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Friday, April 16, 2010
How Long Does it Take to Heal After Removing Gluten?
While we tend to think of the small intestine as a long smooth tube or pipe, I'd like to paint a more accurate picture for you. The small intestine is about 23 feet long but because it is folded into many finger-like projections it is anything but smooth (imagine shag carpeting), and its surface area is that of a tennis court. That's a tremendously large area that is responsible for converting one's food into available fuel that is then delivered to the trillion cells that you own.
In order the answer the above question completely accurately it would require knowing how much damage the small intestine had sustained. If this individual has celiac disease and was only just diagnosed in her 50s, the likelihood is that it could take several years to heal the intestine. If the individual is gluten sensitive then the healing time is less, maybe 1 ½ to 2 years, as less damage was sustained. While this may sound like a long time, do realize that most people start feeling better in a matter of weeks. And considering how many years the intestine was likely under attack from gluten, it's only a fraction of that time that is needed to heal it. And when you recall that we're talking about something the size of a "tennis court", it makes sense that it takes some time.
What further plays into this equation, is what the person is doing to ensure that healing occurs. Obviously completely removing gluten is most important. But supplementing any nutritional deficiencies such as vitamin D, B12, iron, calcium, etc are also needed to give the body the raw materials it needs to heal itself. Further, identifying and removing any inhospitable organisms such as parasites, amoeba, bacteria or yeast is also necessary to regain health and proper healing of the small intestine. You can't re-grow the grass on your lawn if every night an animal is digging it up!
In fact, the above paragraph addresses the largest hole we see in addressing gluten intolerance. The prescribed treatment is to remove gluten, but not much else. Neglecting to similarly remove any infectious organism can prevent regaining one's health. Adding nutrients in which one has become deficient or those specifically designed to assist healing plus probiotics that help restore strength to the intestine's immune system, are all factors that need to be employed for a truly successful program.
I hope you find this helpful and please let me know if I can be of further assistance.
To your good health,
Dr Vikki Petersen
Founder of HealthNOW Medical Center
Co-author of "The Gluten Effect"
51 comments:
I have been gluten and dairy free a year. I had the celiac test and biopsy done about 6 months after I stopped eating these things. All was negative but I felt better over a couple months. Now I am told I can try eating these foods again but I get really tired and bloated when I do. Is it harming the body to avoid these foods even if your test came back negative?
- cats said...
I have been gluten and dairy free for a year. 6 months after going on this diet I had the blood test and small intestine biopsy-both were negative for celiacs. I felt really well while on this diet. I am now trying to reintroduce these foods. I feel very bloated and tired after I try to eat these again. Is it harmful to eliminate these even if I was tested negative for celiacs?
- The HealthNOW Doctors said...
Dear cats,
Once you have removed gluten from your diet for several weeks, let alone 6 months, testing is no longer accurate.
However, you have done the test that many consider to be the true gold standard and that is that you feel better when you're not eating it. Bloating is consistent with poor digestion and absorption. Fatigue is also often present with poor digestion.
So to answer your question it is definitely NOT harmful to eliminate gluten and dairy. Based on your symptoms when eating it, it makes sense to follow the diet that had you feeling healthier.
To your good health,
Dr Vikki - 2:21 PM
In the above article, you state "Adding nutrients in which one has become deficient or those specifically designed to assist healing..." Please identify for me sources of "nutrients specifically designed to assist healing", as I am trying to maximize healing of my small intestine following a diagnosis of celiac disease, and elimination of gluten from my diet. I am taking a probiotic supplement in addition to my usual multi-vitamin, calcium and vitamin C supplements. I want to know what foods, specifically, contain "nutrients specifically designed to assist healing" of the small intestine, please. Thank you. Lisa
- The HealthNOW Doctors said...
"Adding nutrients in which one has become deficient or those specifically designed to assist healing..." Please identify for me sources of "nutrients specifically designed to assist healing", as I am trying to maximize healing of my small intestine following a diagnosis of celiac disease, and elimination of gluten from my diet. I am taking a probiotic supplement in addition to my usual multi-vitamin, calcium and vitamin C supplements. I want to know what foods, specifically, contain "nutrients specifically designed to assist healing" of the small intestine, please. Thank you. Lisa
Hello LIsa,
While there are some general nutrients that are frequently found deficient in celiacs and can aid in healing, what we do for our patients is create tailor-made programs specifically designed for them based on lab testing.
While probiotics are excellent, which type and which specific organisms are better judged after a lab test. Additionally it is not uncommon to have infections in the intestine secondary to celiac disease and gluten sensitivity. These are a result of a compromised immune system. Knowing the specific parasite, bacteria or amoeba present, of course directs the treatment that is needed.
I find very few gluten intolerant patients who DON'T need help addressing the secondary effects of gluten. In addition to those items already mentioned you should have your vitamin D level checked as well as your magnesium and calcium levels. If your calcium is fine, it's unlikely you'll need to augment it greatly beyond a healthy diet of lots of dark green vegetables. The idea that bones need calcium (and calcium alone) is quite outdated. Bones need a healthy gut and a nice balance of minerals plus a strong vitamin D level.
I'm sure you've had your iron levels checked but if not that is an important one to monitor. Zinc levels are also important.
I'm not trying to overwhelm you but healing the gut, while not difficult, is best done by a program that address exactly what YOU need.
Feel free to contact me if you have more questions. I definitely want you to achieve the optimal health you deserve. We offer free consultations if that would be of interest.
To your good health,
Dr Vikki Petersen - 9:03 AM
Thank you for your reply. I go to a government subsidized clinic because of lack of money or insurance, and have nothing to pay for a doctor-supervised program, so mostly I'm just going by what my body is telling me, and what information I can glean without money. I drink plenty of Vitamin D milk, eat dark green leafys when I can get them, have been slowly cutting out what my system violently rejects, slowly sorting through what I eat to see what is actually causing negative responses. Its the best I can do, as the clinic won't authorize my doctor to run batteries of lab tests such as you suggest. There are plenty of us out here lately, people with low or no income struggling with a potentially expensive health problem. With some persistence, some educated guesswork and a lot of experimentation, I'll get better anyway. Thanks for what you were able to offer. Lisa
I have now been gluten and dairy free for 2.5 years, having discovered I was GI at 59 years of age. Although the chronic fatigue has gone, I have other conditions that were caused by a gluten damaged small intestine, which include: fructose malabsorption, salicylate sensitivity and histamine intolerance. My diet is incredibly limited to only meat, potatoes and yellow dwarf beans. I take a multivitamin and probiotics. I think when these other conditions are healed, I will know that my SI has finally healed, but so far no noticeable improvements. :(
- Mtrivergal said...
Question for you. I started a 2 year long illness that made me lose weight, vomiting, diarrhea, and terrible heartburn. I kept tums everywhere. I finally realized that my muscles were wasting and I had no energy and being a nurse, sought GI input. I had the biopsy and was found to be celiac. Diagnosis at age 50 14 months ago. I started to put on weight, 40 pounds and no matter what I can't shake it. I am uncomfortable with this weight. I did immediately eliminate gluten after diagnosis. How long till my body levels out and I can shake some of this extra weight? I do realize that it is recovering from starvation mode. Thanks!
- Unknown said...
My daughter who is 11years old is scheduled for an endoscopy next month. Her blood showed up negative for celiac. I was given some advice to consider gluten free diet before doing the endoscopy. I was told that can also come up negative as well in that correct? I'm worried that may not be enough time to draw my own conclusion and may affect the result of the procedure. Any advice?
- The HealthNOW Doctors said...
If the celiac blood test was negative I'm not sure why a biopsy is being recommended. Typically, in conservative medical circles, a positive blood test is followed with a biopsy, not a negative one.
If gluten is removed from the diet it will negate the efficacy of the biopsy. In fact gluten removal will affect any test you do other than a genetic test. It doesn't matter for that one.
If you already have your daughter off gluten and are seeing any improvement in her symptoms I would highly caution you against reintroducing gluten for the sake of the biopsy.
It could be dangerous to reintroduce it if she is truly sensitive.
Gluten sensitivity is an accepted and significant condition that can affect most systems of the body. Celiac tests will be negative with gluten sensitivity but the patient will feel better on a gluten-free diet.
Feel free to contact me directly for more information or to receive a free health analysis for your daughter. Call 408-733-0400.
I'd like to help.
Dr Vikki - 5:29 PM
I'm a celiac and have been gluten free for 7 months now and about three months ago i had a gastroscopy and they said that my small intestine/villi were already pretty much healed. My lactose and everything else were fine, but i'm still having trouble with symptoms that i had before going gluten free such as abdominal bloating, pains, urgency and waves of overwhelming nausea (IBS symptoms quite possibly brought on by eating gluten) After going GF they were all less severe but still are here none the less. I've been eating the right amount of fibre, drinking lots of water, probiotics (IBS support) and excercising but they won't let up. If this IBS is bought on by being a celiac and eating gluten, will it go away eventually being gluten free? - 5:43 AM
I'm a celiac and have been gluten free for 7 months now and about three months ago i had a gastroscopy and they said that my small intestine/villi were already pretty much healed. My lactose and everything else were fine, but i'm still having trouble with symptoms that i had before going gluten free such as abdominal bloating, pains, urgency and waves of overwhelming nausea (IBS symptoms quite possibly brought on by eating gluten) After going GF they were all less severe but still are here none the less. I've been eating the right amount of fibre, drinking lots of water, probiotics (IBS support) and excercising but they won't let up. If this IBS is bought on by being a celiac and eating gluten, will it go away eventually being gluten free?
You're test could have been a false negative. If you don't have gluten in your system, you won't have a reaction to gluten and that is what they're testing for. Hope thus helps!
- Nadia Lakshmipathi said...
- This comment has been removed by the author.
- The HealthNOW Doctors said...
Hello Nadia,
It is not normal for your immune system to become hyperactive. It's not uncommon associated with a gluten intolerance but it's not normal.
Autoimmmune diseases are highly associated with gluten intolerance and you could be experiencing some tendency in that direction.
The secondary effects of being gluten intolerant are very important to be addressed. I speak of these in many blogs, but suffice to say that removing gluten is often not enough to completely remedy all symptoms.
The fact that you felt better is a good sign but there's more to do. It isn't difficult nor does it involve any drugs or surgery, but it is still necessary.
I you'd like to receive a free health analysis we can try to determine what's occurring. We are destination clinic and see patients from across the country and internationally so you do not have to live locally.
Feel free to call us at: 408-733-0400 - we'd be delighted to help.
Dr Vikki - 3:03 PM
- KelendriaBeyonce said...
I've been having tummy troubles for a few months now. Doctors have suggested acid reflux, and a ultrasound came back negative. He's now saying its IBS. I chose to have an independent allergy test done which came back with an allergy to wheat, rye, barley and oats. I've excluded gluten for 3 weeks now. Is it too late for a coeliac blood test? I need some closure.
- The HealthNOW Doctors said...
Hello Kalendria.
Are you feeling better now that you have eliminated gluten? If so I would not recommend reintroducing it and that is what you would need to do to get an accurate blood test.
However, there is a lab that performs stool testing and they don't require a reintroduction. I have used them for years and I find there technology accurate. They are called EnteroLab. Just go online to get the information. They deal directly with the patient, so you don't need a doctors' recommendation.
They can also perform a genetic test for you which is something that's always at your disposal to do regardless of how long you've been off gluten.
Please let me know if you have any further questions. I'd be happy to help.
Dr Vikki Petersen - 4:09 PM
- The HealthNOW Doctors said...
Dear Anonymous who has been gluten free for 7 months:
There are other factors that I call the secondary effects of gluten that are likely causing your symptoms.
If you are precise in being gluten-free then you are most likely suffering from one or more of the following:
an infection in the gut
a cross-reactive food
a nutritional deficiency
an enzyme deficiency
an imbalance of the good bacteria -probiotics
a toxin
I know that sounds like a lot but it isn't difficult to find out which it is and the treatment isn't scary or difficult.
Feel free to contact me for help. That's why I'm here.
The number of people who improve somewhat on a gluten-free diet but not 'all the way' is a big one. What you are experiencing is not unusual.
We can offer you a free health analysis if you'd like. Call us at 408-733-0400.
All the best,
Dr Vikki - 6:06 PM
I have been sick on & off for many years. I am 64yrs, and have recently become very shaky, dizzy, nervous, fatigued, and my diarrhea has become worse. I started the gluten-free diet after my blood test, and started feeling a bit better in a couple of days. Although I still have a long way to go. My blood test came back negative, but when I told the doctor I was improving, he decided to order a the camera into the intestines and bowel. I will stay on the diet, no matter what the outcome, hoping to improve even further
It took 6 months to a year. It will likely depend on how severe your condition. Hang in there and stick to natural whole foods free of gluten and even refined sugars. You should feel better soon.
- The HealthNOW Doctors said...
Dear Anonymous,
You were given poor advice when you were told to reintroduce the problematic foods into your diet. Having been off gluten for 6 month before testing made the possibility of an accurate lab test impossible. But you don't need it when your body has already told you how it feels about these foods.
The fatigue and bloating is really all you need to know.
Further, even if the test had been done while you were eating gluten, it was only a celiac test, perhaps you are gluten sensitive instead.
If you want some more information, safely, you can contact EnteroLab online and get a genetic test. That way you'll have some proof in case friends or family are wondering.
Let me know if that helps
Dr Vikki - 5:32 PM
- Rod said...
hi Dr.Vicki. I have been GF for four months now. I was having severe pain in my body suddenly when I stopped the gluten within week it was gone. during my second week of being GF I developed a dairy allergy. I get severe pain in my sinuses within minutes of eating it. all of my life I have experienced strange and unexplainable symptoms in my body. I am almost free of them now. my question is when my gut heals do you think i will be able to tolerate dairy again. I am pregnant and struggle with goat cheese cravings of all things. and also how long will the healing take. thank you, Jennifer
- The HealthNOW Doctors said...
Dear Rod,
I am so glad that you are noticing a positive improvement. I must say that I wouldn't have the 'goal' for you to reintroduce dairy back into your diet. It's not a healthy food and many humans are intolerant to it. Those with gluten intolerance are often especially sensitive.
I would like you to enjoy your feeling of well-being and look into dairy alternatives such as coconut milk, nut milks, rice milk, daiya cheese, etc.
I hope that helps.
Please let me know if you require any assistance. We are happy to offer you a free health analysis. You can call us at 408-733-0400.
Dr Vikki - 11:47 AM
I was diagnosed with Celiac Disease and immediately began the gluten free diet. After a few weeks, I would occasionally get similar symptoms after eating. I began a food diary and discovered that I had an allergy to soy, as well as to peanuts. Start a food diary and see if you don't find additional foods that could be causing the issue. - 10:13 PM
I heard during pregnancy that you shouldn't be gf because it could cause your child to be as well.??? Is that true??? Also I just started the gf about 3 months ago and really did it without cheating this last month and I introduced a yummy cookie( whole wheat with oats etc) and 2 hours later woke up and almost threw up... Since then I have woken up everyday with nausea and it lingers throughout the day. What is going on???? I know now I may be definitely g intolerant
- The HealthNOW Doctors said...
Hello Anonymous,
I'm not sure where you heard that information regarding pregnancy, but I believe it is quite flawed.
If a mother is gluten intolerant, the worst thing she could do for her health as well as that of her developing child's is to consume a toxin, gluten.
As far as your recent, dramatic reaction, I would say that you are likely gluten intolerant. You did an excellent challenge by staying away from it and upon reintroduction your body told you exactly what it thinks of gluten.
Such a reaction can take some time to get over, so it's not unusual for your nausea to persist.
If you need further help please consider contacting me for a free health analysis. You can call 408-733-0400.
Dr Vikki - 6:28 PM
Hello Dr Vikki, I'm GI & have been GF,dairy-free & sugar-free for a month. I'm a 34 yr old woman. I'm trying to get rid of severe burning pain during urination. Nothing has changed so far.My body is v acidic. I also hv toxins, parasites, pathogens, fungus etc. Pl. help. I need to get rid of this pain & also lose 60 lbs..Thank you in advance.
Right after graduating high school, I finally discovered after countless doctor visits that I had gluten intolerance. All of my problems began to take hold when I was in 7th grade or so, and it got progressively worse from that point onward.So far I've been gluten free for about 3 months now, and I still can't think clearly and I've still got stomach pains. I noticed that my stomach goes in cycles where at certain points in the week for about 3-4 days my stomach isn't as bad, and then for 3-4 days my stomach will hurt a lot. There has been some improvements, but they were very minor, and my mind is getting worse. I thought of it this way: Think of a train that has built up a lot of momentum, it will therefore take a long time to slow to a stop. So, if the mind in particular was getting increasingly worse, it may take a while for the damage to slow down, and for the healing to begin (a long with the stomach). I may be wrong, but I would like to hear what you think of my theory. My primary question though, is how long do you think the healing process will take if all of this has been going on for 6-7 years or more?
- The HealthNOW Doctors said...
Dear Anonymous (34 yr old)
I would be happy to try to assist you but I will need a lot more data.
Perhaps you would like to receive a free health analysis? If you're interested you can call us at 408-761-3900. That way I can better understand your symptoms and what is needed to improve your condition.
Dr Vikki - 5:02 PM
- The HealthNOW Doctors said...
Dear Anonymous who was diagnosed after high school -
The fact that it's been 3 to 4 months and you are not feeling better likely means that the secondary effects related to gluten are affecting you. The roller coaster of your symptoms also points to that fact.
If you'd like specific help, please consider contacting us for a free health analysis - call 408-761-3900.
It's not fair to your health that you're trying so hard to be gluten-free yet not feeling the benefits. The good news is that there is a reason.
I'm happy to help you improve your health. That's why I'm here.
Dr Vikki - 5:08 PM
Dr Doctor, I was told to go gluten-free & dairy-free for 3 months. Do u think it is safe for me to go dairy-free as I had ostoporosis 10 yrs ago when i was a 20 y old? I live in a very cold country. Should I take vit. D supplements or calcium tablets?/ PLEASE HELP..
Thank you ever so much..
These days its sooooooo rare to find someone who helps for free..Way 2 go..!! Love ur site, totally..!! - 5:18 PM
- The HealthNOW Doctors said...
Yes it is safe. Dairy products are no protection against osteoporosis. In fact the countries with the highest dairy intake have the highest rates of osteoporosis.
Do make sure you are getting good absorbable calcium from dark green leafy vegetables and exercising about 45 minutes a day.
And yes again, you should definitely get your Vitamin D levels checked. I like the levels about 50 to 60.
Let me know if you have any further questions. - 2:21 PM
May daughter is 14yrs old and for about a year now she has been having the waves of nausea and phantom pains in her gut. None of her doctors could tell her what it was. Then the anxiety arrived followed by depression. Everybody thought it was all in her head until I had a food allergy test done. It seems that she is allergic to gluten. It seems there is a great deal of research on how gluten affects people neurologically out there. She has just started her gluten free diet about a week ago. She is always sick and still has anxiety. It has stopped her from doing anything. I am trying to be patient but I have heard that it takes weeks, months and sometimes years to feel the effects of a gluten free diet. How long can I expect her to feel sick and anxious, if gluten is really causing this?
- The HealthNOW Doctors said...
Dane347 - If your daughter is being perfect on her gluten-free diet and gluten is the cause (or at least one of them) of her symptoms, then you should expect to see some changes in 4 to 6 weeks.
If you see absolutely no change, there is likely another cause that must be addressed. She may want to try a dairy-free diet at the same time considering the known neurological effects associated with it.
Please feel free to stay in touch and let me know how she's doing.
Dr Vikki - 3:48 PM
- P. said...
Hi i have a question , my 8 year old has all the symptom of celiac, bloated, stomach pains, hard stomach, lots og gas , irritability, i finally took her to a gi pediatric doctor we did the celiac blood test which came positie, she was off gluten for 3 weeks only now she is back on gluten for 10 days to to the endoscopy, so my question is do you think 3 weeks off gluten will affect the biopsy results? Like i said she is on again and will be on luten for 10 days she is already got all pf her symptoms back specially the stomachache ... Please i would like some advice i don't want to put her through thay for nothing. Thank you!!!
- The HealthNOW Doctors said...
Well you're question touches a raw nerve for me. If her blood test was positive and all her symptoms went away during the 3 weeks, I think it's cruel and unusual punishment to then put her back on it, only to have her suffer again. How much longer does the GI want her to wait before doing the endoscopy?
Please note that the endoscopy is no longer the 'gold standard' once thought. Research supports that positive blood tests along with improvement of symptoms and positive genetic markers are more than enough to make the diagnosis.
I know this is 'late' advice since she's already back on gluten, but the genetic test is not invasive and requires no gluten consumption.
Even if the endoscopy is negative, it doesn't negate the celiac diagnosis.
I would think doing the endoscopy right away would be fine considering only 3 weeks off gluten likely didn't create complete healing of her villi, if they are affected.
Once again, there are many celiacs with a negative biopsy that still have the disease.
The next step is to handle the secondary effects of gluten that I speak of often.
If you need more data consider contacting us for a free health analysis - 408-733-0400.
Reintroducing gluten runs the risk of developing an autoimmune disease, which is why I am so opposed to the practice.
Good luck and please let me know how it all goes.
Dr Vikki - 11:58 AM
I had a lot of the symptoms for gluten intolerance and went on a gf free diet 3 months ago. During this time I accidentally ate something containing wheat once and had a reaction much stronger than the symptoms I used to have. I also ate regular bread two days in a row recently to check whether I really have a problem with gluten. Again the reaction was a lot worse than the symptoms I used to have.
I'm confused about this. While I used to have a lot of symptoms before going gluten free, why ddi I have a lot more severe symptoms during these two brief gluten challenges?
I would be very grateful for an explanation.
Further info: I still have occasionally mild pain even on the gluten free diet. I know (test negative) that I am not allergic to wheat. - 12:58 AM
- The HealthNOW Doctors said...
Your reaction is common and it means that you truly are sensitive to gluten, despite not having a wheat allergy. The reason the reaction is more intense is that your immune system has gotten a chance to 'relax' while you removed gluten and then when you reintroduced it, the immune system was able to let you know how it really feels about it.
That is simplifying the mechanism, but the concept is true.
I often hear this same question from patients. Now if you didn't have a sensitivity, the reintroduction would cause no reaction, let alone an amplified one.
I hope that makes sense.
Dr Vikki - 4:54 PM
I've been suffering from chronic severe constipation ever since I was an infant, and the problem got worse and worse. About 7 years ago I started feeling nauseous and ever since I'm nauseous 24/7. Food (doesn't matter what type) makes me feel like vomiting. Even water has started to bother me when I ingest it. I'm 25 lbs underweight and I never gain any weight. The problem is, I keep losing. I'm down to 90 lbs as of now and i'm just so tired, nauseous, sick and weak. All doctors tell me it's just GERD, prescribe me antacids and send me home. I've tried everything for constipation, but nothing works. I drink water, exercise, no caffein, no dairy, mostly fruits and veggies. I take probiotics too. Sometimes I get so plugged up to the point where even laxatives won't work anymore. All the doctors I've been to didn't bother to do anything about this. I went gluten free about 4 months ago and the first 2 weeks I felt amazing. I've never felt better in my life, but then I ate gluten twice by mistake and went back to feeling nauseous, really plugged up etc. The thing is, I no longer respond to the gluten free diet. I mean I eat gf, yet I don't feel the same as in those first 2 weeks of gluten free. Should I reintroduce gluten in my diet and call it a day? My doctor has told me celiac is not an option because I don't have diarrhea, so what do you I should do? I can't get him to test me for celiac anyways. - 10:03 PM
- The HealthNOW Doctors said...
I would urge you to consider calling us for a free health analysis - 408-733-0400.
You need to get assistance right away and it's not something I can do over the internet.
Please consider it as we would be delighted to assist you! - 3:31 PM
Wow, what a great blog!
I am gluten sensitive. I found out when I started to get all sorts of autoimmune problems; nail infections, sudden loss of 10% body weight, blurred thinking, etc. etc.
In my country you can't get tested and even the best hospitals have trouble with understanding gluten sensitivity.
Vitimin B shots alleviated virtually all my problems.
I can recommend a powder called Triphala, which is a mix of three dried fruits. I had a problem with skin on my fingers never healing for 2 years. 2 weeks of drinking this disgusting stuff solved that problem. Look it up, it contains substances used in medicine for healing skin. I imagine it is also doing my intestine good.
- Jason Opland said...
What tests are performed to check for specific parasite, bacteria or amoeba present? Endoscopy with a biopsy? Please advise.
- The HealthNOW Doctors said...
The test we use for infections is a stool analysis Jason. There are many different versions of such tests. The lab we use is the most comprehensive of its kind and they use DNA probes to identify the organisms present.
We have found the test to be quite good in identifying infectious organisms.
Let me know if you have any further questions. - 2:44 PM
I have been diagnosed with gluten intolerance, the blood test for celiac was negative and I have an endoscope scheduled in the near future. My question is, Will the fact that I have been gluten free for 6 weeks change the outcome of my test? Are there any other tests for Celiac because I am concerned that if I have Celiac and don't know it my health will be further compromised.
- The HealthNOW Doctors said...
If you've been diagnosed with gluten intolerance (sensitivity) and your celiac test was negative, I'm not sure why you're scheduled for an endoscopy. Perhaps you can let me know what your doctor is looking for.
If the endoscopy is to rule out celiac disease, then your 6 weeks of gluten-free is going to make the test useless. Now, I DO NOT think you should reintroduce gluten in order to do the test - Please DO NOT do that. But there is also no reason to put yourself through the test if ruling out celiac disease is the intention.
You can run a genetic test through EnteroLab if you want to know if you carry the genes for celiac vs gluten sensitivity. That test requires no reintroduction - something I consider to be quite dangerous.
I hope this helps. Please consider calling us for a free health analysis (408-733-0400) if you want further assistance. - 3:27 PM
My father is 76 and recently diagnosed with celiac. He has lost 40 lbs. and continues with diarrhea about 7-10 times a day. Before he was diagnosed with celiac and started GF, he was going to the bathroom 10-15 times a day with completely watery diarrhea. He has been GF for about one and 1/2 months now and is still having bowel issues. Docs told us that his villi is severely damaged from the disease. He continues to dehydrate every few days and has been admitted to the hospitals about 11 times in the past two months. Now that we are sure of his diagnosis and keeping him hydrated the best we can, do you have any other recommendations for me?
- The HealthNOW Doctors said...
Hello Anonymous,
I cannot make medical recommendations for your 76 year old father over the internet. That is illegal.
I can offer a free health analysis however. Just call 408-733-0400. That way we can get some more information and decide on the best course of action.
You CAN definitely do more for him than keep him hydrated, however. - 6:39 PM
I have had symptoms of Celiac disease for about a year and a half (possibly some milder symptoms longer). About 1 and 1/2 years ago I started having bowel issues and I lost 20 lbs. without really trying (I was happy to lose the weight). I attributed the weight loss to me stopping drinking soda. I recently went to the doctor and brought up my bowel problems and he ran some blood test and I came back highly positive for IgA (tTG). I was told to stop eating gluten to see how I feel. Until yesterday I had been gluten free for 3 weeks (I am sure I had some slips, as I still don't know everything that has gluten in it). I researched Celiac disease and called my doctor and asked if I needed a biopsy. He told me that yes, I did and that he wanted me to start eating gluten again for 3 weeks and then have the biopsy. I am worried that the results will be negative now that I stopped eating gluten for 3 weeks. Does anyone have any thoughts on this? I do not like how I feel eating gluten, now that I have stopped and really don't want to have to keep eating it for longer than 3 weeks. How long does it take for the intestines to heal (please tell me that healing would not have occurred in my 3 weeks of gluten free)? I would appreciate any advice.... - 4:08 AM
- The HealthNOW Doctors said...
Hello Amanda,
Your doctor is a little behind the times. A biopsy is no longer required in order to make a celiac diagnosis. Additionally, it could be very dangerous to reintroduce gluten when your tTG IgA is very high. You could initiate an autoimmune disease, beyond the one you already have which is celiac disease.
Please consider finding a doctor that will give you more current advice or consider contacting us for a free health analysis - 408-733-0400. We are here to help!
All the best to you,
Dr Vikki Petersen - 2:31 PM
224I have had a high ESR rate for 2 years (80 or above). I have been GF for a month and just had blood drawn with no change is the ESR rate. how long will it take to see that drop? I feel much better but would like to see that number come down.
- The HealthNOW Doctors said...
@ Anonymous w/ high ESR rate:
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Carrying posters of people who have self-immolated themselves,... NachrichtenfotoBürgerrecht,China,Demonstrant,Horizontal,Internationaler Tag der Menschenrechte,Leistung,Menschen,New York City,Politik,Poster,Städtische Straße,Tibetische Kultur,Tragen,UN-Hauptquartier,USAPhotographer Spencer PlattCollection: Getty Images News 2012 Getty ImagesNEW YORK, NY - DECEMBER 10: Carrying posters of people who have self-immolated themselves, protestors march down 42nd street to the United Nations General Assembly Building in recognition of International Human Rights Day on December 10, 2012 in New York City. Chinese-occupied Tibet has witnessed over 90 Tibetans self-immolating themselves in protest to China since 2009. Tibetans, their supporters and human rights activists are calling for immediate action by the United Nations and world governments to pressure China to resolve the issue. (Photo by Spencer Platt/Getty Images)

subset: commoncrawl


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Ailuropoda melanoleuca
What's New in Panda release 79
- External database references update
- All species: updated RefSeq gene import
- Corrected motif feature mappings
Genome assembly: ailMel1 (GCA_000004335.1)
More information and statistics
Download DNA sequence (FASTA)
Gene annotation
What can I find? Protein-coding and non-coding genes, splice variants, cDNA and protein sequences, non-coding RNAs.
Comparative genomics
What can I find? Homologues, gene trees, and whole genome alignments across multiple species.
More about comparative analysis
Download alignments (EMF)
This species currently has no variation database. However you can process your own variants using the Variant Effect Predictor:


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MOUNTAIN HARDWEAR Women's Nazca Jacket
A classic mountaineering shell, the Nazca Jacket features Mountain Hardwear's Dry.Q Elite membrane to keep rain out and fast breathability to keep you feeling dry on the inside.Features/Benefits:
- Two-layer shell fabric made from dobby nylon backed by Dry.Q Elite membrane
- Dry.Q Elite membrane is durably waterproof, windproof, and breathable with always-on air permeability
- Always-on air permeable membrane maximizes body vapor outflow through the fabric to prevent clamminess�transfers heat and moisture immediately to keep you cool and dry
- Shell fabric features subtle texturing for a softer touch
- Lined with brushed tricot for lightweight warmth
- Fully adjustable, attached hood
- Water-resistant pit zips for added ventilation
- Adjustable cuff and hem
- Zip handwarmer pockets
- Micro-Chamois-lined chin guard prevents zipper chafe
Fiber Content: 100% dobby nylon
Country of Origin: Imported -
MOUNTAIN HARDWEAR Women's Nazca Jacket
Construction 2 layer Removable Liner No Back Length 27 in. Fit Regular Insulation N/A Snow Skirt No Ventilation Underarm zippers Waterproof Material Dry.Q Elite membrane Weight 1 lb. 4 oz. Waterproof Yes Insulation Rating Uninsulated Activity/BreathabilityLev Moderate Packability Medium compactibility Hood Type Yes, fixed Fleece Weight N/A
Reviewed by 3 customers
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Displaying reviews 1-3
- Fits Well
- Great pockets
- Nice colors
- Nice pit vents
- Stylish
- none at this time
Best Uses
- Rainy days
- Spring skiing maybe
Comments about MOUNTAIN HARDWEAR Women's Nazca Jacket:
This jacket has worked well on the recent rainy summer days. It is lined, so it provides some warmth without the need to wear an additional layer. The armpit vents help cool the jacket. I got the bright green color, which is really bright and fun.
Comments about MOUNTAIN HARDWEAR Women's Nazca Jacket:
Back from a somewhat soggy paddle-bout in upstate NY. My first impressions, as usual, steered me right. The Nazca held up through a week and a half of constant wear, including moonlighting as part of a makeshift jacket-stick-stretcher, and managed to retain it's perky green shape. The jacket was warm enough to make emerging from the sleeping bag on chilly mornings bearable, while also venting well enough to stay on during an all day paddle. My original concern that it would ride up with my arms overhead turned out not to be a big deal. The jacket was not at all constricting during day to day activity. Well done Mtn. Hardware!
- pretty green
- Really REALLY waterproof
- Soft non-crinkly finish
- Vents like a mother
- Limited arm mobility
- Not helmet compatible
Best Uses
- City rain jacket
- Hikingbackpacking
Comments about MOUNTAIN HARDWEAR Women's Nazca Jacket:
Just got this jacket today at the upper west side EMS store. (Thank you to the super helpful staff who dug thru their whole inventory to find the last XS, and then were totally chill when I went with the S on the rack!) Nice kermit green, roomy fit, ergonomic pocket placement. Only gripes were that its not comfortable with a climbing helmet underneath, and that raising my arms overhead makes the jacket ride up uncomfortably.
I was thankful I bought it when it started pouring from the sky as I going through Central Park. Perfect timing. The jacket held up like a champ and my upper half is dry as a bone.
I bought this jacket to replace my old Northface shell for an upcoming trip to the Adirondaks, so more on how it holds up in 2 weeks.
Displaying reviews 1-3


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I understand the why we took him. High upside while still being a safe pick. Personally I think that upside is much more limited than most so I would have traded the pick away to Charlotte for their 2013 unprotected 1st.
It's not that I dislike Gordon solely because of his comments. He's injury prone and we were forced to sign him to a contract we obviously wasn't comfortable signing him to other wise he would have never hit the open market. He's not a max contract guy although he has all the potential to be. I'd rather not have gambled and traded him away the minute he refuse to sign the original deal we offered.Also you're not a huge fan of Gordon bc he doesn't want to be here, if i recall correctly. Which I agree somewhat on, but we have some years to see if that's a good move or not and can garner some assets if we truely believe he hates it here, which i'm pretty sure you agree'd that we need to get assets for him no matter what as well?
I like Rivers potential as a Harden type just not as our starting PG.as for Rivers, it seems people either love him or hate him. I love him if he's our Harden combo off the bench, but if we round peg square hole him as a PG I won't be happy.


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Quick Links
Shop All Jewelry
NL10754 In Stock
Celebrate the majesty of the sea with this sterling silver anchor pendant with silver opal dolphin. The illustrious colors of blue and green shimmer from the dolphin's back as is grazes the surface of the 1 1/2 inch by 3/4 inch wide silver anchor charm. Hanging from a 16, 18, or 20 inch rhodium finished silver snake chain, this opulent pendant is a great addition for your nautical jewelry collection or anyone who enjoys the beauty of opal jewelry!
Eve's Addiction.com wants you to be a happy customer. We want you to be completely satisfied with the sterling silver jewelry that you receive from us, as we only sell high quality silver and cubic zirconia cz jewelry. We do understand that you may not like your purchase for some reason.
You may return or exchange your jewelry within 60 days of purchase if you are not satisfied with it. The jewelry must be returned in its original condition for a refund or exchange. Engraved, personalized, photo, monogram, name and initial, chocolate and clearance items are not returnable or exchangeable.


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is a hash of local variables in a view. Useful when passing those variables on when rendering a partial; instead of enumerating the variables:render :partial 'foo', locals: { bar: bar, baz: baz}
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Tomlin Rolling Carry-On
- Overview
This handsome rolling carry-on is crafted of sturdy herringbone canvas with stylish brass fittings and leather trim.
- 14" wide x 7.5" deep x 21" high
- Constructed of rugged 16-ounce herringbone canvas, cotton twill, leather and antiqued brass hardware.
- Monogramming is available at an additional charge.
- Monogram will be placed on the exterior pocket.
- Dimensions & Care
- Overall: 14" wide x 7.5" deep x 21" high
- Interior: 13" wide x 6.5" deep x 2" high
- Exterior Pockets: 2
- Weight: 8 pounds
- Wipe clean with a damp cloth.
- Shipping Info
This is a general shipping item.
View our Shipping Information
Customer Service - Shipping Information
Return Policy
At Pottery Barn, we take great pride in the quality and craftsmanship of our products. Attention to design, materials, safety and construction is our priority. We carefully inspect your order prior to shipment. Upon receipt, please inspect your purchase and notify us of any damage; we will arrange for a prompt replacement. If, within 7 days for Quick Ship upholstery and 30 days for all other products, you are dissatisfied for any reason, you may return your purchase for a refund of the merchandise value.
We cannot accept returns on monogrammed, personalized, special-order items, or on items damaged through normal wear and tear. We also cannot accept returns of final-sale items which are identified by a price which ends in .99.
For returns of items purchased from your Pottery Barn registry, we will gladly provide a refund or exchange for the merchandise within 90 days of your event or within 90 days of purchase, whichever date is later.
You may return merchandise through the mail for a refund or replacement. For detailed procedures for returning items through the mail, please contact Customer Service at 1.888.779.5176, 7 days a week, 5:00am - 9:00pm (PT).


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- Anywhere In The UK
- Location: Anywhere in the UK
Radius: ... miles
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Check out the info below for future tour dates, and track them to receive alerts when they tour near you
Never miss another 'Henning Wehn' show
Henning Knows Bestest: Henning Wehn
According to Henning, there's no shortcut to success, hard work will eventually pay off and there is no shame in paying tax.
But what he knows bestest is that his comedy shows are a guaranteed success. Either he's funny or he confirms a national stereotype that German's don't have a sense of humour. It's a win-win situation.
Image © Oliviee Hess Photography
Henning Wehn
The self-styled 'German Comedy Ambassador in London', Henning Wehn is a regular guest on the British comedy television programme 'FAQ U' and has appeared on the BBC Radio 5 Live radio show 'Fighting Talk ', where he is 'in it, to win it', as well as two appearances on Radio 4's 'The Unbelievable Truth'.
Wehn's act plays upon the prevailing post-war stereotype of Germans; a large part of his routine is based around comprehensively analyzing and explaining his punchlines and jokes in the smallest detail.
'A diplomatic master class' (The Scotsman)
'Brought the audience to its knees' (The Daily Telegraph)
'Marvellous' (The Guardian).
Henning Wehn tour dates
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Venue Facts
Venue: The Stand Comedy Club
5 York Place
Website: thestand.co.uk
Phone: 0131 558 7272
→ Waverley 6 min walk


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2006 Street Rodder Road Tour - Fun On The Run
Written by on August 30, 2006Without a doubt, grabbing a couple of pals and hittin' the road in your street rods for a day is about as good as it gets. But burnin' up the asphalt with a couple dozen or so fellow rodders for a weeklong cross-country road trip can be the ultimate in street rod fun. Such was the case recently on the first ever ride-a-long version of the 2006 PPG / STREET RODDER Road Tour.
As we're sure you're all aware, for 10 straight years the STREET RODDER Road Tour has been the domain of STREET RODDER's own Jerry "Iron Can" Dixey, who, over that span, has clocked in 250,000 miles behind the wheel of a wide variety of cool street rods, and this year we thought it'd be fun to invite our readers to travel along with us for some good old blacktop-burnin' fun.
The first leg of Road Tour '06 was sponsored by Advanced Plating (one of the nation's premier chrome plating shops) and began at on of the East Coast's largest automotive events, the 16th annual Cruisin' Ocean City, in Ocean City, Maryland. The kickoff show included a daily Cruisin' parade along the Ocean City Beachside Boardwalk, a Saturday night concert held at the Ocean City Convention Center, and closing ceremonies at Ocean City's Beachside Inlet on Sunday. We hit the road Sunday afternoon with 14 cars and 17 participants in tow. Our stop for Sunday night was Virginia Beach and the Norfolk, Virginia, shop of Flatlander's Hot Rods, where Alan Thornton and 25 local rodders were on hand to greet us. Monday morning our journey continued on to Charlotte, North Carolina, and Lowe's Motor Speedway. The track is awesome and we were even able to take a few laps around it in our own vehicles. We then lined the cars up at the start/finish line for an incredible photo opportunity. Brent Vandervort and the folks at Fatman Fabrications were our hosts Monday evening and we were treated to a great tour of the facilities, a really enjoyable and informative conversation, and as an added bonus, a good old-fashion barbecue (there's nothin' like good barbecue after a long day on the road).
Tuesday was a hike; in fact it was a good 400-mile day with our designation being Nashville, Tennessee, where Johnny and Linda Fruend greeted us at their Hunter's Custom Automotive shop for another great evening of fun and food. Wednesday we left the hotel and started our day by touring the Advanced Plating facility and the Gibson Guitar factory in Nashville. Both stops we a blast, and now we know why Advanced Plating's chrome always looks so good and why Gibson guitars make such beautiful music. From Nashville we headed to tiny little Holly Springs, Mississippi, where street rod builder and collector George Poteet treated us to the best burgers in the South and then invited the whole gang of us over for an evening at his farm for homemade ice cream and an eyeful of his massive shop and car collection. When we arrived at our hotel in Holly Springs for the evening, it was hard to grasp all of what we'd seen and learned in that single day of Road Tour #1. Thursday morning we made the 30-minute drive to Memphis where we enjoyed breakfast at one of Elvis' favorite restaurants. We made a brief stop at Sun Records, and then drove down the famous Beale Street section of Memphis. From there we headed across Arkansas, made a stop in Hardy, and toured the automotive museum. One more stop for lunch at Hillbilly Junction, and then it was on to the NSRA Mid-America Nationals in Springfield.
It was a great week on the 2006 PPG / STREET RODDER Road Tour #1. Many friendships were formed and everyone who came along for the ride said they would love to do it again. They will have their chance, since there are five more tours on this summer's schedule. Our next stop is San Antonio, Texas, where Jack Chisenhall and Rick Love from Vintage Air will help lead a group of over 50 vehicles as we head to Los Angeles for the famous Father's Day L.A. Roadster Show. Stay tuned for more coverage of the rest of the 2006 PPG / STREET RODDER Road Tour on both the Web (www.streetrodderweb.com) and in the next issue of STREET RODDER--better yet, gas up your street rod and join us!
We'd like to express our thanks to all who joined us for the first-ever ride-a-long version of the PPG / STREET RODDER Road Tour. It was one of our most enjoyable trips, and the new friendships created along the way are worth their weight in gold. And, though I failed to mention by name (for fear of missing someone) everyone who made the trip, just keep in mind that we'd travel with any or all of you again in a heartbeat--and hopefully we will. And again, as for the rest of you, start making plans to join in on the fun--the new Road Tour is destined to be a blast!


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Dying Fetus
Killing on Adrenaline (Reissue) CD3/1/11
Killing on Adrenaline is the legendary second album from one of the US' most renowned death metal killing machines! Now repackaged with liner notes from the band, expanded art and photography, and two previously-unreleased bonus tracks!


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CARROLLTON, TX-The Oklahoma City buyer claims the 136,000-square-foot retail center, with plans to stabilize the 1980s asset through co-tenancy. ALDI Grocery is the anchor.
All GlobeSt.com articles are archived after seven days. Register now for unlimited access to all recently archived articles, as well as thousands of searchable stories since our launch thirteen years ago. Registered Members also gain access to GlobeSt.InterActive, GlobeSt.com AM/PM alerts and GlobeSt exclusives including white papers, webinars and videos.
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No minimum purchase. First time buyers only. Click here to activate.
Offer your cat an amazingly effective, non-intrusive solution for anxiety that has already worked on thousands of dogs: Thundershirt for Cats!
How It Works
With its patent-pending design, the new Thundershirt for Cats applies gentle, constant pressure to their torso. This pressure has a dramatic calming effect for cats if they are anxious or fearful. Thundershirt has already helped thousands of dogs around the world, and is recommended by veterinarians and dog trainers alike. And the results for cats is just as impressive. Cat owners and veterinarians are amazed by the positive impact a Thundershirt can have with cats.
Thundershirt's gentle pressure works to calm your cats, because anxiety experts believe that pressure has a calming effect on the nervous system and may release calming hormones like endorphins or oxytocins. Using pressure to relieve anxiety has been a common practicefor years. For example:
Until now, there just hasn't been a well-designed, inexpensive solution commonly used for cat anxiety. Thundershirt for Cats is changing that!
Thundershirt for Cats is:
Among the Thundershirt's many uses:
The "Freeze & Flop"
When first wearing a Thundershirt, some cats will behave as if they are immobilized and may even "fall over". Don't worry! The Thundershirt is not causing discomfort; they just need time to adjust to the new sensations. Cats are amazingly sensitive to touch and sometimes require a little more adjustment time in the beginning. But this also means that many are even more responsive than dogs to the gentle, calming pressure of a Thundershirt! Please repeat the initial conditioning (see the "Instructions" tab for more details) to address this issue.
Thundershirt for Cats is available in Heather Gray color in three sizes:
Thundeshirt's return policy allows for you to open the product and test it out on your pet for up to 30 days. If you're not satisfied, return the Thundershirt in its original condition within the 30 day limit.
Country of Origin: China
Manufacturer: Thunder Shirt
Suggested Use
After receiving your Thundershirt for Cats,we recommend following these simple steps:
Initial Fitting & Conditioning
Thundershirt is designed to be very easy to put on and takeoff… no need for pulling anything over your cat's head or threading your cat's legs through leg holes. After you first receive your Thundershirt, we recommend the following steps while your cat is NOT in a stressful situation:
The reviews below are presented for informational purposes only and are not intended as an endorsement of any product. The information is not intended to be a substitute for visits to your local veterinarian. Instead, these testimonials offer the reader information and opinions written by pet owners and/or veterinarians concerning animal health and products that they have used.
(based on 4 reviews)
Ratings Distribution
5 Stars
4 Stars
3 Stars
2 Stars
1 Stars
of respondents would recommend this to a friend.
Reviewed by 4 customers
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(4 of 4 customers found this review helpful)
Save your money, buy a dog t-shirt.
By Victoria
from Cincinnati, OH
Comments about Thunder Shirt Thundershirt for Cats:
A small dog T-shirt will have the same effect for a cat, but won't cost you $40. We have also successfully used a baby hoodie to help with anxiety during thunderstorms.
Comment on this review
Amazing Thunder Shirt
By Donna the cat lover
from Northern, NJ
About Me Long-time Pet Owner
Best Uses
My 1 y/o cat has been wearing the thunder shirt for 2 months now and he loves it. He is very active and bothers the older f/m cat. As soon as we put it on, he calms down and does not bother her. He will wear it over night and some times during the day. It is comfortable and he can move about normally. It has been the answer to our behavior problem. Would definitely recommend it.
(5 of 6 customers found this review helpful)
Did not Work
By ScaredyCat
from Philly, PA
I really wanted this to work. I have a Persian and she is a scaredy cat. I followed the instructions. But everytime I tried to apply this shirt to the cat, she was so afraid of it, it was awful. Now she uses it as a pillow.
(9 of 9 customers found this review helpful)
Brilliant--excellent for travel
By Catapult
from San Francisco, CA
I was so happy to find this. I was looking to fly with my cats and wanted to find something that would support them from the chaos and stress. I cancelled my plans, but I tried it on both cats at home who got very mellow when they could have found it irritating. I believe it would be great for trips to the vet as well. (I saw a video of a very mellow cat at the vet).After trial and error I found the medium was the best size, albeit a bit big on my smaller cat requiring me to put it on as tight as I could to prevent her front paw from going in the neck and her walking out of it. On my bigger male it was the closest right size but it fit very snug under the elbows. I would check it during the trip to make sure it wasn't binding. I think it would help cats during cooler air travel as it would act as a coat. But it could overheat them in summer. Overall, I'm very impressed with how they mellowed out with the Thundershirts. Give them 30 min. a day to get used to it. Flopping over is normal. Now where can I get one for me? ;-)


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C: \ Network & Internet \ Browser Tools \ IE Surfgear 1.0
IE Surfgear 1.0 - Detailed Description Page
Program ID:
Sofmos All programs by this author
Freeware [?]
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It looks like web design became a trouble for web surfers. Each web designer tries to make his web site to look bright, amazing and cool. Unfortunately, too often all that cool design features make text on web site too difficult to read. IE Surfgear is a simple Internet Explorer add-on, which helps to remove some of such glitches. It creates 3 toolbar buttons that overrides font sizes, text colors and background textures on web page. Using them you can make text easy to read.
Keywords: Internet Explorer add-on, increase font size, remove background image, remove background color, Freeware, Network & Internet, Browser Tools, Sofmos, IE Surfgear
Recent Changes: Not Established
Install Support: Install and Uninstall
Supported Languages: English
Additional Requirements: Not Established
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When you see a date or time you want to remember, just highlight it and click the "Add to RTM!" bookmark. It's that easy.
Want to see some example uses of Quick Add? Click the Launch Demo link below to see the demo.
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Foraging Through The Farmers Market #101 When Joanne goes shopping at the new, permanent downtown Farmers' Market in San Francisco, she never takes a list. Instead, she forages for the best and freshest ingredients picked at their peak. After chatting with farmers and tasting her way to finding the best ingredients, she returns home to her city loft. There she makes a seasonal feast of tiny CHERRY TOMATO AND HERBED FETA SALAD, BRAISED CHICKEN WITH GARLIC served with OVEN FRIED POTATOE CHIPS WITH MARJORAM SALT, and a delicious PANACOTTA WITH RASPBERRIES. |
Chef's Surprise #102 Chefs rarely get an invitation to dinner, so Joanne pops into her friend Gary Danko's restaurant to chat and invite him over for a home-cooked meal. After sampling oysters in the restaurant kitchen, Joanne decides to serve them as the first course as OYSTERS MIGNONETTE along with a special Champagne. To surprise him she cooks TRUFFLE SCENTED CORNISH HENS WITH PROSCIUTTO AND WILD MUSHROOMS, and follows with a light dessert of INDIVIDUAL WARM RASPBERRY SOUFFLES. |
Crab 3 Ways #103 Joanne's city is famous for it's Dungeness crab, and nowhere is it found fresher than at Swan's Oyster Depot, an old established seafood restaurant and store. Joanne chats with Steve, one of the owners, then cracks crab with him. Returning to her kitchen she prepares crab three ways: CRACKED CRAB WITH LEMON DRAWN BUTTER; CIOPPINO WITH CRAB, CLAMS AND SHRIMP; and PEPPER-SALT CRAB. |
Blind Date #104 Joanne's friends set her up with a blind date and she decides to cook a special dinner at home for her surprise guest. Her nervousness is apparent as she prepares Radicchio, Arugula, Golden Raisin and Pine Nut Salad; and a rich meaty main dish of Braised Veal Shanks with Olives and Lemon; and a crunchy dessert of Chocolate Hazelnut Biscotti. |
Ferry Across The Bay #105 Sometimes it's just good to escape the city for an afternoon playing hooky! Joanne packs a picnic basket of delicious treats and sets off on the ferry for a trip across the Bay and the chance to savor YELLOW TOMATO GAZPACHO, DUCK SALAD WITH PECANS AND KUMQUATS and LITTLE ALMOND GALETTES while sitting on the grass with friends in the summer sunshine. |
Ginger Route #106 Joanne explores Chinatown and discovers the abundance of fresh ginger in every produce market. At home she minces fresh ginger, chops candied ginger and spoons dried ginger to bake a Triple Ginger Upside-Down Cake. Turkey Filled Lettuce Wraps follow before Martin Yan joins her. They compete with each other to find out the fastest technique for mincing garlic and create Shanghai Noodles together. |
Sibling Revelry #107 Joanne and her brother, John join together to celebrate Joanne's birthday. John arrives early so that they can spend the day doing their favorite thing -- cooking and eating together. They make a very special CELEBRATION SALAD OF ENDIVE, CREME FRAICHE AND CAVIAR, tie HALIBUT PARCELS WITH CAPERS AND LEMON THYME and then bake a finale dessert of a CARAMELIZED CHOCOLATE AND ALMOND BUDINO instead of the traditional birthday cake. All this served with Champagne and a great wine. |
Breakfast at Jo's #108 Joanne invites friends to Sunday brunch, an ideal entertaining venue since it fits in with everyone's hectic lifestyle. JALAPENO-JACK SCONES accompany BAKED EGGS WITH SUMMER VEGETABLES and a light and refreshing dish of SUMMER FRUITS IN SWEET SPICED WINE. BREAKFAST SMOOTHIES and sparkling BELLINIS, made fragrant from the puree of white peaches, round out this feast. A great way to start the day! |
Midnight at the Oasis #109 Joanne scans the city for fragrant spices to make a Moroccan feast that will tantalize the taste buds. She invites her friend, chef Heidi Krahling of Insalata's restaurant, to make an appetizer of SMOKED EGGPLANT WITH PITA CHIPS, a main course of LAMB TAGINE WITH ARTICHOKES, PRESERVED LEMONS AND OLIVES and a dessert of CRISPY MOROCCAN PHYLLO WITH ORANGE CUSTARD AND ALMONDS. |
At The Italian Table #110 Joanne brings to her city kitchen an Italian meal influenced by her travels through Italy and inspired by the warm Tuscan sun and the soil of the Veneto. She prepares BAGNA CAUDA, A WARM ITALIAN BATH, made with Italian olive oil flavored with garlic and anchovies, then makes crispy PROSCUITTO, PARMIGIANO AND PEPPER BREADSTICKS; GOLDEN-SAUTEED VEAL WITH ARUGULA AND TOMATO SALAD; and MISS JUDY'S SIENNESE ALMOND COOKIES with ITALIAN LEMON MILKSHAKES. |
For The Love of Teaching #111 Joanne, the teacher, demonstrates the connection between the kitchen and the classroom and reveals her love of her trade. We follow her as she explains some of the basics of cooking -- illustrating essential tools, techniques and skills -- as we travel back and forth from her standing with her students in cooking school to her alone in her home kitchen. She answers questions and solves problems as she makes a PARMESAN FLAN, PAN SEARED PORK MEDALLIONS WITH REISLING AND APPLES and, for dessert, a CARMELIZED ORANGE RICE CUSTARD. |
Jo's Taco Lounge #112 A visit to the Mission district of San Francisco finds Joanne shopping for traditional Latin American foods. She strolls through ethnic stores discovering new ingredients and finds freshly made tortillas being patted into shape by Sonia, a veteran tortilla maker, who shows Joanne the technique. Joanne takes them home, still warm, to make a Mexican feast of flavors with dishes like TORTILLA AND TOMATO SOUP; PORK AND TOMATILLO BURRITOS WITH FIERY GREEN SALSA, and a WARM CHOCOLATE, CINNAMON AND COFFEE TART. |
Moveable Feast #113 Joanne grew up on the water, and loves to sail...so when friends invite her to join them for a day on the Bay, she jumps at the chance. For the Moveable Feast she prepares an elegant, transportable picnic to serve on board: HERB-CRUSTED TUNA SKEWERS WITH TOMATO AIOLI; FARRO, PESTO AND TOMATO SALAD; and the FLAKIEST APRICOT AND RASPBERRY TART. |
Flakey Phyllo #114 Phyllo is easy to handle when you know how...Joanne, ably assisted by her brother, John, demonstrates the special techniques for working with this paper-thin dough. She rolls and folds fresh scallops and shrimp into MOROCCAN SHELLFISH CIGARS; lays cherry tomatoes and cheese on top of butter brushed dough to make PHYLLO PIZZA WITH FETA AND TOMATOES; and fills APRICOT, MEYER LEMON AND CARDOMOM TRIANGLES. |
Far East Meets West #115 Joanne savors the Asian flavors of hot, sweet, salty and sour in this Far Eastern feast that includes her favorite Rice Paper Shrimp Rolls, Hot and Sour Soup (what she refers to as Chinese penicillin) and Thai Beef Salad With Mint and Cilantro. A simple fruit salad of Watermelon, Mango, Blueberries and Lime concludes the menu. |
Skyline and Candlelight #116 Joanne prepares an elegant menu with special wines to celebrate good food, good friends and the good life. She makes CHAMPAGNE AND OYSTER SOUP WITH CELERY AND FENNEL; ROULADE OF HERBED LAMB WITH STEWED GARLIC (served with Olive Oil Mashed Potatoes and Minted Sugar Snap Peas) and finishes with a DOUBLE CHOCOLATE ICE CREAM WITH DRIED CHERRIES. |
Day at the Beach #117 A trip to the beach inspires Joanne to create a menu that can be prepared ahead and cooked over an open fire close to the surf. She begins the day before in her kitchen then packs and transports everything to the sandy destination where friends are gathering to share ARTICHOKE, ENDIVE AND ARUGULA SALAD; CLAM AND MUSSEL BOIL WITH CORN AND RED POTATOES; CEDAR PLANKED LEMON SALMON WITH DILL and GINGER CRISPS. |
Foggy Night in the City #118 It's a cold night and Joanne is hibernating with three of her favorite comfort foods, after a busy week of travel and teaching: hot and steamy TOMATO RICE SOUP WITH TINY MEATBALLS, a tangy yet creamy RISOTTO WITH GORGONZOLA, and then finished with a twist on the traditional CARAMEL POT DE CREME. |
Pacific Rim Grill #119 With Japan Town just blocks from where she lives, Joanne guides us to the local stores, piled high with dishes, equipment for the kitchen, teapots and special teas. She visits a Kimono festival and a Japanese bakery for a special dessert. She returns to the kitchen to make a Japanese-inspired menu of Miso Soup With Edamame, Yakitori With Red and Green Peppers and Japanese Pickled Vegetable Salad. |
Fresh, Simple, Seasonal #120 Joanne prepares a Chez Panisse-inspired menu using the freshest-seasonal ingredients to create some of her favorite dishes. Assisted by her god-daughter, Sierra, the two share in the fun of making a FIVE ONION PIZZA with a misshapen dough that still tastes delicious. To complete the feast a ROASTED PEPPER SALAD WITH EGGPLANT CROUTONS is piled onto a plate and the whole event ends with a frozen PEAR GRANITA. |
Butcher, Baker, Candlestick Maker #121 Joanne jumps on her bright red scooter and zooms off to some of her favorite haunts. She takes us along as she explores the city and introduces us to local artisans ready to supply the finest ingredients and decorations to make a great spring menu of ASPARAGUS SALAD WITH BROWN BUTTER AND MEYER LEMONS, GRILLED LAMB CHOPS WITH GREEN AND BLACK OLIVE SALSA, and REISLING POACHED FRUIT served with CHESTNUT-HONEY ICE CREAM. |
Cookin' It Slow #122 Joanne slows down the pace of city life by preparing and then enjoying, along with two of her good friends, a slow-cooked meal. She makes a NAPOLITAN BRAISED BEEF RAGU and serves it in two courses, with roasted potatoes and Swiss chard and another as a sauce for pasta. This is followed by another comforting dessert of WARM POLENTA CUSTARD WITH GRAPPA-SOAKED GOLDEN RAISINS. |
Warm Wintry Supper #123 Cozy up with Joanne for a warm wintry supper of hearty YELLOW SPLIT PEA AND CARROT SOUP, along with ROASTED BEET, AVOCADO AND WATERCRESS SALAD. A colorful CRANBERRY UPSIDE-DOWN CAKE follows. It's the perfect meal to take the chill off a cold night while enjoying a relaxing evening at home. |
Three Panini #124 In Italy panini are thin, savory-filled snacks. But in cities across America, panini take the form of thick slices of focaccia are filled with huge amounts of all sorts of delicious fillings. Joanne takes us to the Italian section of the City to explore the stores, restaurants and narrow streets. We accompany her home to create three of her favorite panini: FONTINA, CAPOCOLLO AND ROASTED PEPPER PANINI; PANINI WITH MEATBALLS AND TOMATO SAUCE; and PANINI CAPRESE filled with fresh mozzarella, tomatoes and basil. |
World in a City Block #125 Valencia Street, located in the heart of the City, is the area known for the melting pot of cultures, with restaurants from around the world. Joanne enjoys the diversity and loves to tuck into a spicy Middle Eastern sandwich with fiery hot sauce. After enjoying this sampling, Joanne returns home to make her own version of FALAFEL WITH TAHINI AND HERB SALAD, SPICE CRUSTED CHICKEN BREASTS WITH CUCUMBER RAITA, and an unusual cool refreshing dessert of ROSE PETAL SORBET. |
Annual Office Party #126 Traditions can be created and Joanne shares hers with us as she invites us to her 14th annual office party to celebrate the holidays with some of her best friends. The menu of first plates includes SILVER-ROASTED SALMON WITH SWEET-HOT RELISH, FIERY PEPPERED FETA WITH PITA, SPICY BULGAR WITH LENTIL SALAD, and to finish, a DRIED PLUM AND WALNUT CARAMEL TART. |


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Contact: Michael DiFrisco
American Academy of Cosmetic Dentistry ®
402 West Wilson Street
Madison, WI 53703
Cosmetic Dentistry Continues to Surge - Market Estimated at $2.75 Billion
MADISON, Wis. (12/13/07)--The cosmetic dental boom is showing no signs of slowing down. American Academy of Cosmetic Dentistry (AACD) member dentists queried about their practice activity in the 2007 AACD State of Cosmetic Dentistry survey revealed that cosmetic dentistry-related revenue climbed to an average of $495,000 per practice. This projects to $2.75 billion across all 5,500 practices represented by the survey sample, a 15% increase over 2005.
Who is the typical cosmetic dental patient?
The total number of patients in 2006, projected to all 5,550 practices represented in the survey sample, is approximately 2.69 million. This represents a 12.8% increase over practice reports of patients in 2005. On average, about two-thirds of cosmetic dentistry patients were female (67%), while one-third were male (33%). Regarding distribution by age, the majority of patients (53%), on average, are between the ages of 41 and 60. About one in six (16%) are 30 or younger, and about one in ten (11%) are over 60.
What is the typical cosmetic dental practice?
U.S. cosmetic dentistry practices are typically well established in their communities, having been in operation on average for 19 years. About half are located in suburban areas while the other half are about evenly split between urban areas and small towns.
Is cosmetic dentistry really booming?
The numbers speak for themselves. Practices responding to the survey report 485 patients on average, with 2.69 million total cosmetic dental patients in the U.S. This total represents a 12.8% increase over 2005. In 2007, respondents predict an additional increase of 10.9%.
In terms of total dentistry-related revenue, each practice generated on average $1.04 million in total dental revenue, projected to a $5.76 billion total for the 5,500 practices represented in this research.
For specific cosmetic dentistry related revenue: each practice generated on average $495,000, projected to $2.75 billion for the cosmetic procedures alone. This average practice revenue represents a 15.0% increase over 2005. In 2007, respondents predict an additional increase of 11.0%.
What are patients spending on cosmetic dentistry?
The mean amount spent by the average patient in 2006 was $5,640 and the median was $3,860. At the high end, 3% of practices indicated an average amount spent per patient of $20,000 or more. At the other extreme, 2% of practices reported average patient costs of less than $500. The most often indicated categories were $5,000 - $9,999 (23%) and $2,500 - $4,999 (22%).
Cosmetic Dental Procedures by the Numbers
Respondents reported on the number of procedures and revenue produced by their practices in 2006. Average practice reports and the total market estimates follow:
Number performed in 2006: 70 on average; 389,000 total.
Revenues in 2006: $25,000 on average; $138.8 million total.
Crown & Bridge Work:
Number performed in 2006: 333 on average; 1.85 million total.
Revenues in 2006: $194,000 on average; $1.08 billion total.
Direct Bonding - Posterior:
Number performed in 2006: 474 on average; 2.63 million total.
Revenues in 2006: $69,000 on average; $383.0 million total.
Direct Bonding - Anterior:
Number performed in 2006: 234 on average; 1.30 million total.
Revenues in 2006: $43,000 on average; $238.7 million total.
Number performed in 2006: 27 on average; 149,900 total.
Revenues in 2006: $26,000 on average; $144.3 million total.
Number performed in 2006: 84 on average; 466,200 total.
Revenues in 2006: $33,000 on average; $183.2 million total.
Number performed in 2006: 17 on average; 94,400 total.
Revenues in 2006: $11,000 on average; $61.1 million total.
Removable Prosthetics:
Number performed in 2006: 27 on average; 149,900 total.
Revenues in 2006: $20,000 on average; $111.0 million total.
Number performed in 2006: 108 on average; 599,400 total.
Revenues in 2006: $67,000 on average; $371.9 million total.
Other Procedures:
Number performed in 2006: 21 on average; 116,600 total.
Revenues in 2006: $20,000 on average; $111.0 million total.
About the Survey
The AACD commissioned Readex Research to conduct and summarize this survey. The resulting 14-page survey report examines market growth, industry trends, patient demographics, and more in-depth data. AACD is the world's largest cosmetic dental organization, representing more than 8,000 members in 70 countries worldwide.
To request the complete survey results or to dicuss this release contact the AACD or call (800) 543-9220.


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- 1
- person in the U.S. has this name View Elizabeth Terrabas on WhitePages
Meaning & Origins
The usual spelling of Elisabeth in English. It is recorded in the medieval period, but was made popular by being borne by Queen Elizabeth I of England (1533–1603). In the 20th century it again became extremely fashionable, partly because it was the name of Elizabeth Bowes-Lyon (1900–2002), who in 1936 became Queen Elizabeth as the wife of King George VI, and after his death in 1952 achieved great public affection as Queen Mother for nearly half a century. Even more influentially, it is the name of her daughter Queen Elizabeth II (b. 1926).
21st in the U.S. |


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Welcome to Crowne Plaza Pudong Shanghai
Choose the Crowne Plaza Shanghai Pudong hotel for personalised service and easy access to the China (Shanghai) Pilot Free Trade Zone.
Slender bamboo trees reaching towards our glass roof will draw your eye as you step into the spacious Lobby at Crowne Plaza Shanghai Pudong. Our efficient Front Desk staff will get you checked into your stylish room or Suite in no time. Head to the 24-hour Windows restaurant to network with colleagues and to see fresh seasonal favourites prepared before your eyes.
Doing business in Pudong couldn't be easier, the hotel is easy access to the Pilot Free Trade Zone Administration Waigaoqiao International Exhibition and Trading Center for Wine & Beverage, SUNLAND Waigaoqiao Commercial Business District. Enjoy the stunning views of whole Pilot Free Trade Zone with our extensive Club Lounge. Just 35 minutes drive from Shanghai Pudong International Airport and Shanghai Hongqiao International Airport, we are an excellent support base for business travelers. Hangjin Road subway station is 10 minutes' walk away, with easy connections into Shanghai city centre.
You can be confident of sound planning and successful execution when your events are placed in our dedicated Crowne Meetings Director's capable hands. Our separate meetings annex is fit for events of all sizes in 15 modern rooms, including 2 ballrooms and an exclusive VIP reception room.


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this wiki
editMonzaemon Chikamatsu | |||
(近松モンザエモン, Chikamatsu Monzaemon) | |||
Debut | |||
Manga | Chapter #272 (Mentioned) | ||
Anime | Naruto Shippūden Episode #26 (Mentioned) | ||
Appears in | Anime, Manga | ||
Personal | |||
Gender | Male | ||
Status | Deceased | ||
Affiliation | |||
| |||
Monzaemon Chikamatsu (近松モンザエモン, Chikamatsu Monzaemon) is the inventor of the art of puppetry. Originally using puppets as a source of entertainment, Chikamatsu worked diligently with several shinobi to convert the talent into a unique form of combat. Eventually, he created the Puppet Technique, in which chakra strings are used to control puppets.
Being the creator of the technique, Chikamatsu was the very first shinobi-puppeteer, and as such he created the White Secret Technique: The Chikamatsu Collection of Ten Puppets. The puppets, reportedly strong enough to take down an entire castle, were designed to work together and, as such, were much more powerful than the standard puppet. One such example was the puppets' use of Three Jewels Suction Crushing, which consisted of the combining of three puppets to create a vortex that sucked in everything in range.
Each of the ten puppets were controlled by a single chakra string from one of the user's ten fingers. It is unknown how Chiyo acquired them, but she was skilled in their use, as seen when she used them in her battle against Sasori.
As the very first puppeteer, he was a master in this field, able to create a fighting style that outlives generations of shinobi and became a solid part in the modern shinobi world. He was probably in possession of dozens of puppets he created himself and controlled them with threads made out of chakra. A testament to his craft, he created what was to be known as the Chikamatsu Collection. This collection of ten individual puppets were created with their own special abilities and equipment. Together, they were able to take down an entire castle and even Sasori's Hundred Puppet Army.
- Monzaemon Chikamatsu is based off of a famous Japanese playwright with the same name, widely regarded as the greatest playwright in Japanese history. He wrote both for the puppet theatre jōruri and the life-action theatre kabuki, and is often called the Japanese Shakespeare.