1. Food Intolerance

2. Vocabulary
Food Intolerance- a sensitivity to a food that does not involve IgE
Immunoglobin E (IgE)- a type of antibody found on basophils and mast cells
Basophils- a type of immune system cell found in blood
Mast Cell- a type of immune system cell found in body tissue
Celiac Disease- an immune system reaction to gluten that causes damage to the lining of the intestine
Lactose intolerance- the inability to digest lactose

3. Food intolerance
A food intolerance is a reaction to a food that is not IgE mediated
Some food intolerances include:
Celiac Disease
Lactose Intolerance

4. Celiac Disease
A reaction to gluten that results in the immune system attacking the lining of the gut
Leads to damage to the lining of the intestine that causes pain, diarrhea, gas, and bloating
If the damage becomes bad enough, it can lead to malnutrition
Celiac disease is treated by removing gluten from the diet

5. Celiac disease: what to avoid
Those will celiac disease need to avoid WROB:
Wheat
Rye
Oats
Barley

6. Lactose intolerance
Lactose intolerance happens when a person makes little or no lactase, the enzyme that digests lactose
Symptoms of lactose intolerance are bloating, gas, and/ or diarrhea after eating foods containing lactose
Those with lactose intolerance need to avoid foods with lactose in order to avoid symptoms

7. Hidden allergens For more information on hidden allergens: Examples:
NSFMI Reading Labels for Food Allergens Fact Sheet:
Food Allergy Research and Education website:
Examples:
Hot dogs and luncheon meat may have ingredients derived from milk
Enchilada sauce or hot sauce may contain peanuts
Imitation crab meat contains egg

8. Activity
Randomly select a food allergy or food intolerance from the basket (I will go around to you)
Write your food allergen or intolerance on your paper
Create a three day meal plan for your client
Include breakfast, lunch, dinner, and two snacks per day. (15 “meal” total)
Make sure your name is on the paper
Turn it into the tray