14 Facts About Celiac Disease

iStock.com/fcafotodigital
iStock.com/fcafotodigital

Going gluten-free may be a modern diet trend, but people have been suffering from celiac disease—a chronic condition characterized by gluten intolerance—for centuries. Patients with celiac are ill-equipped to digest products made from certain grains containing gluten; wheat is the most common. In the short-term this can cause gastrointestinal distress, and in the long-term it can foster symptoms associated with early death.

Celiac diagnoses are more common than ever, which also means awareness of how to live with the condition is at an all-time high. Here are some things you might not know about celiac disease symptoms and treatments.

1. Celiac an autoimmune disease.

The bodies of people with celiac have a hostile reaction to gluten. When the protein moves through the digestive tract, the immune system responds by attacking the small intestine, causing inflammation that damages the lining of the organ. As this continues over time, the small intestine has trouble absorbing nutrients from other foods, which can lead to additional complications like anemia and osteoporosis.

2. You can get celiac disease from your parents.

Nearly all cases of celiac disease arise from certain variants of the genes HLA-DQA1 and HLA-DQB1. These genes help produce proteins in the body that allow the immune system to identify potentially dangerous foreign substances. Normally the immune system wouldn't label gliadin, a segment of the gluten protein, a threat, but due to mutations in these genes, the bodies of people with celiac treat gliadin as a hostile invader.

Because it's a genetic disorder, people with a first-degree relative (a sibling, parent, or child) with celiac have a 4 to 15 percent chance of having it themselves. And while almost all patients with celiac have these specific HLA-DQA1 and HLA-DQB1 variations, not everyone with the mutations will develop celiac. About 30 percent of the population has these gene variants, and only 3 percent of that group goes on to develop celiac disease.

3. Makeup might contribute to celiac disease symptoms.

People with celiac disease can’t properly process gluten, the protein naturally found in the grains like wheat, rye, and barley. Patients have to follow strict dietary guidelines and avoid most bread, pasta, and cereal, in order to manage their symptoms. But gluten isn’t limited to food products: It can also be found in some cosmetics. While makeup containing gluten causes no issues for many people with celiac, it can provoke rashes in others or lead to more problems if ingested. For those folks, gluten-free makeup is an option.

4. The name comes from 1st-century Greece.

A 1st-century Greek physician named Aretaeus of Cappadocia may have been the first person to describe celiac disease symptoms in writing [PDF]. He named it koiliakos after the Greek word koelia for abdomen, and he referred to people with the condition as coeliacs. In his description he wrote, “If the stomach be irretentive of the food and if it pass through undigested and crude, and nothing ascends into the body, we call such persons coeliacs.”

5. There are nearly 300 celiac disease symptoms.

Celiac disease may start in the gut, but it can be felt throughout the whole body. In children, the condition usually manifests as bloating, diarrhea, and abdominal discomfort, but as patients get older they start to experience more “non-classical” symptoms like anemia, arthritis, and fatigue. There are at least 281 symptoms associated with celiac disease, many of which overlap with other conditions and make celiac hard to diagnose. Other common symptoms of the disease include tooth discoloration, anxiety and depression, loss of fertility, and liver disorders. Celiac patients also have a greater chance of developing an additional autoimmune disorder, with the risk increasing the later in life the initial condition is diagnosed.

6. Some patients show no symptoms at all.

It’s not uncommon for celiac disease to be wrecking a patient’s digestive tract while showing no apparent symptoms. This form of the condition, sometimes called asymptomatic or “silent celiac disease,” likely contributes to part of the large number of people with celiac who are undiagnosed. People who are at high risk for the disease (the children of celiac sufferers, for example), or who have related conditions like type 1 diabetes and Down syndrome (both conditions that put patients at a greater risk for developing new autoimmune diseases) are encouraged to get tested for it even if they aren’t showing any signs.

7. It’s not the same as wheat sensitivity.

Celiac is often confused with wheat sensitivity, a separate condition that shares many symptoms with celiac, including gastrointestinal issues, depression, and fatigue. It’s often called gluten sensitivity or gluten intolerance, but because doctors still aren’t sure if gluten is the cause, many refer to it as non-celiac wheat sensitivity. There’s no test for it, but patients are often treated with the same gluten-free diet that’s prescribed to celiac patients.

8. It's not a wheat allergy either.

Celiac disease is often associated with wheat because it's one of the more common products containing gluten. While it's true that people with celiac can't eat wheat, the condition isn't a wheat allergy. Rather than reacting to the wheat, patients react to a specific protein that's found in the grain as well as others.

9. It can develop at any age.

Just because you don’t have celiac now doesn’t mean you’re in the clear for life: The disease can develop at any age, even in people who have tested negative for it previously. There are, however, two stages of life when symptoms are most likely to appear: early childhood (8 to 12 months) and middle adulthood (ages 40 to 60). People already genetically predisposed to celiac become more susceptible to it when the composition of their intestinal bacteria changes as they get older, either as a result of infection, surgery, antibiotics, or stress.

10. Not all grains are off-limits.

A gluten-free diet isn’t necessarily a grain-free diet. While it’s true that the popular grains wheat, barley, and rye contain gluten, there are plenty of grains and seeds that don’t and are safe for people with celiac to eat. These include quinoa, millet, amaranth, buckwheat, sorghum, and rice. Oats are also naturally gluten-free, but they're often contaminated with gluten during processing, so consumers with celiac should be cautious when buying them.

11. Celiac disease can be detected with a blood test.

Screenings for celiac disease used to be an involved process, with doctors monitoring patients’ reactions to their gluten-free diet over time. Today all it takes is a simple test to determine whether someone has celiac. People with the condition will have anti-tissue transglutaminase antibodies in their bloodstream. If a blood test confirms the presence of these proteins in a patient, doctors will then take a biopsy of their intestine to confirm the root cause.

12. The gluten-free diet doesn’t work for all patients.

Avoiding gluten is the most effective way to manage celiac disease, but the treatment doesn’t work 100 percent of the time. In up to a fifth of patients, the damaged intestinal lining does not recover even a year after switching to a gluten-free diet. Most cases of non-responsive celiac disease can be explained by people not following the diet closely enough, or by having other conditions like irritable bowel syndrome, lactose intolerance, or small intestine bacterial overgrowth that impede recovery. Just a small fraction of celiac disease sufferers don’t respond to a strict gluten-free diet and have no related conditions. These patients are usually prescribed steroids and immunosuppressants as alternative treatments.

13. If you don’t have celiac, gluten probably won’t hurt you.

The gluten-free diet trend has exploded in popularity in recent years, and most people who follow it have no medical reason to do so. Going gluten-free has been purported to do everything from help you lose weight to treat autism—but according to doctors, there’s no science behind these claims. Avoiding gluten may help some people feel better and more energetic because it forces them to cut heavily processed junk foods out of their diet. In such cases it’s the sugar and carbs that are making people feel sluggish—not the gluten protein. If you don’t have celiac or a gluten sensitivity, most experts recommend saving yourself the trouble by eating healthier in general rather than abstaining from gluten.

14. The numbers are growing.

A 2009 study found that four times as many people have celiac today than in the 1950s, and the spike can’t be explained by increased awareness alone. Researchers tested blood collected at the Warren Air Force Base between 1948 and 1954 and compared them to fresh samples from candidates living in one Minnesota county. The results supported the theory that celiac has become more prevalent in the last half-century. While experts aren’t exactly sure why the condition is more common today, it may have something to do with changes in how wheat is handled or the spread of gluten into medications and processed foods.

12 Creative Ways to Spend Your FSA Money Before the Deadline

stockfour/iStock via Getty Images
stockfour/iStock via Getty Images

If you have a Flexible Spending Account (FSA), chances are, time is running out for you to use that cash. Depending on your employer’s rules, if you don’t spend your FSA money by the end of the grace period, you potentially lose some of it. Lost cash is never a good thing.

For those unfamiliar, an FSA is an employer-sponsored spending account. You deposit pre-tax dollars into the account, and you can spend that money on a number of health care expenses. It’s kind of like a Health Savings Account (HSA), but with a few big differences—namely, your HSA funds roll over from year to year, so there’s no deadline to spend it all. With an FSA, though, most of your funds expire at the end of the year. Bummer.

The good news is: The law allows employers to roll $500 over into the new year and also offer a grace period of up to two and a half months to use that cash (March 15). Depending on your employer, you might not even have that long, though. The deadline is fast approaching for many account holders, so if you have to use your FSA money soon, here are a handful of creative ways to spend it.

1. Buy some new shades.

Head to the optometrist, get an eye prescription, then use your FSA funds to buy some new specs or shades. Contact lenses and solution are also covered.

You can also buy reading glasses with your FSA money, and you don’t even need a prescription.

2. Try acupuncture.

Scientists are divided on the efficacy of acupuncture, but some studies show it’s useful for treating chronic pain, arthritis, and even depression. If you’ve been curious about the treatment, now's a good time to try it: Your FSA money will cover acupuncture sessions in some cases. You can even buy an acupressure mat without a prescription.

If you’d rather go to a chiropractor, your FSA funds cover those visits, too.

3. Stock up on staples.

If you’re running low on standard over-the-counter meds, good news: Most of them are FSA-eligible. This includes headache medicine, pain relievers, antacids, heartburn meds, and anything else your heart (or other parts of your body) desires.

There’s one big caveat, though: Most of these require a prescription in order to be eligible, so you may have to make an appointment with your doctor first. The FSA store tells you which over-the-counter items require a prescription.

4. Treat your feet.

Give your feet a break with a pair of massaging gel shoe inserts. They’re FSA-eligible, along with a few other foot care products, including arch braces, toe cushions, and callus trimmers.

In some cases, foot massagers or circulators may be covered, too. For example, here’s one that’s available via the FSA store, no prescription necessary.

5. Get clear skin.

Yep—acne treatments, toner, and other skin care products are all eligible for FSA spending. Again, most of these require a prescription for reimbursement, but don’t let that deter you. Your doctor is familiar with the rules and you shouldn’t have trouble getting a prescription. And, as WageWorks points out, your prescription also lasts for a year. Check the rules of your FSA plan to see if you need a separate prescription for each item, or if you can include multiple products or drug categories on a single prescription.

While we’re on the topic of faces, lip balm is another great way to spend your FSA funds—and you don’t need a prescription for that. There’s also no prescription necessary for this vibrating face massager.

6. Fill your medicine cabinet.

If your medicine cabinet is getting bare, or you don’t have one to begin with, stock it with a handful of FSA-eligible items. Here are some items that don’t require a prescription:

You can also stock up on first aid kits. You don’t need a prescription to buy those, and many of them come with pain relievers and other medicine.

7. Make sure you’re covered in the bedroom.

Condoms are FSA-eligible, and so are pregnancy tests, monitors, and fertility kits. Female contraceptives are also covered when you have a prescription.

8. Prepare for your upcoming vacation.

If you have a vacation planned this year, use your FSA money to stock up on trip essentials. For example:

9. Get a better night’s sleep.

If you have trouble sleeping, sleep aids are eligible, though you’ll need a prescription. If you want to try a sleep mask, many of them are eligible without a prescription. For example, there’s this relaxing sleep mask and this thermal eye mask.

For those nights you’re sleeping off a cold or flu, a vaporizer can make a big difference, and those are eligible, too (no prescription required). Bed warmers like this one are often covered, too.

Your FSA funds likely cover more than you realize, so if you have to use them up by the deadline, get creative. This list should help you get started, and many drugstores will tell you which items are FSA-eligible when you shop online.

10. Go to the dentist.

While basics like toothpaste and cosmetic procedures like whitening treatments aren’t FSA eligible, most of the expenses you incur at your dentist’s office are. That includes co-pays and deductibles as well as fees for cleanings, x-rays, fillings, and even the cost of braces. There are also some products you can buy over-the-counter without ever visiting the dentist. Some mouthguards that prevent you from grinding your teeth at night are eligible, as are cleaning solutions for retainers and dentures.

11. Try some new gadgets.

If you still have some extra cash to burn, it’s a great time to try some expensive high-tech devices that you’ve been curious about but might not otherwise want to splurge on. The list includes light therapy treatments for acne, vibrating nausea relief bands, electrical stimulation devices for chronic pain, cloud-connected stethoscopes, and smart thermometers.

12. Head to Amazon.

There are plenty of FSA-eligible items available on Amazon, including items for foot health, cold and allergy medication, eye care, and first-aid kits. Find out more details on how to spend your FSA money on Amazon here.

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12 Spirited Facts About How the Grinch Stole Christmas

Warner Home Video
Warner Home Video

Each year, millions of Americans welcome the holiday season by tuning into their favorite TV specials. For most people, this includes at least one viewing of the 1966 animated classic How the Grinch Stole Christmas. Adapted from Dr. Seuss’s equally famous children’s book by legendary animator Chuck Jones, How the Grinch Stole Christmas first aired more than 50 years ago, on December 18, 1966. Here are 12 facts about the TV special that will surely make your heart grow three sizes this holiday season.

1. Theodor “Dr. Seuss” Geisel And Chuck Jones previously worked together on Army training videos.

During World War II, Geisel joined the United States Army Air Forces and served as commander of the Animation Department for the First Motion Picture Unit, a unit tasked with creating various training and pro-war propaganda films. It was here that Geisel soon found himself working closely with Chuck Jones on an instructional cartoon called Private Snafu. Originally classified as for-military-personnel-only, Private Snafu featured a bumbling protagonist who helped illustrate the dos and don’ts of Army safety and security protocols.

2. It was because of their previous working relationship that Ted Geisel agreed to hand over the rights to The Grinch to Chuck Jones.

After several unpleasant encounters in relation to his previous film work—including the removal of his name from credits and instances of pirated redistribution—Geisel became notoriously “anti-Hollywood.” Because of this, he was reluctant to sell the rights to How the Grinch Stole Christmas. However, when Jones personally approached him about making an adaptation, Geisel relented, knowing he could trust Jones and his vision.

3. Even with Ted Geisel’s approval, the special almost didn’t happen.

By Al Ravenna, World Telegram staff photographer - Library of Congress. New York World-Telegram & Sun Collection. Public Domain, Wikimedia Commons

Whereas today’s studios and production companies provide funding for projects of interest, television specials of the past, like A Charlie Brown Christmas and How the Grinch Stole Christmas, had to rely on company sponsorship in order to get made. While A Charlie Brown Christmas found its financier in the form of Coca-Cola, How the Grinch Stole Christmas struggled to find a benefactor. With storyboards in hand, Jones pitched the story to more than two dozen potential sponsors—breakfast foods, candy companies, and the like—all without any luck. Down to the wire, Jones finally found his sponsor in an unlikely source: the Foundation for Commercial Banks. “I thought that was very odd, because one of the great lines in there is that the Grinch says, ‘Perhaps Christmas doesn’t come from a store,’” Jones said of the surprise endorsement. “I never thought of a banker endorsing that kind of a line. But they overlooked it, so we went ahead and made the picture.”

4. How the Grinch Stole Christmas had a massive budget.

Coming in at over $300,000, or $2.2 million in today’s dollars, the special’s budget was unheard of at the time for a 26-minute cartoon adaptation. For comparison’s sake, A Charlie Brown Christmas’s budget was reported as $96,000, or roughly $722,000 today (and this was after production had gone $20,000 over the original budget).

5. Ted Geisel wrote the song lyrics for the special.

No one had a way with words quite like Dr. Seuss, so Jones felt that Geisel should provide the lyrics to the songs featured in How the Grinch Stole Christmas.

6. Fans requested translations of the “Fahoo Foraze” song.

True to his persona’s tongue-twisting trickery, Geisel mimicked sounds of classical Latin in his nonsensical lyrics. After the special aired, viewers wrote to the network requesting translations of the song as they were convinced that the lyrics were, in fact, real Latin phrases.

7. Thurl Ravenscroft didn’t receive credit for his singing of “You’re A Mean One, Mr. Grinch.”

The famous voice actor and singer, best known for providing the voice of Kellogg’s Tony the Tiger, wasn’t recognized for his work in How the Grinch Stole Christmas. Because of this, most viewers wrongly assumed that the narrator of the special, Boris Karloff, also sang the piece in question. Upset by this oversight, Geisel personally apologized to Ravenscroft and vowed to make amends. Geisel went on to pen a letter, urging all the major columnists that he knew to help him rectify the mistake by issuing a notice of correction in their publications.

8. Chuck Jones had to find ways to fill out the 26-minute time slot.

Because reading the book out loud only takes about 12 minutes, Jones was faced with the challenge of extending the story. For this, he turned to Max the dog. “That whole center section where Max is tied up to the sleigh, and goes down through the mountainside, and has all those problems getting down there, was good comic business as it turns out,” Jones explained in TNT’s How the Grinch Stole Christmas special, which is a special feature on the movie’s DVD. “But it was all added; it was not part of the book.” Jones would go on to name Max as his favorite character from the special, as he felt that he directly represented the audience.

9. The Grinch’s green coloring was inspired by a rental car.

Warner Home Video

In the original book, the Grinch is illustrated as black and white, with hints of pink and red. Rumor has it that Jones was inspired to give the Grinch his iconic coloring after he rented a car that was painted an ugly shade of green.

10. Ted Geisel thought the Grinch looked like Chuck Jones.

When Geisel first saw Jones’s drawings of the Grinch, he exclaimed, “That doesn’t look like the Grinch, that looks like you!” Jones’s response, according to TNT’s How the Grinch Stole Christmas Special: “Well, it happens.”

11. At one point, the special received a “censored” edit.

Over the years, How the Grinch Stole Christmas has been edited in order to shorten its running time (in order to allow for more commercials). However, one edit—which ran for several years—censored the line “You’re a rotter, Mr. Grinch” from the song “You’re a Mean One, Mr. Grinch.” Additionally, the shot in which the Grinch smiles creepily just before approaching the bed filled with young Whos was deemed inappropriate for certain networks and was removed.

12. The special’s success led to both a prequel and a crossover special.

Universal Pictures Home Entertainment

Given the popularity of the Christmas special, two more Grinch tales were produced: Halloween is Grinch Night and The Grinch Grinches The Cat in the Hat. Airing on October 29, 1977, Halloween is Grinch Night tells the story of the Grinch making his way down to Whoville to scare all the Whos on Halloween. In The Grinch Grinches The Cat in the Hat, which aired on May 20, 1982, the Grinch finds himself wanting to renew his mean spirit by picking on the Cat in the Hat. Unlike the original, neither special was deemed a classic. But this is not to say they weren’t well-received; in fact, both went on to win Emmy Awards.