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Although the gluten-free diet is an absolute necessity for people with celiac disease or nonceliac gluten sensitivity (NCGS), people without diagnosed gluten issues are trying the diet to assist in the management of other medical issues. A 2013 study found that 65% of American adults think gluten-free foods are healthier, and 27% choose gluten-free products to aid in weight loss (8).
Some evidence indicates that there are significant drawbacks to following the gluten-free diet. For example, gluten-free processed grain products (e.g., breads, cereals, and crackers) are often lower in fiber, iron, zinc, and potassium (29). The gluten-free diet also may increase the risks for nutritional deficiencies, especially in B vitamins, iron, and trace minerals (30). In addition, gluten-free products continue to be significantly more expensive. A 2015 study found that gluten-free bread and bakery products were on average 267% more expensive than gluten-containing breads, and gluten-free cereals were found to be 205% more expensive than gluten-containing cereals (29).
People with diabetes should also check all medications they take to ensure that they do not contain gluten as an excipient ingredient. This can be done with the help of a knowledgeable pharmacist or through various websites, including www.glutenfreedrugs.com. In addition, it is important to use gluten-free products to treat low blood glucose (i.e., glucose gels or tablets). Gluten information can be found on manufacturer websites or on the product packaging.
Many newly diagnosed patients with celiac disease present with deficiencies in calcium, vitamin D, and iron (40). Levels of these vitamins and minerals should be tested at regular intervals by the provider, and supplementation should be prescribed if necessary. Calcium and vitamin D deficiencies can be exacerbated by secondary lactose intolerance, which is common in those with newly diagnosed celiac disease because of damaged villi and reduction in the amount of available lactase enzyme (41). Those with secondary lactose intolerance should be counseled about other sources of dietary calcium, including cheese, which is often very low in lactose; fortified orange juice; fortified soy or rice milk; collard greens and spinach; and canned sardines and salmon. Good sources of iron in the gluten-free diet include beef, fortified gluten-free breakfast cereals, beans, quinoa, amaranth, and teff.
For many of these bay cruises, you can get steeply discounted tickets through Goldstar.com. It's free to sign up with them, then you can check for the tour you're interested in. Lots of other SF activities are available, also, often for roughly half-off. They have some great deals, so always check with them first before booking. See Goldstar.com.
One of my very favorite cruises is the 90 minute trip on the classic Privateer yacht, leaving from Pier 39. Glide all around the Bay and past Alcatraz, with two free glasses of wine or beer. See Sailboat Cruise for info and booking, or read about my experience out on the water with the mellow crew, at sailing on the bay.
Goldstar.com often has half-price tickets for Magowan's Maze. It's free to sign up with them, then check to see what they've got (lots of other half-price tickets as well). See goldstar.com
Are you a AAA member? Go up to the California Welcome Center on the second floor, left side, and get a Pier Passport. It's a free booklet of coupons, just for Pier 39 stuff (including 1 hour free parking at the garage across the street). Good deals...free desserts, free appetizers, discounts on attractions and shopping, etc.
FAMILY SECTION: Section 209 is designated as the Johnston Health Care Family Section. This is an alcohol-free seating area. Seats are available upon request at the Box Office, subject to availability.
50. Together, we can seek the truth in dialogue, in relaxed conversation or in passionate debate. To do so calls for perseverance; it entails moments of silence and suffering, yet it can patiently embrace the broader experience of individuals and peoples. The flood of information at our fingertips does not make for greater wisdom. Wisdom is not born of quick searches on the internet nor is it a mass of unverified data. That is not the way to mature in the encounter with truth. Conversations revolve only around the latest data; they become merely horizontal and cumulative. We fail to keep our attention focused, to penetrate to the heart of matters, and to recognize what is essential to give meaning to our lives. Freedom thus becomes an illusion that we are peddled, easily confused with the ability to navigate the internet. The process of building fraternity, be it local or universal, can only be undertaken by spirits that are free and open to authentic encounters.
52. Destroying self-esteem is an easy way to dominate others. Behind these trends that tend to level our world, there flourish powerful interests that take advantage of such low self-esteem, while attempting, through the media and networks, to create a new culture in the service of the elite. This plays into the opportunism of financial speculators and raiders, and the poor always end up the losers. Then too, ignoring the culture of their people has led to the inability of many political leaders to devise an effective development plan that could be freely accepted and sustained over time.
103. Fraternity is born not only of a climate of respect for individual liberties, or even of a certain administratively guaranteed equality. Fraternity necessarily calls for something greater, which in turn enhances freedom and equality. What happens when fraternity is not consciously cultivated, when there is a lack of political will to promote it through education in fraternity, through dialogue and through the recognition of the values of reciprocity and mutual enrichment? Liberty becomes nothing more than a condition for living as we will, completely free to choose to whom or what we will belong, or simply to possess or exploit. This shallow understanding has little to do with the richness of a liberty directed above all to love.
105. Individualism does not make us more free, more equal, more fraternal. The mere sum of individual interests is not capable of generating a better world for the whole human family. Nor can it save us from the many ills that are now increasingly globalized. Radical individualism is a virus that is extremely difficult to eliminate, for it is clever. It makes us believe that everything consists in giving free rein to our own ambitions, as if by pursuing ever greater ambitions and creating safety nets we would somehow be serving the common good.
109. Some people are born into economically stable families, receive a fine education, grow up well nourished, or naturally possess great talent. They will certainly not need a proactive state; they need only claim their freedom. Yet the same rule clearly does not apply to a disabled person, to someone born in dire poverty, to those lacking a good education and with little access to adequate health care. If a society is governed primarily by the criteria of market freedom and efficiency, there is no place for such persons, and fraternity will remain just another vague ideal.
130. This implies taking certain indispensable steps, especially in response to those who are fleeing grave humanitarian crises. As examples, we may cite: increasing and simplifying the granting of visas; adopting programmes of individual and community sponsorship; opening humanitarian corridors for the most vulnerable refugees; providing suitable and dignified housing; guaranteeing personal security and access to basic services; ensuring adequate consular assistance and the right to retain personal identity documents; equitable access to the justice system; the possibility of opening bank accounts and the guarantee of the minimum needed to survive; freedom of movement and the possibility of employment; protecting minors and ensuring their regular access to education; providing for programmes of temporary guardianship or shelter; guaranteeing religious freedom; promoting integration into society; supporting the reuniting of families; and preparing local communities for the process of integration.
165. True charity is capable of incorporating all these elements in its concern for others. In the case of personal encounters, including those involving a distant or forgotten brother or sister, it can do so by employing all the resources that the institutions of an organized, free and creative society are capable of generating. Even the Good Samaritan, for example, needed to have a nearby inn that could provide the help that he was personally unable to offer. Love of neighbour is concrete and squanders none of the resources needed to bring about historical change that can benefit the poor and disadvantaged. At times, however, leftist ideologies or social doctrines linked to individualistic ways of acting and ineffective procedures affect only a few, while the majority of those left behind remain dependent on the goodwill of others. This demonstrates the need for a greater spirit of fraternity, but also a more efficient worldwide organization to help resolve the problems plaguing the abandoned who are suffering and dying in poor countries. It also shows that there is no one solution, no single acceptable methodology, no economic recipe that can be applied indiscriminately to all. Even the most rigorous scientific studies can propose different courses of action.
For Maryland residents, the tuition for dual enrollment (inclusive of all fees) is $135 per credit hour. For non-Maryland residents, the tuition (inclusive of all fees) is $270 per credit hour. For students who qualify for free and reduced meals, there is no cost to participate in dual enrollment programs. 2b1af7f3a8