CHAPTER 4

The Main Culprits:
Glutens, Casein, Soy, and Others

“I WAS BLESSED TO HAVE A CHILD who was an immediate and dramatically positive responder to dietary intervention. Within thirty-six hours after we stopped casein, his incessant screaming and head banging were almost gone, and we had some eye contact back. Within five days after we stopped gluten, his life-long rash was gone, and his stools improved. Dietary infractions have produced equally dramatic results, so we have been very motivated to continue the diet. Maintaining his special diet is very difficult, but not nearly as hard as living with a severely autistic child. For us, diet has been one of the top three interventions that have aided in his recovery from autism.”

—MOTHER OF JOHN, a five-year-old recovering from autism

“It’s not the food you avoid that makes you sick. It’s the food you crave and eat every day!”

—George H. Mitchell, MD

What They Are

Glutens, animal milk casein, and soy are complex foods, which may explain why so many people have problems with one or more of them. They are listed among the most common food allergens—but the reactions (intolerances) we discuss are not classical allergic responses like hives, rashes, and itching.

Glutens are plant proteins in the subclass Monocotyledonae, found in wheat, semolina, bulgur, couscous, wheat berries, graham flour, whole meal flour, groats, malt, oats, barley, rye, triticale, spelt, and kamut. Gluten is elastic and provides the stretchiness necessary in making yeast and non-yeast breads.

Where They Are

Gluten-containing grains are the most common ingredient in breads, pastas, crackers, cookies, cakes, cereals, pretzels, matzah, Passover flour, farfel, cream sauces, thickening agents, and breading. Gluten derivatives are also found in malt, modified food starches, hydrolyzed vegetable protein (HVP), hydrolyzed plant protein (HPP), textured vegetable proteins (TVPs), and dextrin, and they are used in the following unless labeled gluten-free: soy sauce, flavorings, instant coffee, some ketchups, mustards, commercial mixes, cake decorations, marshmallow crème, canned soups, deli meats, sausage, and hot dogs. Products labeled as corn bread or rice pasta may contain glutens. Breaded items contain glutens unless otherwise labeled. Gluten is also found in some of the binders and fillers found in vitamins and medications and even pastes and glues on envelope flaps.

Gluten problems are not new in medicine. A portion of gluten called gliadin is known to exacerbate a genetic condition known as celiac disease by damaging the small intestine villi and to cause dermatitis herpetiformis, a celiac-associated serious skin condition. Celiac and non-celiac gluten intolerances have increased. These conditions are not the same as the ADHD- or autism-related gluten intolerances that result in absorption of peptides from incomplete digestion of these foods. However, the information about gluten avoidance found in the celiac literature is still very helpful.

Note that a wheat-free food is not gluten-free unless all of the gluten sources are avoided. If the label does not state “gluten-free,” then it is likely not gluten-free. It is not necessary to label foods that would not be expected to have gluten in them, such as meats, seafood, eggs, vegetables, fruits, beans, nuts, and seeds. Animal products are naturally gluten-free. Gluten is found only in gluten grains. For example, an unaltered chicken breast does not contain gluten; however, a marinated chicken breast may contain gluten in the marinade. Also, commercial soy sauce has gluten added and therefore would not be gluten-free.

How They Cause Problems: Don’t Be a Gluten for Punishment

Glutens, casein, and soy can digest poorly in the intestinal tract to groups of undigested amino acid chains called peptides, some of which can have opiate-like activity. When these peptides are absorbed into the bloodstream, they can cross the blood-brain barrier and negatively affect mood, mental and neurologic function, and behavior. When these peptides are opiate-like, they can cause addiction to the food source. Hence, the child craves the foods causing the problem and begins to limit the diet to primarily opiate-forming foods. It is common for children to experience significant withdrawal symptoms when these foods are eliminated.

Symptoms Indicating Gluten-Free May Help

Because of the opioid effect from gluten opiate-like peptides, the most common symptoms are craving for the opioid source gluten foods and limiting food choices to the opioid-sources. Also common are silly behaviors, acting dopey, experiencing “brain fog,” and seeming “zoned out.” Obsessiveness and self-stimulation can increase and self-injury may occur. For some children, the brain effect is painful, causing the child to shake and bang his/her head as if a vise is applying pressure. Poor eye contact, inattention, and high pain tolerance are frequent symptoms. Digestive problems can include gas, diarrhea, indigestion, and constipation. When the symptoms are specific to gluten, then gluten-free is the right elimination diet.

What Is Left to Eat?

Grains that can be eaten on a gluten-free diet include rice of all varieties (white, brown, basmati, wild, sweet, and poha), millet, corn, quinoa, amaranth, tapioca, buckwheat (not related to wheat at all), sorghum (jowar), ragi, teff, corn (if tolerated), and Montina (Indian rice grass).

Nongrain substitutes for flours include potato starch and flours made from potato, taro, yam, arrowroot, almond, hazelnut, cassava, malanga, lotus, water chestnut, artichoke, chestnut, and beans, including chickpeas, peas, mung bean, and soy (if tolerated).

Since glutens provide the elastic quality needed in making baked goods, the substitutes must include safe ingredients that give the same result as gluten: xanthan gum, methylcellulose (indigestible polysaccharide of beta-glucose), or guar gum (soluble fiber from the Indian cluster bean). Substitutes for thickeners include the following: agar, arrowroot, bean flour, cornstarch, gelatin powder, guar gum, kudzu powder, sweet rice flour, tapioca flour, tapioca, and xanthan gum.

Remember to keep in your kitchen gluten-free baking powder and baking soda along with vanilla without alcohol (Frontier Vanilla). Successful gluten-free baked goods are possible; they just require a combination of flours, thickeners, and baking supplements to achieve an acceptable texture and flavor.

CATEGORY

SOURCES OF GLUTEN

GLUTEN-FREE (GF) SUBSTITUTES

Grains

Wheat: wheat berry, couscous, flour, graham, semolina, durum, bran, bulgur, cracked wheat, rusk

Oat: oat bran, oat germ, oatmeal, oat flour, rolled oats

Barley: flour, malt, starch, barley pearl

Rye: rye starch

Triticale: hybrid of wheat and rye

Spelt: species of wheat

Kamut: ancient wheat-like grain

Groats: mixture of oat, wheat, buckwheat

Products of gluten grains: bagels, biscuits, cakes, cereals, cookies, crackers, croutons, doughnuts, pasta, pretzels, stuffing, thickeners, tortillas, wafers, matzah, Passover flour, Communion wafers

GF grains: non-GMO corn, millet, Montina (Indian rice grass), rice (basmati, black, brown, sweet, white, wild), sorghum (jowar), teff, tapioca Exception: certified GF oats

Nongrain substitutes: arrowroot, artichoke, cassava, lotus, malanga, sago, sweet potato, taro, water chestnut, yam

Pseudo Grains: amaranth, buckwheat, quinoa

Nuts: almonds, chestnuts, hazelnuts

Legumes: beans, chickpeas, fava, mung bean, peas, soy

Thickeners: agar, arrowroot, bean flour, gelatin, guar gum, kudzu powder, starch, sweet rice flour

Gluten-like elastic items: guar gum, malto-dextrin from corn or rice, methylcellulose, xanthan gum

Pasta/Noodles: GF flours, rice noodles, spaghetti squash

Beverages

Malted drinks or malt in drinks

Water, including plain seltzer

Ovaltine, Postum, flavored tea or coffee

Herbal teas, tea, coffee (unflavored)

Beer and ale (fermented)

Wines

Some grain alcohols, especially if flavored

Distilled liquors

Flavored water, seltzer

Fresh or frozen juices

Juice punch or drinks (additives, flavorings)

 

Sweets

Artificial flavors

Pure flavors, distilled or labeled GF

Sweeteners

Artificial colors

Pure colors or labeled GF

Flavoring

Candy

GF candy

Spices

Caramel coloring—foreign brands

Caramel (US brands made from corn)

Baking aids

Confectioners’ sugar (flour, cornstarch)

GF confectioners’ sugar

Commercial cake decorations

GF cake decorations

Syrup (unless GF)

GF rice syrup

Seasonings may have wheat

Pure seasoning or labeled GF

Spice mixes (may have wheat)

Single spices usually are pure

Nutritional yeast (may contain gluten), Brewer’s yeast

Yeast (Baker’s, Autolyzed)

Condiments
Sauces

Soy sauce

Wheat-free tamari soy sauce, liquid Bragg amino acids

Worcestershire sauce

Lea & Perrins Worcestershire sauce

Ketchup, mustard, mayonnaise

GFCF ketchup, mustard, mayo

Flavored vinegar, malt vinegar

Distilled vinegar

Yogurts and yogurt drinks with thickeners

Organic/natural yogurts/drinks w/o thickeners

 

 

Additives

Dextrin (foreign brands)

Dextrin (US brands made from corn)

Monosodium glutamate (MSG)

No MSG of any kind

Citric acid

Citric acid if GF (corn)

Hydrolyzed plant protein (HPP) (if wheat sourced)

Hydrolyzed vegetable protein (HVP) (if not from wheat)

Modified food starch can be wheat

Starch on food labels (means corn)

Malt (barley)—assume “malt” means barley

Corn malt (must be labeled as such)

Foods

Canned soups, bouillon cubes, or powdered broth

Homemade GF soups, broths

Deli meats, sausages, hot dogs

Fresh meat, poultry, fish, eggs, GF organic deli meats

Flavored yogurts, malted milk

Pure milk products (if not intolerant)

Imitation seafood and bacon

Fresh or frozen seafood and GF, casein-free (CF) bacon

Processed cheese spreads

Natural cheeses (if not reactive)

Pudding, marshmallow cream

100% natural oils, fats

Stuffing mixes, breading

GF breading, stuffing

Other

Chewing gum

 

Glues—stamps, envelopes, stickers

 

Nutritional supplements (binders, fillers)

 

Play-Doh

Homemade GF Play Dough

School glue

 

Nutritional supplements with alcohol if from a grain alcohol. (Note: Even if alcohol is “burned” off, grain residues will remain.)

 

Milk Products and Casein: Where Are They Found?

Mammal milk (human, cow, and goat) has many components, including water, fats, protein, lactose, minerals, acids, enzymes, gases, and vitamins. Milk products include milk (from nonfat to whole), buttermilk, evaporated milk, yogurt, kefir, cream cheese, sour cream, cream sauces, cream dressings, ice cream, sherbet, cheese, curds, cottage cheese, whey, butter, and any food that contains any one of these products.

Milk products are hidden in many unexpected places, including canned tuna, nondairy creamers, whipped toppings, salad dressing, bakery glazes, breath mints, fortified cereals, high-protein beverage powders, infant formulas, nutrition bars, processed meats, and nutritional supplements. Remember the mantra “Read the label.” Avoid products with the following ingredients: milk solids, lactose, galactose, lactalbumin, lactoglobulin, casein, and caseinate.

MILK PRODUCTS

Animal milk

Butter

Buttermilk

Cheese—all

Condensed milk

Cottage cheese

Cream

Cream cheese

Curds

Evaporated milk

Half-and-half

Ice cream, ice milk

Kefir

Nougat

Powdered milk

Rennet

Sherbet

Sour cream

Whey

Yogurt

Read Labels & Avoid

Casein

Calcium caseinate

Caseinate

Galactose

Hydrolyzed milk protein

Hydrolyzed vegetable protein

Lactalbumins

Lactic acid starter culture

Lactobacillus if not dairy-free (DF)

Lactoglobulin

Lactose

Magnesium caseinate

Potassium caseinate

Non-Food Sources

Cosmetics

Pharmaceuticals (lactose)

Nutritional supplements

FOOD SOURCES OF MILK PRODUCTS

Not all listed items will contain milk products—read labels!

Baked Goods

Biscuits, breads

Cakes, cookies

Caramel coloring

Doughnuts, pastries

Mixes for baked goods

Pancakes, waffles

Pie crust

Soda crackers, Zwieback

Beverages

Chocolate milk

Cocoa

Malt, malted milk

Ovaltine, chocolate

Sodas

Sweets

Creams in anything

Custards, puddings

Ice cream, sherbet

Gelato

Milk chocolate

Sorbet (not all)

Spumoni

Sauces, Fats, Oils

Butter-fried foods

Cream sauce

Gravies

Margarine

Mayonnaise (some brands)

Salad dressing (some)

Meat/Fish/Other Proteins

Bisques, chowders

Cheese—dairy-free (some have casein)

Creamed foods

Cream soup bases

Deli turkey

Egg dishes—omelets, scrambled eggs, soufflés, casseroles

Processed meats, sausage, hot dogs

Tuna fish (canned)

THE CASE AGAINST CASEIN

Casein, which accounts for 75% of the proteins in milk, is a major culprit in ADHD- or autism-related food sensitivities. It is found in all milk products, with the exception of properly clarified butter, also known as ghee, in which the milk solids have been removed. Dairy-free or milk-free does not mean casein-free. Even nondairy cheese substitutes from soy, almonds, or rice may have casein to improve the texture. Casein is commonly used in meat products such as deli meats, salami, sausage, hot dogs, and pepperoni, and caseinate is a common component in nutritional supplements.

What about Casein in Breast Milk?

Human casein proteins are different from the casein proteins in cow’s or goat’s milk. The alignment of the amino acids is different. Therefore, the negative effects from casein do not occur with breast-feeding. Breast-feeding is considered a protective factor in autism.

What about A2 Milk?

About one-third of the casein in cow’s milk is beta-casein, of which there are several varieties, determined by the genes of the cow. The most common of these variants are A1 and A2. The percentage of A1 and A2 beta-casein protein varies between herds of cattle and between countries and provinces. While African and Asian cattle continue to produce only A2 beta-casein, the A1 version is common among cattle in the Western world. The A1 beta-casein type is the most common type found in cow’s milk in Europe (excluding France), the United States, Australia, and New Zealand. On average, more than 70% of Guernsey cows produce milk with predominantly A2 protein while 46–70% of Holsteins and Ayrshires produce milk with A1 protein.

The difference between the two proteins is subtle, a change in only one amino acid in the sequence of the protein. However, as a result of this difference, when A1 milk is digested, it can produce an opiate-like molecule called beta-casomorphin 7 (BCM-7). For individuals with autism, opiate-like peptides can be problematic. (See here, “The Dope on Opiates.”) The more critical point is that both A1 and A2 milks contain casein, so for individuals on a casein-free diet, both types of milk should be avoided.

What about Goat or Camel Milk?

Goat milk contains only the A2 beta-casein. However, goat milk is not allowed on a casein-free diet. Compared to cow’s milk, camel milk contains lower fat, cholesterol, and lactose and higher vitamins and minerals. Regarding casein, camel milk has a different form of casein, and some believe that individuals who are otherwise sensitive to casein can tolerate camel milk. However, we recommend that during an initial casein elimination trial, all forms of animal milk be avoided, including camel milk. Once improvement is documented on a casein-free diet, camel milk could be introduced to see if it results in worsening of physical or behavioral symptoms.

WEIGHING IN ON WHEY

Whey is the serum, or watery, part of milk that is separated when milk protein/casein coagulates to become curd in the making of cheese. Whey is primarily lactose and soluble proteins. (There are pure forms of lactose-free whey.) Little Miss Muffet’s curds and whey are known as cottage cheese. The lumps are the curds (cheese, casein) and the whey is the lactose-containing liquid. Unless the whey is pure and clearly stated as casein-free on the label, it is still to be avoided on the casein-free diet.

What Is Left to Eat?

Substitutes for milk products include rice milk; soy milk; soy yogurt; potato milk; quinoa milk; and nut milks made from almonds, Brazil nuts, cashews, coconut, hazelnuts, macadamias, pecans, pine nuts, pumpkin seeds, sesame seeds, sunflower seeds, and walnuts.

MILK-PRODUCT SUBSTITUTES

Beware: “dairy-free” does not necessarily mean “casein-free.”

Milks/Yogurts

Coconut milk

Coconut Kefir and Yogurt

Hemp milk

Nut milks (almond, cashew)

Potato milk

Rice milk

Soy milk

Soy yogurt

Tofu products

Chocolate

GFCF chocolate chips

GFCF semisweet chocolate chips

Ice Cream

Vance’s DariFree milk

Fruit Popsicles

Sorbets by Haagen-Dazs and Ben & Jerry’s

Italian ice

Non-GMO soy ice cream

Tofutti

Buttermilk Substitute

In recipes

1 cup (235 ml) buttermilk equivalent:

2 tablespoons (30 ml) lemon juice in

1 cup (235 ml) milk substitute

Butter

Coconut oil/butter

Earth Balance Whipped Spread (GFCF, no trans-fats)

Ghee (clarified butter—has no casein)

Lard—excellent in baked goods

Kosher items—only pareve

Applesauce can substitute for both milk and butter in mashed potatoes

For a complete listing of all combined GFCF foods, see The GFCF Diet: www.gfcfdiet.com

Soy Sorry!

Soy has not been a common food in the American diet until recently. Soy foods include edamame (the immature soy bean harvested while still green and sweet) and fermented products such as miso, natto, tamari/soy sauce, tempeh, tofu, and yuba.

Soy is found in hydrolyzed vegetable protein (HVP), lecithin, mono- and diglycerides, monosodium glutamate (MSG), and vitamin E products (most all of which are soy-based). It may also be used in baked goods, canned tuna, cereals, infant formulas, margarine, mayonnaise, sauces, soups, vegetable broth, vegetable protein substitutes, and vegetable oils.

There is much controversy over soy and its suitability in the human diet. While other beans can be eaten if cooked properly, soybeans require fermentation due to the presence of natural toxins that can deplete or interfere with specific nutrients.

The processing of soy to render it acceptable as a food requires exposure to high heat and chemicals. Today, some soy is also genetically modified. Non-genetically modified sources are preferred and available. Soy remains a common allergen and is also not easily tolerated by many individuals. Like gluten and casein, it can also partially digest to form opiate-like peptides. The testing for this isn’t reliable; therefore, the best testing is trial and response.

For those who are not allergic to soy and are able to tolerate it easily, the best soy sources are organic and include edamame and the naturally fermented soy products such as tempeh, natto, miso, soy sauce, tofu, and yuba.

SOY PRODUCTS

Read labels for soy and soy byproducts

Soybean oil, flour, milk

Edamame

Miso

Natto

Sprouts (soy)

Tamari

Tempeh

Tempura

Tofu

Yuba

Other

Lecithin

HVP

Mono- and diglycerides

MSG

Vitamin E

FOOD SOURCES OF SOY

Baked Goods

Baking mixes, flours

Bread, cakes, cereals

Crackers

Pasta, pastries, rolls

Meats/Others

Baby foods

Cheese substitutes

Luncheon/deli meats

Sausage (not all)

Oils/Fats

Butter substitutes

Oil, margarine

Shortening

Beverages

Coffee substitutes

Soy milk

Infant formulas

Condiments

Butter substitutes

Salad dressing, sauces, soy sauce

Nut mixes

Vegetable broth

Worcestershire sauce

Sweets

Candy and candy bars

Caramel, custard

Ice cream—Tofutti

Soy substitutes are the same as those listed earlier as gluten and milk substitutes (with the exception of those containing soy).

Excessive soy consumption can be antagonistic to thyroid function (goitrogenic), and it is also known as an endocrine disruptor.

NOTE: When first embarking on a casein-free diet, we recommend also removing major sources of soy, since many individuals who are sensitive to casein are also sensitive to soy. If soy products are used as the substitute for dairy, you may be replacing one problematic food with another, and may then mask any benefits that occur from removal of casein. If improvement occurs with removal of both casein and soy, then soy products can be gradually reintroduced to see if there is any worsening of symptoms.

For a summary of Gluten-Free, Casein-Free, Soy-Free (GFCFSF) Diet, see here.

Eggs, Corn, and Nuts

Allergies or intolerances to these foods can occur. When casein, gluten, and soy are eliminated, consumption of foods containing eggs, corn, or nuts often increases in order to replace those foods that were eliminated. In some children, reactions to the increase in these foods may then appear.

EGGS

It is not always obvious that a product contains egg. Be aware that the following words on a label mean the product contains egg or egg byproducts: albumen, globulin, vitellin, livetin, ovoglobulin, ovamucin, ovamucoid, ovovitellin, ovovitelia, and lysozyme. See the chart below for a thorough listing.

EGG PRODUCTS

Read labels for eggs and egg byproducts

Egg whites, yolks

Egg powder

Albumen, globulin

Vitellin, livetin

Ovoglobulin

Ovamucin

Ovamucoid

Ovovitellin

Ovovitelia

Lysozyme

Nonfood Sources

Vaccines—those cultured in chicken eggs

FOOD SOURCES OF EGG

Not all of these products contain eggs. The egg source may not be obvious.

Baked Goods

Baking powder

Breading

Breads, rolls, biscuits

Cake flour

Cookies, doughnuts

French toast

Pastries

Pancake/waffle mixes

Pastas

Pie crusts and fillings

Beverages

Eggnog

Ovaltine

Sweets/Sweeteners/Flavoring

Protein powders

Gelatin desserts

Frosting, icing, glazes

Ice cream, ices, sherbets

Marshmallows

Meringues, macaroons

Puddings, pie fillings, soufflés

Condiments/Sauces/Oils

Mayonnaise

Hollandaise

Salad dressing

Tartar sauce

Other Foods

Bouillon

Meatballs, loafs, patties

Sausage, pâté

Soup

SUBSTITUTES FOR 1 EGG

2 tablespoons (16 g) cornstarch

2 tablespoons (16 g) arrowroot flour

2 tablespoons (20 g) potato starch

1 tablespoon (8 g) soy milk powder

1 banana (good in cakes)

1/4 cup (62 g) tofu

Unflavored Gelatin: Mix 1 envelope (1 tablespoon, or 7 g) in 1 cup (235 ml) boiling water. 3 tablespoons (45 ml) = 1 egg

Baby food (puréed apples or pears): 3 tablespoons (45 g) = 1 egg

CORN

Corn is one of the most common food allergens for children and adults in the United States, and it is also one of the most difficult to avoid. It is inexpensive and versatile and therefore abundant in processed foods. Approximately 90% of the corn in the United States has been genetically modified.

CORN PRODUCTS

Read labels for corn and corn byproducts

Cornstarch, cornmeal, flour

Corn chips, popcorn

Maize

Corn syrup

Corn oil

Dextrin

Dextrose

Glucose

Fruit pectin

Fructose

High-fructose corn syrup

Lecithin

Maltodextrin

MSG

Salt (commercial)

Succotash

Thickeners

Vegetable starch

Nonfood Sources

Aspirin

Capsules

Chalk

Cosmetics

Glues: stamps, envelopes, stickers

Laundry starch

Livestock feed

Medicines

Nutritional supplements

Paper cups

Paper plates

Suppositories

Tablets (most)

Talcum powder

Toothpaste

FOOD SOURCES OF CORN

Not all these products contain corn. However, most processed and prepared foods contain corn unless labeled “corn-free.”

Beverages

Alcohol: distilled, ale, beer, bourbon, cordials, liqueurs, wine coolers

Coffee: instant, “designer”

Infant/toddler formulas

Fruit-juice “cocktails” (not 100% juice)

Soy milk

Ice cream, sherbets, sorbets

Milk in paper cartons

Sodas, soft drinks

Sweetened condensed milk

Sweetened/flavored drinks

Sweets/Sweeteners/Flavoring

Artificial sweeteners

Candy (almost all)

Caramel

Carob

Chewing gum

Custards, puddings

Flavoring extracts

Frosting, icings

Gelatin desserts

High-fructose corn syrup

Ice creams, sherbets, sorbets

Jams, jellies

Marshmallows

Powdered sugar

Sorbitol

Syrups/corn syrup

Gelatin desserts

Vanilla extract

Vinegar (distilled)

Yogurts (sweetened)

Baked Goods

Baking powder (most)

Breads, rolls, biscuits

Cakes

Cereals (prepared)

Doughnuts (prepared)

Graham crackers

Grits, hominy

Pancake/waffle mixes

Pastries, pies

Tortillas

Vegetable starch

Xanthan gum

Condiments/Sauces/Oils

Gravies, sauces

Ketchup, chili sauce

Margarine

Mayonnaise

Mustards

Salad dressings

Steak sauce, tartar sauce

Other Foods

Bacon (most)

Bean sprouts

Canned foods (almost all)

Cheese spreads, cheese foods

Coffee “creamer”

Dehydrated soups

Eggs: frozen, dried

Fried foods (in corn oil)

Meats—cured, processed

Oriental foods

Peanut butter (sweetened)

Pickles (sweetened)

NOTE: Most vitamin C supplements are sourced from corn. If your child is on a corn-free diet and needs vitamin C, look for a corn-free supplement.

NUTS

Of the nuts, the peanut, which is technically a legume, is the most common allergen. Allergic reactions to peanuts are considered the most common cause of anaphylaxis-related deaths in the United States. Identifying obvious sources of nuts is not difficult. It is more difficult to identify nut additives. It is even more challenging to determine which products have trace amounts, especially when not on the label. Cross-contamination occurs when nut parts or dust contaminate other foods during the manufacturing process. Nut oils should not contain nut protein, in theory, but this depends on the manufacturing process. The degree of allergy or sensitivity is the determining factor. Careful label reading is a must. When in doubt, call the company that makes the product. See the following charts for help.

KINDS OF NUTS

Almonds

Brazil nuts

Cashews

Coconuts

Filberts

Hazelnuts

Hickory nuts

Macadamia nuts

Peanuts (legume)

Pecans

Pine nuts

Pistachios

Walnuts

Black walnuts

PRODUCTS CONTAINING NUTS

These are nut products and foods commonly made with nuts:

Amaretto

Artificially flavored nuts

Beer nuts

Bitter almond

Gianduja

Gingko

Ground nuts

Loramine wax

Mandelonas

Marzipan

Mixed nuts

Nu-Nuts

Nut butters, meal, pastes

Nut oils, flavorings, syrups

Nutella

Pesto

Pignolia

Pralines

NUT-CONTAMINATED PRODUCTS

These are foods that may contain nuts or be cross-contaminated with nuts:

Baked goods

Baking mixes

Barbeque sauce

Batter-dipped foods

Bulk bin foods

Candy

Cereals

Chili

Cookies

Dessert toppings

Egg rolls

Emulsifier

Flavoring

Frozen desserts

Graham-cracker crusts

HPP, HVP

Ice cream

Milk formula

Nougat

Oriental sauce

Pastry

Pie crusts

Sauces

Vegetable fat

Vegetable oil

Life Beyond Gluten, Milk, and Soy

In addition to the numerous substitutes for gluten, milk/casein, and soy, there is an abundance of healthy foods to eat. Remember, early humans ate fish, meats, fruits, vegetables, and nuts and seeds. They did not consume milk, grains, beans, or potatoes because milk products were not available and the other items could not be eaten raw without causing severe symptoms or illness. It was only 5,000 to 10,000 years ago that domestication emerged and created major dietary shifts. A GFCFSF diet returns us to the basic foods, which are easier for the body to digest. Here is the list of choices available (as long as they do not cause allergy or intolerance reactions and/or violate your beliefs):

image Meats—all varieties

image Seafood—fish, shellfish, and mollusks

image Fowl—chicken, turkey, hen, and duck

image Eggs—as tolerated

image Nuts and seeds—as tolerated

image Vegetables—all varieties

image Fruits—all varieties

image Grains—all varieties except for glutens, and non-soy corn unless tolerated

“Don’t be afraid to take a big step if one is indicated. You can’t cross a chasm in two small jumps.”

—David Lloyd George

GFCFSF: GLUTEN-FREE, CASEIN-FREE, AND SOY-FREE

Chapter 4

Avoid:

image Gluten: wheat; barley; rye; spelt; kamut; triticale; groats; and commercial oat

image Milk: animal milk products including casein

image Soy: edamame; miso; natto; sprouts; tamari; tempeh; tempura; tofu; yuba; lecithin; HVP; MSG; and vitamin E

Why Is the Diet Needed?

image Incomplete protein digestion leading to partially digested food peptides including opiate-like peptides from DPP-IV enzyme deficiency

image Leaky gut allows partly digested peptides and opioid-like peptides to cross into the bloodstream and enter the brain, causing cravings for the food sources, and behavioral symptoms

Symptoms the Diet May Help:

image Cravings for opioid food sources (gluten, milk. casein, and/or soy); silly, “dopey” behavior; repetitive behaviors; OCD; self-injury; high pain tolerance; poor eye contact; and digestive symptoms

Diet Includes:

image Gluten substitutes: GF oats, non-gluten grains, pseudo grains (amaranth, quinoa, buckwheat), nut flours, and sweet potato

image Milk substitutes: milks from coconut, nuts, hemp, potato, rice, and non-GMO soy. Other substitutes for animal milk products: fruit ice, sorbets, fermented beverages, and smoothies using animal milk substitutes including plant protein powders

image Soy substitutes: legumes, vegetables, and other beans

Resources:

image Autism Research Institute (Dana Laake) www.autism.com/gfcf

image Autism Research Institute (Vicki Kobliner) www.autism.com/treating_diets

image The GFCF Diet www.gfcfdiet.com

image Cooking to Heal and Nourishing Hope for Autism by Julie Matthews

Note that some individuals may also be sensitive or reactive to eggs (see here) corn (see here) and/or nuts (see here).