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UCLA Health - Gluten-Free Healthy Eating | UCLA Health

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Short Summary

Main recommendation: Build a healthy gluten-free diet by maximizing the variety of naturally gluten-free plant foods, rather than relying on gluten-free substitute products. The presenters explain that gluten-free diets often end up higher in saturated fat and simple sugar and lower in fiber, folate, iron, and calcium, so the goal is to fill those gaps deliberately.

Key Points

  • Gluten must be avoided strictly for people with celiac disease, non-celiac gluten sensitivity, or wheat allergy, which means eliminating wheat, barley, and rye.
  • Gluten-free substitutes made mainly from rice and corn flour, and simply dropping the grain and eating a salad, can both leave the diet nutritionally weaker.
  • Manufacturers often use lower-fiber grains and extra sugars and oils in gluten-free products, and gluten-free foods are often not required to be fortified, which contributes to lower folate, iron, and calcium.
  • Naturally gluten-free foods such as legumes, whole grains like quinoa, sorghum, and brown rice, and vegetables provide the nutrients that are commonly lacking.

Details Worth Noting

  • Concrete instructions:
    • Choose naturally gluten-free whole grains with high fiber per cup, such as sorghum, quinoa, buckwheat groats, gluten-free oats, brown rice, and wild rice.
    • Eat beans and lentils whole, or choose lentil-based or chickpea-based pasta and rice, and bean-based snacks like crispy chickpeas or edamame.
    • Eat potatoes with the skin on (about 5 grams of fiber), and include green peas, corn on the cob, and starchy squash such as butternut squash.
    • For folate, include spinach, asparagus, Brussels sprouts, romaine lettuce, avocado, broccoli, mustard greens, peas, and kidney beans, and choose fortified rice, cornmeal, or corn grits.
    • For iron, eat beef, poultry, or seafood (heme iron, more easily absorbed), and pair plant iron sources such as beans, leafy greens, tofu, tempeh, fortified gluten-free oats, quinoa, prunes, raisins, dried apricots, pumpkin seeds, hemp seeds, and cashews with vitamin C foods like kiwi, oranges, bell peppers, or broccoli.
    • For calcium, use dairy milk, yogurt, or cheese (lactose-free versions are available, and cheese is relatively low in lactose), or fortified non-dairy milks such as almond or oat milk, fortified gluten-free cereals, leafy greens, tofu, sardines, canned salmon with bones, chia seeds, sesame seeds, and almonds.
    • Increase variety across these food groups, since many foods appear on several nutrient lists.
    • Sample meal ideas: breakfast of whole grain gluten-free hot cereal with yogurt, nuts, chia seeds, and berries; a salad with tuna and avocado plus chickpeas, quinoa, or sweet potato; chickpea pasta with feta, vegetables, and marinara; a whole grain brown rice cracker with hummus as a snack.
  • Gluten-free packaged foods such as gluten-free bread, pasta, crackers, and cookies made mainly from rice and corn flour are common starting points but are not automatically nutritious.
  • Flaxseed crackers, cauliflower pizza crust, and fruit and nut bars are mentioned as higher-fiber options.
  • The presenters note that a healthy diet is individualized, flexible, tasty, and must provide enough energy, since insufficient energy intake also means insufficient micronutrients.
  • The presenters suggest working with a GI dietitian for individualized support with dietary changes.

Bottom Line

A gluten-free diet is only as healthy as the choices made within it, so intentionally building meals around legumes, high-fiber gluten-free grains, vegetables, and calcium- and iron-rich foods is the key to avoiding common nutrient gaps.