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      Frequently Asked Questions About Celiac Disease   04/07/2018

      This Celiac.com FAQ on celiac disease will guide you to all of the basic information you will need to know about the disease, its diagnosis, testing methods, a gluten-free diet, etc.   Subscribe to Celiac.com's FREE weekly eNewsletter   What are the major symptoms of celiac disease? Celiac Disease Symptoms What testing is available for celiac disease?  Celiac Disease Screening Interpretation of Celiac Disease Blood Test Results Can I be tested even though I am eating gluten free? How long must gluten be taken for the serological tests to be meaningful? The Gluten-Free Diet 101 - A Beginner's Guide to Going Gluten-Free Is celiac inherited? Should my children be tested? Ten Facts About Celiac Disease Genetic Testing Is there a link between celiac and other autoimmune diseases? Celiac Disease Research: Associated Diseases and Disorders Is there a list of gluten foods to avoid? Unsafe Gluten-Free Food List (Unsafe Ingredients) Is there a list of gluten free foods? Safe Gluten-Free Food List (Safe Ingredients) Gluten-Free Alcoholic Beverages Distilled Spirits (Grain Alcohols) and Vinegar: Are they Gluten-Free? Where does gluten hide? Additional Things to Beware of to Maintain a 100% Gluten-Free Diet What if my doctor won't listen to me? An Open Letter to Skeptical Health Care Practitioners Gluten-Free recipes: Gluten-Free Recipes
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    THE SPECIFIC CARBOHYDRATE DIET IS AN EXCELLENT GLUTEN-FREE DIET OPTION


    Carol Frilegh

    Celiac.com 12/20/2007 - The Specific Carbohydrate Diet is an excellent option in dietary intervention for celiac disease and was originally developed for that purpose over fifty years ago by Dr. Sydney Valentine Haas. Dr. Haas treated over 600 cases of celiac disease with his Specific Carbohydrate Diet, maintaining his patients on it for at lease twelve months, and found that the prognosis of celiac disease was excellent. "There is complete recovery with no relapses, no deaths, no crisis, no pulmonary involvement and no stunting of growth."

    Specific Carbohydrate Diet - A Dietary Intervention for Celiac Disease and Autism

    A fifty-year-old diet used by adults to combat Celiac Disease and other digestive and bowel problems is also having a remarkable effect on autistic children.


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    The Specific Carbohydrate Diet restricts but does not eliminate or limit carbohydrate intake. It is neither a low carbohydrate diet nor low calorie diet. The Specific Carbohydrate Diet developed from the research and practice of celiac management by a pioneer in the field, Dr. Sydney Valentine Haas and his son, Dr. Merrill B. Haas. Haas discovered that feeding monosaccharides and restricting polysaccahrides is effective in manipulating the food supply of types of bacteria that damage the intestinal lining, flatten microvilli and interfere with nutrient absorption.

    The late Elaine Gottschall, pursued her study of the effect of food on the functioning of the digestive tract and its effects on behavior for nearly four decades. Gottschall had visited Dr. Haas as a last resort before agreeing to radical surgery for her five year old daughter. The child was cured on Specific Carbohydrate Diet and went on to resume a normal life and diet. Gottschall, sought additional answers and pursued the brain-gut connection after the death of the senior doctor Haas until her own demise at age eighty-four. The diet has enjoyed great success among adults who follow it to heal Celiac Disease, Crohn's Disease, Ulcerative Colitis, and Irritable Bowel Disease. Celiac disease is considered incurable, but this diet can be a very effective treatment for it, especially when it is started very early for children. Recent research shows that more than 50% of children with autism have GI symptoms, food allergies, and mal-digestion or malabsorption issues. The history, an overview of celiac disease and the diet protocols are among topics that appear in in Gottschall's book, "Breaking the Vicious Cycle."

    The Specific Carbohydrate Diet excludes a category of carbohydrates not easily digested. The Specific Carbohydrate Diet is about the type of carbohydrates that will heal and not hurt. It is not about the quantity of carbohydrates and should not be confused with "low carb diets" or even the Paleo or "Caveman" diets to which it is sometimes compared. Elaine Gottschall was emphatic in stressing that the Specific Carbohydrate Diet is a balanced and wholesome diet.

    Thinking of the Specific Carbohydrate Diet as a low carb diet is one of the most common mistakes made by those who are not sufficiently informed. Eliminating
    carbohydrates can lead to a condition called "ketosis," which is why it is essential to include adequate carbohydrates in the daily menu. Carbohydrates contribute energy, essential nutrients, and fiber. People who have validated concerns about yeast may moderate the use of fruit and honey until things improve but should not have to eliminate them.

    Rest assured! You may include plenty of carbohydrates on Specific Carbohydrate Diet. Former choices of starchy foods like rice and potato are replaced with filling items like squash, bananas, peas, apples (and applesauce), avocados, almond flour muffins and others. These are carbohydrates that are easier to digest and more nutritious. Their nutrients are absorbed directly into the bloodstream without taxing a compromised digestive system.

    That is why the word "Specific" was chosen to name Specific Carbohydrate Diet.

    There is a strong brain-gut connection and it appears decreasing bacterial overgrowth is restoring cognitive abilities in many of the children following the special version for Autism, Attention Deficit Disorder (ADD) and Attention Deficit Hyperacticity Disorder.

    The autistic community of parents and doctors have favored popular dietary approaches like the gluten-free casein-free diet until recently, but in light of anectdotal reports of 75% success using the Specific Carbohydrate Diet as a dietary intervention, more physicians are recommending it. Parents and teachers of autistic children report changes in attitude, increases in skills and responsiveness, in some cases after only a few weeks on the diet. Although long term properly controlled studies have not been conducted, these numerous first hand reports attest to the potential this diet holds for the autism community, in addition to celiacs which have been helped by it for decades. The diet is more restrictive in some ways than the gluten-free casein-free diet, as most foods must be homemade, but the diet is varied, balanced, nutritional and the food every appetizing.

    Gluten sensitivity and intolerance to salicylates are symptoms of a damaged digestive system which is overrun with intestinal pathogens. When the health of the gut is restored, these symptoms disappear. It is better to cure the underlying cause than to just try to treat the symptoms. Because Specific Carbohydrate Diet reaches to the root cause of these problems by restoring the health of the digestive system, the Specific Carbohydrate Diet is being viewed as the optimal choice for celiacs and children with Autism Spectrum Disorder.

    As one mother has said, "When you see them emerge, the true child, with a loving personality, like an iridescent butterfly breaking out of its cocoon, well, that's why we all persevere."

    For more information about this diet please visit:
    http://breakingtheviciouscycle.info/
    and
    http://www.pecanbread.com

    Editor's Note: Celiac.com supports the idea that the Specific Carbohydrate Diet is gluten-free and can be very helpful for many people, depending on their situation. We disagree, however, with the assertion that Elaine Gottschall makes in her book Breaking the Vicious Cycle that people with celiac disease can be cured by the Specific Carbohydrate Diet after being on it for a certain time period.


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    Guest Carol Frilegh

    Posted

    As author I am responding to the editor's note by noting that I commented in the article,' Celiac is very difficult to cure in adults but can be effective when started very early for children. In my own case it is apparent that celiac is an auto immune reaction best controlled by avoidance of trigger food like wheat and other grains. I acknowledge that after eight years on SCD I am NOT cured but very well managed and controlled.

    ***********************************************************************

    Comment by Scott Adams (Celiac.com Editor):

    We edited that line in the article because, again, celiac disease is considered by doctors and researchers to be incurable, and only treatable via a gluten-free diet. There has never been a scientific study published that the SCD diet can cure celiac disease, or any other disease, but we do believe that it can aid in the treatment of many diseases, including celiac disease.

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    This diet changed my life. I used to manage celiac with only gluten-free restrictions, but after eating a plain baked potato one day I became terribly ill, then terribly confused because I KNEW I hadn't accidentally ingested gluten. One day a friend told me about the Specific Carb. Diet, I tried it, and I'm healthy again. Not cured, but I feel fantastic now.

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    Guest Ginger Nash

    Posted

    I don't feel Elaine indicated that genetic gluten problems are cured with Special Carbohydrate Diet but other types of stomach ills such as IBS, etc., can be if the diet is adhered to. I have genetic gluten sensitivities and after being gluten-free casein-free still had much pain however when I began following Special Carbohydrate Diet it had made a remarkable change in my stomach pains and other related issues.

     

    I am very happy to see an article of this caliber being posted on Celiac.com

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    This article is a great explanation of the specific carbohydrate diet. I do not have celiac disease, but I have an IgG reaction to gluten, so I have to limit the amount I consume, and I think the Special Carbohydrate Diet approach will be right for me.

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    Our family has followed Special Carbohydrate Diet now for almost 2 yrs in support of our now 7 yr old son.

    He was having major emotional out break several times a day for seemingly no reason. With srick SCD and controlling his exposure to certain chemicals, our family has gone from a stressed explosive environment to a most of the time peaceful one.

     

    Thank you Carol for sharing with others and being such a support to those trying to help themselves and their children.

     

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    After being diagnosed as 'most likely Celiac', I went gluten-free but continued to have debilitating pain after eating. I found a website describing the Specific Carbohydrate Diet on the internet. For me, progress was slower than for others but after 2 1/2 years on the diet, I am pain-free and healthier than I've ever been. Thanks to Carol for clarifying many misunderstandings of SCD!

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    Guest Cameron Hayden

    Posted

    I studied this diet. Everyone is different. Elaine's book does make a bold statement about the specific carbohydrate diet curing Celiac. I could never find any evidence, however, outside of the book that this was clinically tested. To my knowledge, it has not, and anecdotal evidence is mixed at best.

     

    I do give credence to her diet as a treatment, which is to reactivate the brush border enzymes, kill yeast and restore the balance of bacteria in the intestinal tract. In my opinion, however, Gluten Intolerance and all related conditions involve the lack of gluten gliadin degrading enzymes, which causes yeast and bacterial growth, leaky gut, and immune reactions. No one yet knows how to turn these enzyme actions back on. The SCD diet seems to help by restoring other brush border enzymes. I think that the diet is a good one, but could be further enhanced by HCI supplements and the new generation gluten degrading enzymes which seem to survive stomach acid and degrade gluten in vitro.

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    Guest Sandra Bowman

    Posted

    Was considering buying the book on the Specific Carbohydrate Diet...probably will to see if it will help with what the plain gluten-free diet doesn't for me. Even gluten free grains cause problems sometimes for me. So figure it's worth a try at least.

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    I am happy to see an article like this. My son is recovering from autism on this diet. When we began researching the gluten connection I discovered gluten and bakers yeast had been the cause of my own autoimmune health problems and the cause of chronic migraines for my mother. We both follow a gluten free diet and have had complete relief. Because my son is 100 percent on the Specific Carbohydrate Diet, all the snacks in our home are Specific Carbohydrate Diet legal. I find I feel even better on Specific Carbohydrate Diet food than when consuming gluten free grains. Also, due to the bakers yeast allergy, the Specific Carbohydrate Diet baked goods are more suitable for me and taste better than the gluten-free yeast free products. I think every gluten free cookbook library may also want to include a Specific Carbohydrate Diet cookbook as well. Happy Snacking!

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    This is a good diet. I recommended this to my mother who was hospitalized with c.dificul due to taking a certain antibiotic. This diet has restored her health and helped rid her of the bad bacterial overgrowth. I myself do better when on this way of eating, because even gluten free grains have that gut bloating starch. By the way, if you wait for them to do a clinical trial on something as simple as a diet, you might be waiting forever. Now if it was a "drug" owned by a big pharmaceutical company, then maybe.

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    Guest Janet

    Posted

    I am happy to find this excellent article about the Specific Carbohydrate Diet on Celiac.com. I had been gluten free for 14 years and over time could digest fewer and fewer healthful foods. One by one I dropped things like broccoli, bananas, cheese, meats, all fruits until I was eating only rice, a few vegetables, fish and eggs. I never could digest gluten free baked goods very well or anything with corn.

    I'm so happy to have found the SCDiet because within a few weeks, all those foods became possible for me to eat again without any stomach or gut issues at all. I feel so good, I think I'll just stay on this diet for life.

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    Guest Katie

    Posted

    I was diagnosed with coeliac disease when I was 13 years old, after no symptoms other than being underweight and having really bad acne. I stuck to a strict gluten-free diet for 4 years, but at the age of 16 I began to develop nausea. By the end of the year, I was so sick I could barely get out of bed. I had dizziness, headaches, extreme, constant nausea and was always tired. I couldn't go to school and there was a good chance I would have to be kept down and repeat grade eleven because I couldn't keep up. I had been to every doctor and specialist and no one knew what was wrong. I had also come down with glandular fever, and was feeling miserable. My mum discovered the Specific Carbohydrate diet, and after being on it for only one week I was feeling better. The glandular fever disappeared very quickly and as the days went on, I went back to school, got a job and even started going to the gym. I felt better than ever and every symptom vanished! I stayed on the diet for one year and it was the only reason I managed to graduate high school with all my friends. I have been back on a relatively normal, (but still gluten-free) diet for the past 6 months and I'm feeling well. I would strongly encourage anyone to give this a go!

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    Guest Barbara Phibbs

    Posted

    I was diagnosed with celiac disease four years ago and went on a strict gluten-free diet. For the first six months the only grain I ate was rice. I felt as if someone had given me my life back! Then I discovered a gluten-free bakery and began eating other gluten-free products. I began to feel ill again and just recently have had terrible fatigue, headaches and intestinal symptoms to the point where I cannot go out. I had not connected this to diet and my gastroenterologist said that I must be eating gluten! I did some research about celiacs who are not completely healed on a gluten-free diet and saw a homeopath/naturopath who tested me and told me that the other grains that I was eating were preventing my gut from healing. This led me to the SCD, which I have begun. I am not better yet, but the bloating is gone, the diarrhea has stopped and I am hopeful after reading all these comments. It is, however, very daunting and frightening to me to have to try and eat this way.

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    Guest Julia Brettschneider

    Posted

    I was diagnosed with celiac disease four years ago and went on a strict gluten-free diet. For the first six months the only grain I ate was rice. I felt as if someone had given me my life back! Then I discovered a gluten-free bakery and began eating other gluten-free products. I began to feel ill again and just recently have had terrible fatigue, headaches and intestinal symptoms to the point where I cannot go out. I had not connected this to diet and my gastroenterologist said that I must be eating gluten! I did some research about celiacs who are not completely healed on a gluten-free diet and saw a homeopath/naturopath who tested me and told me that the other grains that I was eating were preventing my gut from healing. This led me to the SCD, which I have begun. I am not better yet, but the bloating is gone, the diarrhea has stopped and I am hopeful after reading all these comments. It is, however, very daunting and frightening to me to have to try and eat this way.

    It would be wonderful if you could give me an update.

     

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    Well, I just started the SCD praying it gives me some relief. I am 50 years old and I started having problems with gluten over 3 years ago. When I initially went gluten-free, I was better within a few months, however, a year later my symptoms returned with a vengeance. I could not understand, as I had been super cautious not to consume any gluten. I have been suffering for almost 2 years now with severe intestinal issues, fatigue, and depression. I still push myself to exercise, but it's sure a struggle without much energy. After reading all the information and comments about the SCD diet, I feel hope for the first time in quite a while.

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    I have recently been diagnosed (5 months ago) with celiac and was still having symptoms of glutening despite cooking 100% at home with non-processed foods. After trying this diet I immediately started to feel better (within a week).

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    I had fun with this result. I found just what I was looking for. You have ended my four day long hunt! God Bless you man. Have a great day!

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    Guest Christine Heiner

    Posted

    As author I am responding to the editor's note by noting that I commented in the article,' Celiac is very difficult to cure in adults but can be effective when started very early for children. In my own case it is apparent that celiac is an auto immune reaction best controlled by avoidance of trigger food like wheat and other grains. I acknowledge that after eight years on SCD I am NOT cured but very well managed and controlled.

    ***********************************************************************

    Comment by Scott Adams (Celiac.com Editor):

    We edited that line in the article because, again, celiac disease is considered by doctors and researchers to be incurable, and only treatable via a gluten-free diet. There has never been a scientific study published that the SCD diet can cure celiac disease, or any other disease, but we do believe that it can aid in the treatment of many diseases, including celiac disease.

    Can't help but think that when the SCD diet is started early in children, and they appear cured, that maybe what has happened is that they have gone into that "honeymoon" period that many children go through, when celiac seems to disappear...which is why they used to think it was only a childhood disease. The symptoms may disappear, but the damage is still going on.

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    Carol Frilegh
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    Eight yearsago I knew little about autism. Fifty years ago I heard that a distantacquaintance of mine had an autistic child. It was extremely unusual at thetime. I needed it explained to me and was told that the child was almost totallyunresponsive.
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    Now the major airlines are taking note and introducing stringent requirements for service animals.
    Delta was the first to strike. As reported by the New York Times on January 19: “Effective March 1, Delta, the second largest US airline by passenger traffic, said it will require passengers seeking to fly with pets to present additional documents outlining the passenger’s need for the animal and proof of its training and vaccinations, 48 hours prior to the flight.… This comes in response to what the carrier said was a 150 percent increase in service and support animals — pets, often dogs, that accompany people with disabilities — carried onboard since 2015.… Delta said that it flies some 700 service animals a day. Among them, customers have attempted to fly with comfort turkeys, gliding possums, snakes, spiders, and other unusual pets.”
    Fresh from an unsavory incident with an “emotional support” peacock incident, United Airlines has followed Delta’s lead and set stricter rules for emotional support animals. United’s rules also took effect March 1, 2018.
    So, to the relief of many bewildered passengers and crew, no more comfort turkeys, geese, possums or other questionable pets will be flying on Delta or United without meeting the airlines' strict new requirements for service and emotional support animals.
    Source:
    cnbc.com

    admin
    WHAT IS CELIAC DISEASE?
    Celiac disease is an autoimmune condition that affects around 1% of the population. People with celiac disease suffer an autoimmune reaction when they consume wheat, rye or barley. The immune reaction is triggered by certain proteins in the wheat, rye, or barley, and, left untreated, causes damage to the small, finger-like structures, called villi, that line the gut. The damage occurs as shortening and villous flattening in the lamina propria and crypt regions of the intestines. The damage to these villi then leads to numerous other issues that commonly plague people with untreated celiac disease, including poor nutritional uptake, fatigue, and myriad other problems.
    Celiac disease mostly affects people of Northern European descent, but recent studies show that it also affects large numbers of people in Italy, China, Iran, India, and numerous other places thought to have few or no cases.
    Celiac disease is most often uncovered because people experience symptoms that lead them to get tests for antibodies to gluten. If these tests are positive, then the people usually get biopsy confirmation of their celiac disease. Once they adopt a gluten-free diet, they usually see gut healing, and major improvements in their symptoms. 
    CLASSIC CELIAC DISEASE SYMPTOMS
    Symptoms of celiac disease can range from the classic features, such as diarrhea, upset stomach, bloating, gas, weight loss, and malnutrition, among others.
    LESS OBVIOUS SYMPTOMS
    Celiac disease can often less obvious symptoms, such fatigue, vitamin and nutrient deficiencies, anemia, to name a few. Often, these symptoms are regarded as less obvious because they are not gastrointestinal in nature. You got that right, it is not uncommon for people with celiac disease to have few or no gastrointestinal symptoms. That makes spotting and connecting these seemingly unrelated and unclear celiac symptoms so important.
    NO SYMPTOMS
    Currently, most people diagnosed with celiac disease do not show symptoms, but are diagnosed on the basis of referral for elevated risk factors. 

    CELIAC DISEASE VS. GLUTEN INTOLERANCE
    Gluten intolerance is a generic term for people who have some sort of sensitivity to gluten. These people may or may not have celiac disease. Researchers generally agree that there is a condition called non-celiac gluten sensitivity. That term has largely replaced the term gluten-intolerance. What’s the difference between celiac disease and non-celiac gluten-sensitivity? 
    CELIAC DISEASE VS. NON-CELIAC GLUTEN SENSITIVITY (NCGS)
    Gluten triggers symptoms and immune reactions in people with celiac disease. Gluten can also trigger symptoms in some people with NCGS, but the similarities largely end there.

    There are four main differences between celiac disease and non-celiac gluten sensitivity:
    No Hereditary Link in NCGS
    Researchers know for certain that genetic heredity plays a major role in celiac disease. If a first-degree relative has celiac disease, then you have a statistically higher risk of carrying genetic markers DQ2 and/or DQ8, and of developing celiac disease yourself. NCGS is not known to be hereditary. Some research has shown certain genetic associations, such as some NCGS patients, but there is no proof that NCGS is hereditary. No Connection with Celiac-related Disorders
    Unlike celiac disease, NCGS is so far not associated with malabsorption, nutritional deficiencies, or a higher risk of autoimmune disorders or intestinal malignancies. No Immunological or Serological Markers
    People with celiac disease nearly always test positive for antibodies to gluten proteins. Researchers have, as yet, identified no such antobodies or serologic markers for NCGS. That means that, unlike with celiac disease, there are no telltale screening tests that can point to NCGS. Absence of Celiac Disease or Wheat Allergy
    Doctors diagnose NCGS only by excluding both celiac disease, an IgE-mediated allergy to wheat, and by the noting ongoing adverse symptoms associated with gluten consumption. WHAT ABOUT IRRITABLE BOWEL SYNDROME (IBS) AND IRRITABLE BOWEL DISEASE (IBD)?
    IBS and IBD are usually diagnosed in part by ruling out celiac disease. Many patients with irritable bowel syndrome are sensitive to gluten. Many experience celiac disease-like symptoms in reaction to wheat. However, patients with IBS generally show no gut damage, and do not test positive for antibodies to gliadin and other proteins as do people with celiac disease. Some IBS patients also suffer from NCGS.

    To add more confusion, many cases of IBS are, in fact, celiac disease in disguise.

    That said, people with IBS generally react to more than just wheat. People with NCGS generally react to wheat and not to other things, but that’s not always the case. Doctors generally try to rule out celiac disease before making a diagnosis of IBS or NCGS. 
    Crohn’s Disease and celiac disease share many common symptoms, though causes are different.  In Crohn’s disease, the immune system can cause disruption anywhere along the gastrointestinal tract, and a diagnosis of Crohn’s disease typically requires more diagnostic testing than does a celiac diagnosis.  
    Crohn’s treatment consists of changes to diet and possible surgery.  Up to 10% of Crohn's patients can have both of conditions, which suggests a genetic connection, and researchers continue to examine that connection.
    Is There a Connection Between Celiac Disease, Non-Celiac Gluten Sensitivity and Irritable Bowel Syndrome? Large Number of Irritable Bowel Syndrome Patients Sensitive To Gluten Some IBD Patients also Suffer from Non-Celiac Gluten Sensitivity Many Cases of IBS and Fibromyalgia Actually Celiac Disease in Disguise CELIAC DISEASE DIAGNOSIS
    Diagnosis of celiac disease can be difficult. 

    Perhaps because celiac disease presents clinically in such a variety of ways, proper diagnosis often takes years. A positive serological test for antibodies against tissue transglutaminase is considered a very strong diagnostic indicator, and a duodenal biopsy revealing villous atrophy is still considered by many to be the diagnostic gold standard. 
    But this idea is being questioned; some think the biopsy is unnecessary in the face of clear serological tests and obvious symptoms. Also, researchers are developing accurate and reliable ways to test for celiac disease even when patients are already avoiding wheat. In the past, patients needed to be consuming wheat to get an accurate test result. 
    Celiac disease can have numerous vague, or confusing symptoms that can make diagnosis difficult.  Celiac disease is commonly misdiagnosed by doctors. Read a Personal Story About Celiac Disease Diagnosis from the Founder of Celiac.com Currently, testing and biopsy still form the cornerstone of celiac diagnosis.
    TESTING
    There are several serologic (blood) tests available that screen for celiac disease antibodies, but the most commonly used is called a tTG-IgA test. If blood test results suggest celiac disease, your physician will recommend a biopsy of your small intestine to confirm the diagnosis.
    Testing is fairly simple and involves screening the patients blood for antigliadin (AGA) and endomysium antibodies (EmA), and/or doing a biopsy on the areas of the intestines mentioned above, which is still the standard for a formal diagnosis. Also, it is now possible to test people for celiac disease without making them concume wheat products.

    BIOPSY
    Until recently, biopsy confirmation of a positive gluten antibody test was the gold standard for celiac diagnosis. It still is, but things are changing fairly quickly. Children can now be accurately diagnosed for celiac disease without biopsy. Diagnosis based on level of TGA-IgA 10-fold or more the ULN, a positive result from the EMA tests in a second blood sample, and the presence of at least 1 symptom could avoid risks and costs of endoscopy for more than half the children with celiac disease worldwide.

    WHY A GLUTEN-FREE DIET?
    Currently the only effective, medically approved treatment for celiac disease is a strict gluten-free diet. Following a gluten-free diet relieves symptoms, promotes gut healing, and prevents nearly all celiac-related complications. 
    A gluten-free diet means avoiding all products that contain wheat, rye and barley, or any of their derivatives. This is a difficult task as there are many hidden sources of gluten found in the ingredients of many processed foods. Still, with effort, most people with celiac disease manage to make the transition. The vast majority of celiac disease patients who follow a gluten-free diet see symptom relief and experience gut healing within two years.
    For these reasons, a gluten-free diet remains the only effective, medically proven treatment for celiac disease.
    WHAT ABOUT ENZYMES, VACCINES, ETC.?
    There is currently no enzyme or vaccine that can replace a gluten-free diet for people with celiac disease.
    There are enzyme supplements currently available, such as AN-PEP, Latiglutetenase, GluteGuard, and KumaMax, which may help to mitigate accidental gluten ingestion by celiacs. KumaMax, has been shown to survive the stomach, and to break down gluten in the small intestine. Latiglutenase, formerly known as ALV003, is an enzyme therapy designed to be taken with meals. GluteGuard has been shown to significantly protect celiac patients from the serious symptoms they would normally experience after gluten ingestion. There are other enzymes, including those based on papaya enzymes.

    Additionally, there are many celiac disease drugs, enzymes, and therapies in various stages of development by pharmaceutical companies, including at least one vaccine that has received financial backing. At some point in the not too distant future there will likely be new treatments available for those who seek an alternative to a lifelong gluten-free diet. 

    For now though, there are no products on the market that can take the place of a gluten-free diet. Any enzyme or other treatment for celiac disease is intended to be used in conjunction with a gluten-free diet, not as a replacement.

    ASSOCIATED DISEASES
    The most common disorders associated with celiac disease are thyroid disease and Type 1 Diabetes, however, celiac disease is associated with many other conditions, including but not limited to the following autoimmune conditions:
    Type 1 Diabetes Mellitus: 2.4-16.4% Multiple Sclerosis (MS): 11% Hashimoto’s thyroiditis: 4-6% Autoimmune hepatitis: 6-15% Addison disease: 6% Arthritis: 1.5-7.5% Sjögren’s syndrome: 2-15% Idiopathic dilated cardiomyopathy: 5.7% IgA Nephropathy (Berger’s Disease): 3.6% Other celiac co-morditities include:
    Crohn’s Disease; Inflammatory Bowel Disease Chronic Pancreatitis Down Syndrome Irritable Bowel Syndrome (IBS) Lupus Multiple Sclerosis Primary Biliary Cirrhosis Primary Sclerosing Cholangitis Psoriasis Rheumatoid Arthritis Scleroderma Turner Syndrome Ulcerative Colitis; Inflammatory Bowel Disease Williams Syndrome Cancers:
    Non-Hodgkin lymphoma (intestinal and extra-intestinal, T- and B-cell types) Small intestinal adenocarcinoma Esophageal carcinoma Papillary thyroid cancer Melanoma CELIAC DISEASE REFERENCES:
    Celiac Disease Center, Columbia University
    Gluten Intolerance Group
    National Institutes of Health
    U.S. National Library of Medicine
    Mayo Clinic
    University of Chicago Celiac Disease Center