Discover and read the best of Twitter Threads about #celiac
Most recents (24)
🔶चपाती की भाकरी? नक्की काय खावे🔶
🔸Jowar Roti Or Wheat Roti🔸
-बरेच जण म्हणतात चपाती ने वजन वाढतं.
-वजन कमी करायची असेल तर भाकरी खावा.
-मधुमेह असणाऱ्यांनी चपाती ऐवजी भाकरी निवडावी.
-यामध्ये खरंच काही तथ्य आहे का?
सगळं काही जाणून घेऊयात या Thread मध्ये👇
1/13
🔸Jowar Roti Or Wheat Roti🔸
-बरेच जण म्हणतात चपाती ने वजन वाढतं.
-वजन कमी करायची असेल तर भाकरी खावा.
-मधुमेह असणाऱ्यांनी चपाती ऐवजी भाकरी निवडावी.
-यामध्ये खरंच काही तथ्य आहे का?
सगळं काही जाणून घेऊयात या Thread मध्ये👇
1/13
▪️गेले बरेच दिवसांपूर्वी Whatsapp वर "जेवणात का खावी ज्वारीची भाकरी""ज्वारीच्या भाकरीचे महत्व" असे Messages पाहिले.
▪️या मेसेज मध्ये "गव्हामुळे अनेक आजार होतात, वजन वाढतं, Acidity वाढते आणि बरेच काही सांगितलं होतं".
▪️असे मेसेज समाजात प्रबोधनाऐवजी गैरसमज च जास्त पसवरतात.
2/13
▪️या मेसेज मध्ये "गव्हामुळे अनेक आजार होतात, वजन वाढतं, Acidity वाढते आणि बरेच काही सांगितलं होतं".
▪️असे मेसेज समाजात प्रबोधनाऐवजी गैरसमज च जास्त पसवरतात.
2/13
🔶चपाती भाकरी मधील Macronutrient🔶 Per 100Gm Of Grain.
▪️Carbohydrate▪️
गहू - 72 Gm.
ज्वारी - 72 Gm.
▪️Protein▪️
गहू - 13 Gm.
ज्वारी - 11 Gm.
▪️Total Calories▪️
गहू - 340 Calories.
ज्वारी - 329 Calories.
वरील Comparison वरून समजलं असेल की दोघांमध्ये फार मोठा फरक नाहीये.
3/13
▪️Carbohydrate▪️
गहू - 72 Gm.
ज्वारी - 72 Gm.
▪️Protein▪️
गहू - 13 Gm.
ज्वारी - 11 Gm.
▪️Total Calories▪️
गहू - 340 Calories.
ज्वारी - 329 Calories.
वरील Comparison वरून समजलं असेल की दोघांमध्ये फार मोठा फरक नाहीये.
3/13
Do NOT prescribe a gluten-free diet unless we are positive this is #celiac disease!
Normal small intestinal histology
Defining #celiac disease and non-celiac gluten (more accurately, wheat) sensitivity
#Celiac disease is common
@MondayNightIBD @DCharabaty 1/12
📣#GITwitter #IBDTwitter
Welcome back to #MondayNightIBD #Back2Basics w @dunleavy_katie @john_damianosMD
🎯How do you approach a pt w #IBD in remission who has new or persistent #GI symptoms?
Check out our review📜
practicalgastro.com/2022/05/18/rec…
#NeuroGI #GastroPsych #DGBI
📣#GITwitter #IBDTwitter
Welcome back to #MondayNightIBD #Back2Basics w @dunleavy_katie @john_damianosMD
🎯How do you approach a pt w #IBD in remission who has new or persistent #GI symptoms?
Check out our review📜
practicalgastro.com/2022/05/18/rec…
#NeuroGI #GastroPsych #DGBI
@MondayNightIBD @DCharabaty @john_damianosMD 2/12 #MondayNightIBD #B2B
👩🏼⚕️have been studying “IBS-type symptoms” in #IBD for 30 yrs. But there is more work to be done to help characterize cohort & dz mechanism!
It’s important bc:
👨👩👧👦Affects pts QoL, mental health, sleep
🥼Causes ⬆️HC utilization, ⬆️MD visits & 💊narcotics
👩🏼⚕️have been studying “IBS-type symptoms” in #IBD for 30 yrs. But there is more work to be done to help characterize cohort & dz mechanism!
It’s important bc:
👨👩👧👦Affects pts QoL, mental health, sleep
🥼Causes ⬆️HC utilization, ⬆️MD visits & 💊narcotics
@MondayNightIBD @DCharabaty @john_damianosMD @MarcelYibirin @VictorChedidMD @LauraRaffalsMD @Spencerkelley7 @RomyChamoun @JosephHabibi_MD @ayshaslam999 @GroverDheera @yaransarkis @BassiMehak 3/12 #MondayNightIBD Persistent/New GI Sx in #IBD
1⃣R/o active🔥/#IBD complication (abscess, stricture):🔦, 🩻, CRP, FCP, ⚠️R/o infx like C. Difficile!
2⃣🤔Consequences of✂️: adhesion, bile acid diarrhea
3⃣🤔 #DGBI
🚩25% pts w #IBD in endo remission have #IBS @LancetGastroHep
1⃣R/o active🔥/#IBD complication (abscess, stricture):🔦, 🩻, CRP, FCP, ⚠️R/o infx like C. Difficile!
2⃣🤔Consequences of✂️: adhesion, bile acid diarrhea
3⃣🤔 #DGBI
🚩25% pts w #IBD in endo remission have #IBS @LancetGastroHep
Some thoughts on prevalence and prevention....
I have a child with #celiacdisease. Global prevalence 1-2%
That means, even if undiagnosed, out of 1000 ppl, 10-20 of them will have #celiac
It's too many to be considered a "rare disease"
But not enough to be on everyone's radar
1/
I have a child with #celiacdisease. Global prevalence 1-2%
That means, even if undiagnosed, out of 1000 ppl, 10-20 of them will have #celiac
It's too many to be considered a "rare disease"
But not enough to be on everyone's radar
1/
There are a lot of kids with "something" but not a lot of kids with each "something." So if you add up all the kids w diabetes, celiac, cancer, cardiac disease you get to a bigger number
But each of these problems? Not huge
And - we can't really prevent most of these diseases.
2/
But each of these problems? Not huge
And - we can't really prevent most of these diseases.
2/
The burden of disease management falls on kids & their families
We don't serve #glutenfree food to everyone (except in my house!)
Or make sure foods have a low glycemic index
Or test to prevent spread of viruses that can wreak havoc on a compromised immune or cardiac system
3/
We don't serve #glutenfree food to everyone (except in my house!)
Or make sure foods have a low glycemic index
Or test to prevent spread of viruses that can wreak havoc on a compromised immune or cardiac system
3/
Mark Davis now. He's talking about celiac (severe gluten intolerance/sensitivity). He found that gluten-specific CD4+ T cells were directly associated with the response. (1/6) #fatigue #celiac #autoimmunity
Interestingly, they're mentioning elevated KIR+ CD8+ cells in autoimmunity. KIR is typically thought of as a marker for NKCs, & associated with their maturation (me saying this, not M Davis). Intriguing, then, that KIR+ CD8+ cells are associated w/autoimmunity... (2/6) #fatigue
...when decreased function of NKCs is associated with ME/CFS. Moreover, perforin (a compound created by NKCs and often a way of measuring their functionality) (3/6) #MECFS #immunology #fatigue
While we're beginning to understand more and more about the #microbiome, research on the #mycobiome (fungi 🍄) is in its infancy. Here is my summary of 🔑 points from @aeprobio's seminar on the latest research on fungi and the gut!
#GITwitter
#GITwitter
Bacteria in the #gut outnumber fungi as a class, but at the individual species level can occur in the same numbers.
Most #gut fungi belong to Ascomycota or Basidiomycota
🚨New @AmCollegeGastro guidelines for the treatment of irritable bowel syndrome! I will summarize in this🧵 ⬇️⬇️⬇️
journals.lww.com/ajg/Abstract/9…
Authors: #BrianLacy, @MarkPimentelMD, @dbrennerGIMD, @umfoodoc, @drlauriekeefer, @MLongMD, @BMoshiree
#GITwitter #GI #IBS #gut #MedEd
journals.lww.com/ajg/Abstract/9…
Authors: #BrianLacy, @MarkPimentelMD, @dbrennerGIMD, @umfoodoc, @drlauriekeefer, @MLongMD, @BMoshiree
#GITwitter #GI #IBS #gut #MedEd
🔘In pts w diarrhea, rule out #celiac disease🍞
🔘In pts w diarrhea + no🚨features, check fecal calprotectin/fecal leukocytes AND CRP to rule out #IBD
🔘❌routine 💩testing for enteric pathogens in #IBS
🔘❌colonoscopy in IBS if <45 and no🚨s
🔘Make POSITIVE IBS dx (Rome), ❌DOE
🔘In pts w diarrhea + no🚨features, check fecal calprotectin/fecal leukocytes AND CRP to rule out #IBD
🔘❌routine 💩testing for enteric pathogens in #IBS
🔘❌colonoscopy in IBS if <45 and no🚨s
🔘Make POSITIVE IBS dx (Rome), ❌DOE
🔘Identify #IBS subtype to target therapy
🔘❌testing for food allergies/sensitivities
🔘Test anorectal physiology in pts w IBS + symptoms suggestive of pelvic floor disorder +/or refractory #constipatoin
🔘Limited trial of low-#FODMAP #diet
🔘✅soluble fiber,❌insoluble fiber
🔘❌testing for food allergies/sensitivities
🔘Test anorectal physiology in pts w IBS + symptoms suggestive of pelvic floor disorder +/or refractory #constipatoin
🔘Limited trial of low-#FODMAP #diet
🔘✅soluble fiber,❌insoluble fiber
Honey Custards with Caramelized Apples
A great #Thanksgiving dessert for those with #celiac or who need #glutenfree - as requested by @zachariah_axel
Find this recipe in my #IsolationBaking e-cookbook.
👇
A great #Thanksgiving dessert for those with #celiac or who need #glutenfree - as requested by @zachariah_axel
Find this recipe in my #IsolationBaking e-cookbook.
👇
1/
INGREDIENTS
3 cups (700 ml) milk
3 large eggs
1/2 cup (125 ml) runny (liquid) honey
1/4 teaspoon salt
1/2 teaspoon vanilla extract
Nutmeg
2 medium apples, any variety (see note)
1 generous tablespoon butter or margarine
2 to 4 tablespoons honey
MORE
👇
INGREDIENTS
3 cups (700 ml) milk
3 large eggs
1/2 cup (125 ml) runny (liquid) honey
1/4 teaspoon salt
1/2 teaspoon vanilla extract
Nutmeg
2 medium apples, any variety (see note)
1 generous tablespoon butter or margarine
2 to 4 tablespoons honey
MORE
👇
2/
1 to 2 tablespoons rum, optional
Cinnamon or nutmeg, optional
Whipped cream for serving, optional
Note: 2 apples is enough for a heaping spoonful of apples per custard. If you'd like a little more topping, just increase the number of apples used. Use roughly 1 teaspoon
👇
1 to 2 tablespoons rum, optional
Cinnamon or nutmeg, optional
Whipped cream for serving, optional
Note: 2 apples is enough for a heaping spoonful of apples per custard. If you'd like a little more topping, just increase the number of apples used. Use roughly 1 teaspoon
👇
Celiac Disease and Covid-19: Thread with selected highlights from the webinar today co-hosted by @NationalCeliac and the @harvardmed Celiac Research Program, moderated by Dr. Alan Leichtner @BostonChildrens, featuring Dr. Alessio Fasano @CeliacResearch and Dr. Jonathan Li @DrJLi
Physician-scientist Dr. Jonathan Li @BrighamWomens, director of the Harvard University Virology Specialty Laboratory, opened with an excellent overview of Covid-19 that I highly recommend watching, but for length I will focus on the celiac-specific content in this thread
CALL TO ACTION: @US_FDA is temporarily relaxing food labeling to help minimize the impact of COVID-19 disruptions to the supply chain. It weakens #glutenfree labeling & may create a #celiac health risk.
Read our group letter & submit your comment to FDA.
celiaccommunity.org/2020/letter-to…
Read our group letter & submit your comment to FDA.
celiaccommunity.org/2020/letter-to…
Tremendous thanks to @GFWatchdog for leading the collaborative letter writing, two attorneys who volunteered their time, & @NationalCeliac @TweetSSCD, @GlutenDotOrg @BeyondCeliac & others. Please add your own voice by submitting a comment to FDA. Link and content in our blog.
Special shoutout to the two attorneys, Adam Rapp of Glynn & Finley in Walnut Creek, CA, and Kaki Schmidt, in Washington, D.C., who helped draft the letter and work with @GFWatchdog pro bono. It makes a huge difference when community members with specific skills jump in.
A thread of some of my thoughts reading through the guidance temporarily relaxing food labeling regulations...
You can read the whole thing for yourself here:
fda.gov/regulatory-inf…
You can read the whole thing for yourself here:
fda.gov/regulatory-inf…
Not a fan of the lack of options for public comment in advance. The guidance states: "[...] this guidance is being implemented without prior public comment because FDA has determined that prior public participation for this guidance is not feasible or appropriate [...]"
The guidance goes on to indicate it is just that, guidance, but it appears it could have very real effects on consumers if manufacturers take advantage of the options set forth in the guidance to make changes to formulations without changing packaging to reflect that.
I had a pretty scary experience last night as a patient that I wanted to share. This story may hit home for #allergy #foodallergy #celiac friends and I hope will be enlightening for my #medtwitter #medstudenttwitter friends! 1/
So my family ordered takeout from a restaurant that I’ve eaten safely at dozens of times in the past. Unfortunately 2 bites into my food, I started to feel nauseous and my lips start tingling.
For anyone with food allergies, you know that’s the start of something bad. 2/
For anyone with food allergies, you know that’s the start of something bad. 2/
That uncomfortable feeling progressed into full blown anaphylaxis very quickly.
Ive made it 28 yrs, never had to use my EpiPen before & I made the huge mistake of not having it with me. I am INCREDIBLY thankful that my partner keeps one for me at all times just in case. 3/
Ive made it 28 yrs, never had to use my EpiPen before & I made the huge mistake of not having it with me. I am INCREDIBLY thankful that my partner keeps one for me at all times just in case. 3/
Proposed labeling by @GeneralMills of using "GF" for a product that is not also labeled "gluten-free" violates the spirit if not the letter of the @US_FDA #glutenfree labeling rule & is an ill-considered affront to #celiac advocacy & #glutenfree consumers generalmillscf.com/products/categ…
@GeneralMills @US_FDA Thanks to @GFWatchdog for alerting the community to this issue and taking the lead. @GeneralMills needs to provide a statement. We would consider a boycott if this cannot be resolved through other means. It's an unsafe approach to labeling #publichealth #celiac
@GeneralMills @US_FDA @GFWatchdog While @GeneralMills is planning to skirt and possibly violate the @US_FDA #glutenfree labeling rule with "gluten friendly" products using a "GF" symbol, note that the unwelcome term has only been used in restaurants, not on packaged products made in controlled environments
Our foundation needs your input. I am writing about Microdrop's "imaware" home #celiac test and #rheumatoid #arthritis tests. Reply, DM or send an email to me at jiscol@celiaccommunity with your experience. Your name will not be published without your permission. RTs helpful.
We would like to hear about your Microdrop @imaware_health #celiac or #rheumatoid #arthritis test experience, positive or negative, whether adults or children were tested, whether you acted on the results, whether you looked into it and haven't purchased one, etc.
If you used an @imaware_health home #celiac or #rheumatoid #arthritis test in LATE APRIL, MAY or JUNE, we have an extra interest in hearing from you.
If you are an influencer paid to promote the company or received a free test, please disclose.
Qs are welcome - thanks!
If you are an influencer paid to promote the company or received a free test, please disclose.
Qs are welcome - thanks!
Congratulations to Dr. Alessio Fasano for receiving Italy's highest honor to a research scientist! Brilliant scientist & clinician, has always taken time with patient groups & journalists. Most U.S. #celiac experts are immigrants, now teaching the next generation. @CeliacResearch
2/3 Leading U.S. #celiac experts and where they grew up and/or were educated (partial list, any errors or omissions are mine):
Sheila Crowe (Canada)
Alessio Fasano (Italy)
Nielsen Fernandez-Becker (Dominican Republic)
Peter Green (Australia)
Stefano Guandalini (Italy)...
Sheila Crowe (Canada)
Alessio Fasano (Italy)
Nielsen Fernandez-Becker (Dominican Republic)
Peter Green (Australia)
Stefano Guandalini (Italy)...
3/3 (continued)
Bana Jabri (France)
Ciarán Kelly (Ireland)
Chaitan Khosla (India)
Francisco Leon (Spain)
Joseph Murray (Ireland)
Ritu Verma (India)
Bana Jabri (France)
Ciarán Kelly (Ireland)
Chaitan Khosla (India)
Francisco Leon (Spain)
Joseph Murray (Ireland)
Ritu Verma (India)
Great teamwork by media, physician, patient, advocate, lab, to demonstrate for public understanding that restaurant #glutenfree pizza may not be safe for those with #celiac. Need restaurant education & @US_FDA action @GMA @BenjaminLebwohl @GFWatchdog @k_liebowitz @Biadiagnostics
Let's recall what @US_FDA has stated about food labeled #glutenfree in restaurants:
"FDA recognizes that compliance with the gluten-free regulation in processed foods and food served in restaurants is important for the health of people with celiac disease." 1/8
"FDA recognizes that compliance with the gluten-free regulation in processed foods and food served in restaurants is important for the health of people with celiac disease." 1/8
"FDA’s regulation established a federal definition of the term “gluten-free” for food manufacturers that voluntarily label FDA-regulated foods as “gluten-free.” The definition was intended to provide a reliable way for people with celiac disease to avoid gluten, and..." 2/8
On a serious note:
Tuesday is my father's 2nd yahrzeit
Sunday 4/21 was the 2y anniversary of his death.
In reflecting back, I have some thoughts for #medtwitter, #Jews and the general public...
1/
#death #dying #grief #PalliativeCare #medicine
Tuesday is my father's 2nd yahrzeit
Sunday 4/21 was the 2y anniversary of his death.
In reflecting back, I have some thoughts for #medtwitter, #Jews and the general public...
1/
#death #dying #grief #PalliativeCare #medicine
1. Condolence notes just need to say, "I am thinking of you" or "I was sorry to hear your news" or "I am sorry for your loss."
Don't overthink it, and don't offer false platitudes. Send your note or make your call, and the person who is #mourning knows you care.
2/
Don't overthink it, and don't offer false platitudes. Send your note or make your call, and the person who is #mourning knows you care.
2/
It's very good to see the first validation study @imaware_health. Congratulations to your team! This is important progress. I look forward to the followup studies described in the validation. In the meantime, I have some questions, which are numbered Q1-3 in this thread. 1/9
I am studying @MicrodropHealth / @imaware_health from multiple angles. I don't see investors or medical/scientific employees (rather than paid advisors) on the website. So I have a few Qs that arose as I started my review, and that I hope you are in a position to answer. 2/9
According to a PR release by the manufacturer of your kits, SQI Diagnostics @Best_Multiplex, the goal within a year is to begin testing 50k people annually for #celiac disease and 25k more for #rheumatoidarthritis finance.yahoo.com/news/sqi-diagn… 3/9
1/ A new study by @BrighamGI & @MIT documents unlabeled gluten, lactose and other inactive ingredients in medication. "In a recent survey, 18% of manufacturers said their medications contain gluten." #celiac #medication #gluten wapo.st/2Jat3kk
2/ The study was led by Dr. Giovanni Traverso @BrighamGI, whose #celiac patient felt sicker after starting a new #drug, due to unlabeled #gluten. The national celiac community has lobbied for over a decade for mandatory labeling of gluten in drugs: celiaccommunity.org/2016/gluten-in…
3/ We hope @US_FDA takes notice and revisits its position that #gluten in drugs is rare and in too small amounts to require labeling. @FDAPatientinfo @FDA_Drug_Info This is our position on FDA's stalled and inadequate 2017 gluten in drugs proposal: celiaccommunity.org/2018/fda-comme…
No. 1/130 people getting properly diagnosed w #celiacdisease or allergies “popularized” safe gluten free food. We fought for it ourselves.
@GwynethPaltrow popularized pseudoscience & not taking people seriously whose GF diets are medically-necessary.
m.eonline.com/news/1021344/g…
@GwynethPaltrow popularized pseudoscience & not taking people seriously whose GF diets are medically-necessary.
m.eonline.com/news/1021344/g…
We fought for our children and ourselves. We called companies. We voted with our dollars. We’ve been vocal online for decades. It is the height of arrogance for Gwyneth to claim a few articles on GOOP and a cookbook 4 years ago deserve any credit. #celiac
Because it’s not a “lifestyle craze” for hundreds of thousands. It’s not a wellness fad. It’s life or death. And amazing advocates & activists like @GFWatchdog fight every day to make sure gluten-free food is consistently safe & companies are accountable.
1/ In a significant development for students with celiac disease and food allergies, @TheJusticeDept today announced a settlement with @RiderUniversity that ensures accommodation under the Americans with Disabilities Act justice.gov/usao-nj/pr/us-…
2/ Following a student complaint, a DOJ investigation found the university violated the ADA by failing to make reasonable modifications for students with food allergy-related disabilities. DOJ reached a similar settlement in 2012 with Lesley University celiaccommunity.org/2013/lesley-un…
3/ We applaud @TheJusticeDept for upholding the civil rights of students with celiac disease and food allergies under the ADA, send appreciation to the anonymous student who filed the original complaint, and support @RiderUniversity in its new efforts
Exciting new online tool to share far and wide for diagnosing #celiac in kids! The "NASPGHAN Clinical Guide for Pediatric Celiac Disease" is by @NASPGHAN doctors in partnership with @CeliacDotOrg. Check it out! It's interesting to follow the algorithm clinical.celiac.org 1/4
Kudos and appreciation for this important new #celiac diagnostic tool to Norelle Reilly @CeliacatCUMC, KT Park @KTPARKMD @StanfordChild, Ivor Hill @nationwidekids, Stefano Guandalini @CureCeliac, Edwin Liu @ChildrensColo, Ritu Verma @ChildrensPhila...2/4
...Joseph Levy @nyulangone, Alessio Fasano @CeliacResearch, Edward Hoffenberg @ChildrensColo, Marilyn Geller @CeliacDotOrg and many other contributors, including Rajitha Venkatesh @dr_rdvenkatesh @Duke_Childrens. Free access on tablet, smartphone or desktop 3/4
✨💡 This is an ace idea from @sarah_edo! 💕
👩💻 Be on the lookout for a @TensorFlow Advent Calendar tomorrow, as well, highlighting meaningful, high-impact projects and papers from our community. If you'd like for yours to be considered, please shoot me an @-mention!
👩💻 Be on the lookout for a @TensorFlow Advent Calendar tomorrow, as well, highlighting meaningful, high-impact projects and papers from our community. If you'd like for yours to be considered, please shoot me an @-mention!
✨#TFadvent begins today! 😄
For our first project, I'd like to highlight this accessibility example from @shekitup that uses @TensorFlowJS to interpret sign language—and then translates those signs into input that can be used by a home assistant! 🗣️✨
medium.com/tensorflow/get…
For our first project, I'd like to highlight this accessibility example from @shekitup that uses @TensorFlowJS to interpret sign language—and then translates those signs into input that can be used by a home assistant! 🗣️✨
medium.com/tensorflow/get…
🎁 Day #2 of #TFadvent:
🤖 Check out this project from a recent hackathon at @ColbyCollege! The team trained a @TensorFlow model to learn muscle movements, then used that model to send signals to a prosthetic arm, controlling one finger at a time. ✨
👉: m.facebook.com/notes/daviscon…
🤖 Check out this project from a recent hackathon at @ColbyCollege! The team trained a @TensorFlow model to learn muscle movements, then used that model to send signals to a prosthetic arm, controlling one finger at a time. ✨
👉: m.facebook.com/notes/daviscon…
