One pot walnut and mushroom penne, with gluten free option

“One pot meals make a lot of sense . . . because so much of what people hate about cooking is really the clean-up, the mess, the grease.”–Tom Douglas

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Autoimmune diseases, according to John Hopkins University, unbelievably affect about 23.5 million Americans, 80% of which are women, of which I am one. While scientists are busy trying to understand the biological gender differences that contribute to this higher prevalence among females, one unexpected discovery is the contributions of the intestinal (gut) microbiome as a driver for these excessive numbers according to Scientific America. Furthermore, those identified with gut-centered autoimmune diseases, including irritable bowel disease (IBD), irritable bowel syndrome (IBS), ulcerative colitis, Crohn’s disease, and celiac disease, tend to have micronutrient deficiencies, in particular iron, folic acid, zinc, vitamins B6 and B12, copper, zinc, and vitamin D–which can really put the microbiome in dysbiosis.  

If left untreated, nutritional deficiencies can lead to an array of other health concerns, such as neurological complications, psychiatric symptoms, cancer, and bone health issues.  This is particularly of concern if adults have not been properly diagnosed.  For example, symptoms of celiac disease often vary from person to person; therefore, it is possible to go decades without identification as was the case with me.  I was in my late forties experiencing numerous unexplained, uncomfortable symptoms before one doctor finally suggested an endoscopy along with a blood test and a colonoscopy.  As it turned out, the endoscopy and blood work both identified celiac disease.

This dramatically changed my life, especially the way in which I eat.  In addition to eliminating gluten, the doctor advised a nutrient-rich, whole food diet, heavily emphasizing fruits, vegetables, whole grains (without wheat, barley, and rye), as well as legumes.  This is because I spent most of my life with malabsorption issues due to the damage of the lining of my small intestine as well as the inflammation and atrophying of the villi that absorb nutrients and minerals. Hence, the reason I was often sick as a young child.

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Specifically, vitamin D deficiencies are especially high with those who have celiac disease, which is crucial for growth of bones.  Chronic deficiency of vitamin D can lead to cancer, cardiovascular disease, and osteoporosis to name a few. Additionally, zinc is another nutrient often deficient in those with celiac disease. This nutrient promotes wound healing, virus recovery, growth, and development. 

Therefore, how I now choose to cook and eat is heavily influenced by this knowledge.  While, I can’t, per se, play catch up, I am aware of my need to focus on healthy eating and supplementing with a few key vitamins. The recipe below, based upon recipes by Simple Veganista and California Walnuts is reflective of this focus as it is chock full of nutritionally dense plant foods. 

In particular, this recipe emphasizes foods high in zinc, such as walnuts, mushrooms, spinach, and legumes as the pasta I use is made out of chickpea flour.  Mushrooms, especially those grown under UV light, are one of the few non-animal sources of vitamin D. Additionally, walnuts benefit gut, heart, and brain health while spinach (or other green vegetable I may use) is rich in flavonoid antioxidants and vitamins and possesses anti-inflammatory properties. 

With or without an autoimmune issue, we can all benefit from eating more healthy, homemade meals.  These meals don’t have to be complicated or time consuming and can even be completed in one pot as demonstrated in this recipe. Feel free to swap out the chopped walnuts with your favorite ground meat or meat alternative.  Don’t want spinach? Replace it with another favorite green vegetable. The point is eating healthfully doesn’t have to be hard, tasteless, or make clean-up challenging.  One pot and you’re done! 

From my home to yours, I wish you the best in health!

One pot Walnut and Mushroom Penne (with gluten free option)

Ingredients:

1 tablespoon olive oil

1 cup chopped onion

2 teaspoons minced garlic

1 pound mushrooms

1 tablespoon tomato paste

1 tablespoon balsamic vinegar

1 tablespoon dried oregano

1 tablespoon dried basil

¼ teaspoon black pepper

¼ red pepper

½ teaspoon fennel seed, options

1 28-ounce can crushed tomatoes

1 cup chopped walnuts*

1 cup chopped fresh or 14.5 ounce canned tomatoes

4 cups low sodium vegetable broth

1 pound penne pasta (I use gluten-free, chick-pea pasta.)

2 cups fresh spinach or other favorite green vegetable

Directions:

In a large pot, heat oil over medium heat. (Can also use ¼ cup water if you prefer oil-free cooking.)

Add in onion and garlic, saute until translucent. (If using water, you may need to add more water to prevent sticking.)

Stir-in mushrooms and cook until soft, stirring occasionally.

Stir-in tomato paste, balsamic vinegar, oregano, basil, black pepper, red pepper, and fennel, if using.

Add crushed tomatoes, walnuts, and chopped tomatoes and bring to a boil.

Reduce heat and stir in vegetable broth and pasta.

Allow to simmer and gently bubble for 15-20 minutes, stirring occasionally.

Remove from heat, stir in spinach or other green vegetable.

Allow to rest 3-5 minutes, then divide between 4 serving bowls.

Sprinkle with your favorite topping, such as parmesan or pecorino cheese, fresh parsley, and/or chopped scallions. 

Notes: 

*Walnuts can be swapped out with your favorite ground meat or meat alternative.

Celiac Disease is Real

Celiac disease is a serious autoimmune disease that occurs in genetically predisposed people where the ingestion of gluten leads to damage in the small intestine.–Celiac Disease Foundation

Recently, I went to dinner at a popular local restaurant with a friend.  The wait staff person, whom I will call Sam, was friendly and appeared to listen as I politely explained that I had celiac disease and needed to eat gluten free. I further added that I had not previously eaten there, so Sam pointed out all of the gluten-free items on the menu, directing my attention to several items that might be of interest to me since I also added that I was a plant-based eater. 

Later, after our food had arrived, my friend and I were deep in conversation, when Sam returned to the table to tell me that the dish I had been served was not in fact gluten-free.

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At least you only ate part of yours, unlike your friend here.

Wait, what?  First of all, not only was that response rude to my friend, but it was also insensitive to the realities of celiac disease.  Sam then offered an apology and launched into stories of a friends who have celiac disease, but my head would not stop buzzing with worry.  Sam then added a story of a sibling with food allergies who required an epi-pen with the final words, “at least you won’t die.”  

People with celiac disease have a 2x greater risk of developing coronary artery disease, and a 4x greater risk of developing small bowel cancers.–Celiac Disease Foundation

Later, a person, who I can only assume was either a kitchen or restaurant manager, arrived at our table.  I was told that normally there was an upcharge for gluten-free items and another upcharge for vegan cheese, but since I had been wrongly served, I would not be charged any additional fees.  There was no apology, hint of remorse, or even concern in this person’s words or voice.  Meanwhile, my mind kept wondering how I was going to get through the next work day.   

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When people with celiac disease eat gluten (a protein found in wheat, rye and barley), their body mounts an immune response that attacks the small intestine. These attacks lead to damage on the villi, small fingerlike projections that line the small intestine, that promote nutrient absorption. When the villi get damaged, nutrients cannot be absorbed properly into the body.–Celiac Disease Foundation

Afterwards, sharing my experience with my daughter, Maddie, she was enraged since she has worked in the restaurant industry for the past two school years.  She shared this story with her current kitchen manager as well as the rest of the staff with whom she works.  They all agreed that the restaurant’s response was inappropriate, and I should to do something, such as leave a bad review on Facebook, Yelp, or Trip Advisor.  Instead, I decided to try to increase awareness of celiac disease through writing. 

It is estimated to affect 1 in 100 people worldwide.–Celiac Disease Foundation 

This is gluten

I am often faced with people, especially in the restaurant industry, who do not believe that celiac disease is serious, much less real.  Perhaps, this is because so many popular diet trends include avoiding gluten and/or because gluten-free items are now so widely available and seen as healthier options.  Often, those who are avoiding gluten for health/diet purposes will still drink beer or consume products with gluten when it suits their situation.  I understand that as someone who is mostly vegan, but will, on occasion, still splurge on cheese.  Unfortunately, this can leave the impression that those of us with celiac disease can do that too.  In fact, I have had family and friends say to me, “Can’t you just take a pill before you eat it?”  If only it were that easy for me.

Celiac disease requires consuming

Ingesting small amounts of gluten, like crumbs from a cutting board or toaster, can trigger small intestine damage.–Celiac Disease Foundation

It wasn’t until the mid-forties that I was diagnosed with celiac disease.  I had been experiencing severe abdominal pain and acid reflux, as well as bloating, cramps, and other, shall we say, digestive issues.  My doctor was treating me with a variety of prescription medications.  My life became a series of timers and pills, and nothing was helping.  After several months of no improvement, he ordered a colonoscopy and an endoscopy.  When the official hospital letter came in the mail informing me that the endoscopy revealed severe damage to my small intestine, suggestive of celiac disease, I was stunned. (It also revealed a hiatal hernia, but that’s a whole other topic!)  When a later blood test confirmed this diagnosis, my life was forever changed. 

Two and one-half million Americans are undiagnosed and are at risk for long-term health complications.–Celiac Disease Foundation 

As my doctor and I talked, it was clear that I had suffered from this disease my entire life, but I had become so accustomed to the symptoms that I didn’t realize anything was wrong.  The entire diagnosis process was spread out over a few months.  Part of the protocol included strictly removing gluten from my diet for two weeks, and then seeing what happened when I re-introduced it to my diet.  Ugh! Talk about pain.  All the stomach pains/issues returned after one day of eating glutinous foods as well as a persistent headache that would not dull.  That was it!  I walked away from gluten products at that point and never looked back.  My life quality has completely changed for the better–including none of the prescriptions of the past.

I buy and order special gluten free products. This is one of my favorite gluten free pizza crusts brand!

Currently, the only treatment for celiac disease is lifelong adherence to a strict gluten-free diet. People living gluten-free must avoid foods with wheat, rye and barley, such as bread and beer.-Celiac Disease Foundation 

Living with celiac disease is typically most challenging when dining out.  It is important that a kitchen staff understand that, no, I won’t die immediately from consuming gluten.  However, within hours of consuming gluten, side effects begin.  Furthermore, with each consumption of gluten–which can even be found in over-the-counter medications, vitamins, lipstick, and toothpaste–I am damaging my body, in particular, my small intestine.  The more gluten I eat, the more likely I am to develop other health issues, such as Type 1 diabetes, muscular dystrophy, anemia, epilepsy, migraines, osteoporosis, shortened stature, heart disease, early on-set dementia, and intestinal cancers.

Celiac disease can develop at any age after people start eating foods or medicines that contain gluten. Left untreated, celiac disease can lead to additional serious health problems.–Celiac Disease Foundation

In the end, I sincerely wish that all restaurants, local and elsewhere, would understand that celiac disease is real; it is not made up.  When I ask for gluten-free food at a restaurant, I will happily pay the upcharge for this choice.  Additionally, I will go out of my way to let staff know that I sincerely appreciate the extra steps taken to prepare my food.  I only ask that restaurants take my request seriously.  If a mistake is made, it is best to tell the customer as soon as possible and sincerely apologize. Mistakes can happen.  However, please don’t write it off as an “at least I won’t die” moment because it will take 24-48 hours for the gluten to work its way through my system–causing unnecessary discomfort, interrupted sleep, endless rest room visits, headache, and body aches–as if I have the flu.  Additionally, at the risk of sounding dramatic, consuming gluten potentially contributes to a premature life-ending, or at the very least, life-altering disease that may have otherwise been avoided.  While celiac disease does not define me, it is part of who I am–a valid part that should be respected and honored.

For more information regarding celiac disease or for those wondering if they, or a loved one, have celiac disease, please visit the Celiac Disease Foundation at celiac.org as well as talk to your health care provider. 

Another tasty brand of bread products.