By Dr. Alan Kadish
This page is divided into three areas: The first deals with dairy reactions, the second is sources of gluten and dairy free products and finally some discussion of testing techniques.
Explanations of dairy reactions:
There are many millions of people who must be cautious about consuming milk and milk by-products. For this group, there are four principle reasons for their caution:
Lactose Maldigestion, also known as Lactose Intolerance, or (incorrectly) as lactose allergy.
The digestive system does not produce enough of the lactase enzyme to break down the complex lactose sugar into simpler sugars. The lactose sugar ferments in the small intestine, producing gas, bloating, cramps, and diarrhea.
Note that Lactose Maldigesters usually tolerate lactose in small doses, but are overwhelmed by larger quantities. Also note that it is possible to pre-treat milk with the lactase enzyme and supplement the body's natural lactase enzyme with lactase pills.
Lactose Maldigestion easily can be diagnosed by a test known as the Breath Hydrogen Level test (BHL).
Ingredients to avoid: milk, skim milk, powdered milk, lactic acid.
Milk Allergy: This is a true allergic reaction by the body's immune system to one or more of milk's proteins, such as casein or lactoglobulin. The resulting symptoms typically include swelling, itching, bronchospasm, hives, hypotension or shock, abdominal cramps and diarrhea.
The diagnosis is suggested by positive prick tests to milk or milk component extracts or by RAST tests (not as good as prick tests) or via ELISA method testing. Most clinicians would be convinced by a positive ELISA followed by improvement after avoidance of dairy foods, sometimes adding a single-blind challenge (the doctor or nurse knows whether the patient is getting the real milk or the placebo, but the patient does not). The gold standard for establishing the diagnosis is a double blind placebo controlled challenge, but few clinicians are set up to do this.
Ingredients to avoid: all listed above for Lactose Maldigestion, and casein, sodium caseinate, etc.
This is when the immune system of the body produces IgA and IgG antibodies to casein, a milk protein. The community avoiding casein are the people afflicted with autism. Casein peptides are absorbed through the intestine and collect in the kidneys. These antibodies can be detected with ELISA serum tests. This is discussed on the Reichelt page which is referenced in URL list below.
There are some very rare diseases and some conditions that either improve with avoidance of milk and milk by-products or are made worse with milk ingestion.
Some examples are: - Heiner's syndrome (improves with milk avoidance).
- A number of children, with eczema, get worse with milk ingestion.
This is discussed in the Medline abstracts found in the Educational Institution section below. For these people the casein milk protein causes the intestinal villi to flatten, much like it does when gluten is consumed by somebody that is intolerant to gluten.
Gluten Free Pantry
Gluten and Dairy Free Manufacturers:
Gluten free foods can actually taste good! With that said let's consider the many companies that will aid you in your quest to find simple solutions. The following listing is not all inclusive and I would ask if you have found other sources, please let us know.
Miss Roben's 800-891-0083
Gluten Solutions.com 888-845-8836
Ener-g Foods 800-331-5222
Authentic Foods 800-806-4737
Food for Life
Auntie Candice 800-245-8282
KingsMill Foods 416-755-1124
Mrs. Leeper’s 858-486-1101
Edward & Sons 805-684-8500
Pamela’s Products 707-462-6605
Dietary Specialties 888-640-2800
Gluten-Free Delights Inc. 888-403-1806
Savory Palate Inc 800-741-5418
St Clarie’s 303-527-1554
Bob's Red Mill 800-553-2258
Chebe Bread Products 800-217-9510
Nu-World Foods 630-369-6819
The San Pedro Mesquite Company 520-212-9663
Dowd and Rogers 916-451-6480
Mochi Grainaissance 800-472-4697
enJoyLife Foods 888-50 ENJOY
Kinnikinnick Foods 877-503-4466
Gluten-Free Designer Fast Foods
The Dietary Shoppe Inc 215-242-5302
Gluren-Free Products shipped right to your door 206-440-4147
Gourmet Baked Goods 866-758-9464
Akins Natural Foods
Net References for gluten free food recipes: at www.GFrecipes.com
Overseas Sources: click here.