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      Frequently Asked Questions About Celiac Disease   04/24/2018

      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 is Celiac Disease and the Gluten-Free Diet? 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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    FULL GUT RECOVERY FROM CELIAC DISEASE CAN TAKE UP TO TWO YEARS


    Jefferson Adams

    Celiac.com 03/14/2017 - Recent studies of adult celiacs have suggested that complete, not just partial, mucosal recovery and healing is possible, but, in many cases, may take longer than is currently understood.


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    Recently Dr. Hugh James Freeman of the Department of Medicine, Gastroenterology, University of British Columbia, Vancouver, BC, Canada, conducted a study to assess healing time in celiac patients. In this study, 182 patients (60 males, 122 females) referred for evaluation of symptoms, including diarrhea and weight loss, were selected only if initial biopsies showed characteristic inflammatory changes with severe architectural disturbance.

    All patients were treated with a strict gluten-free diet, and diet compliance was regularly monitored. Up to 90% or more of patients showed a complete mucosal response or healing, many within 6 months. However, most patients required up to 2 years for full healing and recovery to take place in the gut.

    In this evaluation, women in each of 4 different age ranges showed better mucosal response and healing than men, while elderly celiacs had lower rates overall. Such factors should be considered before labeling a patient with "non-responsive" disease.

    However, celiacs who are diagnosed later, start a gluten-free diet later, and who have inflammatory changes with persistent gut damage may be at increased risk for a later small bowel complication, including lymphoma.

    The overall good news here is that full mucosal healing can and does occur in most people with celiac disease. Some people may take longer to heal, but the evidence shows that most do eventually heal.

    Source:


    Image Caption: Photo: CC--Thomas Haynie
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    Guest Brenda

    Posted

    Wait ... Does this mean that someone with celiac disease can follow a strict gluten-free diet for two years and not have to worry about possible cross contamination after that? I was under the impression that just a hint of gluten in my diet will return my gut to the complete villous atrophy state instantly and that my villi would never be as strong as they once were. This article leads me to believe that information may have changed. Is that right?

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    Guest admin

    Posted

    Wait ... Does this mean that someone with celiac disease can follow a strict gluten-free diet for two years and not have to worry about possible cross contamination after that? I was under the impression that just a hint of gluten in my diet will return my gut to the complete villous atrophy state instantly and that my villi would never be as strong as they once were. This article leads me to believe that information may have changed. Is that right?

    This does not mean that you can eat gluten after recovery, only that full recovery can take up to two years for many celiacs.

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    Guest Jeff Adams

    Posted

    Wait ... Does this mean that someone with celiac disease can follow a strict gluten-free diet for two years and not have to worry about possible cross contamination after that? I was under the impression that just a hint of gluten in my diet will return my gut to the complete villous atrophy state instantly and that my villi would never be as strong as they once were. This article leads me to believe that information may have changed. Is that right?

    No. If you have celiac disease, you must maintain a gluten-free diet. The study analysis means that, even on a gluten-free diet, people with celiac disease can take up to two years to see full healing in the gut. That fact may help doctors and patients adjust their expectations, and to better understand and treat celiac disease.

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    Guest AWOL cast iron stomach

    Posted

    Thanks for the perspective. I can believe this as 14 months post gluten challenge, I still am not where I want to be or have been in healthier days. The One year mark clearly was not realistic for me personally. I am grateful that the joint pain has subsided and that my liver, pancreas, gallbladder have improved as bile and enzymes seem to have fired back on. I still struggle with inflammation and neuropathy so I know I have a ways to go.

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    Jefferson Adams
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    Alimentary Pharmacology & Therapeutics 2014; 40(6):639-647.

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    Jefferson Adams
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    Source:
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    Source:
    PLoS One. 2018; 13(3): e0193764. doi: & 10.1371/journal.pone.0193764