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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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    JOVIAL FOODS, 100 % ORGANIC, BROWN RICE AND GLUTEN-FREE PASTA


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    Jovial Foods offers organic gluten-free pasta, cookies and ancient grain flours. Finding healthy gluten-free foods shouldn't be a struggle. Jovial takes simple ingredients and turns them into healthy, wholesome foods you feel great eating and serving to your family.


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    Jovial Foods, 100 % Organic, Brown Rice and Gluten-Free PastaJovial is introducing a completely new way to bake gluten free. Jovial Gluten Free Flours are made with real flour, and no added starches. Did you know that most gluten free flours contain up to 40% added starch, even though gluten free grains have as much starch as wheat? We challenged the notion that added starch is needed in gluten free flours and discovered that these unhealthy ingredients actually create the off-flavors and strange textures that are so common in gluten free bread. Our flour is made with an abundance of protein and fiber-rich ancient grains, for bread & pastries with true texture and flavor. Now offering Gluten Free Bread Flour & Whole Grain Bread Flour, Pastry Flour & Whole Grain Pastry Flour.

    Here's to a new and healthier future of delicious gluten free bread.

    Made with ancient grains
    Truer flavors and textures, your breads & pastries will stay fresh longer.
    3g of protein and 1g of fiber per 30g serving of flour.
    Made in a facility completely free of all major allergens.
    Jovial also carries a complete gluten-free pasta, cookies, glass-packed tomatoes and extra virgin olive oil that are all certified gluten-free!

    As parents whose child struggled with gluten sensitivities, Carla and Rodolfo, the founders of Jovial Foods, only create products that they feel safe giving to their daughters, which is why so much thought is put into the making of these products starting from the seed.

    To encourage gluten-free cooking and baking, jovial also hosts Culinary Getaways in Italy, where Carla herself teaches a number of hands-on classes to the guests. It's a great opportunity to cook authentic Italian food- without the gluten, but with all the flavor!

    For more info visit our site


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    Guest MaryEllen

    Posted

    This is the best dried gluten-free pasta I've ever had! It tastes like freshly made pasta! It is the only brand I now buy. I wish it came in more shapes!

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    Guest Heidi

    Posted

    This is the best dried gluten-free pasta I've ever had! It tastes like freshly made pasta! It is the only brand I now buy. I wish it came in more shapes!

    Hi Mary Ellen,

    I have good news! We recently came out with gluten-free lasagna & an amazing egg tagliatelle. Please visit our online store and use FREESHIP2013 on your order.

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    admin
    Share your recipe with riceworks® and it could be selected for our cookbook, riceworks recipeworks, coming this fall. We love the name. Almost as much as we love learning new ways to enjoy our savory rice crisps. And we hope you feel the same way.
    So share your recipe. We’ll review each one and the top 50 will be included in riceworks recipeworks. A great gift idea, the cookbooks will be available in October, in plenty time for the holidays.
    Speaking of giving, proceeds from sales will go to charity, just at the time of the year it’s needed most.
    Submit your recipe here.


     
    Note:Articles that appearin the "Gluten-Free Food & SpecialtyProduct Companies" section ofthis site are paid advertisements. Formore information about this seeour AdvertisingPage.


    admin
    Bi-Aglut is a brand of H. J. Heinz Company. Heinz has been producing excellent-tasting gluten-free foods under the Bi-Aglut brand for more than 40 years. As a trusted brand from Italy, you can expect that Bi-Aglut gluten-free products are:

    Delicious High quality Safe Healthy and Nutritious These characteristics are the main pillars of the Bi-Aglut brand. Bi-Aglut has specialized in gluten-free production since 1964 and all of its products are prepared from gluten-free raw materials. In Italy, the Bi-Aglut manufacturing facilities have high standards and tightly controlled production processes, as required by strict Italian regulations. Also Bi-Aglut has focused on providing consumers with products of superior taste and nutritional quality through advancements in their manufacturing technology. Currently Bi-Aglut offers a complete range of gluten-free products to give the consumer a varied, healthy, well-balanced diet. There are 6 different types of Bi-Aglut gluten-free pasta now available in the U.S. through distributors or online:

    Penne Spaghetti Maccheroncini (Macaroni) Fusilli Lasagne Gemmine (Soup Pasta) And although they’re gluten-free, Bi-Aglut pastas have all the taste and flavor of traditional Italian cooking!COMING SOON!
    Additional product offerings such as breadsticks, cookies, crackers, and sweet treats!
    Look for Bi-Aglut products at your local health food store or purchase online at Gluten Free Mall.


     
    Note:Articles that appearin the "Gluten-Free Food & SpecialtyProduct Companies" section ofthis site are paid advertisements. Formore information about this seeour Advertising Page.


    Gryphon Myers
    Bard’s Gold is America’s first gluten-free sorghum beer and the only beer brewed with 100% malted sorghum to provide traditional taste and aroma demanded by beer lovers. The malting process is what makes beer, well, beer and only Bard’s takes this additional step to provide a craft-brewed beer that just happens to be gluten-free.
    It all started with our founders Kevin Seplowitz and Craig Belser, two self-professed beer aficionados, avid home brewers and all-around ordinary guys who became somewhat less ordinary after they were both diagnosed with celiac disease. Suddenly beer was off the table for Kevin and Craig as traditional beers are made from grains containing gluten. They received the news like any ardent beer lover would – not well. Kevin and Craig could not conceive of a life that did not involve beer and took action. They made it their mission to find a way to make a great-tasting, craft-brewed beer that just happens to be gluten-free. After many years of hard work and experimentation they had that Eureka moment and Bard’s Beer was born.
    At Bard’s we pride ourselves on crafting a high-quality beer that is gluten-free. In order to achieve this goal, we have implemented oversights that start with the farmers who grow our sorghum and continue until each delicious drop of Bard’s is safe and sound in a bottle. We have rigorous cleaning and testing procedures for storage, transportation and production to ensure no contamination occurs.
    Learn more about us at http://www.bardsbeer.com or call 877-440-2337. Find Bard’s near where you live, work and play with our beer locator.
     
    For more info visit their site.
     
     

    Note: Articles that appear in the "Gluten-Free Food & Specialty Product Companies"  section of this site are paid advertisements. For more information about this see our Advertising Page.

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    Lakewood Matzoh has been in business for close to 20 years and is back this year with a complete line of Passover matzoh.
    We offer certified gluten-free oat matzoh that is made from GFCO certified oat flour. Our gluten free matzoh is made from gluten-free oat flour and water only, and is appropriate for Hamotzi & Seder use. All our matzoh is available in both traditional round and square machine made.
    Visit us on the web, or send an email to sales@lakewoodmatzoh.com or call us at 732-364-8757.



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    The Mayo Clinic conducted a study in 2010, which found that a substantial portion of adults with celiac disease did not exhibit complete intestinal recovery 5-years post diagnosis; meaning their ability to properly absorb and utilize vital nutrients may be forever compromised.
    What's more, the gluten-free diet itself can actually pose great nutritional adequacy challenges, as it is traditionally NOT fortified with nutrients commonly found in their gluten-containing counterparts.
    Why is the above information important? Because, when the gluten intolerant/sensitive body is starved of essential vitamins, minerals, and nutrients, it becomes much more vulnerable to associated disorders and further complications.
    This is why doctors recommend a daily multivitamin as an adjunct to the gluten-free diet. Not just any multivitamin though. Gluten-Free Biotics is the ONLY multivitamin on the market that provides all of the following advantages:
    Made with compassion and a genuine, shared understanding of the gluten-induced health challenges that our customers face. Specifically formulated to support the unique dietary and physiological needs of those with celiac disease and non-celiac gluten sensitivity. Each science-backed capsule contains over 45 well-tolerated vitamins, minerals, and nutrients, in select dietary forms, dosages and ratios, which are designed to counteract nutritional deficiencies, bolster the immune system, and accelerate intestinal healing. Broad spectrum of high-bioavailability vitamins and chelated, amino-acid bound minerals for optimal absorption; plus a potent mixture of pH-stable vegetarian enzymes and active, multi-strain probiotic cultures, all delivered in an ingredient stable vegetarian capsule. Clinician recommended formulation, supported by current, impartial science and relevant clinical studies. Certified gluten-free by the Celiac Sprue Association using the ELISA 5 R-Biopharm RIDASCREEN ®, which is the most sensitive gluten-quantification test in the US. At 5-parts-per-million (PPM) detection, the ELISA 5 test is 300% more stringent than the current FDA 20-PPM gluten-free standard. Please visit us at: www.glutenfreebiotics.com. Our website not only contains detailed information about Gluten-Free Biotics Multivitamin + Multimineral, but also extensive gluten-related material and resources.
    In Good Health,
    Chad Breitenfeld
    Founder & Fellow Celiac
    Gluten-Free Biotics is a progressive nutritional supplement company founded on a philosophy of compassion and a commitment to advancing the health and well-being of a spectrum gluten sensitive community that has needlessly suffered for far too long.
     

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    A whoopie pie is a classic American dessert from the Northeast made with two small round cake like cookies filled with a smooth frosting center. “WHOOPIE” is the sound people make when they take a bite of this dreamy cake sandwich!  Our goal as bakers was to create a healthier line of all natural, fun, gluten free desserts. Our Whoopie Pies by The Piping Gourmets are available in several flavors and are certified Gluten Free, Vegan(dairy & egg free)and Kosher-Pareve. They also are made with Non GMO ingredients and are free of trans-fat, hydrogenated oil and artificial colors/preservatives.
    For more information: www.thepipinggourmets.com

  • Recent Articles

    Connie Sarros
    Celiac.com 04/21/2018 - Dear Friends and Readers,
    I have been writing articles for Scott Adams since the 2002 Summer Issue of the Scott-Free Press. The Scott-Free Press evolved into the Journal of Gluten Sensitivity. I felt honored when Scott asked me ten years ago to contribute to his quarterly journal and it's been a privilege to write articles for his publication ever since.
    Due to personal health reasons and restrictions, I find that I need to retire. My husband and I can no longer travel the country speaking at conferences and to support groups (which we dearly loved to do) nor can I commit to writing more books, articles, or menus. Consequently, I will no longer be contributing articles to the Journal of Gluten Sensitivity. 
    My following books will still be available at Amazon.com:
    Gluten-free Cooking for Dummies Student's Vegetarian Cookbook for Dummies Wheat-free Gluten-free Dessert Cookbook Wheat-free Gluten-free Reduced Calorie Cookbook Wheat-free Gluten-free Cookbook for Kids and Busy Adults (revised version) My first book was published in 1996. My journey since then has been incredible. I have met so many in the celiac community and I feel blessed to be able to call you friends. Many of you have told me that I helped to change your life – let me assure you that your kind words, your phone calls, your thoughtful notes, and your feedback throughout the years have had a vital impact on my life, too. Thank you for all of your support through these years.

    Jefferson Adams
    Celiac.com 04/20/2018 - A digital media company and a label data company are teaming up to help major manufacturers target, reach and convert their desired shoppers based on dietary needs, such as gluten-free diet. The deal could bring synergy in emerging markets such as the gluten-free and allergen-free markets, which represent major growth sectors in the global food industry. 
    Under the deal, personalized digital media company Catalina will be joining forces with Label Insight. Catalina uses consumer purchases data to target shoppers on a personal base, while Label Insight works with major companies like Kellogg, Betty Crocker, and Pepsi to provide insight on food label data to government, retailers, manufacturers and app developers.
    "Brands with very specific product benefits, gluten-free for example, require precise targeting to efficiently reach and convert their desired shoppers,” says Todd Morris, President of Catalina's Go-to-Market organization, adding that “Catalina offers the only purchase-based targeting solution with this capability.” 
    Label Insight’s clients include food and beverage giants such as Unilever, Ben & Jerry's, Lipton and Hellman’s. Label Insight technology has helped the Food and Drug Administration (FDA) build the sector’s very first scientifically accurate database of food ingredients, health attributes and claims.
    Morris says the joint partnership will allow Catalina to “enhance our dataset and further increase our ability to target shoppers who are currently buying - or have shown intent to buy - in these emerging categories,” including gluten-free, allergen-free, and other free-from foods.
    The deal will likely make for easier, more precise targeting of goods to consumers, and thus provide benefits for manufacturers and retailers looking to better serve their retail food customers, especially in specialty areas like gluten-free and allergen-free foods.
    Source:
    fdfworld.com

    Jefferson Adams
    Celiac.com 04/19/2018 - Previous genome and linkage studies indicate the existence of a new disease triggering mechanism that involves amino acid metabolism and nutrient sensing signaling pathways. In an effort to determine if amino acids might play a role in the development of celiac disease, a team of researchers recently set out to investigate if plasma amino acid levels differed among children with celiac disease compared with a control group.
     
    The research team included Åsa Torinsson Naluai, Ladan Saadat Vafa, Audur H. Gudjonsdottir, Henrik Arnell, Lars Browaldh, and Daniel Agardh. They are variously affiliated with the Institute of Biomedicine, Department of Microbiology & Immunology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; the Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden; the Department of Pediatric Gastroenterology, Hepatology and Nutrition, Karolinska University Hospital and Division of Pediatrics, CLINTEC, Karolinska Institute, Stockholm, Sweden; the Department of Clinical Science and Education, Karolinska Institute, Sodersjukhuset, Stockholm, Sweden; the Department of Mathematical Sciences, Chalmers University of Technology, Gothenburg, Sweden; the Diabetes & Celiac Disease Unit, Department of Clinical Sciences, Lund University, Malmö, Sweden; and with the Nathan S Kline Institute in the U.S.A.
    First, the team used liquid chromatography-tandem mass spectrometry (LC/MS) to analyze amino acid levels in fasting plasma samples from 141 children with celiac disease and 129 non-celiac disease controls. They then crafted a general linear model using age and experimental effects as covariates to compare amino acid levels between children with celiac disease and non-celiac control subjects.
    Compared with the control group, seven out of twenty-three children with celiac disease showed elevated levels of the the following amino acids: tryptophan; taurine; glutamic acid; proline; ornithine; alanine; and methionine.
    The significance of the individual amino acids do not survive multiple correction, however, multivariate analyses of the amino acid profile showed significantly altered amino acid levels in children with celiac disease overall and after correction for age, sex and experimental effects.
    This study shows that amino acids can influence inflammation and may play a role in the development of celiac disease.
    Source:
    PLoS One. 2018; 13(3): e0193764. doi: & 10.1371/journal.pone.0193764

    Jefferson Adams
    Celiac.com 04/18/2018 - 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 animals.
    If you’ve flown anywhere lately, you may have seen them. People flying with their designated “emotional support” animals. We’re not talking genuine service animals, like seeing eye dogs, or hearing ear dogs, or even the Belgian Malinois that alerts its owner when there is gluten in food that may trigger her celiac disease.
    Now, to be honest, some of those animals in question do perform a genuine service for those who need emotional support dogs, like veterans with PTSD.
    However, many of these animals are not service animals at all. Many of these animals perform no actual service to their owners, and are nothing more than thinly disguised pets. Many lack proper training, and some have caused serious problems for the airlines and for other passengers.
    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