Gluten-Free Diet

If you feel frustrated and helpless due to food allergies, you are not alone. Up to 60% of Americans have shown signs of food allergy at one time or another. About 10% of food allergy sufferers exhibit symptoms serious enough to see a doctor. Food allergy typically does not appear overnight. In susceptible people, allergies to foods eaten regularly, (if not daily), progress over time. Because allergy onset is subtle, identifying offending foods can be difficult and often requires trial diets. Once the food has been identified, the patient may incorporate acceptable substitutes in his or her diet and avoid the food completely.

Nearly any type of food can cause allergy, but cow’s milk, eggs, fish, shellfish, nuts, corn, cereal grains, chocolate, Citrus fruits, peanuts and soy products most commonly provoke reactions. Because many foods come from related plant and animal species, which contain cross-reacting substances, a person may suffer allergic reaction from a food ha has never eaten. The website www.dpcAlaSTAT.com provides information on specific allergens, peak pollination seasons, and allergen cross-reactivity.

The following diet excludes all gluten and gluten-containing products, including wheat, rye, oats, and barley. However, gluten is often found as an incidental ingredient. You should omit the following ingredients:

· Hydrolyzed vegetable protein · Flour or cereal products · Vegetable protein · Malt and malt flavorings · Starch (unless specified as corn or other allowed starch)

Also be aware that flavorings, vegetable gum, emulsifiers, and stabilizers may be composed of including wheat, rye, oats, or barley. When in doubt, contact the manufacturer to determine complete ingredients.

When dining out: · Choose foods prepared simply, such as broiled or roasted meats, plain vegetables, and plain salads. · Inquire about food preparation methods, as cereal and flour products are often used. · Avoid all breaded and creamed foods, meatloaf and gravies. These are allowed if prepared at home using acceptable ingredients.

Types and Include Omit Amounts of Food Soups Homemade broth and Noodle soups, canned As desired un-thickened soups*, bullion, vegetable soups, dehydrated soup cream soups prepared mixes with cream, cornstarch, rice, potato, or soybean flour Meat and Meat Fresh meats, poultry, Prepared meats that substitutes seafood, plain un- contain wheat, rye, 3 or more servings breaded frozen meats, oats, or barley, such fish, poultry, fish as sausage*, canned in oil or brine, wieners*, bologna*, Swiss cheese, cream luncheon meats*, cheese, cheddar chili*, meatloaf*, cheese, parmesan hamburger with cereal cheese, pure peanut filler*, sandwich butter, plain dried spreads*, canned beans or peas, eggs baked beans*, Soufflés unless prepared with allowable flours, cottage cheese*, pasteurized cheese spreads* Potato and potato White or sweet Creamed or substitutes potatoes, yams, rice, escalloped potatoes 1 or more servings hominy unless prepared with allowable flours, macaroni, noodles, spaghetti, lasagna, vermicelli, commercially prepared potato salad*, packaged rice mixes* Vegetables All plain, fresh, canned Breaded, creamed, or 2 or more servings (include a dark green escalloped vegetables (¼ cup each) or a deep yellow unless prepared with vegetable daily as a allowable flours, Vitamin A source) commercially prepared vegetables or salads* Breads Breads or muffins All bread or bread 3 or more servings made from: rice flour, products containing cornstarch, tapioca wheat, rye, bran, or flour, potato flour, graham, wheat germ, soybean flour, and/or malt, millet, kasha, or arrowroot flour, rice bulgar, all crackers, wafers or sticks, Ry-Krisp®, rusks, (usually available at zwieback, pretzels, oriental specialty bread or cracker stores), mixed bread, crumbs, wheat starch pure cornmeal tortillas, gluten free bread mix Cereal Only puffed rice, pure Snack cereal foods, 1 or more servings corn meals, rice bran cereals, cream of hominy grits or wheat, farina, hominy, cream of rice, Grapenuts®, Kellogg’s® puffed rice, oatmeal, Shredded Post’s rice Krinkles®, wheat®, puffed Nabisco Rice wheat®, Ralston®, Honeys® wheatena, pablum, wheat germ, buckwheat, Rice Krispies®, cornflakes®, cereals with malt added

Fats Butter, cream, Commercially As desired margarine, vegetable prepared salad oil, vegetable dressings and gravies shortening, animal fat, containing gluten pure mayonnaise, stabilizers or homemade salad thickened with gluten dressings and gravies containing stabilizers*, prepared with allowed non-dairy creamers ingredients, bacon Fruits and Fruit Fresh, frozen canned Fruits prepared with juices or dried fruits and fruit wheat, rye, oats or 2 or more servings juices (include 1 barley. serving citrus fruit or juice daily for a source of vitamin C) Desserts Homemade cakes, Commercial cookies, In moderation cookies, pastries, pies, pies, doughnuts, pudding (cornstarch, pastries puddings, pie rice, tapioca), crusts, ice cream prepared with allowed cones, prepared ingredients, gelatin mixes containing desserts, meringues, wheat, or rye. Icing custard, fruit, ices, mixes, ice cream and whips sherbet containing gluten stabilizers* Milk Fresh, dry, Malted milk, some evaporated, or commercial chocolate condensed milk, sweet drinks, yogurt*, and sour cream Ovaltine® Beverages Sanka®, pure instant Fruit punch, powders, As desired coffee, coffee, tea, cocoa powders, ale, carbonated beverages, beer, gin, whiskey, fruit juices (fresh or root beer, Postum®, frozen), pure cocoa instant coffee* powder, frozen lemonade concentrate Miscellaneous Salt (iodized), sugar, Chili seasoning mix, As desired honey, jelly, molasses, gravy extracts, pure cocoa, coconut, starch*, malt, natural olives, pure fruit syrup, flavoring (may contain herbs, extracts, food malt), hydrolyzed coloring, cloves, vegetable protein*, ginger, nutmeg, chewing gum*, cinnamon, cornstarch, catsup*, mustard*, yeast, sodium, soy sauce*, curry bicarbonate, cream of powder*, horseradish, tartar, nuts, dry vegetable gum, mustard, monosodium emulsifiers and glutamate, cider stabilizers* may be vinegar, wine, wine, derived from or vinegar, pure chili contain wheat, rye, pepper oats or barley. Vinegar, distilled vinegar*, malt vinegar, pickles*, chili powder*

*May be used if corn free status verified by the manufacturer.

Brand names are used for clarification only and do not constitute an endorsement.

Metropolitan ENT & Facial Plastic Surgery 6355 Walker Lane, Suite 308 Alexandria, VA 22310 Phone: 703-313-7700 Fax: 703-313-0178