707 : : Fort Calhoun, NE 68023 : :.....................................................: Zucchini Can Be Used As a Milk Replacer, according to Mimi Frerichs. The bigger the zucchini the better. Peel and place the zucchini in a blend. Blend, adding enough water to reach the consistency of condensed milk. Freeze it in 1 cup portions, and use it one-to-one in recipes calling for milk. For sour milk or buttermilk replacement, add lemon juice or vinegar to the zucchini mixture as you would for regular milk. ................................................................. : : : Excerpts from the San Antonio CS Support Group : : ---------------------------------------------- : : newsletter: Sep. 1997 Lynn Rainwater, Secretary/Treasurer : : 1023 Cloverbrook : : San Antonio, TX 78245-1604 : :...............................................................: Unmasking the Celiac is the title of the 1997 American Celiac Conference, Nov. 1-2, at the Airport Hilton in New Orleans. The keynote speaker is Dr. John N. Udall, who will discuss pediatric celiac issues. Other speakers include Dr. Alessio Fasano, Dr. Peter Greene, dietitian Nancy Patin Falini, and Dr. Sheila Crowe. Registration is $175 (add $25 if after Oct. 20th), and includes a reception on Friday night and a banquet on Saturday night. Room rates at the Airport Hilton are $99. For special travel arrangements, contact Diane Schaefer, Joy Travel, (504) 348-3099, (504) 454-6606. For more information on the conference, contact the American Celiac Society, 58 Musano Court, West Orange, NJ 07052-4114, (973) 325-8837, (973) 432-1207.
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Recipe Page -----5----- ********************************************************************** Chocolate Cake 1 cup GF flour mix** 1/2 tsp. xanthan gum 1 cup sugar 1/2 cup cocoa powder 1/4 tsp. salt 1/2 tsp. baking powder 1/2 tsp. baking soda 3/8 cup milk (add 1-2 Tbsp. more if the batter seems to be too thick) 1/2 cup coffee--cool, not hot 1 egg 1/4 cup oil 1 cup semisweet chocolate chips Sift the dry ingredients into a large bowl. Mix the wet ingredients well. Add the wet ingredients to the dry ingredients, and stir until blended. Fold in the chocolate chips. Grease and flour (using rice flour) a 9x13" pan. Pour cake batter into prepared pans and bake at 350 degrees F for 25-30 minutes, until a toothpick comes out clean. (Note: It is not a tall cake, it comes out more like brownies, with a texture somewhere in between.) Let the cake cool in the pan. Top it with powdered sugar or frosting. This recipe originally came from the Summer 1997 catalogue of Penzeys, Ltd.; and was adapted to be gluten-free by Vicki Lyles. ********************************************************************** "Catalina" French Dressing 6 oz. tomato paste 1/2 cup water (divided) 1 cup sugar 1 tsp. GF molasses 1 cup light corn syrup 1-1/2 Tbsp. onion powder 1 tsp. paprika 1 tsp. ground mustard 1 tsp. salt 1 Tbsp. sugar 1 Tbsp. water 1/4 cup olive or corn oil Use a clean glass quart jar with a tightly sealing lid. Put in the tomato paste and 1/4 cup of water and shake to mix completely. Mix 1 cup sugar and 1/4 cup of water in a 2-cup container and microwave on high for about 1 minute, stirring every 15 seconds, until the sugar completely dissolves and the liquid is clear. Pour the sugar water into the quart jar. Add the corn syrup and molasses, and shake again until the ingredients are completely mixed. Mix the spices and 1 T of sugar together in a small container. Add 1 T of water and stir, then pour the spice mixture into the quart jar and add the oil. Shake the jar again until completely mixed. Allow the jar to stand in the refrigerator for 24 hours for the flavors to blend. Store it in the refrigerator. This recipe comes from Carolyn Randall. It appeared in _Lifeline_, summer 1997, pg. 25. ********************************************************************** Tomato-Beef Skillet 1 Tbsp. corn starch 2 Tbsp. vegetable oil, divided 3 Tbsp. GF soy sauce 1 clove garlic, minced 1 tsp. sugar dash cayenne 1-1/2 lbs. boneless beef, sirloin tip, cut into 1/4-inch thick slices 1/2 tsp. ground ginger 1 medium green pepper, sliced into thin strips 1/4 lb. fresh mushrooms, quartered 1 small onion, sliced and separated into rings 2 small tomatoes, cut into wedges Combine the corn starch, 1 Tbsp. oil, soy sauce, garlic, sugar, and cayenne in a medium glass bowl. Add the beef and toss to coat well. Let it stand for several hours in the refrigerator. Drain and save the marinade. Heat the ginger in the remaining oil in a large skillet or wok. Add the beef and stir-fry until brown, 5-6 minutes; then push to one side. Add the green pepper, mushroom, and onions. Cook until slightly tender, 2-3 minutes; then push to one side. Add tomatoes; cover and cook 2 minutes. Pour the reserved marinade over the meat. If necessary, add some water, cook and stir until thickened. Makes 4 servings, and can be served with rice. This recipe comes to us from Judy and Bruce Richardson. ********************************************************************** Baked Apple and Carrot Casserole 6 apples, cored, peeled, and thinly sliced 2 cups cooked carrot slices 1/2 cup brown sugar 2 Tbsp. GF flour mix** salt to taste 3/4 cup orange juice Mix the brown sugar, flour, and salt. Place half of the apples in a greased 2-quart baking dish and cover with half the carrots. Sprinkle half of the brown sugar mixture over the carrots. Repeat the layers and pour the orange juice over the top. Bake at 350 degrees F for 45 minutes. This recipe comes to us from Judy and Bruce Richardson. ********************************************************************** ** GF flour mix: 6 cups white rice flour 2 cups potato starch (NOT the same as potato flour) 1 cup tapioca starch (also called tapioca flour) **********************************************************************
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Tri-County Celiac Sprue Support Group Officials: ------------------------------------------------ Physician Advisor: Thomas Alexander, M.D. Pediatric Advisor: Robert Truding, M.D. Dietitian Advisor: Dorothy Vaughan, R.D. President: Mary Guerriero Vice President: Sue Gentilia Past President: Diane Morof Finance Committee: Maria Montie Secretary: Denise Parsons Newsletter Editor: Jim Lyles 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 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 a note to Jim Lyles.
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