GI Nutrition NW

Summer! 🍅

Today is World IBD Day! Let's raise awareness about the challenges faced by those living with Crohn's disease and ulcerative colitis. As a registered dietitian specializing in gastrointestinal disease and disorders, I will share my top ten reason's to work with a GI dietitian.

It was a pleasure to participate in the Crohn’s and Colitis Northwest Chapter Take Steps fund raising event today! Let’s raise awareness and find a cure!

It’s so important to screen for celiac disease and not self diagnose IBS.

Tell us about your celiac disease symptoms. We can tell you that diarrhea and weight loss are the classic celiac symptoms but currently only 27% of patients present with those complaints. Many people do not have classical gastrointestinal symptoms.

Before 1981, over 90% of patients diagnosed with celiac disease presented to their physician with diarrhea and weight loss as their major symptoms. Currently, only 27% of patients present with these classic symptoms, while 21% of patients are asymptomatic, and the majority (52%) of patients present with atypical symptoms such as constipation, anemia, osteoporosis, elevated liver function tests, neurologic disorders, reproductive disorders etc

https://gluten.org/2021/04/30/ages-and-stages-of-celiac-disease/

We are excited to announce that our team is growing! GI Nutrition NW is in search of a Registered Dietitian in the state of Oregon to join our group private practice. We are GI nutrition experts expanding our services to women’s health conditions such as PCOS, endometriosis, hormone imbalance, perimenopause, and menopause. The position is part time 10 to 32 hours per week with great potential to expand full-time. The RD will provide telehealth and in-person nutrition consultations at our Beaverton and NW Portland offices. Send inquiries and resume to [email protected].

Passage of the Medical Nutrition Therapy Act would be a win-win for Academy members and our communities. You can add your support to this much-needed piece of legislation – learn more and get involved in the campaign: https://sm.eatright.org/ACTforMNT

If you think you may have a gluten-related disorder, it's important to first examine if you have celiac disease, an autoimmune response to gluten, before starting a gluten-free diet. 👨‍⚕️

If gluten is a problem for you, going back to gluten to get that diagnosis is harder than you could imagine. If you've experienced this, chime in below. 👇

https://gluten.org/2021/09/09/virtual-event-10-19-how-do-you-get-a-celiac-disease-or-gluten-sensitivity-diagnosis/

Happy New Year, everyone. There is a new free e-publication from Frontiers in Nutrition. Recent breakthrough in gluten contamination is a compilation of 9 articles, including our article on cross contact in shared fryers. Take a look at the table of contents. You may find an article or two of interest! The publication is available athttps://www.glutenfreewatchdog.org/news/wp-content/uploads/2024/01/FrontiersRecentBreakthroughGlutenContamination.pdf

Today marks the start of the 12th Annual Crohn's & Colitis Awareness Week! Crohn's disease and ulcerative colitis are two conditions that causes chronic inflammation in the digestive tract. Research suggests that diet plays a key role in the disease course, reducing symptoms, and achieving and maintaining remission. Work with a GI Dietitian to develop a personalized diet plan to ensure optimal nutritional status.
Help Make

First time to the Mile High City! Excited to meet up with all the amazing RD’s!

When I have a new client presenting with GI symptoms, one of the first recommendations I provide is to get tested for celiac disease! Do NOT remove gluten from your diet until testing is complete as this can skew the results.

What are some symptoms of celiac disease? Celiac disease can be difficult to diagnose because it affects people differently. There are more than 200 known celiac disease symptoms which may occur in the digestive system or other parts of the body. Learn more at https://celiac.org/about-celiac-disease/symptoms-of-celiac-disease/

Did you know that April is IBS Awareness Month?

Tina Patnode, RDN, LD, CD and Alyssa O'Brien, RDN, LD, CD are GI-focused, Low FODMAP experienced Registered Dietitians who can help you manage debilitating IBS symptoms.
Both clinicians are providing Telehealth in Oregon and Washington State.
They are in-network providers with Regence BCBS, Providence Health Plan, PacificSource, United Healthcare, Cigna, and several others.
Visit our website for more information and to schedule an initial intake consultation.

www.GINutritionNW.com

Yoga is a terrific way to support both physical and emotional wellness -- that can also support your overall gut health and digestion! It doesn’t take much to get started, and you certainly don't need to bend and twist like a pretzel to get benefits. You simply need a calm environment, a supportive, comfortable surface to lie on (like a yoga mat or a rug), and an open mind.⁠⁠
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This yoga sequence can be done daily, either as a gentle start to your day or as a way to slowly unwind in the evening in preparation for a restful night of sleep.⁠⁠
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Click the link in Bio to read the whole post!⁠⁠
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Disclaimer: Although yoga poses are generally safe, certain poses may be contraindicated in some conditions (such as back injury or pregnancy). Always first discuss changes in activity with your healthcare provider.⁠
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GI Nutrition NW is excited to announce we are teaming up with Michael Owens, MD and Pearl Health Partners to provide a unique approach to digestive healthcare. More to come in 2023!

Gastroenterology | Pearl Health Partners Open access outpatient colonoscopy, upper endoscopy (EGD), colon cancer screening and consultative services in partnership with weight loss program, dieticians and naturopath

GI Nutrition NW has added an amazing Registered Dietitian to the team! Alyssa O'Brien is accepting new clients. She is a GI-focused dietitian and has a special interest in women's health. She is an in-network provider with Regence Blue Cross Blue Shield, PacificSource Legacy, Cigna, and OHP. She will be accepting UnitedHealthcare soon. Alyssa provides Telehealth to residents in Oregon and Washington State. Visit www.GINutritionNW.com to schedule an initial nutrition consultation today!

To my celiac patients, the list of purity protocol suppliers has changed….

Special Statement on Purity Protocol Gluten-Free Oats from Gluten Free Watchdog

Based on testing commissioned by Gluten Free Watchdog, we do not recommend the use GF Harvest brand oats as a source of purity protocol oats. This product line will not be included in the updated purity protocol listing on Gluten Free Watchdog.

Also based on testing commissioned by Gluten Free Watchdog, we do not recommend the use of Trader Joe’s gluten-free rolled oats. We have been unable to confirm the source of oats used by Trader Joe’s in this product. Based on language included on product packaging as well as information available on the Trader Joe’s website (see photos), consumers have assumed that the oats in this product are purity protocol.

Gluten Free Watchdog has spoken with all known suppliers of purity protocol oats in Canada (packaging reads product of Canada). According to these suppliers, none of them provide oats to Trader Joe’s. Trader Joe’s has been unable to provide us with the source of their oats.

Gluten Free Watchdog has temporarily removed from the website the listing of purity protocol suppliers. If you are a manufacturer and you sell single ingredient purity protocol gluten-free oat products sourced directly from Avena Foods, Montana Gluten Free, or MGM Seed & Grain/Bay State Milling ONLY, please contact us [email protected]. If you are a manufacturer who previously was included in this listing, please reach out again with updated information.

If you believe Trader Joe’s gluten-free rolled oats made you or a family member ill, please file a complaint with an FDA Consumer Complaint Coordinator. A listing is available at https://www.fda.gov/safety/report-problem-fda/consumer-complaint-coordinators.

This amazing group is working towards a GI Nutrition credential for Registered Dietitians. If you are an RD specializing in gastroenterology nutrition like me, please take the survey!

The GI Credential Working Group is in the process of requesting the development of a GI credential within the Academy of Nutrition and Dietetics (AND) and Commission on Dietetic Registration (CDR) and are required to gauge interest to ensure that the application is approved.

Please take the time to complete this brief survey – it should take ~5 minutes to complete. This survey will be open for a short period of time, so please take it as soon as possible.

Complete the survey: https://cumc.co1.qualtrics.com/jfe/form/SV_1FAeKpSXWx5fKfk

We appreciate your time and your passion for progress within the field of dietetics!

Our team at GI Nutrition NW, LLC is growing! We are excited to say that Alyssa O'Brien, RD will be joining our practice working with individuals with Gastrointestinal disease and disorders. She will be accepting new patients in September 2022.

Alyssa has over 12 years experience as a registered, licensed dietitian using medical nutrition therapy to treat a variety of chronic health conditions. This gives her a depth of knowledge to draw upon as a nutrition coach and counselor. Alyssa has gained expertise in GI nutrition while working at wellness clinics in St. Paul, MN and a Gastroenterology clinic in Portland, OR. Alyssa treats patients with, but not limited to, the following conditions:
-Irritable Bowel Syndrome (IBS)
-Inflammatory Bowel Disease
-Celiac Disease
-Gastroparesis
-Small Intestinal Dysbiosis
-Food Allergies and Intolerances

Alyssa practices using a functional nutrition approach, meaning she works with you to identify the root cause of symptoms or chronic conditions to sustain long-term wellness. She believes in a whole systems approach to nutrition treatment plans and holds space for mind-body connections to healing. Alyssa is taking steps to become a certified practitioner in integrative and functional nutrition.

“I would love to help you use food to experience optimal health, and I’ll be with you every step of the way.”

Call 971-238-2369 to schedule an initial nutrition consultation.

Malnutrition can occur at ANY weight. And, visceral proteins (AKA albumin and prealbumin) are NOT good markers of nutritional status.
Please stop documenting that a patient could not be malnourished because they are in a larger body and their albumin is within normal limits. Thank you.

"Gut microbiota influences the health of the host." This is a very fascinating article on Gut Bacteria Linked with Long-COVID
https://www.medscape.com/viewarticle/967195?spon=17&uac=433866PY&impID=3978844&sso=true&faf=1&src=WNL_mdpls_220128_mscpedit_wir

Gut Bacteria Linked With Long COVID 'To our knowledge, this is the first study to show that altered gut microbiome is strongly associated with persistent symptoms in patients with COVID up to 6 months after clearance of SARS-CoV-2 virus.'

You’ve probably heard of a gluten sensitivity, but how is it different from celiac disease? Someone with a gluten sensitivity may have some similar symptoms to celiac disease, such as GI distress, headaches, and brain fog. However, there are some big differences: someone with a gluten sensitivity will not have the elevated antibodies or the same level of intestinal damage that someone with celiac disease would have. Gluten sensitivity is also clinically recognized to be less severe than celiac disease. Both conditions will see improvement with the removal of gluten from the diet

The gut microbiota is so fascinating to me. I love what I do!! Here are the new findings from this study-

Long-term dietary patterns are associated with proinflammatory and anti-inflammatory features of the gut microbiome

► Diet-gut microbiome associations are consistent
across patients with intestinal disease (Crohn’s
disease, UC, IBS) and the general population.
► Higher intake of animal foods, processed
foods, alcohol and sugar, corresponds to a
microbial environment that is characteristic of
inflammation, and is associated with higher
levels of intestinal inflammatory markers.
► Plant-based foods are linked to short-chain
fatty acid (SCFA)-producers, microbial
metabolism of polysaccharides and a lower
abundance of pathobionts.

Source:
Bolte LA, et al. Gut 2021;0:1–12. doi:10.1136/gutjnl-2020-322670

My new home away from home. Just across the street from my new office!