1. Your Gluten-Free Guide to Navigating UNH Dining Facilities Created by: Michelle L. Smith, UNH Dietetic Intern Katy-Lynne Magoon, UNH Dietetic Intern

2. Getting Your Needs Met Students who eat in the UNH Dining Halls with specific nutrition concerns or medically-restricted diets should set up a meeting with the UNH Dining Registered Dietitian as well as the Director of Culinary Services. Registered Dietitian Rochelle L'Italien, M.S., R.D., L.D. 603.862.2583rochelle.litalien@unh.edu Director of Culinary Services Ralph Coughenour, CEC, AAC, CFBE603.862.4883 ralph.coughenour@unh.edu 2

3. So, What is Celiac Disease Anyway? A chronic autoimmune disorder. When genetically susceptible individuals consume specific proteins in the grains wheat, rye, and barley, which are collectively known as “gluten”, the absorptive surface of the small intestine is damaged. This surface contains tiny finger-like projections called villi that become inflamed and flattened due to the immunologic reaction to gluten, causing malabsorption of nutrients needed for good health. (Chase, 2008, p 15) 3

4. What Happens? Gluten triggers an abnormal reaction in the intestine where the villi (protrusions in the intestine which create large surface space for nutrient absorption) flatten and reduces absorption space in the intestine. This causes malnutrition. 4 WebMD, 2009

6. Weakened Bones

7. Iron-Deficiency Anemia

8. Folic Acid Deficiency Anemia

9. Rickets

10. Osteoporosis

11. And many other complications can arise… WebMD, 2009 5

12. Gluten-Free Diet Suggestions 6 Chase, 2009, pp 30-34

14. GF Refrigerator

15. GF Toaster

16. GF Microwave

17. Assorted Gluten-Free Products

18. Cereals

19. Cookies/Crackers/Granola Bars

20. Bread/Bagels/Waffles

21. Desserts

22. Condiments

23. Separate Cookware and Utensils

24. Stir Fry Station

25. Omelet Bar

26. A La Carte Ordering Service-Ask at cashier station or main line for menu.

28. But Don’t Forget… The UNH Dining Facilities also offer a variety of menu items and foods that are naturally gluten-free that you can select from. Choose items from the list below and build your own tasty meal based off of your own preferences.

29. It’s Gluten-Free, But… UNH Dining offers a variety of gluten-free items for students with gluten allergies and intolerances to choose from. However, it’s often hard to make healthy selections with such a wide range of options made available. In the next few pages you will find a number of meal suggestions for breakfast, lunch, and dinner that you can either order or make using items found right here in any of the UNH Dining Facilities. They are show in appropriate portion size and represent what a well-balanced diet should look like. A 5–Day Menu is also provided to assist you in making meal selections.

30. Customer Responsibility Ingredients and nutritional content in products offered through UNH Dining may vary. Manufacturers may change their product formulation or consistency without our knowledge and product availability may fluctuate. While we make every effort to identify ingredients in our products, we cannot guarantee consistency. It is, therefore, ultimately the responsibility of the customer to judge whether or not to question ingredients or eat selected foods available at UNH Dining Facilities. For questions regarding ingredients, please consult a UNH Dining Manager at any time. 11

31. Breakfast Idea # 1 This meal contains: ¾ cup Amazon Flakes, 4oz Skim Milk, 1 Slice Tapioca Loaf Toast, 1 tbsp Margarine, ½ cup fresh fruit, and ½ cup plain yogurt

32. Breakfast Idea # 2 This meal contains: ¾ cup Gorilla Munch, 8oz Skim Milk, 1 Hardboiled Egg, 1 Banana, and 6oz Hot Tea

33. Lunch Idea # 1 This meal contains 3oz of Sautéed Garlic Shrimp , ½ cup of Brown Rice, 1 small Tossed Salad, 1 tbsp of Gluten Free Dressing, ½ cup of Cherry Jello, and 8oz of Water.

34. Lunch Idea # 2 This meal contains ½ of an Amy’s GF Cheese Pizza, ½ cup of Whole Kernel Corn, 1 small Tossed Salad, 1 tbsp of Gluten Free Dressing, 1 Apple, and 8oz of Skim Milk.

35. Dinner Idea # 1 This meal contains 4oz of Steak Tips , ½ cup of Rice, ½ cup of Steamed Broccoli, 1 Banana and 8oz of Water.

36. Dinner Idea # 2 This meal contains 1 All Beef Patty on a Gluten-Free Bun with Lettuce, Tomato, Onion and Mustard. It is accompanied by ½ cup of Whole Kernel Corn, 1 Orange, and 8oz of Diet Coke.

37. Additional Information Office of Health Education and Promotion Health Services (603) 862-3823 www.unh.edu/health-services Facebook/Twitter: UNHHealth