Author Archives: Catherine Karam Nodurft

6 Tips and Tricks for a Gluten Free Diet

In my never-ending quest to find something to alleviate my migraine, it was suggested by one of my doctors to get tested for Celiac disease.  Tests came back normal, but the doctor still advised just trying a gluten-free diet for two weeks.  So I gave it a go.  Turns out, I’m gluten-intolerant.  When I added gluten back, I saw almost immediate reactions – horrible hit-you-across-the-side-of-the-head migraine, bloated stomach, lots of pain, and a side of fuzzy-headedness. Lovely.  So I went gluten-free.  While it wasn’t the magic cure-all, it has helped my head pain and, like the last diet, made me even more aware of the food that I consume.

Here’s  fun tidbit… gluten is hidden in the most unlikely places. Besides the obvious culprits, it’s the preferred filler for soups, sauces, dressings, ice cream, teas (barley), and processed meats. All the places where it really shouldn’t be. It’s really easy to get caught up in the whole gluten-free diet movement, but there’s definitely ways to navigate without spending a ton on gluten-free foods and enjoying your food at the same time.

  1. Don’t go for straight substitutions. I’ve seen many people go on a gluten-free diet and immediately look for substitutions for the gluten they eat daily.  Usually, I hear “Well, I HAVE to have bread”.  They buy gluten-free bread, muffins, cookies, crackers, etc. and end up spending a whole lot of money on what is, frankly, a whole lot of crap. Gluten-free substitute items that you find at the grocery store are usually really processed, chock full of preservatives (soy, soy and more soy), and all kinds of ingredients that you just don’t want in your food.  And for those of you who are hoping to lose weight on a gluten-free diet, if you do the straight substitution, you’re pretty much guaranteed to gain weight. When I look back at all the gluten I used to eat (muffin for breakfast, sandwich at lunch, pasta for dinner), I can’t imagine finding substitutes for everything. Now, I’m not saying never substitute.  Educate yourself, read ingredient labels, buy baked goods at gluten-free bakeries (less preservatives and junk), and if needed, choose simple substitutes like rice/corn pasta and lentil chips.  You know, things with ingredients you can pronounce and are actually good for you.
  2. Eat things that are naturally gluten-free. I focus on starches that are naturally gluten free, like corn, potatoes, and rice.  Fruits, vegetables, meats, fish and dairy area also naturally gluten free (although keep an eye out for lactose intolerance, that can go hand-in-hand with gluten-intolerance). Lunch and dinner are usually not too difficult to figure out, but my biggest challenges have been breakfast and snacks.  If there’s time, eggs/omelets are an easy and safe option for breakfast.  If not, yogurt, fruit, and gluten-free granola (I love KIND granola personally. Keep in mind not all granola is gluten-free!) are good quick options.  For snacking, my go-to’s are usually tortilla chips (Xochitl chips are delicious), stove-top popcorn (don’t get that microwave junk) and KIND bars (I keep a couple in my purse, just in case). Also just discovered Van’s crackers, which are amazing and a nice change of pace from the other gluten-free styrofoam stuff out there. It may sound crazy, but my favorite cookbook for gluten-free cooking has been Gweneth Paltrow’s It’s All Good.  It’s naturally gluten-free cooking, so I don’t have to worry about swapping things out.  And the recipes I’ve tried so far are delicious.
  3. Eating out can be dangerous. Always inform, ask, and when in doubt, don’t eat it. Gluten is hidden in a lot of things.  As I learned with my previous diet, patron restaurants who can tell you every ingredient in their dishes.  It makes it a lot easier to figure out what you can and can’t eat.  When the waiter/waitress takes my drink order, I’ll usually inform them that I have a gluten allergy.  Yes, I said allergy.  While the gluten-free fad diet has made it easier to eat gluten-free, I want them to know that this is not a lifestyle choice, this will have an adverse effect on my health if I consume it.  I ask for suggestions of what would be safe for me to eat.  If the staff is not well-informed, ask them to ask the chef.  If you’re still not sure, don’t eat there.  If your gluten reaction is like mine, it’s not worth the risk. Sauces, soups, and dressings are the less-obvious culprits to look out for, as gluten is often added as a thickener.  Watch out for chips served at restaurants. While the tortilla chips you buy at the store don’t have gluten, the ones at restaurants often do.  And although imitation crab does have gluten, I’ve found if you ask a sushi place to just substitute avocado, you end up with a pretty good roll.  Also keep an eye out for potential cross-contamination.  Although a place’s fries may be gluten-free, do they share a fryer with the chicken fingers?
  4. Don’t be afraid to talk to friends and family about your dietary restrictions. It’s tempting to not tell people about your gluten-intolerance because you don’t want to be a burden.  But put yourself in their position: if someone had a nut allergy, wouldn’t you like to know before you invite them over and serve them something with nuts?  Explaining it to people can be a little challenging, but I’ve found the best way is to simply say “anything with flour, I can’t eat” and then list out what you can eat (rice, potatoes, etc.).  I will also assure people that not everything has to be gluten-free, as long as I have something to eat, I’m ok.  And I also have KIND bars in my purse, just in case.
  5. Gluten-free cooking doesn’t have to come from a gluten-free cookbook.  There’s a lot of dishes that you probably make on a regular basis that don’t have gluten in them. Others you can make simple substitutions.  For gluten-free baking, although sometimes you need the balance a gluten-free recipe offers, you can do a straight gluten-free flour substitution pretty easily.  Find the gluten-free flour that works best for you.  My favorite pre-mixed flour right now is King Arthur’s flour, although I’m determined to figure out my own ideal mix of Bob’s Red Mill flours.  Best resource for baking and recipes that I’ve found is Gluten Free on a Shoestring.
  6. Google everything.  Whenever I’m not sure of something, I Google it.  You can usually find out pretty quickly if something is gluten-free.  If you can’t find information about it, don’t risk it.  Many companies also list their gluten-free items on their websites, and more and more restaurants are offering gluten-free menus as well.

I’m not going to tell you it’s easy to eat gluten-free.  It’s a struggle sometimes, and admittedly, I do have dreams about stuffing my face with pizza, pretzels, and cookies. But, soon it becomes second nature to you and you find yourself eating healthier overall. And feeling better doesn’t hurt, either.

Note: I was not compensated by any of the brands listed above. They just make good gluten-free stuff, and for that, I am grateful.

Lessons from The Migraine Diet

My neurologist recommended I get a few books about migraines and the first one I started with was Heal Your Headache: The 123 Program for Taking Charge of Your Pain.  I was admittedly skeptical, as I always am about something that says it will “cure” me.  But when I started reading, I soon realized that even though I may not find a “cure”, I could still gain some good knowledge from this book.  The first step is to get off any medications, as many of them (especially painkillers) could actually be exacerbating the migraine.  The second step was to go on an elimination diet to weed out migraine triggers.  The third step was to work with your neurologist and get on preventative and management medication.  As medication doesn’t really work for me and I wasn’t on any painkillers, I focused on Step 2: The Diet.  Within the elimination diet, there are a ton of things that you have to avoid, including:

  • Onions
  • Tomatoes
  • Citrus
  • Cheese
  • Nuts
  • Chocolate
  • Freshly Baked Bread
  • Processed Soy
  • Certain Beans
  • Red Wine, Red Wine and Balsalmic Vinigar
  • Dark Liquors
  • Processed meats
  • Yogurt
  • Bananas, raspberries and avocado

And that’s just a few.  I jumped in, full force, probably because I was excited to have something I could actually control.  It was definitely not an easy diet to follow.  The hardest ones to avoid were onions, tomatoes and citrus.  Once you have to eliminate those, you realize that they’re pretty much in everything.  I did the diet for 4 months, although the book recommended 3.  Maybe it was because I was under a lot of stress at the time, but I didn’t really notice that much of a difference in the way I was feeling.  With a diet that strict, you end up cheating on just about everything (sometimes on accident, sometimes because your other choice is to go hungry).  The only trigger I was able to identify was processed soy.  But it was still a worthwhile diet because it made me really look at every single thing I was eating.

Know What’s In Your Processed Food. Then Stop Eating So Much Processed Food

This diet really forces you to look at ingredient labels.  Dried onion is in most flavored snack foods and processed soy is in just about everything as a preservative (soy lecithin).  Once you start reading ingredient labels, you start to realize all the junk you’ve been putting into your body.  Read the ingredients of your favorite pretzels, peanut butter and bread.  Are there things in your food that you’ve never heard of and you can’t even pronounce? You probably shouldn’t be eating that.  Find brands with minimally processed foods, such as Pretzel Crisps (there’s about four ingredients) or Theo Chocolate (yes, I know you can’t eat chocolate on this diet, but it’s good chocolate!).  Stores like Whole Foods and Central Market often have good options for buying healthier processed foods such as peanut butter (you really don’t need sugar in there, by the way) and freshly baked bread, and although you may end up spending a little more, you are being much kinder to your body and eliminating unnecessary stuff in your food.  Other downside is that usually these products don’t stay fresh as long due to lack of preservatives.  But I’d rather not be eating those anyways.

There are many times when we eat processed foods but we actually don’t have too, especially in the case of fruits and vegetables.  Canned vegetables usually have a few extras thrown in their, for color or “freshness”.  Some ingredients may surprise you (high fructose corn syrup in canned fruit), others may disgust you (like the fact that lard is in cans of refried beans. Ew.)  Start buying more fresh produce as it is better for you and actually tastes better, too.  I’m on a corn kick right now.  In the past, I always bought frozen or canned corn.  Then one day, I bought fresh corn, easily sliced the kernels off the cob to mix in with some zucchini, and realized how delicious fresh vegetables could be!

Eat Local and Don’t Trust a Restaurant That Can’t Tell You Every Ingredient In their Sauces and Soups

When you’re on the Migraine Diet, soups and sauces are the enemy – you just don’t know what’s in there!  You find yourself asking the ingredients of everything when you dine out, and hopefully you have a patient waitress.  Most places have an allergy guide that can tell you simple things like whether or not an item has soy or nuts, but it’s harder to find places that can tell you whether or not something has onions.  I found that by going to local restaurants who make everything from scratch in-house, you were more likely to find out what was in your food.  Chains had a bit of a harder time because much of their food is pre-prepared.  I started judging the quality of a restaurant by whether or not they could tell me the ingredients in their sauces and soups, which is a pretty good way to judge quality regardless.  A tip for asking your server: I always just explained that I was on a strange diet to weed out migraine triggers upfront.  And sometimes apologized for the inconvenience.  Once people know what’s going on and that you’re not trying to be difficult, they go out of their way to help you.  Realize that patience on both sides is required!

Processed Soy is in EVERYTHING.

And I mean everything.  Did you know that Vegetable Oil is 100% soybean oil?  Then why not just call it soybean oil?  That makes things so much more difficult because vegetable oil hides in baked goods.  I’ve started looking up nutrition facts for restaurants (many will state whether or not soy is present in their items) and also be wary of baked goods where I know soybean oil is probably present.  Soybean oil is used in many breads, muffins, and cakes.  In terms of baked desserts, cookies are usually a safe bet, but if it’s a “drop cookie” (i.e., not refrigerated dough that is then cut into shapes), it might have vegetable shortening, which of course is processed soy. This includes chocolate chip cookies and my favorite recipe for ginger cookies.

The moral of the story: know what you’re eating!  Although I wasn’t able to identify more than one trigger this time around, I was able to become more aware of what I am eating and cut out some items that I am definitely better off without.

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Seven Years and Counting

I’ve been meaning to start this blog for awhile.  Its contents have been rolling around in my head for the past six months, ever since I went to the BlogHer Wellness Day last year and was so inspired by women who took control of their health and became an advocate for others suffering the same illness.  I had a conversation with a friend last week and realized that I need to stop planning and just start.  So here we are.

I have had a constant migraine for the past seven and a half years.  Yes, you read that right.  Every minute of every day.  It’s there when I go to sleep, when I wake up, and sometimes wakes me up in the middle of the night.  The first year, I was a guinea pig for all kinds of medications and treatments.  That year alone, I was on over 16 different medications to try to help my headache.  And since my body is very sensitive to medications, I got all the side effects. Only a week in the hospital for DHE treatment managed to bring the pain down a bit.  For the next five years, I learned to manage my migraine.  I knew it’s triggers, I knew how to take care of it when it got bad.  I was able to manage my migraine without medication (because nothing worked for me) for those five years.  Then, everything changed.  My migraine morphed into this monster, bringing along with the head pain horrible nausea, back and neck pain, chills and sweats, and that’s just the beginning. So I went back to the doctor.  They ran tests again to make sure there was nothing “really” wrong (i.e., life-threatening tumor or something) and then started me on some new medication, which, (surprise, surprise) didn’t help.  At that point, I didn’t have many options left.  So, I opted for Botox treatments.

Strange as it may seem, most medications used for migraine treatment are not approved by the FDA for migraines.  Most are intended for something else.  I’ve been on beta blockers, medication for arthritis, multiple sclerosis, seizures, Alzheimer’s, you name it.  But Botox is the one of the few (maybe the only) approved by the FDA for migraine treatment.  All the same, 35 injections in your head, neck and shoulders is usually a last option.  I’ve been doing the treatments for the past year, and honestly, it’s the only thing that’s helped manage the monster migraine.  Even with the Botox, however, it still a constant migraine, just not as bad as before.

After living with a migraine for this long, you learn it’s not about finding a “cure”.  It’s about pain management and changing your lifestyle.  While I’m still figuring out this new monster migraine and how to best manage it, I’ve found that this time around talking about my migraine has actually been very therapeutic   I’m at that point where I’m just frustrated and need to channel that frustration into something productive.  That’s where the idea for this blog came from.

I hope that talking about my experiences here helps others, whether it’s someone who is struggling with migraines or a loved one trying to understand.  It’s an invisible illness, a lonely illness, but that doesn’t mean we have to live with it alone.

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