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What food to avoid with wheat intolerance?

4 min read

According to the Cleveland Clinic, non-celiac gluten or wheat sensitivity is estimated to affect up to 6% of the U.S. population, leading many to seek clarity on which foods contain wheat. Navigating a wheat-free diet requires more than just skipping bread and pasta, as wheat lurks in numerous unexpected products.

Quick Summary

A wheat intolerance requires avoiding obvious items like bread and baked goods, plus hidden sources such as processed meats, certain sauces, and thickened gravies. The comprehensive guide details foods to eliminate, explains how to read labels for hidden wheat, and suggests safe alternatives for managing a comfortable diet.

Key Points

  • Obvious Wheat Sources: Avoid typical wheat-based foods like bread, pasta, cakes, cookies, and cereals.

  • Hidden Wheat: Be cautious of wheat in less obvious items such as processed meats, certain sauces, salad dressings, and some candies.

  • Label Reading: Learn to read food labels carefully, looking for "Contains: Wheat" statements and recognizing ingredient names like semolina, durum, and spelt.

  • Nutrient Monitoring: Be mindful of potential deficiencies in fiber, B vitamins, iron, and magnesium often associated with a wheat-free diet.

  • Nutrient-Rich Alternatives: Incorporate naturally wheat-free whole grains (quinoa, millet, rice), fruits, vegetables, and legumes to maintain a balanced diet.

In This Article

Obvious Sources of Wheat to Eliminate

For anyone managing a wheat intolerance, the first step is to remove the most apparent sources of wheat from your diet. These are typically the staple carbohydrate foods in many cuisines.

Common Wheat-Based Foods:

  • Baked Goods: This includes all types of breads (rolls, pita, naan), cakes, cookies, muffins, donuts, and pastries.
  • Pasta and Noodles: Spaghetti, ramen, udon, and other wheat-based pastas are off-limits.
  • Cereals and Grains: Many breakfast cereals, couscous, bulgur, semolina, and wheat germ are direct sources.
  • Flour-Based Products: Pretzels, crackers, tortillas, and breading or coating mixes for meat and fish are made with wheat flour.

Hidden Sources of Wheat

One of the biggest challenges for those with a wheat intolerance is identifying the hidden sources in processed and packaged foods. Wheat derivatives are often used as thickeners, fillers, or flavor enhancers.

Unexpected Places Wheat Can Be Found:

  • Sauces and Dressings: Traditional soy sauce, marinades, salad dressings, and gravies frequently use wheat flour as a thickener or contain wheat-based ingredients like malt.
  • Processed Meats: Deli meats, sausages, hot dogs, and imitation crab meat (surimi) can use wheat-derived binders or fillers.
  • Snack Foods: Many flavored potato chips, corn chips, and other snack items use wheat starch or seasonings containing wheat.
  • Sweets and Candies: Licorice, certain candies, and chocolate bars can contain wheat as an ingredient.
  • Other Items: Communion wafers, some beer and malted beverages, modified food starch, and even some medications and supplements can contain wheat.

Reading Food Labels for Wheat

To successfully avoid wheat, it's crucial to become an expert label reader. The Food Allergen Labeling and Consumer Protection Act (FALCPA) mandates that packaged foods in the U.S. declare wheat as an allergen, but knowing the various forms can be tricky.

  • Look for 'Contains: Wheat': This is the clearest warning, found below the ingredients list.
  • Scan the Ingredients: Familiarize yourself with common wheat ingredients, including: flour (all-purpose, bread, cake, etc.), bran, bulgur, durum, emmer, farina, kamut, matzoh, semolina, spelt, and vital gluten.
  • Check for 'May Contain Wheat' warnings: These are voluntary disclaimers from manufacturers indicating potential cross-contamination. Discuss with a healthcare provider if you need to avoid these products.

Comparison of Common Wheat-Containing Foods and Their Safer Alternatives

Food Category Wheat-Containing Examples Safer Alternatives for Wheat Intolerance
Baked Goods Traditional bread, cakes, cookies, muffins Products made from rice, almond, or cassava flour; homemade versions using wheat-free flour blends
Pasta & Noodles Standard spaghetti, egg noodles, ramen Rice noodles, mung bean noodles, spiralized vegetables (zucchini, sweet potato)
Grains Couscous, bulgur, wheat berries, semolina Quinoa, rice (white, brown), millet, sorghum, amaranth, buckwheat
Sauces & Condiments Soy sauce, most gravies, certain dressings Tamari (wheat-free soy sauce), naturally thickened sauces, vinegar-based dressings
Breading Panko breadcrumbs, breaded meats Crushed cornflakes, almond meal, rice flour, crushed gluten-free crackers

Potential Nutritional Deficiencies on a Wheat-Free Diet

Eliminating wheat can lead to a diet lacking certain nutrients typically found in fortified wheat products. Being mindful of these potential deficiencies is important for maintaining overall health.

  • B Vitamins: Many wheat flours are enriched with B vitamins like thiamin, riboflavin, and niacin. Replenish these by consuming legumes, nuts, seeds, and leafy greens.
  • Iron: Fortified wheat products are a source of iron. To maintain iron levels, increase intake of red meat, poultry, fish, beans, and lentils. Pairing these with a source of Vitamin C (like bell peppers or strawberries) can aid absorption.
  • Fiber: Whole wheat is a major source of dietary fiber. Replace it with fiber-rich wheat-free whole grains like quinoa, buckwheat, and millet, as well as fruits, vegetables, and legumes.
  • Magnesium and Calcium: Some studies have noted deficiencies in these minerals among those on long-term gluten-free diets, as many wheat-free products are not fortified. Focus on leafy greens, nuts, seeds, and dairy alternatives.

Conclusion

Successfully navigating a wheat intolerance requires diligent label reading and a mindful approach to meal planning. By avoiding both obvious and hidden sources of wheat, individuals can manage symptoms and improve their quality of life. Replacing wheat products with naturally wheat-free alternatives and being aware of potential nutrient gaps is key. Consulting with a healthcare provider or a registered dietitian is highly recommended to ensure your diet remains balanced and nutritionally complete. With the wide variety of alternatives now available, a wheat-free diet can be both healthy and delicious.

For more in-depth nutritional guidance on managing a gluten-free diet, resources from reputable organizations can provide valuable insights. The Beth Israel Deaconess Medical Center's Celiac Center offers extensive information on healthy eating while excluding gluten, which is often a necessary component of managing wheat intolerance(https://www.bidmc.org/centers-and-departments/digestive-disease-center/services-and-programs/celiac-center/celiacnow/nutrition-and-the-gluten-free-diet/healthy-eating-on-the-gluten-free-diet).

Frequently Asked Questions

Wheat intolerance, or non-celiac gluten sensitivity, causes unpleasant symptoms like bloating and headaches but does not damage the small intestine. Celiac disease is an autoimmune disorder where consuming gluten triggers an immune response that damages the intestinal lining.

Not all gluten-free products are automatically safe for a wheat intolerance. While many are, some highly-processed wheat starch can be used in gluten-free foods after the gluten is removed, which may still affect those with a wheat sensitivity or allergy.

Malt is a product of germinated grains, often barley, and can contain wheat or cross-contaminated gluten. It's used in flavorings, cereals, and some beverages like beer and should be avoided unless specified as wheat-free.

Read the ingredient label thoroughly. Look for ingredients like modified food starch, hydrolyzed vegetable protein (HVP), or texturized vegetable protein (TVP), which can be derived from wheat.

Excellent wheat-free flour alternatives include rice flour, almond meal, cassava flour, and quinoa flour. Each has different properties, so recipes may require slight adjustments.

Symptoms of wheat intolerance can include abdominal pain, bloating, gas, fatigue, headaches, joint pain, and 'brain fog.' These symptoms can occur hours or days after consuming wheat.

You should consult a healthcare provider for a proper diagnosis. They can rule out celiac disease and a wheat allergy through testing and may recommend a supervised elimination diet to confirm a wheat intolerance.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.